Online citations, reference lists, and bibliographies.
← Back to Search

Influence Of Tobacco Marketing And Exposure To Smokers On Adolescent Susceptibility To Smoking.

N. Evans, A. Farkas, E. Gilpin, C. Berry, J. Pierce
Published 1995 · Biology, Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
BACKGROUND Today the uptake of smoking is primarily an adolescent pursuit. Awareness of tobacco advertising and promotion is high, and evidence suggests that it plays a role in adolescent smoking uptake. PURPOSE We evaluated the influence of tobacco advertising and promotion and exposure to smokers on never-smoking adolescents' susceptibility to smoking. METHODS We used data on 3536 adolescent never smokers (those who had never even puffed on a cigarette) from the 1993 California Tobacco Survey. That survey questioned adolescents about smoking history and inclinations. For this analysis, we defined as susceptible to smoking those never smokers who said on the survey that they could not rule out independently deciding to try a cigarette soon or smoking one offered by a friend. Also for this analysis, we devised two indices: 1) a 5-point index of an individual's receptivity to tobacco advertising as determined by the number of positive responses to five survey items (recognition of advertising messages, having a favorite advertisement, naming a brand he/she might buy, owning a tobacco-related promotional item, and willingness to use a tobacco-related promotional item) and 2) an index classifying an individual's reported exposure to family and peer smoking into one of four levels. Using logistic regression, we assessed the independent importance of our indices in predicting susceptibility to smoking after adjustment for sociodemographic variables, including age, sex, and race/ethnicity, and for perceived school performance. Tests of statistical significance were two-sided. RESULTS Receptivity to tobacco advertising and exposure to smokers were independently associated with susceptibility to smoking, but the relationship appeared stronger for receptivity to advertising. Adolescents exposed to family members and peers (n = 489) who smoked were 1.89 (95% confidence interval [CI] = 1.30-2.74) times as likely to be susceptible, whereas adolescents who scored 4 or more on the Index of Receptivity to Tobacco Marketing (n = 361) were 3.91 (95% CI = 2.38-6.42) times as likely to be susceptible as those who scored 0. Even adolescents who scored 2 (n = 1090) were 2.03 (95% CI = 1.31-3.15) times as likely to be susceptible. There was no interaction effect between score on the Index of Receptivity to Tobacco Marketing and exposure to smokers. CONCLUSION Our results support the hypothesis that tobacco marketing may be a stronger current influence in encouraging adolescents to initiate the smoking uptake process than exposure to peer or family smokers or sociodemographic variables including perceived school performance.

This paper is referenced by
Perceptions and perceived impact of graphic cigarette health warning labels on smoking behavior among U.S. young adults.
A. Villanti (2014)
Effect of cigarette promotions on smoking uptake among adolescents.
J. Sargent (2000)
Correlates of smoking initiation among young adults in Ukraine: a cross-sectional study
T. Andreeva (2007)
Salient environmental and perceptual correlates of current and established smoking for 2 representative cohorts of Indiana adolescents.
Dong-Chul Seo (2009)
Smoking Behavior, Information Sources, and Consumption Values of Teenagers: Implications for Public Policy and Other Intervention Failures
Gerald Albaum (2002)
Profits Over People: Tobacco Industry Activities to Market Cigarettes and Undermine Public Health in Latin America and the Caribbean
S. Bialous (2002)
Prevalence of Electronic Cigarette Use and Its Determinants among 13-to-15-Year-Old Students in Greece: Results from the 2013 Global Youth Tobacco Survey (GYTS)
Soteris Soteriades (2020)
Tobacco Promotion and the Initiation of Tobacco Use: Assessing the Evidence for Causality
J. Difranza (2006)
Relationships Between Cigarette Smoking and Weight Control in Young Women
C. Delnevo (2003)
The relationship between perceived exposure to promotional smoking messages and smoking status among high school students.
R. Peters (2006)
IARC Handbooks of Cancer Prevention
S. Feig (2003)
Survey of the effect of viewing an online e-cigarette advertisement on attitudes towards cigarette and e-cigarette use in adults located in the UK and USA: a cross-sectional study
P. Booth (2019)
Parental cancer and risk of papillary and follicular thyroid carcinoma.
M. Galanti (1997)
Correlation, Causation, And Smoking Initiation Among Youths
M. Goldberg (2003)
Impact of CYP2A6 Genetic Variation on Nicotine Metabolism and Smoking Behaviours in Light Smoking Populations of Black-African Descent
Man Ki Ho (2011)
Concurrent use of tobacco products by California adolescents.
E. Gilpin (2003)
Potential Costs and Benefits of Statewide Smoking Cessation in Pennsylvania
Jill S. Rumberger (2010)
Effects of antismoking messages from media on adolescent smoking: The roles of family, school, and culture
Zhiyong Yang (2019)
Conditional risk assessment of adolescents' electronic cigarette perceptions.
B. Chaffee (2015)
Chapter 3 Effective Educational Strategies to Prevent Tobacco Use Among Young People
Tobacco Industry, Advertising and Advertising Bans
K. Haustein (2010)
Third-Person Perception and Children
L. Henriksen (1999)
The impact of risk and protective factors on message bias
C. J. Brooks (2008)
La publicidad de l tabaco , ¿incre me nta e l hábito de fumar e ntre lo s ado le s ce nte s ? Dato s de s de Califo rnia
J. P. Pierce (2016)
Advertising and tobacco consumption Analysis of the effects, with particular reference to children and adolescents
R. Hanewinkel (1998)
Effects of a Total Ban of Tobacco Advertising - A Paper for Discussion
R. Hanewinkel (2001)
A Study on Tobacco Use Among School Children
Arun Kurupath (2018)
Burning Love: big tobacco takes aim at LGBT youths.
H. A. Washington (2002)
Chapter 29 The economics of smoking
F. Chaloupka (2000)
TABADO : Evaluation d'un programme d'aide au sevrage tabagique pour les adolescents en centres de formation des apprentis (CFA)
L. Minary (2011)
Tobacco marketing awareness on youth smoking susceptibility and perceived prevalence before and after an advertising ban.
C. Moodie (2008)
Noncombustible tobacco product advertising: how companies are selling the new face of tobacco.
Amanda Richardson (2014)
See more
Semantic Scholar Logo Some data provided by SemanticScholar