Trends in exposure to pro-tobacco advertisements over the Internet, in newspapers/magazines, and at retail stores among U.S. middle and high school students, 2000-2012

Prev Med. 2014 Jan;58:45-52. doi: 10.1016/j.ypmed.2013.10.012. Epub 2013 Oct 29.

Abstract

Background: Most tobacco use begins during youth. Thus, this study assessed the prevalence, trends, and correlates of pro-tobacco advertising among United States students in grades 6-12 during 2000-2012.

Methods: Data from the 2000-2012 National Youth Tobacco Survey were analyzed to assess self-reported exposure to pro-tobacco advertisements through three media: over the Internet, in newspapers/magazines, and at retail stores. Trends during 2000-2012 were assessed in a binary logistic regression model (P<0.05).

Results: Among all middle and high school students, the overall prevalence of exposure to Internet pro-tobacco advertisements increased from 22.3% to 43.0% during 2000-2012 (P<0.001 for linear trend). During the same period, declines were observed in the overall prevalence of exposure to pro-tobacco advertisements in newspapers/magazines (65.0% to 36.9%) and at retail stores (87.8% to 76.2%) (P<0.001 for all linear trends).

Conclusion: Exposure to pro-tobacco advertisements over the Internet increased significantly during 2000-2012 among United States middle and high school students, while a decline in exposure to advertisements in newspapers or magazines, and at retail stores occurred during the same period. However, over two-thirds of students still reported retail store exposure to pro-tobacco advertisements in 2012. Enhanced and sustained efforts would be beneficial to reduce even more exposure to all forms of pro-tobacco advertisements among youths.

Keywords: Advertising; Health promotion; NYTS; National Youth Tobacco Survey; Prevalence; School; Smoking; Tobacco; Youths.

MeSH terms

  • Adolescent
  • Advertising* / economics
  • Advertising* / trends
  • Commerce / statistics & numerical data*
  • Communications Media / statistics & numerical data
  • Communications Media / trends
  • Female
  • Health Surveys
  • Humans
  • Internet*
  • Logistic Models
  • Male
  • Newspapers as Topic*
  • Periodicals as Topic*
  • Persuasive Communication
  • Prevalence
  • Self Report
  • Smoking Prevention
  • Students / psychology*
  • Students / statistics & numerical data
  • Tobacco Industry
  • United States