Showing posts with label tobacco marketing. Show all posts
Showing posts with label tobacco marketing. Show all posts

Wednesday, December 5, 2012

Big Tobacco Advertising and Promotion Do Not Drive Consumption

One of the longstanding fallacies promoted by the anti-tobacco movement is that tobacco use is solely driven by advertising and marketing by large multinational companies, also known as “Big Tobacco.”  

This is a weak claim because there is little independent evidence to validate it.  First, a historical perspective: Tobacco was originally cultivated only in the Western Hemisphere and was used by native Americans for thousands of years (here).  In 1492, Columbus discovered the new world, and tobacco.  In the short space of 100 years, tobacco was being consumed by people in nearly every corner of the globe.  This phenomenal explosion happened at a time when a trans-oceanic voyage took months.  In the 16th Century Big Tobacco did not exist; consumption was driven then – as consumption is largely driven now – by the human brain’s powerful affinity for tobacco and nicotine.

While it’s true that tobacco has been enjoyed by people all over the world for hundreds of years, does Big Tobacco drive contemporary consumption?  To answer that question we can turn to Federal Trade Commission reports on advertising, promotion and sales of smokeless tobacco products (here) and cigarettes (here) in the U.S.

The chart on the left shows advertising and promotional expenditures for moist snuff and chewing tobacco and the amount sold in the U.S. from 1986 to 2010.  At first glance, it looks like the increase in moist snuff consumption from 36 million pounds in 1986 to 93 million in 2010, is related to the increase in advertising and promotion.  But moist snuff also benefited from a sharp decline in chewing tobacco sales, as I noted in my published study of smokeless tobacco use in 2000 and 2005 (abstract here, discussed in my blog here).    



The second chart on the left shows advertising and promotional expenditures for cigarettes and the number of cigarettes sold in the U.S. from 1975 to 2010.  During that time, cigarette consumption dropped almost continuously from 600 billion per year to 280 billion.  In contrast, cigarette advertising and promotion increased continuously from $490 million in 1975, to a peak of $15.2 billion in 2003; that was followed by a steep decline to $8.05 billion in 2010. 

What do these results show?  Cigarette consumption was declining in spite of substantial increases in advertising and promotion.  In 2004, cigarette manufacturers finally realized that they could not influence this trend, but anti-tobacco forces still refuse to believe it.

If tobacco advertising drives consumption, then Sweden should be nearly tobacco-free because tobacco ads were banned completely in that country in 1994 (here).  The prevalence of tobacco use in Sweden after 18 advertising-free years is similar to that in other developed countries.  The Swedish tobacco harm reduction story is not exemplary because of an advertising ban, but because of the availability and use of vastly safer snus.

The Swedish advertising experience will not be repeated in the U.S., but Americans will continue to adopt Swedish tobacco harm reduction methods. 

Wednesday, November 14, 2012

Tobacco Trick or Treat by Florida’s Surgeon General



On Halloween, Dr. John Armstrong, Florida Surgeon General and Secretary of Health, launched an attack on flavored tobacco, ostensibly to protect children (I expressed concern three years ago about the crusade against tobacco flavors, here and here).  As I note in the attached letter, “the availability of flavored tobacco products is important for tobacco harm reduction among adults who smoke…” because “…these individuals [should] have access to appealing, vastly safer smoke-free alternatives to cigarettes.”  Furthermore, contrary to Dr. Armstrong’s claim, there is no evidence that tobacco flavoring is aimed at targeting youth.  The full text of my letter follows:


November 12, 2012

John H. Armstrong, MD, FACS
Surgeon General and Secretary of Health
State of Florida

Dear Dr. Armstrong,

I am a professor of medicine and hold an endowed chair in tobacco harm reduction research at the University of Louisville.  I read with interest an article in the St. Pete Patch entitled “Candy Flavored Tobacco: Trick or Treat” (here), which provided the following quote from you:

“Youth have always been a target for the tobacco industry, and our Department will not sit by and watch.  Companies perceive youth as an easy target, and develop products like flavored tobacco and marketing campaigns aimed at them.”

The 1998 Master Settlement Agreement (MSA) between the four largest American tobacco manufacturers and the attorneys general of 46 states (here) expressly prohibited the egregious actions you describe occurring in Florida.  Section IIIa of this agreement, titled “Prohibition on Youth Targeting”, specifies that “No participating Manufacturer may take any action, directly or indirectly, to target Youth within any Settling State in the advertising, promotion or marketing of Tobacco Products…” 

As you know, the state of Florida was not a party to the MSA.  Instead, Florida entered into an individual agreement with tobacco manufacturers (here) that appears not to have youth targeting and marketing prohibitions.  However, I believe that tobacco manufacturers have a moral obligation to follow the spirit of the MSA in Florida.   

I reviewed the Tobacco Free Florida website on candy-flavored tobacco (here), which claims that flavors include “berry, vanilla, chocolate and green apple, orange, cherry and coffee” and that tobacco products are presented in “colorful and playful packaging.”  I do not believe that this constitutes evidence that manufacturers are “directly or indirectly” targeting youth. 

The availability of flavored tobacco products is important for tobacco harm reduction among adults who smoke. From a public health standpoint, it is important that these individuals have access to appealing, vastly safer smoke-free alternatives to cigarettes.  The flavors highlighted by Tobacco Free Florida have no special appeal to youth, so there is no reason they should not be used in adult tobacco products.  Banning tobacco flavoring is no more logical than banning flavored beer, wine and mixed drinks on the grounds that those products appeal to youth.

As a state official, you have made specific allegations that tobacco manufacturers are targeting youth and have “marketing campaigns aimed at them.”   The mere use of flavoring in tobacco products does not warrant such a claim. 

I share your interest in preventing initiation of tobacco use by youth, and would appreciate your sharing with me any specific evidence of unlawful tobacco marketing to this protected class.

Sincerely,



Brad Rodu
Professor
Endowed Chair, Tobacco Harm Reduction Research
School of Medicine
University of Louisville