Televised state-sponsored antitobacco advertising and youth smoking beliefs and behavior in the United States, 1999-2000
Televised state-sponsored antitobacco advertising and youth smoking beliefs and behavior in the United States, 1999-2000
复制标题
DOI：
10.1001/archpedi.159.7.639
复制
发表时间：
2005-07-01
影响因子：
--
通讯作者：
Flay, B
中科院分区：
文献类型：
--
作者：
Emery, S;Wakefield, MA;Flay, B
背景：最近的国家预算危机大大减少了国家赞助的反烟草媒体运动的资金。如果运动与减少吸烟有关，这种削减可能会导致州医疗保健费用的长期增加。方法：1999年至2000年，美国最大的75个媒体市场的网络和有线电视上出现的反烟草广告的平均受众接触率的商业评级数据与来自学校的全国代表性调查数据相结合，以48个州的年轻人为样本。多变量回归模型被用来分析平均暴露于国家反烟草广告和青少年吸烟相关的信念和行为之间的关联，控制通常与青少年吸烟和其他电视烟草相关广告相关的个人和环境因素。在过去的4个月里，平均接触至少一个州赞助的反烟草广告与较低的朋友吸烟率有关（比值比[OR]，0.72; 95%置信区间[CI]，0.58-0.88），吸烟的感知危害更大（OR，1.25; 95% CI，1.11-1.42），未来不吸烟的意愿更强（OR，1.43; 95% CI，1.17-1.74），以及吸烟者的几率较低（OR，0.74; 95%CI，0.63-0.88）。据我们所知，这项研究是第一个探索国家赞助的反烟草媒体运动的潜在影响，同时控制其他烟草，相关广告和其他烟草控制政策。国家赞助的反烟草广告与更大的反烟草情绪和减少青年吸烟的预期结果有关。最近这些运动的削减可能对今后的健康和预算产生不利影响。
Background: Recent state budget crises have dramatically reduced funding for state-sponsored antitobacco media campaigns. If campaigns are associated with reduced smoking, such cuts could result in long-term increases in state health care costs.Methods: Commercial ratings data on mean audience exposure to antitobacco advertising that appeared on network and cable television across the largest 75 media markets in the United States for 1999 through 2000 were combined with nationally representative survey data from school-based samples of youth in the contiguous 48 states. Multivariate regression models were used to analyze associations between mean exposure to state antitobacco advertising and youth smoking-related beliefs and behaviors, controlling for individual and environmental factors usually associated with youth smoking and other televised tobacco-related advertising.Results: Mean exposure to at least 1 state-sponsored antitobacco advertisement in the past 4 months was associated with lower perceived rates of friends ' smoking (odds ratio [OR], 0.72; 95% confidence interval [CI], 0.58-0.88), greater perceived harm of smoking (OR, 1.25; 95% CI, 1.11-1.42), stronger intentions not to smoke in the future (OR, 1.43; 95% CI, 1.17-1.74), and lower odds of being a smoker (OR, 0.74; 95% CI, 0.63-0.88).Conclusions: To our knowledge, this study is the first to explore the potential impact of state-sponsored antitobacco media campaigns while controlling for other tobacco-related advertising and other tobacco control policies. State-sponsored antitobacco advertising is associated with desired outcomes of greater antitobacco sentiment and reduced smoking among youth. Recent cuts in these campaigns may have future negative health and budgetary consequences.