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AJPH First Look, published online ahead of print Apr 1, 2008
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98/5/916    most recent
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May 2008, Vol 98, No. 5 | American Journal of Public Health 916-924
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.117499


RESEARCH AND PRACTICE

Smoking-Cessation Media Campaigns and Their Effectiveness Among Socioeconomically Advantaged and Disadvantaged Populations

Jeff Niederdeppe, PhD, Michael C. Fiore, MD, MPH, Timothy B. Baker, PhD and Stevens S. Smith, PhD

Jeff Niederdeppe is with the Department of Population Health Sciences and Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin, Madison. Michael C. Fiore and Timothy B. Baker are with the School of Medicine and Public Health, and the Center for Tobacco Research and Intervention, University of Wisconsin, Madison. Stevens S. Smith is with the School of Medicine and Public Health, University of Wisconsin, Madison.

Correspondence: Requests for reprints should be sent to Jeff Niederdeppe, PhD, Robert Wood Johnson Foundation Health and Society Scholar, Department of Population Health Sciences, University of Wisconsin, Room 707 WARF Building, 610 Walnut St, Madison, WI 53726-2397 (e-mail: niederdeppe{at}wisc.edu).

Objectives. We examined whether the impact of televised smoking cessation ads differed by a population’s education and income.

Methods. We used longitudinal data from the Wisconsin Behavioral Health Survey, a statewide sample of 452 adult smokers who were interviewed in 2003 to 2004 and followed up 1 year later. Logistic regression was used to assess whether baseline recall of secondhand smoke ads and "keep trying to quit" ads was associated with quit attempts and smoking abstinence at 1 year. Interaction terms were used to assess whether these associations differed by the smokers’ education and income levels.

Results. Overall, neither keep-trying-to-quit nor secondhand smoke ad recall was associated with quit attempts or smoking abstinence. Keep-trying-to-quit ads were significantly more effective in promoting quit attempts among higher-versus lower-educated populations. No differences were observed for secondhand smoke ads by the smokers’ education or income levels.

Conclusions. Some media campaign messages appear less effective in promoting quit attempts among less-educated populations compared with those who have more education. There is a need to develop media campaigns that are more effective with less-educated smokers.







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