Tobacco industry research on smoking cessation

BACKGROUND: Smoking rates are declining in the United States, except for young adults (age 18 to 24). Few organized programs target smoking cessation specifically for young adults, except programs for pregnant women. In contrast, the tobacco industry has invested much time and money studying young adult smoking patterns. Some of these data are now available in documents released through litigation.OBJECTIVE: Review tobacco industry marketing research on smoking cessation to guide new interventions and improve clinical practice, particularly to address young adult smokers’ needs.METHODS: Analysis of previously secret tobacco industry documents.RESULTS: Compared to their share of the smoking population, young adult smokers have the highest spontaneous quitting rates. About 10% to 30% of smokers want to quit; light smokers and brand switchers are more likely to try. Tobacco companies attempted to deter quitting by developing products that appeared to be less addictive or more socially acceptable. Contrary to consumer expectations, “ultra low tar” cigarette smokers were actually less likely to quit.CONCLUSIONS: Tobacco industry views of young adult quitting behavior contrast with clinical practice. Tobacco marketers concentrate on recapturing young quitters, while organized smoking cessation programs are primarily used by older smokers. As young people have both the greatest propensity to quit and the greatest potential benefits from smoking cessation, targeted programs for young adults are needed. Tobacco marketing data suggest that aspirational messages that decrease the social acceptability of smoking and support smoke-free environments resonate best with young adult smokers’ motivations.

[1]  S. Glantz,et al.  Using tobacco-industry marketing research to design more effective tobacco-control campaigns. , 2002, JAMA.

[2]  E. Gilpin,et al.  Beyond stages of change: the quitting continuum measures progress towards successful smoking cessation. , 1998, Addiction.

[3]  R. Jeffery,et al.  Occasional smoking in a Minnesota working population. , 1996, American journal of public health.

[4]  P. Lantz,et al.  Smoking on the rise among young adults: implications for research and policy , 2003, Tobacco control.

[5]  R. Luepker,et al.  Patterns of self-initiated smoking cessation among young adults. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[6]  Pamela M Ling,et al.  Why and how the tobacco industry sells cigarettes to young adults: evidence from industry documents. , 2002, American journal of public health.

[7]  M. Fiore,et al.  Quitting smoking in the United States in 1986. , 1990, Journal of the National Cancer Institute.

[8]  A. Trosclair,et al.  Cigarette smoking among adults--United States, 2000. , 2002, MMWR. Morbidity and mortality weekly report.

[9]  R. Pollay,et al.  The dark side of marketing seemingly “Light” cigarettes: successful images and failed fact , 2002, Tobacco control.

[10]  R. Malone,et al.  Tobacco industry documents: treasure trove or quagmire? , 2000, Tobacco control.

[11]  E. Gilpin,et al.  Technical Report on Analytic Methods and Approaches Used in the 1999 California Tobacco Survey Analysis: vol 3 Methods Used for Final Report, The California Tobacco Control Program: A Decade of Progress, 1989-1999 , 2001 .

[12]  Patrick M. O'Malley,et al.  Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings, 2004. , 2003 .

[13]  Patrick O'Malley,et al.  Monitoring the Future national survey results on drug use, 1975-2018: Volume I, Secondary school students , 2000 .

[14]  C. Orleans,et al.  Helping pregnant smokers quit: meeting the challenge in the next decade. , 2001, Tobacco control.

[15]  R. Luepker,et al.  Gender differences in cigarette smoking and quitting in a cohort of young adults. , 1991, American journal of public health.

[16]  S. Glantz,et al.  Smooth moves: bar and nightclub tobacco promotions that target young adults. , 2002, American journal of public health.

[17]  L. Kozlowski,et al.  Measuring smokers' perceptions of the health risks from smoking light cigarettes. , 2000, American journal of public health.

[18]  N. Rigotti,et al.  Increased levels of cigarette use among college students: a cause for national concern. , 1998, JAMA.

[19]  Peter Messeri,et al.  Getting to the truth: evaluating national tobacco countermarketing campaigns. , 2002, American journal of public health.

[20]  L. Kozlowski,et al.  Smokers' misperceptions of light and ultra-light cigarettes may keep them smoking. , 1998, American journal of preventive medicine.

[21]  K. Warner,et al.  Smoking prevalence in 2010: why the healthy people goal is unattainable. , 2000, American journal of public health.

[22]  N. Kaufman.  Eulogy for John Downey Slade, 9 February 2002 , 2002 .

[23]  R. Windsor,et al.  Recommended cessation counselling for pregnant women who smoke: a review of the evidence , 2000, Tobacco control.

[24]  L. Bero,et al.  Financial ties and conflicts of interest between pharmaceutical and tobacco companies. , 2002, JAMA.

[25]  E. Gilpin,et al.  Demographic differences in patterns in the incidence of smoking cessation: United States 1950-1990. , 2002, Annals of epidemiology.

[26]  E. Gilpin,et al.  Is stage-of-change a useful measure of the likelihood of smoking cessation? , 1996, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[27]  Gerard J. Tellis,et al.  Advertising and sales promotion strategy , 1997 .

[28]  E. Gilpin,et al.  Adult smokers who do not smoke daily. , 1997, Addiction.

[29]  K M Cummings,et al.  Tax, price and cigarette smoking: evidence from the tobacco documents and implications for tobacco company marketing strategies , 2002, Tobacco control.