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Exploring How Exposure to Truth and State-Sponsored Anti-Tobacco Media Campaigns Affect Smoking Disparities among Young Adults Using a National Longitudinal Dataset, 2002–2017

Author

Listed:
  • David C. Colston

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Yanmei Xie

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
    Biostatistics Core, Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA)

  • James F. Thrasher

    (Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
    Center for Population Health Research, Department of Tobacco Research, National Institute of Public Health, Cuernavaca 62100, Mexico)

  • Sherry Emery

    (Social Data Collaboratory, NORC at the University of Chicago, Chicago, IL 60637, USA)

  • Megan E. Patrick

    (Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA)

  • Andrea R. Titus

    (Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA)

  • Michael R. Elliott

    (Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
    Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA)

  • Nancy L. Fleischer

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

Abstract

Background. Little is known regarding long-term impacts of anti-tobacco media campaigns on youth smoking and related disparities in the United States. Methods. We examined longitudinal cohort data from Monitoring the Future (MTF) between 2000 and 2017 in modified Poisson regression models to understand the long-term impacts of televised Truth and state-sponsored ad campaign exposure at baseline (age 18) on first cigarette and daily smoking initiation 1 to 2 years later (at modal ages 19/20). We also used additive interactions to test for potential effect modification between campaign exposure and smoking outcomes by sex, race/ethnicity, and parental educational attainment. Results. We found no evidence for baseline media campaign exposure to be associated with first cigarette or daily smoking initiation at modal age 19/20. Further, results showed no evidence for effect modification between campaign exposure and first cigarette or daily smoking initiation. Conclusions. We found no evidence that baseline Truth and state-sponsored ad exposure was associated with first cigarette or daily smoking initiation at follow up, nor did we find any evidence for effect modification by sex, race/ethnicity, or parental education. We hypothesize that anti-tobacco media campaigns might have had a short-term impact on smoking behaviors, though these effects were not sustained long term.

Suggested Citation

  • David C. Colston & Yanmei Xie & James F. Thrasher & Sherry Emery & Megan E. Patrick & Andrea R. Titus & Michael R. Elliott & Nancy L. Fleischer, 2021. "Exploring How Exposure to Truth and State-Sponsored Anti-Tobacco Media Campaigns Affect Smoking Disparities among Young Adults Using a National Longitudinal Dataset, 2002–2017," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7803-:d:599691
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    References listed on IDEAS

    as
    1. Emery, S. & Kim, Y. & Choi, Y.K. & Szczypka, G. & Wakefield, M. & Chaloupka, F.J., 2012. "The effects of smoking-related television advertising on smoking and intentions to quit among adults in the United States: 1999-2007," American Journal of Public Health, American Public Health Association, vol. 102(4), pages 751-757.
    2. Farrelly, M.C. & Davis, K.C. & Haviland, M.L. & Messeri, P. & Healton, C.G., 2005. "Evidence of a dose-response relationship between "truth" antismoking ads and youth smoking prevalence," American Journal of Public Health, American Public Health Association, vol. 95(3), pages 425-431.
    3. Kevin C. Davis & Matthew C. Farrelly & Peter Messeri & Jennifer Duke, 2009. "The Impact of National Smoking Prevention Campaigns on Tobacco-Related Beliefs, Intentions to Smoke and Smoking Initiation: Results from a Longitudinal Survey of Youth in the United States," IJERPH, MDPI, vol. 6(2), pages 1-19, February.
    4. Siegel, M. & Biener, L., 2000. "The impact of an antismoking media campaign on progression to established smoking: Results of a longitudinal youth study," American Journal of Public Health, American Public Health Association, vol. 90(3), pages 380-386.
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