Televised antismoking advertising: effects of level and duration of exposure.

OBJECTIVES We assessed the effects of levels and duration of exposure to televised antismoking advertising on cognitive and behavioral changes. METHODS We used data from a serial cross-sectional telephone survey with weekly interviews of adult smokers and recent quitters in New South Wales, Australia (n = 13,301), between April 2005 and December 2010. We merged survey data with commercial TV ratings data to estimate individuals' exposure to antismoking advertising. RESULTS Logistic regression analyses indicated that after adjustment for a wide range of potential confounders, exposure to antismoking advertising at levels between 100 and 200 gross rating points per week on average over 6 to 9 weeks was associated with an increased likelihood of having (1) salient quitting thoughts and (2) recent quit attempts. Associations between exposure for shorter periods and these outcomes were not significant. CONCLUSIONS Broadcasting schedules may affect the success of antismoking ads. Campaign planners should ensure advertising exposure at adequate frequency over relatively sustained periods to maximize impact.

[1]  R. Hornik,et al.  Can We Measure Encoded Exposure? Validation Evidence From a National Campaign , 2002, Journal of health communication.

[2]  J. Nonnemaker,et al.  Association between national smoking prevention campaigns and perceived smoking prevalence among youth in the United States. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[3]  M. Fishbein,et al.  Using theory to design effective health behavior interventions. , 2003 .

[4]  M. Wakefield,et al.  Uptake and effectiveness of the Australian telephone Quitline service in the context of a mass media campaign , 2003, Tobacco control.

[5]  Patrick M O'Malley,et al.  Televised state-sponsored antitobacco advertising and youth smoking beliefs and behavior in the United States, 1999-2000. , 2005, Archives of pediatrics & adolescent medicine.

[6]  David T Levy,et al.  Reductions in smoking prevalence and cigarette consumption associated with mass-media campaigns. , 2002, Health education research.

[7]  D. Hosmer,et al.  Applied Logistic Regression , 1991 .

[8]  Lois Biener,et al.  Effects of different types of antismoking ads on reducing disparities in smoking cessation among socioeconomic subgroups. , 2009, American journal of public health.

[9]  U. Bauer,et al.  Effectiveness and cost effectiveness of television, radio and print advertisements in promoting the New York smokers’ quitline , 2007, Tobacco Control.

[10]  D. Austin,et al.  The association between advertising and calls to a tobacco quitline , 2007, Tobacco Control.

[11]  R. Donovan,et al.  Continuous tracking of the Australian National Tobacco Campaign: advertising effects on recall, recognition, cognitions, and behaviour , 2003, Tobacco control.

[12]  L. Johnston,et al.  State Anti-Tobacco Advertising and Smoking Outcomes by Gender and Race/Ethnicity , 2007, Ethnicity & health.

[13]  K. Davis,et al.  Evidence of a dose-response relationship between "truth" antismoking ads and youth smoking prevalence. , 2005, American journal of public health.

[14]  Patrick M O'Malley,et al.  Effect of televised, tobacco company-funded smoking prevention advertising on youth smoking-related beliefs, intentions, and behavior. , 2006, American journal of public health.

[15]  M. Wakefield,et al.  Which types of televised anti-tobacco campaigns prompt more quitline calls from disadvantaged groups? , 2011, Health education research.

[16]  Fritz L. Laux,et al.  The near-universal experience of regret among smokers in four countries: findings from the International Tobacco Control Policy Evaluation Survey. , 2004, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[17]  Simon Chapman,et al.  Impact of tobacco control policies and mass media campaigns on monthly adult smoking prevalence. , 2008, American journal of public health.

[18]  R. Borland,et al.  Effects of mass media campaign exposure intensity and durability on quit attempts in a population-based cohort study. , 2011, Health education research.

[19]  G B Hastings,et al.  Methods of the International Tobacco Control (ITC) Four Country Survey , 2006, Tobacco Control.

[20]  K. W. Harris,et al.  Reviews of evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. , 2001, American journal of preventive medicine.

[21]  Gerard J. Tellis,et al.  Effective Advertising: Understanding When, How, and Why Advertising Works , 2003 .

[22]  Simon Chapman,et al.  Public health advocacy and tobacco control : making smoking history , 2008 .

[23]  S. Chapman.  Accelerating Smoking Cessation and Prevention in Whole Communities , 2008 .

[24]  N. Wilson,et al.  The effectiveness of television advertising campaigns on generating calls to a national Quitline by Māori , 2005, Tobacco Control.

[25]  K. Cummings,et al.  Anti-tobacco television advertising and indicators of smoking cessation in adults: a cohort study. , 2005, Health education research.

[26]  J. Nonnemaker,et al.  Promoting calls to a quitline: quantifying the influence of message theme, strong negative emotions and graphic images in television advertisements , 2011, Tobacco Control.

[27]  T. Carroll,et al.  Generating Quitline calls during Australia’s National Tobacco Campaign: effects of television advertisement execution and programme placement , 2003, Tobacco control.

[28]  D. Levy,et al.  The effects of tobacco control policies on smoking rates: a tobacco control scorecard. , 2004, Journal of public health management and practice : JPHMP.