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. 1999 Mar;8(1):37–44. doi: 10.1136/tc.8.1.37

Sharing the blame: smoking experimentation and future smoking-attributable mortality due to Joe Camel and Marlboro advertising and promotions

J Pierce 1, E Gilpin 1, W Choi 1
PMCID: PMC1763932  PMID: 10465814

Abstract

BACKGROUND—Despite public denials, internal tobacco company documents indicate that adolescents have long been the target of cigarette advertising and promotional activities. Recent longitudinal evidence suggests that 34% of new experimentation occurs because of advertising and promotions.
OBJECTIVE—To apportion responsibility for smoking experimentation and future smoking-attributable mortality among major cigarette brands attractive to young people (Camel and Marlboro).
DATA SOURCES, SETTING, AND PARTICIPANTS—Data were from confirmed never-smoking adolescents (12-17 years old) responding to the 1993 (n = 2659) and 1996 (n = 2779) population-based California Tobacco Surveys.
MAIN OUTCOMES—Adolescents named the brand of their favourite cigarette advertisements and tobacco promotional items. Using these "market shares" and the relative importance of advertising and promotions in encouraging smoking, we estimated how many new experimenters from 1988 to 1998 in the United States can be attributed to Camel and Marlboro. From other data on the natural history of smoking, we projected how many future deaths in the United States can be attributed to each brand.
RESULTS—Although Camel advertisements were favoured more than Marlboro and other brands in 1993 and 1996, the "market share" for promotional items shifted markedly during this period from Camel and other brands towards Marlboro. We estimated that between 1988 and 1998, there will be 7.9 million new experimenters because of tobacco advertising and promotions. This will result in 4.7 million new established smokers: 2.1, 1.2, and 1.4 million due to Camel, Marlboro, and other brands' advertising and promotions, respectively. Of these, 1.2 million will eventually die from smoking-attributable diseases: 520 000 from Camel, 300 000 from Marlboro, and the remainder from other brands.
CONCLUSIONS—Our analysis provides a reasonable first estimate at sharing the blame for the long-term health consequences of smoking among the major brands that encourage adolescents to start smoking.


Keywords: adolescence; smoking initiation; smoking-attributable diseases; advertising

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Selected References

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  1. Bal D. G., Kizer K. W., Felten P. G., Mozar H. N., Niemeyer D. Reducing tobacco consumption in California. Development of a statewide anti-tobacco use campaign. JAMA. 1990 Sep 26;264(12):1570–1574. [PubMed] [Google Scholar]
  2. Choi W. S., Pierce J. P., Gilpin E. A., Farkas A. J., Berry C. C. Which adolescent experimenters progress to established smoking in the United States. Am J Prev Med. 1997 Sep-Oct;13(5):385–391. [PubMed] [Google Scholar]
  3. DiFranza J. R., Richards J. W., Paulman P. M., Wolf-Gillespie N., Fletcher C., Jaffe R. D., Murray D. RJR Nabisco's cartoon camel promotes camel cigarettes to children. JAMA. 1991 Dec 11;266(22):3149–3153. [PubMed] [Google Scholar]
  4. 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]
  5. Emery S., Gilpin E. A., White M. M., Pierce J. P. How adolescents get their cigarettes: implications for policies on access and price. J Natl Cancer Inst. 1999 Jan 20;91(2):184–186. doi: 10.1093/jnci/91.2.184. [DOI] [PubMed] [Google Scholar]
  6. Evans N., Farkas A., Gilpin E., Berry C., Pierce J. P. Influence of tobacco marketing and exposure to smokers on adolescent susceptibility to smoking. J Natl Cancer Inst. 1995 Oct 18;87(20):1538–1545. doi: 10.1093/jnci/87.20.1538. [DOI] [PubMed] [Google Scholar]
  7. Fischer P. M., Schwartz M. P., Richards J. W., Jr, Goldstein A. O., Rojas T. H. Brand logo recognition by children aged 3 to 6 years. Mickey Mouse and Old Joe the Camel. JAMA. 1991 Dec 11;266(22):3145–3148. [PubMed] [Google Scholar]
  8. Gilpin E. A., Pierce J. P., Rosbrook B. Are adolescents receptive to current sales promotion practices of the tobacco industry? Prev Med. 1997 Jan-Feb;26(1):14–21. doi: 10.1006/pmed.1996.9980. [DOI] [PubMed] [Google Scholar]
  9. Gilpin E. A., Pierce J. P. Trends in adolescent smoking initiation in the United States: is tobacco marketing an influence? Tob Control. 1997 Summer;6(2):122–127. doi: 10.1136/tc.6.2.122. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Kelder G. E., Daynard R. A. Tobacco litigation as a public health and cancer control strategy. J Am Med Womens Assoc. 1996 Jan-Apr;51(1-2):57–62. [PubMed] [Google Scholar]
  11. King C., 3rd, Siegel M., Celebucki C., Connolly G. N. Adolescent exposure to cigarette advertising in magazines: an evaluation of brand-specific advertising in relation to youth readership. JAMA. 1998 Feb 18;279(7):516–520. doi: 10.1001/jama.279.7.516. [DOI] [PubMed] [Google Scholar]
  12. Kolonen S., Tuomisto J., Puustinen P., Airaksinen M. M. Effects of smoking abstinence and chain-smoking on puffing topography and diurnal nicotine exposure. Pharmacol Biochem Behav. 1992 Jun;42(2):327–332. doi: 10.1016/0091-3057(92)90535-n. [DOI] [PubMed] [Google Scholar]
  13. Mattson M. E., Pollack E. S., Cullen J. W. What are the odds that smoking will kill you? Am J Public Health. 1987 Apr;77(4):425–431. doi: 10.2105/ajph.77.4.425. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. 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]
  15. Pierce J. P., Fiore M. C., Novotny T. E., Hatziandreu E. J., Davis R. M. Trends in cigarette smoking in the United States. Projections to the year 2000. JAMA. 1989 Jan 6;261(1):61–65. [PubMed] [Google Scholar]
  16. 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]
  17. Pierce J. P., Gilpin E., Burns D. M., Whalen E., Rosbrook B., Shopland D., Johnson M. Does tobacco advertising target young people to start smoking? Evidence from California. JAMA. 1991 Dec 11;266(22):3154–3158. [PubMed] [Google Scholar]
  18. Pierce J. P., Gilpin E. How long will today's new adolescent smoker be addicted to cigarettes? Am J Public Health. 1996 Feb;86(2):253–256. doi: 10.2105/ajph.86.2.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. 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]
  20. Russell M. A. The nicotine addiction trap: a 40-year sentence for four cigarettes. Br J Addict. 1990 Feb;85(2):293–300. doi: 10.1111/j.1360-0443.1990.tb03085.x. [DOI] [PubMed] [Google Scholar]
  21. Zacny J. P., Stitzer M. L. Cigarette brand-switching: effects on smoke exposure and smoking behavior. J Pharmacol Exp Ther. 1988 Aug;246(2):619–627. [PubMed] [Google Scholar]

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