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Tobacco Control 2000;9:401-407; doi:10.1136/tc.9.4.401
Copyright © 2000 by the BMJ Publishing Group Ltd.
Tob Control 2000;9:401-407 ( Winter )

Adults' response to Massachusetts anti-tobacco television advertisements: impact of viewer and advertisement characteristics

Lois Biener, Garth McCallum-Keeler, Amy L Nyman

Center for Survey Research, University of Massachusetts, Boston, Massachusetts, USA

Correspondence to: Lois Biener, PhD, Center for Survey Research, University of Massachusetts Boston, 100 Morrissey Blvd, Boston, MA 02125, USA; lois.biener{at}umb.edu

Received 21 December 1999; Revision received 19 April 2000; Accepted 18 May 2000

OBJECTIVE---To assess adults' receptivity to the Massachusetts television anti-tobacco campaign. Reactions were examined as a function of respondents' demographics, baseline tobacco control attitudes, changes in smoking status during the campaign, and advertisements' affective qualities.
DESIGN---A random digit dial telephone survey in 1993 at the start of the media campaign and re-interview in 1996 of respondents to the baseline survey.
PARTICIPANTS---Respondents were 1544 adults who completed the baseline and follow up interview.
INTERVENTION---By the time the follow up survey was completed, approximately $49 million had been spent on the media campaign. Approximately 66 spots had been aired.
MAIN OUTCOME MEASURES---Reported exposure to television advertisements; perceived effectiveness of nine specific advertisements each.
RESULTS---56% of respondents reported seeing anti-tobacco advertisements at least once a week during the preceding three years. The average effectiveness rating for all advertisements recalled on a 0-10 scale was 7.29, and did not differ by smoking status group. Advertisements eliciting strong negative emotions (sadness and fear) were rated most effective by quitters, non-smokers, and by smokers who at baseline were planning to quit soon. Humorous, entertaining advertisements were seen as ineffective by all groups.
CONCLUSION---The Massachusetts anti-tobacco campaign achieved high levels of penetration into the population and was well received by both smokers and non-smokers. The results suggest that advertisements depicting suffering as a result of tobacco use may be instrumental in promoting cessation or reinforcing the decision to quit. Further research is needed to lend additional support to the link between perceived effectiveness and smoking behaviour change.


Keywords: mass media; counter advertising; fear appeals


© 2000 by Tobacco Control

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