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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.070359v1 97/8/1489    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Gilpin, E. A. Articles by Pierce, J. P. Search for Related Content PubMed PubMed Citation Articles by Gilpin, E. A. Articles by Pierce, J. P. Related Collections Tobacco Control Adolescent Health Other Tobacco

Elizabeth A. Gilpin, MS, Martha M. White, MS, Karen Messer, PhD and John P. Pierce, PhD

The authors are with the Cancer Prevention and Control Program, Moores Cancer Center, University of California, San Diego, La Jolla, Calif.

Correspondence: Requests for reprints should be sent to John P. Pierce, PhD, Cancer Prevention and Control Program, Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Dr #0901, La Jolla, CA 92093-0901 (e-mail: jppierce{at}ucsd.edu).

Objectives. We investigated whether receptivity to tobacco advertising and promotions during young adolescence predicts young adult smoking 6 years later.

Methods. Two longitudinal cohorts of adolescents drawn from the 1993 and 1996 versions of the California Tobacco Surveys were followed 3 and 6 years later. At baseline, adolescents were aged 12 to 15 years and were not established smokers. The outcome measure was established smoking at final follow-up. Receptivity to cigarette advertising and promotions was included in a multivariate logistic regression analysis along with demographic and other variables.

Results. The rate of established smoking at follow-up was significantly greater among members of the 1993 through 1999 cohort (21.0%) than among members of the 1996 through 2002 cohort (15.6%). However, in both cohorts, having a favorite cigarette advertisement and owning or being willing to use a tobacco promotional item showed nearly identical adjusted odds of future adult smoking (1.46 and 1.84, respectively).

Conclusions. Despite the success of tobacco control efforts in reducing youth smoking, tobacco marketing remains a potent influence on whether young adolescents become established smokers in young adulthood (18–21 years of age).

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