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American Journal of Public Health logoLink to American Journal of Public Health
. 2000 Mar;90(3):407–411. doi: 10.2105/ajph.90.3.407

Tobacco marketing and adolescent smoking: more support for a causal inference.

L Biener 1, M Siegel 1
PMCID: PMC1446173  PMID: 10705860

Abstract

OBJECTIVES: This prospective study examined the effect of tobacco marketing on progression to established smoking. METHODS: Massachusetts adolescents (n = 529) who at baseline had smoked no more than 1 cigarette were reinterviewed by telephone in 1997. Analyses examined the effect of receptivity to tobacco marketing at baseline on progression to established smoking, controlling for significant covariates. RESULTS: Adolescents who, at baseline, owned a tobacco promotional item and named a brand whose advertisements attracted their attention were more than twice as likely to become established smokers (odds ratio = 2.70) than adolescents who did neither. CONCLUSIONS: Participation in tobacco marketing often precedes, and is likely to facilitate, progression to established smoking. Hence, restrictions on tobacco marketing and promotion could reduce addiction to tobacco.

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Selected References

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