Evidence map›Paper›PMID 22184208›Full record

ArticleTobacco control2013

High youth access to movies that contain smoking in Europe compared with the USA.

Reiner Hanewinkel, James D Sargent, Sólveig Karlsdóttir, Stefán Hrafn Jónsson, Federica Mathis, Fabrizio Faggiano, Evelien A P Poelen, Ron Scholte, Ewa Florek, Helen Sweeting and 2 more

Abstract readComparative Study
In one paragraph

Article in Tobacco control, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Reiner HanewinkelInstitute for Therapy and Health Research (IFT-Nord), Harmsstrasse 2, Kiel, Germany. hanewinkel@ift-nord.de
James D Sargent
Sólveig Karlsdóttir
Stefán Hrafn Jónsson
Federica Mathis
Fabrizio Faggiano
Evelien A P Poelen
Ron Scholte
Ewa Florek
Helen Sweeting
Kate Hunt
Matthis Morgenstern

Funding

Visual Media Influences on Adolescent Smoking Behavior (YR 9 Supplement)R01CA077026 · NCI · DARTMOUTH COLLEGE · PI SARGENT, JAMES D. · 1997 to 2017
$16.8M
Medical Research Council MC_U130059811Medical Research Council MC_US_A540_0041NCI NIH HHS CA 077028NCI NIH HHS R01 CA077026
6 · The paper itself

Abstract

backgroundBased on evidence that exposure to smoking in movies is associated with adolescent smoking, the WHO has called on countries to assign a rating that restricts youth access to such movies.

objectiveTo evaluate youth access to movies that portray smoking in European countries and compare with that in the USA.

methodsThe authors identified the most commercially successful movies screened in six European countries (Germany, Iceland, Italy, the Netherlands, Poland and UK) and the USA between 2004 and 2009. The authors coded the 464 movies that were screened in both Europe and the USA according to whether or not they portrayed smoking.

results87% of the movies were 'youth' rated in Europe (ratings board classification as suitable for those younger than 16 years) compared to only 67% in the USA (suitable for those younger than 17 years). Smoking was portrayed in 319 (69%) movies. 85% of the movies that portrayed smoking were 'youth' rated in Europe compared with only 59% in the USA (p<0.001).

conclusionsTobacco imagery is still common in popular films shown in European countries and the USA. None of the seven countries examined followed the WHO recommendations on restricting youth access to movies that portray smoking. Compared to the USA, European youths have access to substantially more movies in general, and this gives them access to more movies that portray smoking in particular.

Indexed as

Adolescent BehaviorGuideline AdherenceGuidelines as TopicImitative BehaviorMotion PicturesSmokingAdolescentAge FactorsEuropeHumansUnited StatesWorld Health Organizationaddictionadolescenceadvertising and promotioncotininedenormalizationEuropeharm reductionhealthlifestyleMediamoviespackaging and labellingprevalencepreventionprimary healthcaresecondhand smokesmoking initiationsmoking onsetsmugglingtaxation and pricetoxicologyyoung peopleyouth protection

Identifiers

PMID22184208
PMCPMC3779888

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.