State variation in retail promotions and advertising for Marlboro cigarettes
Sandy Slatera, Frank J Chaloupkab, Melanie Wakefieldc
a Health
Research and Policy Centers, University of Illinois at Chicago,
Chicago, Illinois, USA, b Department of Economics, and Health Research and
Policy Centers, University of Illinois at Chicago, c Center for Behavioral Research in Cancer,
Anti-Cancer Council of Victoria, Carlton, Victoria, Australia
Correspondence to: Sandy Slater MS, Health Research and Policy Centers, University of Illinois at Chicago, 850 West Jackson Boulevard, Suite 400, Chicago, IL 60607 USA sslater{at}uic.edu
Received 8 September
2000; Revision received 3 January 2001;
Accepted 25 June 2001
BACKGROUND
There is
some evidence that tobacco companies marketing efforts undermine the
effects of comprehensive tobacco control programmes.
OBJECTIVE
To determine
whether point-of-purchase advertising and promotions are more pervasive
in states where comprehensive tobacco control programmes are underway.
DESIGN
Cross sectional
survey using 1996 data, with merged records of the existence of local
tobacco advertising restrictions.
PARTICIPANTS AND
SETTING
581 tobacco retail stores located in close
proximity to high schools in mainland USA.
MAIN OUTCOME
MEASURES
Existence of gift-with-purchase, number
of interior advertisements, and exterior store advertisements for
Marlboro cigarettes.
RESULTS
After
controlling for store type and existence of advertising restrictions,
offer of a gift-with-purchase for Marlboro cigarettes was significantly
more likely in states with comprehensive tobacco control programmes
than those without programmes (odds ratio 2.59, 95% confidence
interval 1.57 to 4.26). Although not significant, results show an
increase in the number of interior and exterior store advertisements
for stores located in states with a comprehensive tobacco control
programme than those in other states.
CONCLUSION
Results
suggest some point-of-purchase tobacco promotions and advertising are
more pervasive in states with comprehensive tobacco control programmes.
These efforts are likely to act against the objectives of programmes
and need to be accounted for in programme evaluations.
Keywords: advertising; public policy; value added promotions
© 2001 by Tobacco Control
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