Abstract
Objectives: To assess public attitudes toward the tobacco industry and its products, and to identify predictors of attitudes supportive of tobacco industry denormalisation.
Design: Population based, cross sectional survey.
Setting: Ontario, Canada.
Subjects: Adult population (n = 1607).
Main outcome measures: Eight different facets of tobacco industry denormalisation were assessed. A denormalisation scale was developed to examine predictors of attitudes supportive of tobacco industry denormalisation, using bivariate and multivariate analyses.
Results: Attitudes to the eight facets of tobacco industry denormalisation varied widely. More than half of the respondents supported regulating tobacco as a hazardous product, fining the tobacco industry for earnings from underage smoking, and suing tobacco companies for health care costs caused by tobacco. Majorities also thought that the tobacco industry is dishonest and that cigarettes are too dangerous to be sold at all. Fewer than half of the respondents thought that the tobacco industry is mostly or completely responsible for the health problems smokers have because of smoking and that tobacco companies should be sued for taxes lost from smuggling. In particular, less than a quarter thought that the tobacco industry is most responsible for young people starting to smoke. Non-smoking, knowledge about health effects caused by tobacco, and support for the role of government in health promotion were independent predictors of support for tobacco industry denormalisation.
Conclusions: Although Ontarians are ambivalent toward tobacco industry denormalisation, they are supportive of some measures. Mass media programmes aimed at increasing support for tobacco industry denormalisation and continued monitoring of public attitudes toward this strategy are needed.
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Selected References
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- Ashley M. J., Cohen J., Bull S., Ferrence R., Poland B., Pederson L., Gao J. Knowledge about tobacco and attitudes toward tobacco control: how different are smokers and nonsmokers? Can J Public Health. 2000 Sep-Oct;91(5):376–380. doi: 10.1007/BF03404811. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bal D. G., Lloyd J. C., Roeseler A., Shimizu R. California as a model. J Clin Oncol. 2001 Sep 15;19(18 Suppl):69S–73S. [PubMed] [Google Scholar]
- Biener L. Adult and youth response to the Massachusetts anti-tobacco television campaign. J Public Health Manag Pract. 2000 May;6(3):40–44. doi: 10.1097/00124784-200006030-00007. [DOI] [PubMed] [Google Scholar]
- Cohen J. E., de Guia N. A., Ashley M. J., Ferrence R., Studlar D. T., Northrup D. A. Predictors of Canadian legislators' support for public health policy interventions. Can J Public Health. 2001 May-Jun;92(3):188–189. doi: 10.1007/BF03404302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cohen Joanna E., de Guia Nicole A., Ashley Mary Jane, Ferrence Roberta, Northrup David A., Studlar Donley T. Predictors of Canadian legislators' support for tobacco control policies. Soc Sci Med. 2002 Sep;55(6):1069–1076. doi: 10.1016/s0277-9536(01)00244-1. [DOI] [PubMed] [Google Scholar]
- Farrelly Matthew C., Healton Cheryl G., Davis Kevin C., Messeri Peter, Hersey James C., Haviland M. Lyndon. Getting to the truth: evaluating national tobacco countermarketing campaigns. Am J Public Health. 2002 Jun;92(6):901–907. doi: 10.2105/ajph.92.6.901. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Sly D. F., Heald G. R., Ray S. The Florida "truth" anti-tobacco media evaluation: design, first year results, and implications for planning future state media evaluations. Tob Control. 2001 Mar;10(1):9–15. doi: 10.1136/tc.10.1.9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sly D. F., Hopkins R. S., Trapido E., Ray S. Influence of a counteradvertising media campaign on initiation of smoking: the Florida "truth" campaign. Am J Public Health. 2001 Feb;91(2):233–238. doi: 10.2105/ajph.91.2.233. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sly David F., Trapido Ed, Ray Sarah. Evidence of the dose effects of an antitobacco counteradvertising campaign. Prev Med. 2002 Nov;35(5):511–518. doi: 10.1006/pmed.2002.1100. [DOI] [PubMed] [Google Scholar]
- Stevens C. Designing an effective counteradvertising campaign--California. Cancer. 1998 Dec 15;83(12 Suppl ROBERT):2736–2741. doi: 10.1002/(sici)1097-0142(19981215)83:12a+<2736::aid-cncr15>3.0.co;2-2. [DOI] [PubMed] [Google Scholar]