Exposure to Court-Ordered Tobacco Industry Antismoking Advertisements Among US Adults
Exposure to Court-Ordered Tobacco Industry Antismoking Advertisements Among US Adults
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DOI：
10.1001/jamanetworkopen.2019.6935
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发表时间：
2019-07-01
影响因子：
13.8
通讯作者：
Shete, Sanjay
中科院分区：
文献类型：
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作者：
Chido-Amajuoyi, Onyema Greg;Yu, Robert K.;Shete, Sanjay
2006年，美国地区法官Gladys Kessler命令烟草公司通过付费广告向公众告知他们的欺骗行为。这一具有里程碑意义的裁决及其随后的执行代表了烟草业第一次赞助了一个全国性的纠正广告运动对自己的products. ObjectiveTo评估的影响范围内的法院下令反吸烟广告在美国成年人的人口，分层的人口特征和烟草使用。基于人口的美国成年人横断面调查包括2018年健康信息全国趋势调查5，周期2的受访者。受访者是通过营销系统集团地址数据库（包括所有非空置的美国住宅地址）的等概率抽样选择的家庭代表。数据收集时间为2018年1月至2018年5月，分析时间为2018年12月至2019年4月。主要结果和指标自我报告的法院下令的反吸烟广告暴露。结果总样本3484名受访者，包括2054名女性（加权百分比，50.8%），1976名非西班牙裔白色受访者（加权百分比，59.9%），2952名居住在美国城市地区的受访者（加权百分比，84.9%），和450名目前吸烟者（加权百分比，15.6%）。在全样本中，估计接触法院下令的禁烟广告的比例为40.6%（95%CI，37.5%-43.7%），在目前吸烟者中为50.5%（95%CI，41.4%-59.6%）。18 - 34岁人群（37.4%; 95%CI，28.0%-46.8%）、高中或以下学历人群（34.5%; 95%CI，29.3%-39.8%）和家庭年收入低于35000美元的人群（37.5%; 95%CI，32.0%-42.9%）的暴露率最低。在当前吸烟者中，西班牙裔受访者的暴露率（42.2%; 95% CI，18.5%-65.9%）低于非西班牙裔白色受访者（51.7%; 95% CI，40.4%-63.1%）。随着广告活动持续时间的增加，曝光率也在增加。高中或以下学历的人接触禁烟广告的几率低于大学或研究生学历的人（调整后的比值比为0.67; 95%CI为0.48-0.94）。目前吸烟者比从不吸烟者暴露的几率更高（调整后的比值比，1.81; 95%CI，1.17-2.80）。在那些接触到反吸烟广告，70.5%看到多个反吸烟messages.Conclusions和相关性约1 2吸烟者报告暴露于联邦法院下令反吸烟广告。然而，在包括18至34岁的个人在内的几个亚组中，接触量相对较低，其中只有三分之一的人报告了接触量。增加蚂蚁吸烟广告的持续时间以及将其覆盖面扩大到面向青年的媒体可能会增加其潜在的公共卫生影响。
IMPORTANCE In 2006, US District Judge Gladys Kessler ordered tobacco companies to make corrective statements through paid advertisements informing the public of their deceptive practices. This landmark ruling and its subsequent execution represent the first time the tobacco industry sponsored a nationwide corrective advertising campaign against its own products.OBJECTIVE To assess the reach of the court-ordered antismoking advertisements within the US adult population, stratified by demographic characteristics and tobacco use.DESIGN, SETTING, AND PARTICIPANTS This nationally representative, population-based cross-sectional survey of US adults included respondents to the 2018 Health Information National Trends Survey 5, Cycle 2. Respondents were representatives of households selected by equal-probability sampling of the Marketing Systems Group database of addresses that included all nonvacant US residential addresses. Data collection was conducted from January to May 2018, and analysis took place from December 2018 to April 2019.MAIN OUTCOMES AND MEASURES Self-reported exposure to court-ordered antismoking advertisements.RESULTS The overall sample of 3484 respondents included 2054 women (weighted percentage, 50.8%), 1976 non-Hispanic white respondents (weighted percentage, 59.9%), 2952 respondents who lived in urban US areas (weighted percentage, 84.9%), and 450 current smokers (weighted percentage, 15.6%). Estimated exposure to court-ordered antismoking advertisements was 40.6% (95% CI, 37.5%-43.7%) among the full sample and 50.5% (95% CI, 41.4%-59.6%) among current smokers. Exposure was lowest among those aged 18 to 34 years (37.4%; 95% CI, 28.0%-46.8%), those with a high school education or less (34.5%; 95% CI, 29.3%-39.8%), and those with household annual income less than $35 000 (37.5%; 95% CI, 32.0%-42.9%). Among current smokers, Hispanic respondents had lower exposure rates (42.2%; 95% CI, 18.5%-65.9%) than non-Hispanic white respondents (51.7%; 95% CI, 40.4%-63.1%). As the advertising campaign's duration increased, exposure rates increased. Individuals with a high school education or less had lower odds of antismoking advertisement exposure than those with college or postgraduate degrees (adjusted odds ratio, 0.67; 95% CI, 0.48-0.94). Current smokers had higher odds of exposure than never smokers (adjusted odds ratio, 1.81; 95% CI, 1.17-2.80). Among those exposed to antismoking advertisements, 70.5% saw multiple antismoking messages.CONCLUSIONS AND RELEVANCE Approximately 1 of 2 smokers reported exposure to the federal court-ordered antismoking advertisements. However, exposure was relatively lower among several subgroups, including individuals aged 18 to 34 years, only one-third of whom reported exposure. Increasing the duration of ant smoking advertisements as well as expanding their coverage to youth-oriented media may increase their potential public health impact.