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Stanford Research into the Impact of Tobacco Advertising

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Makes you Sick – img12479

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The Association for Smokers Awareness (ADESF) launched the Makes You Sick campaign in Brazil in 2012. As its title suggests, the campaign aimed to increase awareness of how smoking physiologically harms our bodies. The advertisements regarding the plane, submarine, and rocket incidents are different from the typical advertisements that display health effects of smoking—which usually show negative, visceral images of the body and specific organs—because they are more abstract in portraying these effects: they draw an analogy between how one faulty part of a machine led to many deaths and how smoking negatively impacts human health.

The black-and-white color scheme allows the viewer to notice the complex framework of the airplane, submarine, and rocket. This highlights the complexities of our own individual bodies and how all the individual parts work together to allow us to perform the biological functions that keep us alive. Therefore, if even one part of the complex machine we call our body is damaged through smoking, it can have catastrophic effects on our overall wellbeing.

Although these advertisements succeed in emphasizing how even the slightest damage to our bodies due to smoking can ultimately have a drastic impact, they would be more effective if accompanied by information about how to seek aid regarding quitting, as “fear appeals are most effective when accompanied by equally strong efficacy messages, such as information to call a quitline for help.”

References:

http://www.tobaccofreeflorida.com/powerfuladswork/#sthash.UuXoIU6P.dpuf

Nasty Effects – img12567

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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.

Canada – img12752

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It is known that smoking cigarettes has numerous harmful effects on people’s health, and one tactic used to dissuade people from smoking is explicitly stating these effects on cigarette boxes via warning labels. People are more likely to see an anti-smoking message if it is present in the form of a label right on the outside of the cigarette box they are holding, which is why these pack warning labels can be an effective form of advertising.1

They can be text-only, like the ones on Winston cigarettes boxes in the UK that say “Smoking seriously harms you and others around you,” or also include graphic images, such as the ones in Brazil that include images ranging from a stillborn baby to a dismembered and blackened foot. One study “found that 50 percent of subjects remembered the text-only warning label, while 83 percent correctly recalled the label that contained a graphic image,” so it is a more effective advertising strategy to incorporate pictures on labels because the message will then be more memorable. In fact, “research on pictorial warnings show that they are: (i) more likely to be noticed than text-only warning labels; (ii) more effective for educating smokers about the health risks of smoking and for increasing smokers’ thoughts about the health risks; and (iii) associated with increased motivation to quit smoking.”2 Pictorial labels are also more effective at raising awareness of the health effects of smoking in areas with low literacy rates.2

However, a study on the effectiveness of Canadian warning labels shines light on the big issue of whether or not people stop to read and think about the warning labels, as people who do so are the ones who are “significantly more likely to either quit, attempt to quit, or reduce their smoking.”3 Another issue that is often brought up is the defensive and avoidant behavior that pictorial images may elicit, but in reality, “such reactions are actually indicators of positive impact” caused by the presence of graphic images.2

Resources:

1. http://www.cbsnews.com/news/study-graphic-tobacco-warning-labels-more-effective-at-delivering-anti-smoking-message/

2. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2733253/

3. http://tobaccocontrol.bmj.com/content/12/4/391.full.html

Medical Authority – img1603

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In the first half of the twentieth century, tobacco companies wielded medical authority in their advertisements to attract customers and, later, to placate a worried public. In particular, popular faith in medicine was exploited by a series of tobacco industry-sponsored “research” and “surveys.” For example, in an ad from 1943, Philip Morris offered “full reports in medical journals from men high in their profession” upon request, and claimed that there was “scientific proof” that their brand was “far less irritating” than other leading brands. At the time, little of today’s cynicism existed concerning the abilities of science to overcome societal problems. Instead, the doctor was seen as the ultimate expert, and science was seen as the ultimate solution.

Protects Your Health – img1959

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This theme features a variety of ads professing health benefits for filter cigarettes, although filters did little to truly reduce the hazards of smoking. Indeed, tobacco industry chemists were well aware that most filters actually removed no more tar and nicotine than would the same length of tobacco. However, a series of Reader’s Digest articles worked to publicize these dubious health claims for filters in the 1950s.

One such article, entitled “How Harmful are Cigarettes?” (1950), notes that artificial filters “take out some nicotine” since people are “aware that nicotine is a killer” (1). The article states that silica-gel cartridges remove 60% of nicotine from cigarettes. This article spurred Viceroy to print advertisements a week later which read, “Reader's Digest tells why filtered cigarette smoke is better for your health.” These health claims sparked a boom in Viceroy cigarette sales as well as an onslaught of new filter cigarette brands flooding the market. Kent was introduced in 1952 with a filter made of treated asbestos on crepe paper. In 1953, L&M followed with a “miracle tip” and Philip Morris advertised its di-ethylene glycol (Di-Gl) filter cigarette as “the cigarette that takes the FEAR out of smoking.” In the next two years, Marlboro was re-released as a filter cigarette which targeted men (it had previously been a cigarette targeting women, with a “beauty tip to protect the lips”), and Winston was introduced with a hefty advertising budget of $15 million.

Leading the pack with health claims was Kent, with ads that read, “What a wonderful feeling to know that Kent filters best of all leading filter cigarettes!” (1958) and “You’ll feel better about smoking with the taste of Kent!” (1961). Ironically, Kent’s filter contained asbestos, a mineral known to cause mesothelioma, a fatal form of cancer. In fact, the asbestos in Kent’s filter was crocidolite asbestos (also known as blue asbestos), which is often considered the deadliest form of the fibrous mineral.

1. Riis, R.W. Reader’s Digest. “How Harmful are Cigarettes?” 7 Jan 1999. .