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A public health framework for the regulation of marketing

Journal of Public Health Policy volume 40, pages 66–75 (2019)Cite this article

Abstract

Cross-sectional, longitudinal, and experimental studies have found a link between youth exposure to cigarette marketing and youth initiation of smoking. These decisive research findings led to regulations of cigarette marketing to youth—including no television or radio ads, prohibitions on the use of cartoons, bans on transit and billboard advertisements, and disallowing tobacco brand sponsorships of sporting events or concerts. Similar products that may cause more harm than benefits include alcohol, electronic cigarettes, and opioids. We review the evidence linking problematic use of these products with exposure to marketing and discuss standards for assessing the potential harmfulness of marketing. We next address how public health agencies might apply regulatory principles to these harmful products similar to those applied to cigarette advertising, in the advancement of public health.

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References

  1. Centers for Disease Control & Prevention. Fast facts: diseases and death; 2017. https://www.cdc.gov/Tob/data_statistics/fact_sheets/fast_facts/index.htm.

  2. Wynder EL, Graham EA. Tobacco smoking as a possible etiologic factor in bronchogenic carcinoma. JAMA. 1950;143:329–36.

    Article  Google Scholar 

  3. World Health Organization. Media Centre. Tobacco fact sheet; 2017. http://www.who.int/mediacentre/factsheets/fs339/en/. Accessed 24 Jan 2018.

  4. United States v. Philip Morris Inc., Civil Action No. 99-CV-02496GK (D.D.C.) Memorandum opinion 2002.

  5. National Cancer Institute. The role of the media in promoting and reducing tobacco use. Tobacco Control Monograph 19. Bethesda, MD: USDHHS, June 2008.

  6. Pierce JP, Choi WS, Gilpin EA, Farkas AJ, Berry CC. Tobacco industry promotion of cigarettes and adolescent smoking. JAMA. 1998;279:511–5.

    Article  Google Scholar 

  7. Heckman JJ, Flyer F, Loughlin C. An assessment of causal inference in smoking initiation research and a framework for future research. Econ Inq. 2008;46:37–44.

    Article  Google Scholar 

  8. Moodie C, Ford A, Mackintosh AM, Hastings G. Young people’s perceptions of cigarette packaging and plain packaging: an online survey. Nicotine Tob Res. 2011;14:98–105.

    Article  Google Scholar 

  9. Truth Initiative. What do tobacco advertising restrictions look like today?; 2017. https://truthinitiative.org/news/what-do-Tob-advertising-restrictions-look-today. Accessed 24 Jan 2018.

  10. Kann L, McManus T, Harris WA, et al. Youth Risk Behavior Surveillance, US, 2015. MMWR. 2016;65:1–174.

    Article  Google Scholar 

  11. Arrazola RA, Singh T, Corey CG, et al. Tobacco use among middle and high school students, US, 2011–14. MMWR. 2015;64:381–5.

    Google Scholar 

  12. US Department of Health & Human Services. E-cigarette use among youth and young adults. A report of the Surgeon General. Atlanta, GA: USDHHS; 2016. https://e-cigarettes.surgeongeneral.gov/documents/2016_sgr_full_report_non-508.pdf.

  13. Rubinstein ML, Delucchi K, Benowitz NL, Ramo DE. Adolescent exposure to toxic volatile organic chemicals from e-cigarettes. Pediatrics. 2018;141(4):e20173557.

    Article  Google Scholar 

  14. Primack BA, Soneji S, Stoolmiller M, Fine MJ, Sargent JD. Progression to traditional cigarette smoking after electronic cigarette use among U.S. adolescents and young adults. JAMA. Pediatrics. 2015. https://doi.org/10.1001/jamapediatrics.2015.1742.

    Google Scholar 

  15. Westling E, Rusby JC, Crowley R, Light JM. Electronic cigarette use by youth: Prevalence, correlates, and use trajectories from middle to high school. J Adol Health. 2017; https://doi.org/10.1016/j.jadohealth.2016.12.019.

  16. Glantz SA, Bareham DW. E-Cigarettes: use, effects on smoking, risks, and policy implications. Annu Rev Public Health. 2018. https://doi.org/10.1146/annurev-publhealth-040617-013757.

    Google Scholar 

  17. Collins L, Glasser AM, Abudayyeh H, Pearson JL, Villanti AC. E-cigarette marketing and communication: how E-cigarette companies market e-cigarettes and the public engages with e-cigarette information. Nicotine Tob Res. 2018. https://doi.org/10.1093/ntr/ntx284.

    Google Scholar 

  18. Duke JC, Lee YO, Kim AE, Watson KA, Arnold KY, Nonnemaker JM, Porter L. Exposure to electronic cigarette television advertisements among youth and young adults. Pediatrics. 2014. https://doi.org/10.1542/peds.2014-0269.

    Google Scholar 

  19. Kim AE, Arnold KY, Makarenko O. E-cigarette advertising expenditures in the U.S. 2011–12. Am J Prev Med. 2014;46:409–12.

    Article  Google Scholar 

  20. Dai H, Hao J. Exposure to advertisements and susceptibility to electronic cigarette use among youth. J Adolesc Health. 2016. https://doi.org/10.1016/j.jadohealth.2016.06.013.

    Google Scholar 

  21. Farrelly MC, Duke JC, Crankshaw EC, Eggers ME, Lee YO, Nonnemaker JM, Kim AE, Porter L. A randomized trial of the effect of e-cigarette TV advertisements on intentions to use e-cigarettes. Am J Prev Med. 2015. https://doi.org/10.1016/j.amepre.2015.05.010.

    Google Scholar 

  22. Pitkänen T, Lyyra A-L, Pulkkinen L. Age of onset of drinking and the use of alcohol in adulthood: a follow-up study from age 8–42 for females and males. Addict. 2005. https://doi.org/10.1111/j.1360-0443.2005.01053.x.

    Google Scholar 

  23. Hingson RW, Zha W. Age of drinking onset, alcohol use disorders, frequent heavy drinking, and unintentionally injuring oneself and others after drinking. Pediatrics. 2009. https://doi.org/10.1542/peds.2008-2176.

    Google Scholar 

  24. USCDC. Youth exposure to alcohol advertising on television, 25 markets, US, 2010. MMWR. 2013;62:877–80.

    Google Scholar 

  25. Federal Trade Commission. Self-regulation in the alcohol industry. Washington DC: FTC; 2014.

    Google Scholar 

  26. Noel JK, Babor TF, Robaina K. Industry self-regulation of alcohol marketing: a systematic review of content and exposure research. Addiction. 2017. https://doi.org/10.1111/add.13410.

    Google Scholar 

  27. Ross CS, Ostroff J, Jernigan DH. Evidence of underage targeting of alcohol advertising on television in the United States: lessons from the Lockyer v. Reynolds decisions. J Public Health Policy. 2014. https://doi.org/10.1057/jphp.2013.52.

    Google Scholar 

  28. Siegel M, Kurland RP, Castrini M, Morse C, de Groot A, Retamozo C, Roberts SP, Ross CS, Jernigan DH. Potential youth exposure to alcohol advertising on the internet: a study of internet versions of popular television programs. J Subst Use. 2016. https://doi.org/10.3109/14659891.2015.1029023.

    Google Scholar 

  29. Foster SE, Vaughan RD, Foster WH, Califano JA. Estimate of the commercial value of underage drinking and adult abusive and dependent drinking to the alcohol industry. Arch Pediatr Adolesc Med. 2006. https://doi.org/10.1001/archpedi.160.5.473.

    Google Scholar 

  30. Grube JW, Waiters E. Alcohol in the media: content and effects on drinking beliefs and behaviors among youth. Adolesc Med Clin. 2005;16:327–43.

    Article  Google Scholar 

  31. Ross CS, Maple E, Siegel M, DeJong W, Naimi TS, Ostroff J, Padon AA, Borzekowski DL, Jernigan DH. The relationship between brand-specific alcohol advertising on television and brand-specific consumption among underage youth. Alcohol Clin Exp Res. 2014. https://doi.org/10.1111/acer.12488.

    Google Scholar 

  32. Van den Bulck J, Beullens K. Television and music video exposure and adolescent alcohol use while going out. Alcohol Alcohol. 2005;40:249–53.

    Article  Google Scholar 

  33. Compton WM, Jones CM, Baldwin GT. Relationship between nonmedical prescription-opioid use and heroin use. N Engl J Med. 2016. https://doi.org/10.1056/nejmra1508490.

    Google Scholar 

  34. Hedegaard H, Warner M, Miniño AM. Drug overdose deaths in the US, 1999–2015. USDHHS; 2017. https://www.cdc.gov/nchs/products/databriefs/db294.htm. Accessed 25 Mar 2018.

  35. Keefe PR. The family that built an empire of pain. The New Yorker, October 2017. https://www.newyorker.com/magazine/2017/10/30/the-family-that-built-an-empire-of-pain. Accessed 10 Apr 2018.

  36. Kasza KA, Hyland AJ, Brown A, Siahpush M, Yong HH, McNeill AD, Li L, Cummings KM. The effectiveness of tobacco marketing regulations on reducing smokers’ exposure to advertising and promotion: findings from the ITC Four Country Survey. Int J Environ Res Public Health. 2011. https://doi.org/10.3390/ijerph8020321.

    Google Scholar 

  37. Saffer H, Chaloupka F. The effect of advertising bans on tobacco consumption. J Health Econ. 2000. https://doi.org/10.1016/s0167-6296(00)00054-0.

    Google Scholar 

  38. Brien SE, Ronksley PE, Turner BJ, Mukamal KJ, Ghali WA. Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies. BMJ. 2011. https://doi.org/10.1136/bmj.d636.

    Google Scholar 

  39. National Public Radio. 15 years later, where did all the cigarette money go? October 13, 2013. https://www.npr.org/2013/10/13/233449505/15-years-later-where-did-all-the-cigarette-money-go. Accessed 20 Jul 2018.

  40. Maloney J, Chaudhuri S. Against all odds, the U.S. tobacco industry is rolling in money. Wall Street Journal; 2017. https://www.wsj.com/articles/u-s-tobacco-industry-rebounds-from-its-near-death-experience-1492968698. Accessed 15 Aug 2018.

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Acknowledgements

The National Institute on Drug Abuse (R33 DA035640 and R03CA206551) of the National Institute of Health and the Food and Drug Administration Center for Tobacco Products (CTP) supported the authors during their work on this manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Drug Abuse, National Institute of Health, or the Food and Drug Administration.

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  1. Oregon Research Institute, 1776 Millrace, Eugene, OR, 97403, USA

    Anthony Biglan, Mark Van Ryzin & Erika Westling

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  1. Anthony Biglan
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  2. Mark Van Ryzin
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Correspondence to Anthony Biglan.

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All of the authors declare no conflicts of interest.

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Cite this article

Biglan, A., Van Ryzin, M. & Westling, E. A public health framework for the regulation of marketing. J Public Health Pol 40, 66–75 (2019). https://doi.org/10.1057/s41271-018-0154-8

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  • DOI: https://doi.org/10.1057/s41271-018-0154-8

Keywords

  • Tobacco
  • E-cigarettes
  • Marketing
  • Public health regulations
  • Adolescent health