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. 2001 Jun;10(2):145–153. doi: 10.1136/tc.10.2.145

News media coverage of smoking and health is associated with changes in population rates of smoking cessation but not initiation

J Pierce 1, E Gilpin 1
PMCID: PMC1747549  PMID: 11387535

Abstract

OBJECTIVE—To determine whether changes in news media coverage of smoking and health issues are associated with changes in smoking behaviour in the USA.
DESIGN AND MAIN OUTCOME MEASURES—Issue importance in the US news media is assessed by the number of articles published annually in major magazines indexed in The Reader's Guide to Periodical Literature. Annual incidence rates for cessation and initiation in the USA were computed from the large, representative National Health Interview Surveys (1965-1992). Patterns in cessation incidence were considered for ages 20-34 years and 35-50 years. Initiation incidence was examined for adolescents (14-17 years) and young adults (18-21 years) of both sexes.
RESULTS—From 1950 to the early 1980s, the annual incidence of cessation in the USA mirrored the pattern of news media coverage of smoking and health, particularly for middle aged smokers. Cessation rates in younger adults increased considerably when secondhand smoke concerns started to increase in the US population. Incidence of initiation in young adults did not start to decline until the beginning of the public health campaign against smoking in the 1960s. Among adolescents, incidence rates did not start to decline until the 1970s, after the broadcast ban on cigarette advertising.
CONCLUSIONS—The level of coverage of smoking and health in the news media may play an important role in determining the rate of population smoking cessation, but not initiation. In countries where cessation has lagged, advocates should work to increase the newsworthiness of smoking and health issues.


Keywords: initiation; cessation; health; mass media

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Selected References

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  1. AUERBACH O., FORMAN J. B., GERE J. B., KASSOUNY D. Y., MUEHSAM G. E., PETRICK T. G., SMOLIN H. J., STOUT A. P. Changes in the bronchial epithelium in relation to smoking and cancer of the lung; a report of progress. N Engl J Med. 1957 Jan 17;256(3):97–104. doi: 10.1056/NEJM195701172560301. [DOI] [PubMed] [Google Scholar]
  2. AUERBACH O., PETRICK T. G., STOUT A. P., STATSINGER A. L., MUEHSAM G. E., FORMAN J. B., GERE J. B. The anatomical approach to the study of smoking and bronchogenic carcinoma; a preliminary report of forty-one cases. Cancer. 1956 Jan-Feb;9(1):76–83. doi: 10.1002/1097-0142(195601/02)9:1<76::aid-cncr2820090106>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
  3. Albright C. L., Altman D. G., Slater M. D., Maccoby N. Cigarette advertisements in magazines: evidence for a differential focus on women's and youth magazines. Health Educ Q. 1988 Summer;15(2):225–233. doi: 10.1177/109019818801500207. [DOI] [PubMed] [Google Scholar]
  4. BERKSON J. The statistical study of association between smoking and lung cancer. Proc Staff Meet Mayo Clin. 1955 Jul 27;30(15):319–348. [PubMed] [Google Scholar]
  5. BURNEY L. E. Smoking and lung cancer: a statement of the Public Health Service. J Am Med Assoc. 1959 Nov 28;171:1829–1837. doi: 10.1001/jama.1959.73010310005016. [DOI] [PubMed] [Google Scholar]
  6. Baugh J. G., Hunter S. M., Webber L. S., Berenson G. S. Development trends of first cigarette smoking experience of children: the Bogalusa heart study. Am J Public Health. 1982 Oct;72(10):1161–1164. doi: 10.2105/ajph.72.10.1161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Biener L., Siegel M. Tobacco marketing and adolescent smoking: more support for a causal inference. Am J Public Health. 2000 Mar;90(3):407–411. doi: 10.2105/ajph.90.3.407. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Chapman S., Borland R., Scollo M., Brownson R. C., Dominello A., Woodward S. The impact of smoke-free workplaces on declining cigarette consumption in Australia and the United States. Am J Public Health. 1999 Jul;89(7):1018–1023. doi: 10.2105/ajph.89.7.1018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Choi W. S., Gilpin E. A., Farkas A. J., Pierce J. P. Determining the probability of future smoking among adolescents. Addiction. 2001 Feb;96(2):313–323. doi: 10.1046/j.1360-0443.2001.96231315.x. [DOI] [PubMed] [Google Scholar]
  10. DOLL R., HILL A. B. Smoking and carcinoma of the lung; preliminary report. Br Med J. 1950 Sep 30;2(4682):739–748. doi: 10.1136/bmj.2.4682.739. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. DOLL R., HILL A. B. The mortality of doctors in relation to their smoking habits; a preliminary report. Br Med J. 1954 Jun 26;1(4877):1451–1455. doi: 10.1136/bmj.1.4877.1451. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Doll R., Gray R., Hafner B., Peto R. Mortality in relation to smoking: 22 years' observations on female British doctors. Br Med J. 1980 Apr 5;280(6219):967–971. doi: 10.1136/bmj.280.6219.967. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Doll R., Peto R., Wheatley K., Gray R., Sutherland I. Mortality in relation to smoking: 40 years' observations on male British doctors. BMJ. 1994 Oct 8;309(6959):901–911. doi: 10.1136/bmj.309.6959.901. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Doll R. Tobacco: a medical history. J Urban Health. 1999 Sep;76(3):289–313. doi: 10.1007/BF02345669. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. FISHER R. A. Cancer and smoking. Nature. 1958 Aug 30;182(4635):596–596. doi: 10.1038/182596a0. [DOI] [PubMed] [Google Scholar]
  16. Gilpin E. A., Lee L., Evans N., Pierce J. P. Smoking initiation rates in adults and minors: United States, 1944-1988. Am J Epidemiol. 1994 Sep 15;140(6):535–543. doi: 10.1093/oxfordjournals.aje.a117280. [DOI] [PubMed] [Google Scholar]
  17. Gilpin E. A., Pierce J. P., Farkas A. J. Duration of smoking abstinence and success in quitting. J Natl Cancer Inst. 1997 Apr 16;89(8):572–576. doi: 10.1093/jnci/89.8.572. [DOI] [PubMed] [Google Scholar]
  18. Glynn T. J. Essential elements of school-based smoking prevention programs. J Sch Health. 1989 May;59(5):181–188. doi: 10.1111/j.1746-1561.1989.tb04698.x. [DOI] [PubMed] [Google Scholar]
  19. Gori G. B. Low-risk cigarettes: a prescription. Science. 1976 Dec 11;194(4271):1243–1246. doi: 10.1126/science.996552. [DOI] [PubMed] [Google Scholar]
  20. Gori G. B., Lynch C. J. Toward less hazardous cigarettes. Current advances. JAMA. 1978 Sep 15;240(12):1255–1259. [PubMed] [Google Scholar]
  21. HAMMOND E. C., HORN D. The relationship between human smoking habits and death rates: a follow-up study of 187,766 men. J Am Med Assoc. 1954 Aug 7;155(15):1316–1328. doi: 10.1001/jama.1954.03690330020006. [DOI] [PubMed] [Google Scholar]
  22. Hammond E. C., Garfinkel L., Seidman H., Lew E. A. "Tar" and nicotine content of cigarette smoke in relation to death rates. Environ Res. 1976 Dec;12(3):263–274. doi: 10.1016/0013-9351(76)90036-0. [DOI] [PubMed] [Google Scholar]
  23. LITTLE C. C. Some phases of the problem of smoking and lung cancer. N Engl J Med. 1961 Jun 15;264:1241–1245. doi: 10.1056/NEJM196106152642406. [DOI] [PubMed] [Google Scholar]
  24. Macaskill P., Pierce J. P., Simpson J. M., Lyle D. M. Mass media-led antismoking campaign can remove the education gap in quitting behavior. Am J Public Health. 1992 Jan;82(1):96–98. doi: 10.2105/ajph.82.1.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Pierce J. P., Anderson D. M., Romano R. M., Meissner H. I., Odenkirchen J. C. Promoting smoking cessation in the United States: effect of public service announcements on the Cancer Information Service telephone line. J Natl Cancer Inst. 1992 May 6;84(9):677–683. doi: 10.1093/jnci/84.9.677. [DOI] [PubMed] [Google Scholar]
  26. Pierce J. P., Choi W. S., Gilpin E. A., Farkas A. J., Berry C. C. Tobacco industry promotion of cigarettes and adolescent smoking. JAMA. 1998 Feb 18;279(7):511–515. doi: 10.1001/jama.279.7.511. [DOI] [PubMed] [Google Scholar]
  27. Pierce J. P., Dwyer T., Chamberlain A., Aldrich R. N., Shelley J. M. Targeting the smoker in an anti-smoking campaign. Prev Med. 1987 Nov;16(6):816–824. doi: 10.1016/0091-7435(87)90021-1. [DOI] [PubMed] [Google Scholar]
  28. Pierce J. P., Gilpin E. A. A historical analysis of tobacco marketing and the uptake of smoking by youth in the United States: 1890-1977. Health Psychol. 1995 Nov;14(6):500–508. doi: 10.1037//0278-6133.14.6.500. [DOI] [PubMed] [Google Scholar]
  29. Pierce J. P., Lee L., Gilpin E. A. Smoking initiation by adolescent girls, 1944 through 1988. An association with targeted advertising. JAMA. 1994 Feb 23;271(8):608–611. [PubMed] [Google Scholar]
  30. Pierce J. P., Macaskill P., Hill D. Long-term effectiveness of mass media led antismoking campaigns in Australia. Am J Public Health. 1990 May;80(5):565–569. doi: 10.2105/ajph.80.5.565. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Siegel M., Biener L. The impact of an antismoking media campaign on progression to established smoking: results of a longitudinal youth study. Am J Public Health. 2000 Mar;90(3):380–386. doi: 10.2105/ajph.90.3.380. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. WYNDER E. L. An appraisal of the smoking-lung-cancer issue. N Engl J Med. 1961 Jun 15;264:1235–1240. doi: 10.1056/NEJM196106152642405. [DOI] [PubMed] [Google Scholar]
  33. WYNDER E. L., GRAHAM E. A., CRONINGER A. B. Experimental production of carcinoma with cigarette tar. Cancer Res. 1953 Dec;13(12):855–864. [PubMed] [Google Scholar]
  34. WYNDER E. L., GRAHAM E. A. Tobacco smoking as a possible etiologic factor in bronchiogenic carcinoma; a study of 684 proved cases. J Am Med Assoc. 1950 May 27;143(4):329–336. doi: 10.1001/jama.1950.02910390001001. [DOI] [PubMed] [Google Scholar]
  35. Warner K. E. Cigarette smoking in the 1970's: the impact of the antismoking campaign on consumption. Science. 1981 Feb 13;211(4483):729–731. doi: 10.1126/science.7455711. [DOI] [PubMed] [Google Scholar]
  36. Warner K. E. Effects of the antismoking campaign: an update. Am J Public Health. 1989 Feb;79(2):144–151. doi: 10.2105/ajph.79.2.144. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Warner K. E., Goldenhar L. M., McLaughlin C. G. Cigarette advertising and magazine coverage of the hazards of smoking. A statistical analysis. N Engl J Med. 1992 Jan 30;326(5):305–309. doi: 10.1056/NEJM199201303260505. [DOI] [PubMed] [Google Scholar]
  38. Whelan E. M., Sheridan M. J., Meister K. A., Mosher B. A. Analysis of coverage of tobacco hazards in women's magazines. J Public Health Policy. 1981 Mar;2(1):28–35. [PubMed] [Google Scholar]
  39. Wynder E. L., Stellman S. D. Impact of long-term filter cigarette usage on lung and larynx cancer risk: a case-control study. J Natl Cancer Inst. 1979 Mar;62(3):471–477. doi: 10.1093/jnci/62.3.471. [DOI] [PubMed] [Google Scholar]
  40. Wynder E. L. The past, present, and future of the prevention of lung cancer. Cancer Epidemiol Biomarkers Prev. 1998 Sep;7(9):735–748. [PubMed] [Google Scholar]

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