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BACKGROUND: The occurrence of smoking among adolescents keeps increasing. Based on data from the Regional Health Research 2013, the prevalence of child smokers aged 10–18 years old was 7.2–9.1% in 2018. In fact, it exceeds the government’s target to reduce the number of child smokers in 2019 to 5.4%. Cigarette advertising is one of the reasons children are attracted to smoking, and Indonesia ranks first in ASEAN for youth exposure to tobacco advertisement and promotion. AIM: The aim of the study is to determine the factors that affect the urge to smoke in adolescents, specifically the influence of friends who smoke and exposure to cigarette advertisements in Sleman, Indonesia. METHODOLOGY: A non-experimental study with a correlation study and a cross-sectional approach. The sample was 318 respondents with a total sampling technique on first-grade junior high school students from three schools. The research instruments used were a questionnaire on exposure to cigarette advertisements, smoker friends, and the intention to smoke. The bivariate analysis used was the chi-square correlation test. RESULTS: Most of the respondents were exposed to cigarette advertisements in the medium category (56.6%), most of the respondents had smoking friends (57.2%), 11% of respondents had the desire to smoke shortly, and 15.1% of respondents had a desire to smoke for an extended period. The correlation test results between exposure to cigarette advertisements and smoking friends and the desire to smoke in the near and long term showed a p-value of

Purpose The association between e-cigarette marketing exposure and youth e-cigarette initiation is not well understood. This study examines whether convenience store access, exposure to retail e-cigarette marketing, and having a favorite e-cigarette ad before e-cigarette use is associated with susceptibility to use and future e-cigarette initiation in a national longitudinal study of youth. Methods A nationally representative longitudinal cohort of youth in the Population Assessment of Tobacco and Health study (12–17 years) was followed up over three waves of annual data collection (2013–2016). Tobacco-naive (wave 1) and e-cigarette-naive (wave 2) youth (n = 6,470) were included. Marketing exposure at wave 2 was examined in association with e-cigarette susceptibility (wave 2) and e-cigarette initiation (wave 3) using adjusted logistic regression models. Analysis occurred in 2019. Results Youth visiting convenience stores at least weekly (vs. never) had 1.51 times the odds of e-cigarette susceptibility (95% confidence interval [CI]: 1.25, 1.81) and 1.79 times the odds of e-cigarette initiation (95% CI: 1.29, 2.48). Noticing a retail e-cigarette ad (vs. not noticing) was associated with e-cigarette susceptibility (adjusted odds ratio [AOR] 1.36, 95% CI: 1.18, 1.57), but not initiation. Youth reporting a favorite branded e-cigarette ad had greater odds of both susceptibility (AOR 1.31, 95% CI, 1.10, 1.56) and e-cigarette initiation (AOR 1.60, 95% CI: 1.18, 2.17) compared to youth without a favorite ad. Conclusions Tobacco-naive youth with frequent convenience store access and exposure to e-cigarette marketing were at greater risk of e-cigarette susceptibility and progression to e-cigarette initiation over a 2-year period. Policies to restrict retailer locations and e-cigarette marketing could enhance youth e-cigarette use prevention efforts.

AIMS: To estimate the association of e-cigarette advertisement exposure with e-cigarette and cigarette use behavior among U.S. adults. DESIGN: Data from the 2013–14 National Adult Tobacco Survey (NATS) were linked to Kantar Media and National Consumer Study data to construct measures of e-cigarette advertisements on TV and in magazines. The relationship between advertisement measures and outcomes was estimated using logistic and Poisson regressions, controlling for sociodemographics, state cigarette taxes, and state and year fixed effects. SETTING: United States. PARTICIPANTS/CASES: A total of 98,746 adults ages ≥18 years who responded to the 2013–14 NATS. MEASUREMENTS: The independent variables of interest were the number of e-cigarette advertisements in magazines to which an adult was exposed in the past 6 months and the number of e-cigarette advertisements in TV to which an adult was exposed in the past 6 months. Outcomes were awareness of e-cigarettes, ever e-cigarette use, current e-cigarette use, current cigarette use, and number of cigarettes smoked per month. FINDINGS: Exposure to one additional e-cigarette advertisement on TV was associated with a 0.18 percentage point, 0.13 percentage point and 0.03 percentage point increase, respectively, in awareness, ever use, and current use of e-cigarettes among all adults (p

Background Advertising, promotion and sponsorship of electronic cigarettes (ECAPS) have increased in recent years. Since May 2016, the Tobacco Products Directive 2014/40/EU (TPD2) prohibits ECAPS in various advertising channels, including media that have cross-border effects. The objective of this study was to investigate changes in exposure to ECAPS in a cohort of smokers from six European Union member states after implementation of TPD2. Methods Self-reported exposure to ECAPS overall and in various media and localities was examined over two International Tobacco Control Policy Evaluation survey waves (2016 and 2018) in a cohort of 6011 adult smokers from Germany, Greece, Hungary, Poland, Romania and Spain (EUREST-PLUS Project) using longitudinal generalized estimating equations models. Results Self-reported ECAPS exposure at both timepoints varied between countries and across examined advertising channels. Overall, there was a significant increase in ECAPS exposure [adjusted odds ratio (aOR): 1.25, 95% CI: 1.09–1.44]. Between waves, no consistent patterns of change in ECAPS exposure across countries and different media were observed. Generally, ECAPS exposure tended to decline in some channels regulated by TPD2, particularly on television and radio, while exposure tended to increase in some unregulated channels, such as at points of sale. Conclusions The findings suggest that the TPD2 was generally effective in reducing ECAPS in regulated channels. Nonetheless, further research is warranted to evaluate its role in reducing ECAPS exposure, possibly by triangulation with additional sources of data.

Cigarette consumption occurs throughout the world and is widespread among teenagers. Moreover, the existence of cigarette advertisements as a promotional media that is easily found in various mass media, can provide smoking influences to adolescents. The purpose of this study was to determine the effects of cigarette advertising on adolescent smoking initiation. This study uses a literature review. Google Scholar, Sciene Direct, and Proquest are used to select literature related to the topic to be discussed. The analysis in this study was also assisted with several articles found on the internet. Based on research, the influence of various types of cigarette advertisements in general in various countries can lead to smoking initiation among adolescents. The image in cigarette advertisements makes smokers look attractive. Teenagers who are exposed to cigarette advertisements are more open and have a high curiosity about the use of cigarettes. Some actions need to be taken to reduce cigarette consumption in adolescents, such as providing cigarette education to adolescents, as well as enforcement of strong anti-smoking advertising, promotion and sponsorship policies. So, the teenagers know and understand the harmful effects of using these cigarettes. Keywords: Cigarette advertisement, adolescent health, smoking.

Introduction: Children smokers are big health problem in global especially in Indonesia. The further study is important for investigating about increasing children smokers in Indonesia. Additionally, there are many factors that influence the raising number of children smoking. Aims: This study attempted to explore the relationship between cigarette advertising exposure, their harmful tobacco knowledge and smoking status of sixth grade students. Methods: A cross sectional study was performed in this research. It involved 20 elementary schools in Bandar Lampung, Indonesia. It was conducted on January 2019. Additionally, survey questionnaires were administered to 901 sixth grade students to assess their cigarette advertising exposure, harmful tobacco knowledge and smoking status. Next, chi square analytical test was undertaken. Results: It was found that the number of smokers in elementary students in Bandar Lampung, Indonesia was very high (50.8%). There were 69.3% of respondents who had cigarette advertising exposure. Additionally, most of them didn’t have harmful tobacco knowledge (51.6%). Based on the result of chi square analysis, it was found a significant relationship between cigarette advertising exposure to the smoking status of students (p Conclusions: Cigarette advertising exposure and harmful tobacco knowledge were found to be significantly associated to smoking status of sixth grade students in Bandar Lampung, Indonesia.

Background Tobacco advertisements have been banned in Hong Kong, but low intensity e-cigarette (EC) advertising can still be found in various media outlets. We investigated the associations between exposure to EC advertising and susceptibility to EC use in adolescents who had never used cigarettes or ECs, with potential mediation by attitudes towards ECs and the tobacco industry. Methods The School-based Smoking Survey 2016/17 assessed exposure to EC advertising in the past 30 days, attitudes towards ECs and the tobacco industry, susceptibility to EC use, and other covariates. Generalised linear mixed models and multiple mediation analysis methods were used in data analyses. Results Among 7082 students (mean age 14.9 years), 28.8% reported exposure to EC advertising. Exposure was associated with being uncertain about the harm of EC use, being tolerant towards ECs, believing the tobacco industry is respectable, and being susceptible to EC use; the magnitudes of these associations increased with the number of types of advertising exposed (0, 1, and ≥ 2) (all p-values Conclusions Even exposure to low intensity EC advertising was associated with susceptibility to EC use in adolescents who had never used cigarettes or ECs. The association was weakly mediated by tolerant attitudes towards ECs and the tobacco industry. The government should reinforce the regulations on EC advertising to protect adolescent health.

Objectives We examined effects of e-cigarette ad messages and visual cues on outcomes related to combustible cigarette smoking cessation: smoking cessation intention, smoking urges, and immediate smoking behavior. Methods US adult smokers (N = 3293) were recruited through Amazon Mechanical Turk and randomized to condition in a 3 (message: e-cigarette use anywhere, harm reduction, control) × 2 (e-cigarette cue presence or absence) between-subjects experiment. Stimuli were print ads for cigarette-like e-cigarettes ("cigalikes") that were manipulated for the experimental conditions. We conducted ANOVA and logistic regression analyses to investigate effects of the manipulations. Results Message effects on cessation intention and smoking urges were not statistically significant. There was no evidence of cue effects or message × cue interactions across outcomes. Contrary to expectations, e-cigarette use anywhere and harm reduction messages were associated with lower odds of immediate smoking than the control message (AOREUA = 0.75, 95%CI = 0.58, 0.97, p = .026; AORHR = 0.72, 95%CI = 0.55, 0.93, p = .013). Conclusions E-cigarette use anywhere and harm reduction messages may encourage smoking cessation, given the observed reduction in immediate smoking. E-cigarette cues may not influence smoking cessation outcomes. Future studies should investigate whether message effects are a result of smokers believing e-cigarettes to be effective cessation aids.

Cigarette consumption in adolescence is very high and there is a tendency to increase every year. Various programs to reduce the consumption of smoke already done one of them is included advertising the dangers of smoking on cigarette packs. Higher cigarette consumption is in line with the increasing number of cardiovascular diseases The threat of cardiovascular disease was not followed by an increase in public awareness. Public misperceptions about the risk factors of cardiovascular disease is still high. This study aimed to analyze the perception of cigarette advertising, value and awareness of adolescents about the dangers of cardiovascular disease in Jenangan Siman Ponorogo. This type of research with a qualitative approach. Subjects were adolescence in the village Jenangan. Determining Subject purposively. Number of subjects in this study 4 participants. Data was collected by in-depth interview techniques. The results of the study as follows: all participants know the dangers of tobacco consumption such as heart disease, impotence and cancer, the majority of smoke when entered junior high school. Smoking is a major factor causing environmental factors. Subjects teen gave a mixed response to advertisements on cigarette packets, most do not inspire fear. Misperception adolescent to advertisements on cigarette packets will affect the pattern of cigarette consumption and the prevention and treatment of cardiovascular disease. Redesign of advertising on cigarette packets should be carried out and based on research.

According to recent data extracted from Global Tobacco Atlas (2015), about 66% Indonesian male aged no less than 15 years old are active smokers. It means 2 among 3 Indonesian male are smokers. The number of young smokers arose significantly. Smokers among 15-19 years old has increased 17 % each year, meanwhile, baby smokers among 5-9 years old has multiplied 400 %. These figures implied the rise of health risk among Indonesians. The tobacco industry tries every year to recruit young people to replace those current smokers who are dying or quitting. This youth being targeted by tobacco industry is called ‘replacement smokers’, and is lured to start smoking through the work of advertising and creative marketing strategy. A study carried out by Health Ministry of Indonesia showed that 70% youth were started to smoke after heavily exposed by cigarette advertising. In order to break tobacco advertising spell, a brand jamming strategy based on media literacy approach was conducted toward junior high school pupils. By educating them about advertising-behind-the scene and challenging them to creatively produce a ‘mocking’ version of popular tobacco ads, students now are capable enough to deconstructing the real message behind tobacco ads.

This article explores the background, creation and reception of a prominent cigarette advertising campaign from the early 1960s. The advertisements featured young couples falling in love as they shared Player's Medium cigarettes together. As such, the advertisements reflected the central place of the teenager within post-war British consumer culture. The campaign was built upon the insights of market research, particularly that carried out by Mark Abrams and his research organization Research Services Limited. Historians have played down the significance of Abrams's work, but it is argued here that the studies and reports Abrams produced rendered the teenage consumer knowable in a powerful way. Advertisers and manufacturers now had detailed knowledge about young people's consumption habits and their motivations. Such research helped the British tobacco industry formulate a controversial marketing strategy-the need to 'recruit' young people to the smoking habit-and the People Love Player's campaign was created with this in mind. The representations of love and gender included in the advertisements gave the campaign an emotional pull which was designed to resonate with young people. The advertisements were widely criticized and this drove the British tobacco industry to remove from its advertising appeals which might influence the young, such as love.

Little is known about differences between adolescents&rsquo, and adults&rsquo, exposure to e-cigarette advertising in various media channels, such as retail establishments, print, television, radio, and digital marketing. We examined the exposure to e-cigarette advertising in these channels amongst adolescents (13&ndash, 17), young adults (18&ndash, 25), and older adults (26+). Adolescents (N = 1124), young adults (N = 809), and adults (N = 4186) were recruited through two nationally representative phone surveys from 2014&ndash, 2015. Lifetime e-cigarette advertising exposure was prevalent (84.5%). Overall, older adult males and older adult cigarette smokers reported the highest exposure to e-cigarette advertising (p &lt, 0.001). Television was the largest source of exposure for all age groups. Adolescents and young adults had higher odds than older adults of exposure through television and digital marketing. However, adolescents had lower odds than young adults and older adults of exposure through retailers and print media. Although e-cigarette advertising appears to be reaching the intended audience of adult smokers, vulnerable populations are being exposed at high rates via television and digital marketing. Regulations aimed at curbing exposure through these media channels are needed, as are counter advertising and prevention campaigns.

Calfee and Ringold’s 1992 article “The Cigarette Advertising Controversy: Assumptions about Consumers, Regulation, and Scientific Debate” (Advances in Consumer Research) rejected the prevailing view that advertising is a powerful influence that consumers are ill prepared to resist, discussed the pervasive desire to supplant consumer judgments with those of regulators, and criticized the common substitution of ad hominem attacks for reasoned arguments. In this article, I argue that scientific inquiry in the public interest must begin with a genuine respect for human autonomy, an appreciation of the fallibility of scientists and scientific inquiry, an understanding of consumer competence, and cognizance of both market and regulatory failures. We should explicitly consider the net impact of regulatory means and ends, and judge one another's assumptions, arguments, and evidence on the merits. To do anything less is to diminish the integrity and relevance of scientific research necessary to formulate p...

Licensing and brand sharing arrangements, where a fee or royalty is paid for use of a name, is a common strategic consideration to provide a newly introduced product or service with an immediate and proven brand identity (table 1).1 Serving as such an example, Korean Tomorrow and Global (KT&G), which is South Korea’s leading tobacco firm, launched a new cigarette brand, Tonino Lamborghini, on 18 April 2012, where the branding resembles the legendary Italian luxury sports car maker (figure 1A,B).2 3 According to The Moodie Report , it took 1 year of negotiation to reach a brand licensing agreement and 3 years to develop the cigarette product.4 The cigarette brand was initially offered in two variants, L8 (predominantly black package) and L6 (predominantly yellow package), with reported tar deliveries of 8.0 mg and 6.0 mg, respectively. Compared with KT&G’s other product offerings, Tonino Lamborghini cigarettes have considerably higher reported tar deliveries and such product characteristics contribute to the brand’s masculine, powerful and assertive image.4–8 Tonino Lamborghini now offers additional brand variants, including ‘Ice Volt’ (figure 2), which is mentholated and has promotional claims that the product possesses ‘the thrilling taste of powerful cooling freshness,’ and ‘Ice Tornado,’ which is described as having a strong, fresh and cool flavour and …

BackgroundTobacco product advertising has been shown to reach youth and promote initiation. This study assessed trends in e-cigarette advertising expenditures in the USA during 2014–2018, overall and by manufacturer and media type.MethodsData came from Kantar Media, which provides information on US advertising expenditures, including for e-cigarettes. Advertising expenditures were estimated as the dollar amount spent by e-cigarette companies to purchase advertising space in print, television, Internet, radio and outdoors. Dollar amounts were adjusted to 2017 dollars. Trends in e-cigarette advertising expenditures during 2014–2018 were analysed using Joinpoint regression overall, by media type, and by manufacturers based on 2017–2018 national sales.ResultsTotal e-cigarette advertising expenditures in print, radio, television, Internet and outdoors decreased substantially from US$133 million in 2014 to US$48 million in 2017, followed by an increase to US$110 million in 2018. By media type, expenditures were highest for print advertising, irrespective of year. By manufacturer, Altria had the highest e-cigarette advertising expenditures, totalling over US$134 million during 2014–2018. Imperial Tobacco had the second highest, totalling over US$85 million during 2014–2018, while JUUL Labs had the highest single-year expenditures, spending over US$73 million in 2018 alone.ConclusionsE-cigarette advertising expenditures have been volatile in the USA, with declines in traditional advertising venues during 2014–2017 that may reflect a shift towards social media. However, an increase occurred in 2018 that is likely reflective of advertising by newer manufacturers. Continued monitoring of e-cigarette advertising is important to inform tobacco control strategies.

Electronic cigarette (e-cigarette) advertising regulations differ across countries. This study examines how differences in e-cigarette advertising regulations influence exposure to e-cigarette advertising, and perceptions about what participants had seen and read about e-cigarettes. Data come from the ITC Four Country Survey (Canada [CA], United States [US], Australia [AU] and United Kingdom [UK]) carried out between August 2013 and March 2015 (n = 3460). In 2014, AU and CA had laws prohibiting the retail sale of e-cigarettes containing nicotine while the US and UK had no restrictions, although a voluntary agreement restricting advertising in the UK was introduced during fieldwork. Smokers and ex-smokers were asked whether in the last six months they had noticed e-cigarettes advertisements and received free samples/special offers (promotion), and about their perceptions (positive or otherwise) of what they had seen or read about e-cigarettes. Data were analyzed in 2017. US and UK participants were more likely to report that they had noticed e-cigarette advertisements and received promotions compared to CA or AU participants. For TV and radio advertisements, reported exposure was higher in US compared to UK. For all types of advertisements, reported exposure was higher in CA than AU. Overall, nearly half of AU (44.0%) and UK (47.8%) participants perceived everything they had seen and read about e-cigarettes to be positive, with no significant differences between AU and UK. Participants in countries with permissive e-cigarette advertising restrictions and less restrictive e-cigarette regulations were more likely to notice advertisements than participants in countries with more restrictive e-cigarette regulations.

Among adolescents, low socioeconomic status (SES) is associated with greater exposure to tobacco cigarette advertising and cigarette use. However, associations among SES, e-cigarette advertising and e-cigarette use are not well understood. This study examined exposure to e-cigarette advertisements as a mediator of the relationship between SES and adolescent e-cigarette use. Adolescents (N = 3473; 51% Female) from 8 high schools in Connecticut completed an anonymous survey in Spring 2015. Mediation analysis was used to examine whether the total number of sources of recent e-cigarette advertising exposure (e.g., TV, radio, billboards, magazines, local stores [gas stations, convenience stores], vape shops, mall kiosks, tobacco shops, social media) mediated the association between SES (measured by the Family Affluence Scale) and past-month frequency of e-cigarette use. We clustered for school and controlled for other tobacco product use, age, sex, race/ethnicity and perceived social norms for e-cigarette use in the model. Our sample recently had seen advertisements via 2.1 (SD = 2.8) advertising channels. Mediation was supported (indirect effect: β = 0.01, SE = 0.00, 95% CI [0.001, 0.010], p = 0.02), such that higher SES was associated with greater recent advertising exposure, which, in turn, was associated with greater frequency of e-cigarette use. Our study suggests that regulations to reduce youth exposure to e-cigarette advertisement may be especially relevant to higher SES youth. Future research should examine these associations longitudinally and evaluate which types of advertisements target different SES groups.

Objetivo. Describir a la población adulta en relación con la percepción de la publicidad de cigarrillos en los puntos de venta, según el estado de consumo de tabaco y características sociodemográficas como sexo, edad, raza/color, región, ubicación del hogar y escolaridad. Material y métodos. Se realizó un análisis multivariado con los datos de la Encuesta Global de Tabaquismo en Adultos de 2008 y la Encuesta Nacional de Salud de 2013. Resultados. Ambas encuestas mostraron que entre los no fumadores: las mujeres, los adultos jóvenes y los que tenían más de 10 años de escolaridad notaron con más frecuencia la publicidad de cigarrillos en puntos de venta. También se observó que estas proporciones aumentaron significativamente entre la población con menos años de escolaridad. Conclusión. Una política que prohíba completamente la publicidad de cigarrillos sería más efectiva para proteger a los grupos vulnerables del consumo de tabaco.

Objective To assess whether crowdsourcing is a viable option for conducting surveillance of point of sale (POS) tobacco marketing practices. Methods We posted jobs to an online crowdsourcing platform to audit 194 Florida licensed tobacco retailers over a 3-week period. During the same period, trained data collectors conducted audits at the same retail locations. Data were collected on cigarette advertising, cigarette promotions and product availability (electronic cigarettes, snus and dissolvables). We compared data collected by crowdsourced workers and trained staff and computed frequencies, percent agreement and inter-rater reliability. Photographs of e-cigarettes and exterior cigarette advertisements submitted by crowdsourced workers were used to validate responses. Results Inter-rater reliability between crowdsourced and trained data collectors was moderate to high for coding exterior cigarette advertisements, product availability and some tobacco promotions, but poor to fair when coding presence of sales and interior cigarette advertisements. Photos submitted by crowdsourced workers confirmed e-cigarette availability that was missed by trained data collectors in three stores. Conclusions Crowdsourcing may be a promising form of data collection for some POS tobacco measures. Future studies should examine the cost-effectiveness of crowdsourcing compared with traditional trained data collectors and assess which POS measures are most amenable to crowdsourcing.

Respondents(N = 224)read1of 4scenarios:aheavysmoker,amoderatesmoker,an occasionalsmoker,oranonsmokerdiagnosedwithlungcancer.Resultsshowedthat smokers with lung cancer received more blame than did nonsmokers. Nonsmokers assigned more blame to tobacco companies and cigarette advertising and made more negative attributions about lung cancer victims. Respondents high in smoking-cessation efficacy assigned more blame and negative attributions to lung cancer victims. This study suggests that lung cancer is stigmatized because of the widelyheldbelief thatitispreventable.Interventionsmustencouragesmokerstobe vigilant about their lung health, to know the symptoms of lung cancer, and to see their doctor immediately if they experience lung problems.

Background Guatemala, a party to the Framework Convention on Tobacco Control (FCTC), is obliged to promote the wider availability of smoking cessation treatment and to restrict tobacco advertising. Pharmacies are fundamental in providing smoking cessation medications but also might increase the availability of cigarettes. Purpose To assess availability of cessation medications and cigarettes and their corresponding advertising in Guatemala pharmacies. Methods In Guatemala City a representative sample was selected from a list of registered pharmacies classified by type (non-profit, chain, independent). In addition, all pharmacies in the neighbouring town of Antigua were included for comparison. Trained surveyors used a checklist to characterise each pharmacy with respect to availability and advertising of cessation medications and cigarettes. Results A total of 505 pharmacies were evaluated. Cessation medications were available in 115 (22.8%), while cigarettes were available in 29 (5.7%) pharmacies. When available, medications were advertised in 1.7% (2) and cigarettes in 72.4% (21) of pharmacies. Chain pharmacies were significantly more likely to sell cessation medications and cigarettes, and to advertise cigarettes than were non-profit and independent pharmacies. Conclusion Most pharmacies in Guatemala do not stock cessation medications or cigarettes. Cigarette advertising was more prevalent than advertising for cessation medications. FCTC provisions have not been implemented in Guatemala pharmacies.

The tobacco industry promotes friendly “experts” and uses public relations tactics to produce uncertainty around research results that threaten it. This inhibits public policies responsive to these research findings. These tactics, long used against medical science, are now being used to counter the studies challenging to the myth that cigarette advertising is of no import. The numerous weaknesses of the industry-advanced argument are discussed, drawing particularly on the literature of consumer behavior, marketing, and advertising. The vast preponderance of evidence indicates that cigarette advertising plays a meaningful role in influencing the perceptions, attitudes, and smoking behavior of youth. Denials of these effects, without brand new and compelling evidence, are highly suspect.

A survey of 1136 Victorian adults in June, 1987 showed high awareness of government involvement in anti-smoking campaigns and a big majority(79%) who favoured maintaining the campaigns or making them tougher. Nearly half would unconditionally approve an increase in tobacco tax of 50 cents per packet and if the revenue raised were to be hypothecated to programs such as health education, medical research and funding sport and the arts, the approval for a tobacco tax increase rose to 84 per cent. Sixty-three per cent approved a ban on cigarette advertising and 37 per cent a ban on sponsorship of sport by tobacco companies. Providing the government replaced cigarette sponsorship money with funds raised through tobacco taxes, a further 20 per cent would approve a ban on tobacco sponsorship of sport, making the total approval for the measure 57 per cent.

Given that “sin” products must navigate different regulatory environments, it is important to compare cigarette advertising across cultures. Using text analysis, this study examined the message strategies and the ideological beliefs in cigarette advertising in American and Ukrainian magazines within the context of their different regulatory environments. The messages across the two countries differed in their use of creative appeals to ego, social needs, and sensory pleasure as well as their adherence to regulation. Many of the Ukrainian campaigns were reminiscent of earlier American campaigns and offer unique comparisons of cultures that are at different places historically, economically, and ideologically.

In 2000, cigarette advertising was banned from the Brazilian media [LEI N° 10.167, de 27 de dezembro de dezembro. (2000). http://www.planalto.gov.br/ccivil_03/Leis/L10167.htm ]. Nevertheless, not enough surveys have been carried out to measure the impact of the prohibition. The objective of the present survey was to compare the use of tobacco by primary and secondary school students in 1997 and 2004, that is, before and after the ban on tobacco advertising in Brazil. Two surveys were conducted (in 1997 and 2004) using the same methodology, with a target population of primary (from the fifth grade on) and secondary public schools in ten different Brazilian capitals. The sampling was done by conglomerates, stratified, and obtained in two stages. In total, 15,501 students were surveyed in 1997, and 21,712 in 2004. The questionnaire was adapted from an instrument developed by WHO, anonymous, self-administered, and applied collectively in the classroom. In a comparison of the two surveys (1997 and 2004) tobacco lifetime use (used any psychotropic drug at least once in their life) decreased significantly in seven out of ten capitals surveyed. The 11–12 year old age group experienced the largest decrease in tobacco lifetime use. There was a decrease in lifetime use for males in nine capitals, and in eight capitals for females. A decrease was also observed in heavy tobacco use also in eight capitals. In conclusion there was a significant decrease in tobacco consumption among the surveyed students, suggesting that the decrease is related to changes in public policy in Brazil over the surveyed period.

In early 2014, the nation's largest cigarette maker, Altria1 (formerly Phillip Morris Companies) announced the national launch of their MarkTen e-cigarette. Nu Mark, an Altria company, is behind the design and marketing of the brand.2 Altria is the last major tobacco company to join the estimated $2 billion market for e-cigarettes,3 following Lorillard's acquisition of the blu e-cigarette brand in 20124 and RJ Reynold's introduction of Vuse5 in 2013. Using Competitrack, an advertising service that systematically collects data related to all top market US advertisements, we reviewed e-cigarette advertising expenditures for the year 2014 and examined the top two highest spending brands for the year (MarkTen and blu). Competitrak monitors advertising over 22 media sources, including network TV, national newspapers, cinema, radio and online, and includes advertisements and associated metadata of the media channel, channel-specific details and estimated expenditures for placement of ads.6–9 For online advertisements, Competitrack monitors …

In two studies, adolescents and adults were shown a series of cigarette advertisements and asked to respond to a variety of questions concerning aspects of the Cigarette Advertising and Promotion Code, specifically, their perceptions of the ages of the models in the ads and of whether the ads depicted smoking as essential to sexual attraction or essential to success. For many of the ads, especially ads for brands most popular among youth, a majority of the participants perceived the models to be less than 25 years old. A majority also perceived many of the ads to depict smoking as essential to sexual attraction or essential to success. Thus, despite their public pledge, the tobacco companies routinely violate a variety of aspects of the Cigarette Advertising and Promotion Code.

Objective: Recently, the tobacco industry has focused marketing efforts on young adults through bar and club promotions, such as advertising and distribution of free cigarettes in these settings. This study estimates the fraction of the California young adult population that might be exposed and potentially influenced by these efforts. Design and participants: Data were from 9364 young adult (18-29 years) respondents to the cross sectional population based 2002 California Tobacco Survey. As background, we analysed social smoking (only smoke with other smokers), and enjoyment of smoking while drinking. Our main focus was on bar and club attendance, what was observed in bars and clubs, and how this might differ according to respondents' risk for future smoking. Results: Social smokers comprised 30.0 (2.2)% of all current smokers, including experimenters. Nearly three quarters (74.5 (2.3)%) of current smokers/experimenters said they enjoyed smoking while drinking. About one third (33.8 (1.2)%) of all young adults said they attended bars and clubs at least sometimes; attendance was significantly higher among smokers and those at risk for future smoking. Close to 60% (57.9 (2.2)%) of bar and club attenders reported seeing cigarette advertising and promotions in these settings. Again, smokers and those at risk were more likely to report seeing such advertising and promotions in these settings. Conclusions: About 20% of all young adults and about 30% of those at risk for future smoking (including current smokers) were exposed to tobacco advertising and promotions in bars and clubs. These California results may be conservative, but nonetheless indicate that the group potentially influenced is sizable.

Background: Cross-sectional studies provide empirical support for associations between advertising and adolescent smoking. The aim of this study was to investigate the relationship between Spanish adolescent smoking behaviour and prior awareness of cigarette advertisements on billboards, using a prospective design. Methods: 3,664 Spanish children aged 13 and 14 years filled in self-completion questionnaires at baseline, and 6, 12, and 18 months later (cohort study). Slides of three advertisements were projected at baseline. A multivariate logistic regression analysis was carried out to detect possible association between number of identified tobacco advertisements brands at baseline and smoking status along time, controlling ASE Model smoking determinants, smoking prevention interventions, age, gender and socio-economic status. Results: The more advertisements identified at baseline, the greater was the risk of being a smoker (p

The 2002 trial that assessed the constitutionality of Canada's Tobacco Act involved new evidence of industry tactics in the 1990s, including the use of lifestyle advertising of sponsorships and the marketing of a new product that was falsely claimed to be “less irritating.” The author provides highlights from the legislative background, the document production, the trial testimony, and the judge's decision.

BACKGROUND Compared with northern Europe and the U.S., the widespread initiation of cigarette smoking began 20–40 years later among young women in Spain because of strong cultural prohibitions against female smoking. In this study, the authors examined the correlation between the rapid increase in female smoking prevalence and tobacco industry cigarette marketing practices in Spain during a period of rapid social liberalization. METHODS The authors examined age-specific, period-specific, and birth cohort-specific increases in cigarette smoking among young women in Spain in relation to internal documents from Philip Morris beginning in 1971, cigarette advertising from 1982 to 1997, and the increase in the market share of blond tobacco and “light” cigarettes preferred by women. RESULTS Some increase in cigarette smoking occurred among Spanish women before 1970, but the increase was substantially smaller and occurred later than in many Western countries. However, after 1970, the prevalence of cigarette smoking increased rapidly in Spanish women of all ages < 50 years. The rapid increase in female smoking coincided with massive increases in television advertising, especially to women, and increases in the market share of blond tobacco, “light cigarettes,” and international tobacco brands. CONCLUSIONS The increase in cigarette smoking among young Spanish women illustrates how aggressive marketing can exploit periods of social liberalization and rapidly increase cigarette smoking among women, even in countries in which female smoking traditionally has been unacceptable. Strategies are needed to prevent similar increases in smoking by women elsewhere. Cancer 2004. © 2004 American Cancer Society.

Cigarette smoking is a vicious cycle. Each year a new generation of children experiments with smoking. In many societies, half of them will become addicted, most destined to smoke for decades thereafter until either they manage to quit or death ends their struggle to do so. The glamorous, seductive, and youthful images of cigarette advertising copy—the ruggedly handsome cowboy pulling on his cigarette, the sexy and impossibly lean female toying with hers—give way over time to the harsh reality of wizened faces and tar coated lungs that gasp urgently for breath. Smoking kills one of every two life long smokers. The unlucky half loses an average of 15 years of life compared with people who never smoke. Their children or grandchildren become their replacement smokers. The cycle repeats itself again and again, year after year. The fraction of young people who begin to smoke is not constant year to year, however. In the USA, 38.8% of high school seniors had smoked within a month of being surveyed in 1976. That figure fell gradually to a low of 27.8% in 1992 and then rose, rapidly, to 36.5% five years later in 1997. A mere five years thereafter—in 2002—the percentage of monthly smokers had fallen to 26.7%, the lowest figure ever recorded in the 27 year history of the survey. Among their younger schoolmates, the proportionate changes during the 1990s were even more dramatic: 20.8% of 10th graders were monthly smokers in 1991, a figure that jumped to 30.4% in 1996 and then plunged to 17.7% in 2002. Among eighth graders, the comparable figures were 14.3% in 1991, 21.0% in 1996, and 10.7% in 2002.1 What is it that caused the proportion of high school seniors smoking to rise by almost a third from 1992 to 1997 and then to drop …

This paper, entitled ‘The development of cigarette advertising design in Java in 1930 – 1970s’, discusses the transformation of cigarette advertising design. It also discusses the influence of colonial and post-colonial political regimes and the modernization in cigarette advertising visualization between 1930 – 1970s. Research is focused on observation of advertising elements, such as headline, body-copy, illustration, and the art of appearance. These were obtained from the primary sources, such as newspapers, which were published during the period. Secondary sources were also used, for example, relevant books. Based on observation and analysis of cigarette advertisements, it is obvious that the creativity in cigarette advertising design continued to grow, and visual transformation from manual illustration to photo technology occured in the period under study. In addition, there were representations of symbols in cigarette advertising design because of the influence of colonial and post-colonial political regimes and because of the process of modernization.

Smoking behavior of patients with coronary heart diseases: a study in the Saras Husada hospitalPurposeThis study aimed to examine the determinants of smoking behavior in patients with coronary heart disease (CHD) in Saras Husada hospital Purworejo.Methods A cross sectional study was conducted involving 205 respondents. Dependent variable was smoking behavior in patients with coronary heart diseases, while independent variables were knowledge about dangers of smoking, exposure to cigarette advertising and smoking behavior of family members with confounding variables: age, sex, and education. Data were collected through interviews using a structured questionnaire and analyzed using bivariate and multivariate tests.ResultsThis study found no correlation of cigarette advertisement exposure, smoking behavior of family members, gender, and education with smoking behavior in CHD patients. Multivariate analysis showed that gender variables influence the determinant of smoking behavior in CHD patients.ConclusionThis study provides knowledge that gender is the strongest determinant affecting smoking behavior in CHD patients. It is necessary to apply the local regulation ban on smoking, especially for men in public places, workplaces and schools., Tujuan: Penelitian ini bertujuan mengetahui determinan perilaku merokok pada penderita PJK di RSUD Saras Husada Kabupaten Purworejo. Metode: Penelitian rancangan cross sectional dilakukan melibatkan 2015 responden. Variabel terikat adalah perilaku merokok pada penderita PJK, sedangkan variabel bebas adalah pengetahuan bahaya merokok, paparan iklan rokok dan perilaku merokok pada anggota keluarga. Variabel perancu adalah umur, pendidikan dan jenis kelamin. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner terstruktur dan dianalisis menggunakan analisis bivariat dan multivariat. Hasil: Penelitian ini tidak menemukan hubungan paparan iklan, perilaku merokok anggota keluarga, jenis kelamin, dan pendidikan dengan perilaku merokok pada penderita PJK. Pada analisis multivariat hanya variabel jenis kelamin yang memengaruhi determinan perilaku merokok pada penderita PJK. Simpulan: Penelitian ini memberikan pengetahuan bahwa laki-laki adalah determinan yang paling kuat memengaruhi perilaku merokok pada penderita PJK. Perlu penerapan Perda larangan merokok terutama laki-laki di tempat umum, tempat kerja dan sekolah

Introduction Point-of-sale advertising provides an opportunity for the tobacco industry to communicate with current and potential smokers. The US Family Smoking Prevention and Tobacco Control Act allows states to implement policies requiring that tobacco products be placed out of sight, and the Food and Drug Administration is considering banning point-of-sale advertising within 1,000 feet of schools. Our objective was to compare cigarette point-of-sale advertising near schools with grades prekindergarten through 12 and by store type. Methods All registered cigarette retailers (n = 1,229) and schools (n = 581) in the city of St Louis and St Louis County were geocoded and mapped by using ArcGIS. Retailers were divided into 2 groups, those within 1,000 feet and those within 1,001 to 2,000 feet of a school; 200 retailers from each group were randomly selected. We assessed tobacco interior and exterior advertising, brands advertised, discounts, gifts with purchase, "no sales to minors" signage, and cigarette functional items (eg, advertising on shopping baskets). Analyses were done by distance from a school and store type. Results We analyzed 340 retailers. Most retailers within 1,000 feet (91.2%) and from 1,001 to 2,000 feet (94.2%) of a school displayed cigarette advertising (P = .20). Convenience stores had the highest number of interior ads. In multivariable models, distance from school explained 0.2% of the variance in total advertising. Conclusion Cigarette point-of-sale advertising is highly prevalent in St Louis within 1,000 feet of schools. A ban based on distance from a school might decrease advertising exposure, but its effect on smoking prevalence is yet to be determined because advertising farther from schools would still prevail.

The Joe Camel advertising campaigns had little or no effect on smoking by youths or adults beyond shifting brand shares among younger smokers. The advertisements appear to have wielded substantial influence on the larger political and legal environment, however. This influence was transmitted first through the lens of pronouncements by the public health community, including the Food and Drug Administration, which helped shape public opinion toward the view that cigarette advertising causes smoking. This, in turn, provided essential support for the unprecedented wave of litigation that engulfed the industry and has relied primarily on nonpublic industry documents rather than market data. The extent of Joe Camel's indirect influence has not been quantified but appears to have been substantial.

Japan has no legal restrictions on cigarette advertising and vending machines. This lack of smoking control measures is a possible contributor to smoking initiation by adolescents. This study was conducted to provide primary data on environmental factors related to smoking, such as cigarette advertising and candy cigarettes, that influence elementary school children in Japan. A cross-sectional survey was conducted with a self-administered questionnaire at two elementary schools in Kitakyushu City, Japan in 1995. Questionnaire sheets were anonymously filled out by 282 elementary school children at school. The effective response rate was 91.5% (128 boys and 130 girls). Over 90% of respondents had seen cigarette advertising on TV, candy cigarettes and cigarette vending machines. Over 75% had at least one smoker in their family. Fewer female children expressed an intent to smoke in the future despite the fact that there were no significant sex differences in smoking-related experiences. Children were highly exposed to cigarette advertising on TV, candy cigarettes, vending machines and family members' smoking. Control of such smoking-related factors in the environment would be crucial to keeping children from initiating smoking behavior. J Epidemiol, 2000 ; 10 : 183-187

A 1990-91 country-wide survey in Nigeria showed the prevalence of hypertension to be 11.2% in those aged 15 years and above. The management, however, has been shown to be inadequate. At the instance of the Nigerian Hypertension Society a Consensus Meeting of National Medical Societies and other interest groups produced in 1996 Guidelines for the Management of Hypertension in Nigeria. Medical societies and the pharmaceutical industry have tried to increase awareness of the condition and its control through lectures, seminars, sponsor of essay competitions among secondary school and university students as well as canvassing against cigarette advertising and smoking in public places. However, their efforts are thwarted by luring advertisements by multinational tobacco companies driven from developed countries by anti-tobacco lobbies and legislation. A questionnaire survey showed that no other African country had produced similar guidelines in the past five years. In Sub-Saharan Africa there appears to be negligible implementation of the WHO-ISH Guidelines.

Cigarette advertising plays a crucial role in adolescent smoking. A survey with a selfadministered questionnaire was conducted to 198 female nursing students in Kitakyushu City in 1996 to provide primary data on the young women's contact with cigarette advertising in various media in Japan. The proportions of respondents who had seen cigarette advertising on TV and that on billboards were both over 95% of the effective respondents, the highest among all the media, followed by magazines, newspapers and the radio. The proportion of respondents who “frequently” had contacts was the highest by TV, followed by billboards, newspapers, magazines and radio. Over 50% of students who had past/current smoking experience felt that they were “frequently” exposed to cigarette advertising, and, on the other hand, approximately 50% of those who had never smoked felt that they “occasionally” saw cigarette advertising, on both TV and billboards. In Japan, young women seem to be heavily exposed to cigarette advertising through various media. This study implies that TV and billboards are the most frequently contacted media of cigarette advertising and perhaps the most influential to smoking among young people. J Epidemiol, 1997 ; 7 : 43-47.

Purpose To quantify the persistence of pro-smoking media exposure effects on college students' intentions to smoke and smoking refusal self-efficacy. Method A total of 134 college students (ages 18–24 years) were enrolled in an ecological momentary assessment study in which they carried handheld data collection devices for 3 weeks and reported their exposures to pro-smoking media as they occurred in the real world. Smoking intentions and smoking refusal self-efficacy were assessed after each exposure to pro-smoking media and at random prompts during each day of the 3-week assessment period. A generalized additive model was used to determine how long the effect of an exposure to pro-smoking media persisted. Results The effect of pro-smoking media exposures persisted for 7 days. After exposure, smoking intentions immediately increased (.56; 95% confidence interval [CI]: [.26, .87]) and then steadily decreased (−.12; 95% CI: [−.19, −.05]) each day for 7 days, while smoking refusal self-efficacy immediately decreased (−.42; 95% CI: [−.75, −.10]) and then steadily increased (.09; 95% CI: [.02, .16]) each day for 7 days. Daily changes occurring after 7 days were not statistically significant, suggesting that smoking intentions and refusal self-efficacy had stabilized and were no longer affected by pro-smoking media exposure. Conclusions Exposures to pro-smoking media may have strong implications for emerging young adults smoking risk as the impact of an individual exposure appears to persist for at least a week.

Background Electronic cigarettes (e-cigarettes) are growing in popularity, but little is known about the extent to which these products are advertised to consumers. Purpose To estimate expenditures for e-cigarette advertising in magazines, TV, the Internet, newspapers, and radio in the U.S. from 2011 to 2012. Methods E-cigarette advertising data were obtained from leading media intelligence companies, Kantar Media and Nielsen. Estimated e-cigarette advertising expenditures were summarized across media channels for 2011 and 2012. Additional information on brands advertised and market-level buys (i.e., local versus national) also was examined. Results Overall, e-cigarette advertising expenditures across media channels tripled from $6.4 million in 2011 to $18.3 million in 2012. Expenditures were highest in magazines and TV and lowest in newspapers and on the Internet. More than 80 unique brands were advertised, but blu eCigs dominated ad spending, comprising 76.7% of all e-cigarette advertising expenditures in 2012. National markets were increasingly targeted from 54.9% of ad buys in 2011 to 87.0% of ad buys in 2012. Conclusions E-cigarette advertising expenditures are increasing, with a greater focus on national markets and TV ads, which will likely increase consumer awareness and use of e-cigarettes in the future. Federal-level efforts are needed to mandate that e-cigarette companies report their advertising expenditures. Future studies should examine how e-cigarette advertising expenditures and message content influence consumer awareness of, interest in, and use of e-cigarettes.

A descriptive history reveals the strategic interest in the young manifested by the cigarette industry from 1920 to the present. The tobacco and advertising trade presses, FTC records and recently disclosed corporate documents display and discuss the targeting of adolescents and collegians. They also document the rationale and results of media choices, the use of cartoons, and especially the use of images of independence to appeal to the psychological need of adolescents. The implications for both the private sector and public policy are discussed, given this persistent targeting of youth and failure of regulation to curtail most of these tactics.

The objective of the study was to describe a group of adolescents who have no smokers in their social environment and to examine their beliefs regarding the benefits of smoking. The design was a telephone survey. A population-based survey was conducted in California in 1990. There were 7,767 adolescent respondents between 12 and 17 years of age, 373 (5%) of whom were unexposed to smokers in their social environment. A positive response to any 1 of 5 questions concerning a belief in the benefits of smoking was the main outcome measure. In teenagers unexposed to smokers in their social environment 70% were 12 or 13 years of age compared to only 35% of teenagers exposed to smokers. Unexposed teenagers were more often female and more often white rather than Hispanic, African-American or Asian. After adjusting for demographic factors, unexposed teenagers were only one-quarter as likely as exposed teenagers to harbour a belief in the benefits of smoking. However, 40% of unexposed teenagers held such a belief with 28% believing that smoking helps people feel more comfortable in social situations, 19% believing that smoking helps people relax and 13% believing that smoking helps people keep their weight down. It is unlikely that the group of teenagers unexposed to smokers in their social environment acquired their beliefs about the benefits of smoking through contact with smokers. Cigarette advertising might be a likely source of these perceptions.

Background: Traditional cigarette advertising has existed in the US for over 200 years. Studies suggest that advertising has an impact on the initiation and maintenance of smoking behaviors. In recent years, electronic cigarettes (e-cigarettes) emerged on the market as an alternative to the traditional tobacco cigarette. The purpose of this study was to describe advertisements in popular US magazines marketed to women for cigarettes and e-cigarettes. Methods: This study involved analyzing 99 issues of 14 popular US magazines marketed to women. Results: Compared to advertisements for traditional cigarettes, advertisements for e-cigarettes were more often found in magazines geared toward the 31-40-year-old audience (76.5% vs. 53.1%, P = 0.011) whereas traditional cigarette advertisements were nearly equally distributed among women 31-40 and ≥40 years. More than three-quarters of the e-cigarette advertisements presented in magazines aimed at the higher median income households compared to a balanced distribution by income for traditional cigarettes (P = 0.033). Conclusions: Future studies should focus on specific marketing tactics used to promote e-cigarette use as this product increases in popularity, especially among young women smokers.

Aims: We aimed to explain the association between exposure to a cigarette advertisement and favorable attitudes towards the advertisement. Methods: We used data from an observational cross-sectional study with a sample of 3,415 German schoolchildren aged 10–17 years. Cigarette advertising exposure was assessed with an image of a Marlboro ad, asking for contact frequency (number of times seen the ad) and brand name. Liking of the ad was measured with two items (alpha = 0.78). Results: We found a positive linear association between exposure to the Marlboro ad and liking it. This association remained significant (standardized β = 0.09; p < 0.001) even after statistical control for smoking status, smoking of friends and parents, attitudes towards smoking in general, cigarette advertising receptivity (having a favorite cigarette ad), exposure to other advertisings, age, sex, socioeconomic status, rebelliousness and sensation seeking, self-reported school performance, and study region. Conclusions: The association between exposure to an advertisement and liking it was robust and could not be fully explained without referring to either unmeasured confounding or implicit advertising effects (e.g. mere exposure). Implicit effects have implications for prevention strategies as it may be very difficult to counteract unconscious advertising effects.

In order to more fully understand why individuals smoke menthol cigarettes, it is important to understand the perceptions held by youth and adults regarding menthol cigarettes. Perceptions are driven by many factors, and one factor that can be important is marketing. This review seeks to examine what role, if any, the marketing of menthol cigarettes plays in the formation of consumer perceptions of menthol cigarettes. The available literature suggests that menthol cigarettes may be perceived as safer choices than non-menthol cigarettes. Furthermore, there is significant overlap between menthol cigarette advertising campaigns and the perceptions of these products held by consumers. The marketing of menthol cigarettes has been higher in publications and venues whose target audiences are Blacks/African Americans. Finally, there appears to have been changes in cigarette menthol content over the past decade, which has been viewed by some researchers as an effort to attract different types of smokers.

Boddewyn's (1993) argument that advertising academics are made irrelevant by the “bad research” of others is examined in detail and found unconvincing. Since our relevance is more likely determined by the quality of our own research, this is needed far more than baleful bombast, particularly research disclosing the reality of industrial practices and their effects. Research questions which could be especially well addressed by those with access to their corporate clients' documents are suggested.

A recent study of early-stage lung cancer patients found that African Americans are statistically significantly less likely than whites to receive definitive — i.e., potentially curative — surgery. That finding, which the Journal of the American Medical Association published in June, appeared soon after an American Lung Association (ALA) report that also underscored the need for systematic change in the approach to lung cancer in African Americans. Together, the two reports confi rm the disparity between blacks and whites in lung cancer rates, treatment, and outcomes while exploring some of the reasons — biological, clinical, and socioeconomic — that may explain these differences. African Americans are more likely to develop lung cancer and less likely to respond to available treatments than whites. Cigarette smoking rates can’t account for the disparity, because although white men smoke 30% – 40% more cigarettes, African American men have a higher incidence of lung cancer (75 per 100,000 vs. 64 per 100,000). According to a meta-analysis published in the September 2008 issue of PLoS Medicine , the disparity exists even among nonsmokers (16 per 100,000 among blacks vs. 12 per 100,000 among whites). This disproportionate burden prompted the April 2010 ALA report, which called for a concerted effort to examine underlying biological differences; to reduce cigarette advertising, particularly for menthol cigarettes, in African American communities ( see sidebar); and to educate physicians on how to overcome communication barriers with African American patients.

This study examined a proposed mechanism by which exposure to cigarette advertising may mediate the subsequent smoking of youth. We hypothesized that children's exposure to cigarette advertising leads them to overestimate the prevalence of smoking, and that these distorted perceptions, in turn, lead to increased intentions to smoke. Children in Finland, where there has been a total tobacco advertising ban since 1978, were compared with children in the United States at a time when tobacco advertising was ubiquitous. Samples of 477 8- to 14-year-old Helsinki students and 453 8- to 14-year-old Los Angeles students whose lifetime cigarette use consisted of no more than a puff of a cigarette were administered questionnaires in their classrooms. The primary hypothesis was confirmed. Los Angeles youth were significantly more likely than Helsinki youth to overestimate the prevalence of adult smoking, in spite of the fact that actual adult smoking prevalence in Helsinki was almost twice that of Los Angeles adults. A similar, significant pattern for perceived peer smoking was obtained, with Los Angeles youth being more likely than Helsinki youth to overestimate prevalence, in spite of the actual greater prevalence of youth smoking in Helsinki.

Objective: The Turkish anti-tobacco law was accepted and effectuated in 1996. All forms of cigarette advertising, the sale of tobacco products to persons under the age of 18 and smoking in public institutions were all restricted. In this paper, we aimed to evaluate the influence of the Turkish antitobacco law on children for the periods before the law, after three years and after 10 years. Material and Methods: A self-completed questionnaire was distributed among primary school children. This included questions about the children's smoking habits, their opinions of parents' and teachers' smoking habits, tobacco use in public places and the recognition rate of 16 food, drink, cigarette and toothpaste logos and brand names. The first, second and third applications of the questionnaire were performed with students who attended the same classes in the same primary schools, accounting for 772 children in June 1996, 1,157 children in February 1999 and 719 children in June 2006. Results: When these three periods were evaluated, it could be seen that the prevalence of having smoked significantly decreased (13.9%, 4%, 2.2%, p