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RESEARCH PAPER
A cross-country comparison of the prevalence of exposure to tobacco advertisements among adolescents aged 13–15 years in 20 low and middle income countries
1
Africa Tobacco Control Regional Initiative, Lagos, Nigeria
2
Department of Oral Pathology, College of Medicine, University of Ibadan, Ibadan, Nigeria
3
Department of Oral and Maxillofacial Surgery, University of Ibadan, Ibadan, Nigeria
Submission date: 2013-05-15
Acceptance date: 2013-05-21
Publication date: 2013-05-23
Corresponding author
Israel T. Agaku
Africa Tobacco Control Regional Initiative, Plot 397B, George Crescent, Agbalajobi Estate, Off Wempco Road, Lagos, Ogba-Ikeja, Nigeria
Africa Tobacco Control Regional Initiative, Plot 397B, George Crescent, Agbalajobi Estate, Off Wempco Road, Lagos, Ogba-Ikeja, Nigeria
Tobacco Induced Diseases 2013;11(May):11
KEYWORDS
advertisementstobacco promotionsusceptibilitysmokingadolescentscigaretteaddictionDeveloping Countries
ABSTRACT
Background:
This study assessed the prevalence and influence of exposure to pro-tobacco advertisements among adolescents in 20 low and middle income countries (LMICs).
Methods:
The 2007–2008 Global Youth Tobacco Survey was analyzed for students aged 13–15 years in 20 LMICs. Overall and sex-specific prevalence of exposure to tobacco advertisements in several media, as well as the prevalence of smoking susceptibility (i.e., the lack of a firm commitment among never smokers not to smoke in the future or if offered a cigarette by a friend) were assessed. The variability of the point estimates was assessed using 95% confidence intervals (CI). Logistic regression was used to assess the effect of exposure to multiple (i.e., ≥2) pro-tobacco advertisements on current smoking, adjusting for age and sex (P < 0.05). Data were weighted and analyzed with Stata version 11.
Results:
Overall country-specific prevalence for different advertisement sources ranged as follows: movies/videos (78.4% in Lesotho to 97.8% in Belize); television programs (48.7% in Togo to 91.7% in the Philippines); newspapers/magazines (29.5% in Togo to 89.7% in the Philippines); and outdoor community events (30.6% in Rwanda to 79.4% in the Philippines). The overall proportion of never smokers who were susceptible to cigarette smoking ranged from 3.7% in Sri Lanka to 70.1% in Kyrgyzstan. Exposure to ≥2 sources of pro-tobacco advertisements was associated with significantly increased odds of cigarette smoking among adolescents in several countries including South Africa (adjusted odds ratio, a OR = 4.11; 95% CI:2.26-7.47), Togo (a OR = 3.77; 95% CI:1.27-11.21), the Former Yugoslav Republic of Macedonia (a OR = 1.42; 95% CI:1.01-1.99), Republic of Moldova (a OR = 1.53; 95% CI:1.11-2.12), Belize (a OR = 13.95; 95% CI:1.91-102.02), Panama (a OR = 5.14; 95% CI: 2.37-11.14) and Mongolia (a OR = 1.52; 95% CI:1.19-1.94).
Conclusions:
Prevalence of exposure to various pro-tobacco advertisements was high among adolescents in the LMICs surveyed. Enhanced and sustained national efforts are needed to reduce exposure to all forms of tobacco advertising and promotional activities.
This study assessed the prevalence and influence of exposure to pro-tobacco advertisements among adolescents in 20 low and middle income countries (LMICs).
Methods:
The 2007–2008 Global Youth Tobacco Survey was analyzed for students aged 13–15 years in 20 LMICs. Overall and sex-specific prevalence of exposure to tobacco advertisements in several media, as well as the prevalence of smoking susceptibility (i.e., the lack of a firm commitment among never smokers not to smoke in the future or if offered a cigarette by a friend) were assessed. The variability of the point estimates was assessed using 95% confidence intervals (CI). Logistic regression was used to assess the effect of exposure to multiple (i.e., ≥2) pro-tobacco advertisements on current smoking, adjusting for age and sex (P < 0.05). Data were weighted and analyzed with Stata version 11.
Results:
Overall country-specific prevalence for different advertisement sources ranged as follows: movies/videos (78.4% in Lesotho to 97.8% in Belize); television programs (48.7% in Togo to 91.7% in the Philippines); newspapers/magazines (29.5% in Togo to 89.7% in the Philippines); and outdoor community events (30.6% in Rwanda to 79.4% in the Philippines). The overall proportion of never smokers who were susceptible to cigarette smoking ranged from 3.7% in Sri Lanka to 70.1% in Kyrgyzstan. Exposure to ≥2 sources of pro-tobacco advertisements was associated with significantly increased odds of cigarette smoking among adolescents in several countries including South Africa (adjusted odds ratio, a OR = 4.11; 95% CI:2.26-7.47), Togo (a OR = 3.77; 95% CI:1.27-11.21), the Former Yugoslav Republic of Macedonia (a OR = 1.42; 95% CI:1.01-1.99), Republic of Moldova (a OR = 1.53; 95% CI:1.11-2.12), Belize (a OR = 13.95; 95% CI:1.91-102.02), Panama (a OR = 5.14; 95% CI: 2.37-11.14) and Mongolia (a OR = 1.52; 95% CI:1.19-1.94).
Conclusions:
Prevalence of exposure to various pro-tobacco advertisements was high among adolescents in the LMICs surveyed. Enhanced and sustained national efforts are needed to reduce exposure to all forms of tobacco advertising and promotional activities.
REFERENCES (26)
1.
World Health Organization: Confronting the epidemic: a global agenda for tobacco control research. 1999, Available at http://www.who.int/tobacco/res.... Accessed May 12, 2013.
2.
Euromonitor International: Retrieved from euromonitor passport GMID database. Tobacco: middle east and Africa regional overview. 2011, Accessed May 12, 2013.
3.
Euromonitor International: Retrieved from Euromonitor passport GMID database. Tobacco in Asia pacific: driver of the global market –will It remain the tobacco market powerhouse?. 2010, Accessed May 12, 2013.
4.
Euromonitor International: Retrieved from Euromonitor passport GMID database. Still a Smoker’s paradise: a snapshot of the lighting-up culture in the Middle East and Africa. 2012, Accessed May 12, 2013.
5.
Euromonitor International: Retrieved from Euromonitor passport GMID database. The future of tobacco. 2011, Accessed May 12, 2013.
6.
Euromonitor International: Retrieved from Euromonitor passport GMID database. Country reports. 2011, Accessed May 12, 2013.
7.
Agaku I, Akinyele A, Oluwafemi A: Tobacco control in Nigeria- policy recommendations. Tob Induc Dis. 2012, 10: 8-9625-10-8.
8.
Agaku T, Alpert HR, Vardavas CI, Adisa AO, Connolly GN: Use of smokeless tobacco and cigarettes among Nigerian youths: implications for tobacco control policies in Africa. Journal of Substance Use. 1-6. 0 0:0.
9.
U.S Department of Health and Human Services: Preventing tobacco Use among youth and young adults: a report of the surgeon general. 2012, Atlanta, GA: U.S Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
10.
Hafez N, Ling PM: How Philip Morris built Marlboro into a global brand for young adults: implications for international tobacco control. Tob Control. 2005, 14: 262-271. 10.1136/tc.2005.011189.
11.
Friedman LC: Tobacco industry use of corporate social responsibility tactics as a sword and a shield on secondhand smoke issues. J Law Med Ethics. 2009, 37: 819-827. 10.1111/j.1748-720X.2009.00453.x.
12.
FTC: Federal trade commission cigarette report for 2009 and 2010. 2013, Available at http://www.ftc.gov/os/2012/09/.... Accessed February 21, 2013.
13.
World Health Organization: WHO framework convention on tobacco control. 2012, Accessed September 23, 2012.
14.
Madkour AS, Ledford EC, Andersen L, Johnson CC: Tobacco advertising/promotions and adolescents' smoking risk in Northern Africa. Tob Control. 2013, Epub ahead of print.
15.
Warren CW, Jones NR, Eriksen MP, Asma S, Global Tobacco Surveillance System (GTSS) collaborative group: Patterns of global tobacco use in young people and implications for future chronic disease burden in adults. Lancet. 2006, 367: 749-753. 10.1016/S0140-6736(06)68192-0.
16.
The World Bank: Country and lending groups. 2013, Available at http://data.worldbank.org/abou.... Accessed May 12, 2013.
17.
World Health Organization: Parties to the WHO framework convention on tobacco control. 2013, Available at http://www.who.int/fctc/signat.... Accessed May 12, 2013.
18.
World Health Organization: Smoke-free movies: from evidence to action. 2009, Geneva, Switzerland: World Health Organization, Available at http://www.who.int/tobacco/smo.... Accessed May 12, 2013.
19.
Sargent JD, Tanski SE, Gibson J: Exposure to movie smoking among US adolescents aged 10 to 14 years: a population estimate. Pediatrics. 2007, 119: e1167-e1176. 10.1542/peds.2006-2897.
20.
Centers for Disease Control and Prevention (CDC): Smoking in top-grossing movies--United States. MMWR Morb Mortal Wkly Rep. 2010, 60: 910-913.
21.
Euromonitor International: Global tobacco: will legislation kill the industry?. 2009, Retrieved from Euromonitor Passport GMID database. Accessed May 12, 2013.
22.
World Health Organization: WHO report on the global tobacco epidemic, 2008-the MPOWER package. 2008, Available at http://www.who.int/tobacco/mpo... Accessed September 23, 2012.
23.
BBC News: Nigeria delays $44bn smoking case. 2008, Available at http://news.bbc.co.uk/2/hi/afr.... Accessed May 12, 2013.
24.
Nsimba SE, Sussman S: Tobacco advertisements and promotion industry on smoking in Tanzania: a review of negative public health implications for current and future generations. Tob Induc Dis. 2006, 3: 41-10.1186/1617-9625-3-2-41.
25.
Singh PN, Yel D, Kheam T, Hurd G, Job JS: Cigarette smoking and tuberculosis in Cambodia: findings from a national sample. Tob Induc Dis. 2013, 11: 8-10.1186/1617-9625-11-8.
26.
Charoenca N, Kungskulniti N, Tipayamongkholgul M, Sujirarat D, Lohchindarat S, Mock J, Hamann SL: Determining the burden of secondhand smoke exposure on the respiratory health of Thai children. Tob Induc Dis. 2013, 11: 7-10.1186/1617-9625-11-7.
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