Does tobacco-control mass media campaign exposure prevent relapse among recent quitters?

OBJECTIVE To determine whether greater mass media campaign exposure may assist recent quitters to avoid relapse. METHOD Using date of data collection and postcode, media market estimates of televised tobacco-control advertising exposure measured by gross ratings points (GRPs) were merged with a replenished cohort study of 443 Australians who had quit in the past year. Participants' demographic and smoking characteristics prior to quitting, and advertising exposure in the period after quitting, were used to predict relapse 1 year later. RESULTS In multivariate analysis, each increase in exposure of 100 GRPs (i.e., 1 anti-smoking advertisement) in the three-month period after the baseline quit was associated with a 5% increase in the odds of not smoking at follow-up (OR = 1.05, 95% CI 1.02-1.07, p < 0.001). This relationship was linear and unmodified by length of time quit prior to the baseline interview. At the mean value of 1081 GRPs in the 3 months after the baseline-quit interview, the predicted probability of being quit at follow-up was 52%, whereas it was 41% for the minimum (0) and 74% for the maximum (3,541) GRPs. CONCLUSION Greater exposure to tobacco-control mass media campaigns may reduce the likelihood of relapse among recent quitters.

[1]  R. Topor-Madry,et al.  Mass media interventions for smoking cessation in adults. , 2013, The Cochrane database of systematic reviews.

[2]  James F. Thrasher,et al.  Cigarette packet warning labels can prevent relapse: findings from the International Tobacco Control 4-Country policy evaluation cohort study , 2012, Tobacco Control.

[3]  Glen Szczypka,et al.  The effects of smoking-related television advertising on smoking and intentions to quit among adults in the United States: 1999-2007. , 2012, American journal of public health.

[4]  Ron Borland,et al.  How much unsuccessful quitting activity is going on among adult smokers? Data from the International Tobacco Control Four Country cohort survey. , 2012, Addiction.

[5]  Emily Brennan,et al.  Mass media campaigns to promote smoking cessation among adults: an integrative review , 2012, Tobacco Control.

[6]  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.

[7]  L. Johnston,et al.  Effects of tobacco-related media campaigns on smoking among 20–30-year-old adults: longitudinal data from the USA , 2011, Tobacco Control.

[8]  D. Vallone,et al.  Evaluation of EX: a national mass media smoking cessation campaign. , 2011, American journal of public health.

[9]  Sally M. Dunlop,et al.  Australian smokers' and recent quitters' responses to the increasing price of cigarettes in the context of a tobacco tax increase. , 2011, Addiction.

[10]  A. Hyland,et al.  Self-Reported Exposure to Policy and Environmental Influences on Smoking Cessation and Relapse: A 2-Year Longitudinal Population-based Study , 2011, International journal of environmental research and public health.

[11]  M. Wakefield,et al.  Mass media campaigns designed to support new pictorial health warnings on cigarette packets: evidence of a complementary relationship , 2011, Tobacco Control.

[12]  K. Cummings,et al.  Postquitting experiences and expectations of adult smokers and their association with subsequent relapse: findings from the International Tobacco Control (ITC) Four Country Survey. , 2010, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco.

[13]  M. Wakefield,et al.  Smoke-free São Paulo: a campaign evaluation and the case for sustained mass media investment. , 2010, Salud publica de Mexico.

[14]  R. Borland,et al.  The natural history of quitting smoking: findings from the International Tobacco Control (ITC) Four Country Survey. , 2009, Addiction.

[15]  Ron Borland,et al.  Predictors of smoking relapse by duration of abstinence: findings from the International Tobacco Control (ITC) Four Country Survey. , 2009, Addiction.

[16]  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.

[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]  James Cui,et al.  QIC Program and Model Selection in GEE Analyses , 2007 .

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

[20]  N. Rigotti,et al.  Impact of smoking cessation aids and mass media among recent quitters. , 2006, American journal of preventive medicine.

[21]  Peter Schröder,et al.  What can we measure? , 2005, SIGGRAPH Courses.

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

[23]  Timothy B Baker,et al.  Have we lost our way? The need for dynamic formulations of smoking relapse proneness. , 2002, Addiction.

[24]  W. Pan.  Akaike's Information Criterion in Generalized Estimating Equations , 2001, Biometrics.

[25]  R C Frecker,et al.  Measuring the heaviness of smoking: using self-reported time to the first cigarette of the day and number of cigarettes smoked per day. , 1989, British journal of addiction.

[26]  G. Marlatt,et al.  A longitudinal analysis of unaided smoking cessation. , 1988, Journal of consulting and clinical psychology.

[27]  S. Zeger,et al.  Longitudinal data analysis using generalized linear models , 1986 .

[28]  R. W. Wedderburn.  Quasi-likelihood functions, generalized linear models, and the Gauss-Newton method , 1974 .

[29]  Josue P. Keely,et al.  Shape of the relapse curve and long-term abstinence among untreated smokers. , 2004, Addiction.

[30]  M. Yzer.  Mass media campaigns to promote safe sex , 1999 .