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Stanford Research into the Impact of Tobacco Advertising

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Blindness – img12419

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One of the most common anti-smoking advertisement approaches is featuring smoking-related diseases as the consequence of smoking. Ads in this “disease” category stress the long-term and short-term consequences of smoking. They are meant to inform people about the risks of smoking and counter the tobacco industry’s portrayal of smoking as glamorous and healthy.

These advertisements range from gruesome pictures of pain and suffering to images that would seem completely unrelated to smoking if it were not for the captions. Many show what smoking-related diseases look like and what they do to specific parts of the human body. The most graphic ads are meant to evoke feelings of disgust and fear that will discourage people from continuing to smoke or will prevent people from beginning to smoke in the first place.

According to the current literature, the effectiveness of these ads is ambiguous and varies among target groups. Several studies have found that ads that show long-term health consequences of smoking, such as cancers and heart disease, are less effective among youth than adults. One study suggests that adolescents are not responsive to these ads because they are already aware of the potential dangers of smoking, and these consequences seem so far in the future that they feel immune to them, believing they can quit before they contract the diseases in question (1). Adults, however, seem to be much more receptive to fear and threat, and rises in calls to quitlines and public health departments demonstrate increases in quit attempts as a result of exposure to antismoking campaigns (1).

Another reason these ads may be ineffective is because threatening information can induce defensive biases that cause the audience to stop processing the information (2). Fear, specifically, activates psychological reactance, which is a response that may lead to rejection of the message because a person’s freedom is threatened (3).

However, another study shows contrasting results and suggests that ads with higher emotional intensity, such as those that feature graphic disease or suffering, lead to reduced intention to smoke (3). These ads are more likely to be recalled, which means that they are cost-effective because they don’t have to be distributed as often to be effective.

An explanation for these conflicting results may come from another study, which examines the closely tied feelings of fear and empathy, sentiments that can both arise from seeing images of people suffering from diseases (4). The findings of this study suggest that the feeling of empathy that often comes from seeing people suffer from these diseases can increase the persuasiveness of the message, while, fear may decrease the persuasiveness of the ads by activating psychological reactance, leading to rejection of a message when freedom is threatened (4).

The effectiveness of disease-related ads may also vary between smokers and nonsmokers. Anit-tobacco advertisements are often processed in an attitude-consistent fashion. This means non-smokers tend to agree with the ads and retain the messages better, while smokers tend to avoid negative-self implications, disagree with the messages, and become less responsive to them. Repeatedly showing these advertisements to people who look upon these messages unfavorably may even strengthen these initially defensive responses(5). Similarly, fatigue by repetition may desensitize any audience to these messages.

Some methods of using disease to discourage smoking behaviors may be more effective than others. For youth audiences, highlighting their vulnerability to these diseases may be much more important than stressing the severity of the potential problems(6). In the context of low perceived vulnerability, emphasizing health risks could increase the symbolic value of smoking as a risk-seeking, rebellious, and thus attractive behavior(6). These ads appear to work better if youth know how to refuse cigarettes from peers. Thus, to enhance the effectiveness of these ads, they should be supplemented with in-school programs that teach youth these skills.

As mentioned above, ads that evoke empathy, instead of fear, can increase the persuasiveness of disease ads for youth(4). The youth audience has to be able to personally relate to the ads in order to respond to the messages. Ads that feature the long-term effects of smoking are more influential on adolescents who have personal experience with the disease represented in the ads, such as a friend or family member who has suffered or is suffering from the condition(1).

However, for youth who do not have personal experience with smoking-related diseases, the presence of a peer or someone slightly older in age that can act as a role model in the ad can increase responsiveness and help the young audience relate to the message. Anti-smoking ads that feature attractive models also lower smoking intent more than ads with unattractive models (7). Many studies have stressed the importance of testing the effectiveness of ads on focus groups to ensure that they work on their target audience before distributing them.

REFERENCES:

1. Goldman LK, Glantz SA. Evaluation of Antismoking Advertising Campaigns. JAMA 1998; 279: 772-777.

2. Agostinelli G, Grube JW. Tobacco Counter-Advertising: A Review of the Literature and a Conceptual Model for Understanding Effects. Journal of Health and Communication 2003; 8: 107-127.

3. Biener L, Wakefield M, Shiner CM, Siegel M. How Broadcast Volume and Emotional Content Affect Youth Recall of Anti-Tobacco Advertising. Am J Prev Med 2008; 35 (1).

4. Shen L. The Effectiveness of Empathy- Versus Fear-Arousing Antismoking PSAs. Health Communication 2011; 26: 404-415.

5. Leshner G, Bolls P, Wise K. Motivated Processing of Fear Appeal and Disgust Images in Televised Anti-Tobacco Ads.

6. Pechmann C, Zhao G, Goldberg ME, Reibling ET. What to Convey in Antismoking Advertisements for Adolescents: The Use of Protection Motivation Theory to Identify Effective Message Themes. Journal of Marketing 2003; 67: 1-18.

7. Shadel WG, Fryer CS, Tharp-Taylor S. Uncovering the most effective active ingredients of antismoking public service announcements: The role of actor and message characteristics. Nicotine & Tobacco Research; 11 (5); 547-552

Blindness – img12420

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One of the most common anti-smoking advertisement approaches is featuring smoking-related diseases as the consequence of smoking. Ads in this “disease” category stress the long-term and short-term consequences of smoking. They are meant to inform people about the risks of smoking and counter the tobacco industry’s portrayal of smoking as glamorous and healthy.

These advertisements range from gruesome pictures of pain and suffering to images that would seem completely unrelated to smoking if it were not for the captions. Many show what smoking-related diseases look like and what they do to specific parts of the human body. The most graphic ads are meant to evoke feelings of disgust and fear that will discourage people from continuing to smoke or will prevent people from beginning to smoke in the first place.

According to the current literature, the effectiveness of these ads is ambiguous and varies among target groups. Several studies have found that ads that show long-term health consequences of smoking, such as cancers and heart disease, are less effective among youth than adults. One study suggests that adolescents are not responsive to these ads because they are already aware of the potential dangers of smoking, and these consequences seem so far in the future that they feel immune to them, believing they can quit before they contract the diseases in question (1). Adults, however, seem to be much more receptive to fear and threat, and rises in calls to quitlines and public health departments demonstrate increases in quit attempts as a result of exposure to antismoking campaigns (1).

Another reason these ads may be ineffective is because threatening information can induce defensive biases that cause the audience to stop processing the information (2). Fear, specifically, activates psychological reactance, which is a response that may lead to rejection of the message because a person’s freedom is threatened (3).

However, another study shows contrasting results and suggests that ads with higher emotional intensity, such as those that feature graphic disease or suffering, lead to reduced intention to smoke (3). These ads are more likely to be recalled, which means that they are cost-effective because they don’t have to be distributed as often to be effective.

An explanation for these conflicting results may come from another study, which examines the closely tied feelings of fear and empathy, sentiments that can both arise from seeing images of people suffering from diseases (4). The findings of this study suggest that the feeling of empathy that often comes from seeing people suffer from these diseases can increase the persuasiveness of the message, while, fear may decrease the persuasiveness of the ads by activating psychological reactance, leading to rejection of a message when freedom is threatened (4).

The effectiveness of disease-related ads may also vary between smokers and nonsmokers. Anit-tobacco advertisements are often processed in an attitude-consistent fashion. This means non-smokers tend to agree with the ads and retain the messages better, while smokers tend to avoid negative-self implications, disagree with the messages, and become less responsive to them. Repeatedly showing these advertisements to people who look upon these messages unfavorably may even strengthen these initially defensive responses(5). Similarly, fatigue by repetition may desensitize any audience to these messages.

Some methods of using disease to discourage smoking behaviors may be more effective than others. For youth audiences, highlighting their vulnerability to these diseases may be much more important than stressing the severity of the potential problems(6). In the context of low perceived vulnerability, emphasizing health risks could increase the symbolic value of smoking as a risk-seeking, rebellious, and thus attractive behavior(6). These ads appear to work better if youth know how to refuse cigarettes from peers. Thus, to enhance the effectiveness of these ads, they should be supplemented with in-school programs that teach youth these skills.

As mentioned above, ads that evoke empathy, instead of fear, can increase the persuasiveness of disease ads for youth(4). The youth audience has to be able to personally relate to the ads in order to respond to the messages. Ads that feature the long-term effects of smoking are more influential on adolescents who have personal experience with the disease represented in the ads, such as a friend or family member who has suffered or is suffering from the condition(1).

However, for youth who do not have personal experience with smoking-related diseases, the presence of a peer or someone slightly older in age that can act as a role model in the ad can increase responsiveness and help the young audience relate to the message. Anti-smoking ads that feature attractive models also lower smoking intent more than ads with unattractive models (7). Many studies have stressed the importance of testing the effectiveness of ads on focus groups to ensure that they work on their target audience before distributing them.

REFERENCES:

1. Goldman LK, Glantz SA. Evaluation of Antismoking Advertising Campaigns. JAMA 1998; 279: 772-777.

2. Agostinelli G, Grube JW. Tobacco Counter-Advertising: A Review of the Literature and a Conceptual Model for Understanding Effects. Journal of Health and Communication 2003; 8: 107-127.

3. Biener L, Wakefield M, Shiner CM, Siegel M. How Broadcast Volume and Emotional Content Affect Youth Recall of Anti-Tobacco Advertising. Am J Prev Med 2008; 35 (1).

4. Shen L. The Effectiveness of Empathy- Versus Fear-Arousing Antismoking PSAs. Health Communication 2011; 26: 404-415.

5. Leshner G, Bolls P, Wise K. Motivated Processing of Fear Appeal and Disgust Images in Televised Anti-Tobacco Ads.

6. Pechmann C, Zhao G, Goldberg ME, Reibling ET. What to Convey in Antismoking Advertisements for Adolescents: The Use of Protection Motivation Theory to Identify Effective Message Themes. Journal of Marketing 2003; 67: 1-18.

7. Shadel WG, Fryer CS, Tharp-Taylor S. Uncovering the most effective active ingredients of antismoking public service announcements: The role of actor and message characteristics. Nicotine & Tobacco Research; 11 (5); 547-552

Space – img5702

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In 1949, on the heels of Lucky Strike’s 1931 ad campaign, “Do You Inhale?” and Philip Morris’ 1942 campaign, “Inhale? Sure, all smokers do,” P. Lorillard released a campaign for Embassy urging smokers to “Inhale [Embassy] to your heart’s content!” Lorillard claimed that Embassy’s extra length provides “extra protection.” The faulty concept was that because the cigarette was longer, it was able to better filter out toxins, since it took more time for the smoke to reach the smoker’s throat due to the long length through which it had to travel. In 1950, the Federal Trade Commission (FTC) investigators had decided that king-size cigarettes, like Embassy, contained “more tobacco and therefore more harmful substances” than are found in an ordinary cigarette.

Lorillard’s particular choice of cliché, “to your heart’s content,” was misleading at best . The phrase was meant to impart a sense of happiness and healthfulness. Of course, inhaling would not have made anyone’s heart content; Instead, smoking has been recognized as a major cause of coronary artery disease, responsible for an estimated 20% of deaths from heart disease in the United States. Most ironically in the context of this advertisement campaign, a smokers’ risk of developing heart disease is thought to greatly increase as his or her cigarette intake increases.

Kamel Modern – img5939

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Marlboro has historically been the leading cigarette brand among youth, while Camel consistently pushes forward creative advertising concepts to gain youth market share from Marlboro and hook teens and young adults. The Red Kamel campaign of 1996 is just one of Camel’s many advertising techniques employed to target the previously uninitiated or new smoker. RJR’s “marketing objectives” with Red Kamel revolved around “adding new cutting edge associations to the Camel brand family” (1).

The Red Kamel brand slogan clearly targeted youth irreverence: “Back After 80 Years For No Good Reason Except They Taste Good” (2). The Kamel brand was first introduced in 1913 and existed until 1936 when R.J. Reynolds replaced it with today’s Camel brand. The limited time “reintroduction” of Red Kamel in 1996 provided a retro-vintage appeal to the brand, and RJR designed the ads to be “innovative—new and old at the same time” (3). An RJR spokesperson explained that the characters portrayed in Red Kamel ads were presented as “interesting, independent people,” indicating that “the type of person who smoked Kamels in the early 1900s would still smoke them today.” The Red Kamel campaign offered RJR a new youth marketing technique to replace the Old Joe Camel campaign which had just been “voluntarily” withdrawn.

One internal document explains that the brand positioning was “lust for living,” and that the product was meant to appear “lustier” as well as “rebellious, adventurous, authentic,” with a “hip, unexpected” style clearly targeting youth markets (4).

 

1. “Red Kamel & Kamel Menthe (Men-Th) Factbook.” 07 Jan 1999. http://legacy.library.ucsf.edu/tid/tqm72d00

2. “RJR Re-Establishes Red Kamel Brand February 1, 1996 (960201) Statement and Q&A for Response Only.” RJ Reynolds. 01 Feb 1996. http://legacy.library.ucsf.edu/tid/oml13d00

3. “Red Kamel Is Back!” Caravan. 08 Apr 1996. http://tobaccodocuments.org/nysa_ti_s1/TI56580057.html

4. “1997 (19970000) Business Planning Meeting.” RJ Reynolds. 17 Sept 1996. http://legacy.library.ucsf.edu/tid/xyi72d00

Kamel Modern – img5940

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Marlboro has historically been the leading cigarette brand among youth, while Camel consistently pushes forward creative advertising concepts to gain youth market share from Marlboro and hook teens and young adults. The Red Kamel campaign of 1996 is just one of Camel’s many advertising techniques employed to target the previously uninitiated or new smoker. RJR’s “marketing objectives” with Red Kamel revolved around “adding new cutting edge associations to the Camel brand family” (1).

The Red Kamel brand slogan clearly targeted youth irreverence: “Back After 80 Years For No Good Reason Except They Taste Good” (2). The Kamel brand was first introduced in 1913 and existed until 1936 when R.J. Reynolds replaced it with today’s Camel brand. The limited time “reintroduction” of Red Kamel in 1996 provided a retro-vintage appeal to the brand, and RJR designed the ads to be “innovative—new and old at the same time” (3). An RJR spokesperson explained that the characters portrayed in Red Kamel ads were presented as “interesting, independent people,” indicating that “the type of person who smoked Kamels in the early 1900s would still smoke them today.” The Red Kamel campaign offered RJR a new youth marketing technique to replace the Old Joe Camel campaign which had just been “voluntarily” withdrawn.

One internal document explains that the brand positioning was “lust for living,” and that the product was meant to appear “lustier” as well as “rebellious, adventurous, authentic,” with a “hip, unexpected” style clearly targeting youth markets (4).

 

1. “Red Kamel & Kamel Menthe (Men-Th) Factbook.” 07 Jan 1999. http://legacy.library.ucsf.edu/tid/tqm72d00

2. “RJR Re-Establishes Red Kamel Brand February 1, 1996 (960201) Statement and Q&A for Response Only.” RJ Reynolds. 01 Feb 1996. http://legacy.library.ucsf.edu/tid/oml13d00

3. “Red Kamel Is Back!” Caravan. 08 Apr 1996. http://tobaccodocuments.org/nysa_ti_s1/TI56580057.html

4. “1997 (19970000) Business Planning Meeting.” RJ Reynolds. 17 Sept 1996. http://legacy.library.ucsf.edu/tid/xyi72d00

Nasty Effects – img12581

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A common approach in anti-tobacco advertising is to portray disgusting images of people who have suffered damages internally and externally due to smoking. These advertisements are meant to belie the tobacco industry's portrayal of smoking as glamorous by showing negative, visceral images of disgusting bodily harm. For example, some go so far as to show images of dismembered fingers and mutilated mouths.

One effect of showing such explicit images is that “during exposure to unpleasant/arousing pictures, individuals have been found to initially increase cognitive resources allocated to encoding.”1 This means that anti-tobacco advertisements that contain such pictures are better recalled by viewers, which also makes them cost-effective, since they do not have to continuously distributed to be effective. However, “strong fear appeals with low-efficacy messages produce the greatest levels of defensive responses,” so viewers may not react the way public health agencies expect them to once seeing these advertisements if they do not contain high-efficacy messages about quitting smoking.2

Another thing to consider when analyzing the effectiveness of using disgusting images is the target audience of the advertisements. The images used in most advertisements are examples of how prolonged smoking can have severe consequences, so adult smokers are more impacted by these images than are youth, who have just began smoking. 3 Therefore, to increase the effectiveness of these advertisements on youth, a potential idea might be to show innocent victims suffering from the disgusting effects of smoking, which has been found to be “an effective way to elicit empathy and disgust, and that disgust, not fear, motivates societal prohibitions and social activism.” 4

References:

1. Leshner, G., Bolls, P., & Wise, K. (2011). Motivated Processing of Fear Appeal and Disgust Images in Televised Anti-Tobacco Ads. Journal of Media Psychology, 23(2), 77-89.

2. Witte K, Allen M. A meta-analysis of fear appeals: Implications for effective public health campaigns. Health Educ Behav. 2000; 27:591–615

3. Pechmann, C., & Reibling, E. (200). Anti-smoking advertising campaigns targeting youth: case studies from USA and Canada.Tobacco Control.

4. Pechmann, C., & Reibling, E. (2006, May). Antismoking Advertisements for Youths: An Independent Evaluation of Health, Counter-Industry, and Industry Approaches. American Journal of Public Health, 96(5), 906-913.