Adolescents' responses to cigarette advertisements: links between exposure, liking, and the appeal of smoking

Objective-To evaluate adolescents' responses to cigarette advertisements for different brands. Design-Adolescents were shown print advertisement for each of five cigarette brands (Camel, Marlboro, Kool, Benson & Hedges, and Lucky Strike). They indicated on a structured questionnaire how many times they had seen the advertisement (or one almost like it), how much they liked it, whether or not they thought it made smoking more appealing, and whether or not it made them want to smoke cigarettes of that brand. Setting-Middle school and high school classrooms, seven schools in four states in the United States (New York, Pennsylvania, Ohio, and Texas). The classrooms were selected randomly within each school. Participants-534 adolescents in grades 6-12 (ages 11-18 years) from seven schools in four states, 54% female, 76% white. Results-The advertisements for Camel and Marlboro were more likely than the advertisements for the other brands to be seen, to be liked, to be viewed as making smoking appealing, and to influence adolescents to want to smoke cigarettes of that brand. More than 95% of the adolescents had seen an advertisement featuring Joe Camel or the Marlboro Man at least once, and more than 50% had seen these advertisements six or more times. Nearly half believed that the Joe Camel advertisement makes smoking more appealing, and 40% believed that the Marlboro Man advertisement makes more appealing. Adolescent were more likely than non-smokers to believe that the advertisements for Camel and Marlboro make smoking more appealing. Conclusions-The advertisements most popular among adolescents are for two of the brands they are most likely to smoke-Marlboro and Camel. The results of the study are consistent with the view that certain cigarette advertisements enhance the appeal of smoking to many adolescents.