Effect of a National Tobacco Public Education Campaign on Youth's Risk Perceptions and Beliefs About Smoking. Issue 5 (June 2018)

• Record Type: Journal Article
• Authors: Duke, Jennifer C.; Farrelly, Matthew C.; Alexander, Tesfa N.; MacMonegle, Anna J.; Zhao, Xiaoquan; Allen, Jane A.; Delahanty, Janine C.; Rao, Pamela; Nonnemaker, James
• Is Part Of: American journal of health promotion. Volume 32:Issue 5(2018)
• Page Start: 1248
• Page End: 1256
• Publication Date: 2018-06
• Subjects: tobacco control -- mass media campaign -- adolescent -- logistic regression; Health promotion -- Periodicals; Health Promotion; Health promotion; Periodicals; Periodicals; 613.05
• DOI: 10.1177/0890117117720745
• Languages: English
• ISSNs: 0890-1171

Abstract

Purpose: To assess the relationship between youth's exposure to the Food and Drug Administration's national tobacco public education campaign, The Real Cost, and changes in campaign-targeted beliefs. Design: Longitudinal design with baseline survey and 2 postcampaign follow-up surveys. Sample: Youth from 75 US media markets (N = 1680) who completed all 3 surveys and had experimented with or were susceptible to future cigarette smoking. Measures: Exposure was measured by self-reported frequency of ad exposure and media market–level target rating points. Agreement with 30 self-reported tobacco-related beliefs was assessed in 3 categories: (1) beliefs specifically targeted by campaign messages (campaign-targeted belief), (2) beliefs not targeted by the campaign (nontargeted beliefs), and (3) beliefs corresponding to other media campaigns on air concurrent with The Real Cost (ambiguous beliefs). Analysis: Descriptive analyses of aggregate changes in beliefs and logistic regressions to examine the association between campaign exposure and beliefs. Intervention: The Real Cost . Results: Agreement with campaign-targeted beliefs increased from baseline to first and second follow-ups, with a mean relative increase of 10.4% and 11.5%, respectively. Nontargeted beliefs did not change substantially. Both measures of campaign exposure were positively associated with increased odds of agreeing with 5 of 8 campaign-targeted beliefs. Exposure was not significantly associated with 12 of 14 nontargeted tobacco-related beliefs. Discussion: A sustained national tobacco public education campaign can change population-level perceptions of tobacco-related harms among youth.