Background. The tobacco industry increased the portion of its marketin
g budget for sales promotion to $2.5 billion in 1993. Although it clai
ms not to target those under age 18 years, it is important to determin
e the extent to which adolescents are affected as participation may le
ad to smoking initiation. Methods, California population surveys, cond
ucted in 1993 among youth ages 12-17 years (N = 5,531) and in 1994 amo
ng both youth (N = 1,735) and adults (N = 4,170), asked questions rega
rding possession and willingness to use promotional items. Results. In
1994, young adults (18-24 years) were the most Likely to possess a pr
omotional item (27.5 +/- 4.1, +/- 95% confidence limit). However, will
ingness to use an item was highest among those ages 15-17 years (35.4
+/- 3.4%) and was also high among those ages 12-14 years (24.4 +/- 2.7
%). Among youth, ownership or willingness to use promotional items was
more likely for boys, whites, those reporting below average school pe
rformance, and those smoking or susceptible to smoking. Youth ownershi
p of promotional items increased from 1993 to 1994, as did the frequen
cy of their obtaining items from coupons. Conclusions. Promotional mar
keting undertaken by the tobacco industry was effective in capturing t
he interest of adolescents, although actual acquisition was highest am
ong young adults. The rapidly increasing interest in tobacco promotion
al items from 1993 to 1994 may soon translate into increased adolescen
t smoking rates. (C) 1997 Academic Press.