Exploring How Exposure to Truth and State-Sponsored Anti-Tobacco Media Campaigns Affect Smoking Disparities among Young Adults Using a National Longitudinal Dataset, 2002–2017

David C. Colston, Yanmei Xie, James F. Thrasher, Sherry Emery, Megan E. Patrick, Andrea R. Titus, Michael R. Elliott and Nancy L. Fleischer
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David C. Colston: Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Yanmei Xie: Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
James F. Thrasher: Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
Sherry Emery: Social Data Collaboratory, NORC at the University of Chicago, Chicago, IL 60637, USA
Megan E. Patrick: Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
Andrea R. Titus: Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA
Michael R. Elliott: Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Nancy L. Fleischer: Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA

IJERPH, 2021, vol. 18, issue 15, 1-11

Abstract: Background. Little is known regarding long-term impacts of anti-tobacco media campaigns on youth smoking and related disparities in the United States. Methods. We examined longitudinal cohort data from Monitoring the Future (MTF) between 2000 and 2017 in modified Poisson regression models to understand the long-term impacts of televised Truth and state-sponsored ad campaign exposure at baseline (age 18) on first cigarette and daily smoking initiation 1 to 2 years later (at modal ages 19/20). We also used additive interactions to test for potential effect modification between campaign exposure and smoking outcomes by sex, race/ethnicity, and parental educational attainment. Results. We found no evidence for baseline media campaign exposure to be associated with first cigarette or daily smoking initiation at modal age 19/20. Further, results showed no evidence for effect modification between campaign exposure and first cigarette or daily smoking initiation. Conclusions. We found no evidence that baseline Truth and state-sponsored ad exposure was associated with first cigarette or daily smoking initiation at follow up, nor did we find any evidence for effect modification by sex, race/ethnicity, or parental education. We hypothesize that anti-tobacco media campaigns might have had a short-term impact on smoking behaviors, though these effects were not sustained long term.

Keywords: tobacco control; media campaign; Truth; health disparities; health equity; smoking (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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