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Perceptions of Smoking Prevalence by Youth in Countries With and Without a Tobacco Advertising Ban
Authors:Dee Burton  John W Graham  C Anderson Johnson  Antti Uutela  Erkki Vartiainen  Raymond F Palmer
Institution:1. Center for Community and Urban Health, Hunter College , New York, New York, USA deeproject@aol.com;3. Department of Biobehavioral Health , The Pennsylvania State University , University Park, Pennsylvania, USA;4. School of Community &5. Global Health , Claremont Graduate University , Claremont, California, USA;6. Social Psychology Department , University of Helsinki , Helsinki, Finland;7. National Public Health Institute , Helsinki, Finland;8. Health Science Center, University of Texas , San Antonio, Texas, USA
Abstract:This study examined a proposed mechanism by which exposure to cigarette advertising may mediate the subsequent smoking of youth. We hypothesized that children's exposure to cigarette advertising leads them to overestimate the prevalence of smoking, and that these distorted perceptions, in turn, lead to increased intentions to smoke. Children in Finland, where there has been a total tobacco advertising ban since 1978, were compared with children in the United States at a time when tobacco advertising was ubiquitous. Samples of 477 8- to 14-year-old Helsinki students and 453 8- to 14-year-old Los Angeles students whose lifetime cigarette use consisted of no more than a puff of a cigarette were administered questionnaires in their classrooms. The primary hypothesis was confirmed. Los Angeles youth were significantly more likely than Helsinki youth to overestimate the prevalence of adult smoking, in spite of the fact that actual adult smoking prevalence in Helsinki was almost twice that of Los Angeles adults. A similar, significant pattern for perceived peer smoking was obtained, with Los Angeles youth being more likely than Helsinki youth to overestimate prevalence, in spite of the actual greater prevalence of youth smoking in Helsinki.
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