C. King et al., ADOLESCENT EXPOSURE TO CIGARETTE ADVERTISING IN MAGAZINES - AN EVALUATION OF BRAND-SPECIFIC ADVERTISING IN RELATION TO YOUTH READERSHIP, JAMA, the journal of the American Medical Association, 279(7), 1998, pp. 516-520
Context.-Understanding the relationship between cigarette advertising
and youth smoking is essential to develop effective interventions. Mag
azine advertising accounts for nearly half oi ail cigarette advertisin
g expenditures. Objective.-To investigate whether cigarette brands pop
ular among adolescent smokers are more likely than adult brands to adv
ertise in magazines with high adolescent readerships. Design.-Cross-se
ctional analysis of 1994 data on (1) the presence of advertising by 12
cigarette brands in a sample of 39 popular US magazines; and (2) the
youth (ages 12-17 years), young adult (ages 18-24 years), and total re
adership for each magazine. Main Outcome Measures.-The presence or abs
ence of advertising in each of the 39 magazines in 1994 for each of th
e 12 cigarette brands. Results.-After controlling for total magazine r
eadership, the percentage of young adult readers, advertising costs an
d expenditures, and magazine demographics, youth cigarette brands (tho
se smoked by more than 2.5% of 10- to 15-year-old smokers in 1993) wer
e more likely than adult brands to advertise in magazines with a highe
r percentage of youth readers. Holding all other variables constant at
their sample means, the estimated probability of an adult brand adver
tising in a magazine decreased over the observed range of youth reader
ship from 0.73 (95% confidence interval [CI], 0.50-0.96) for magazines
with 4% youth readers to 0.18 (95% CI, 0.00-0.47) for magazines with
34% youth readers, In contrast, the estimated probability of a youth b
rand advertising in a magazine increased from 0.32 (95% CI, 0.00-0.65)
at 4% youth readership to 0.92 (95% CI, 0.67-1.00) at 34% youth reade
rship. Conclusion.-Cigarette brands popular among young adolescents ar
e more likely than adult brands to advertise in magazines with high yo
uth readerships.