Abstract
Objective: The top 50 commercially successful films released per year from 1991 to 2000 were content coded to assess trends in tobacco use over time and attributes of films predictive of higher smoking rates.
Design: This observational study used media content analysis methods to generate data about tobacco use depictions in films studied (n = 497). Films are the basic unit of analysis. Once films were coded and preliminary analysis completed, outcome data were transformed to approximate multivariate normality before being analysed with general linear models and longitudinal mixed method regression methods.
Main outcome measures: Tobacco use per minute of film was the main outcome measure used. Predictor variables include attributes of films and actors. Tobacco use was defined as any cigarette, cigar, and chewing tobacco use as well as the display of smoke and cigarette paraphernalia such as ashtrays, brand names, or logos within frames of films reviewed.
Results: Smoking rates in the top films fluctuated yearly over the decade with an overall modest downward trend (p < 0.005), with the exception of R rated films where rates went up.
Conclusions: The decrease in smoking rates found in films in the past decade is modest given extensive efforts to educate the entertainment industry on this issue over the past decade. Monitoring, education, advocacy, and policy change to bring tobacco depiction rates down further should continue.
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Selected References
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- Dalton Madeline A., Tickle Jennifer J., Sargent James D., Beach Michael L., Ahrens M. Bridget, Heatherton Todd F. The incidence and context of tobacco use in popular movies from 1988 to 1997. Prev Med. 2002 May;34(5):516–523. doi: 10.1006/pmed.2002.1013. [DOI] [PubMed] [Google Scholar]
- Distefan J. M., Gilpin E. A., Sargent J. D., Pierce J. P. Do movie stars encourage adolescents to start smoking? Evidence from California. Prev Med. 1999 Jan;28(1):1–11. doi: 10.1006/pmed.1998.0409. [DOI] [PubMed] [Google Scholar]
- Everett S. A., Schnuth R. L., Tribble J. L. Tobacco and alcohol use in top-grossing American films. J Community Health. 1998 Aug;23(4):317–324. doi: 10.1023/a:1018727606500. [DOI] [PubMed] [Google Scholar]
- Glantz Stanton A., Kacirk Karen W., McCulloch Charles. Back to the future: Smoking in movies in 2002 compared with 1950 levels. Am J Public Health. 2004 Feb;94(2):261–263. doi: 10.2105/ajph.94.2.261. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hazan A. R., Lipton H. L., Glantz S. A. Popular films do not reflect current tobacco use. Am J Public Health. 1994 Jun;84(6):998–1000. doi: 10.2105/ajph.84.6.998. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kacirk K., Glantz S. A. Smoking in movies in 2000 exceeded rates in the 1960s. Tob Control. 2001 Dec;10(4):397–398. doi: 10.1136/tc.10.4.397b. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McIntosh W. D., Bazzini D. G., Smith S. M., Wayne S. M. Who smokes in Hollywood? Characteristics of smokers in popular films from 1940 to 1989. Addict Behav. 1998 May-Jun;23(3):395–398. doi: 10.1016/s0306-4603(97)00071-3. [DOI] [PubMed] [Google Scholar]
- Mekemson C., Glantz S. A. How the tobacco industry built its relationship with Hollywood. Tob Control. 2002 Mar;11 (Suppl 1):I81–I91. doi: 10.1136/tc.11.suppl_1.i81. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pucci L. G., Siegel M. Exposure to brand-specific cigarette advertising in magazines and its impact on youth smoking. Prev Med. 1999 Nov;29(5):313–320. doi: 10.1006/pmed.1999.0554. [DOI] [PubMed] [Google Scholar]
- Sargent J. D., Dalton M., Beach M., Bernhardt A., Heatherton T., Stevens M. Effect of cigarette promotions on smoking uptake among adolescents. Prev Med. 2000 Apr;30(4):320–327. doi: 10.1006/pmed.1999.0629. [DOI] [PubMed] [Google Scholar]
- Sargent J. D., Tickle J. J., Beach M. L., Dalton M. A., Ahrens M. B., Heatherton T. F. Brand appearances in contemporary cinema films and contribution to global marketing of cigarettes. Lancet. 2001 Jan 6;357(9249):29–32. doi: 10.1016/S0140-6736(00)03568-6. [DOI] [PubMed] [Google Scholar]
- Stockwell T. F., Glantz S. A. Tobacco use is increasing in popular films. Tob Control. 1997 Winter;6(4):282–284. doi: 10.1136/tc.6.4.282. [DOI] [PMC free article] [PubMed] [Google Scholar]
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