Evidence map›Paper›PMID 23498098›Full record

ArticleAmerican journal of preventive medicine2013

Smoking in movies and adolescent smoking initiation: longitudinal study in six European countries.

Matthis Morgenstern, James D Sargent, Rutger C M E Engels, Ron H J Scholte, Ewa Florek, Kate Hunt, Helen Sweeting, Federica Mathis, Fabrizio Faggiano, Reiner Hanewinkel

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
–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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Impact of Smoking and Vaping in Films on Smoking and Vaping Uptake in Adolescents: Systematic Review and Meta-Analysis.Health education & behavior : the official publication of the Society for Public Health Education · 2022
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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

10 authors.

Matthis MorgensternInstitute for Therapy and Health Research (IFT-Nord) and the Institute for Medical Psychology and Medical Sociology, University Hospital Schleswig-Holstein, Kiel, Germany. Electronic address: morgenstern@ift-nord.de.
James D SargentGeisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Rutger C M E EngelsBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Ron H J ScholteBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Ewa FlorekLaboratory of Environmental Research, Department of Toxicology, University of Medical Sciences, Poznan, Poland.
Kate HuntMRC Social and Public Health Sciences Unit, Glasgow, United Kingdom.
Helen SweetingMRC Social and Public Health Sciences Unit, Glasgow, United Kingdom.
Federica MathisPiedmont Centre for Drug Addiction Epidemiology, ASL TO3, Grugliasco, Italy.
Fabrizio FaggianoDepartment of Translational Medicine, Università del Piemonte Orientale Avogadro, Italy.
Reiner HanewinkelInstitute for Therapy and Health Research (IFT-Nord) and the Institute for Medical Psychology and Medical Sociology, University Hospital Schleswig-Holstein, Kiel, Germany.

Funding

Visual Media Influences on Adolescent Smoking Behavior (YR 9 Supplement)R01CA077026 · NCI · DARTMOUTH COLLEGE · PI SARGENT, JAMES D. · 1997 to 2017
$16.8M
Media Influences on Early Onset Alcohol UseR01AA015591 · NIAAA · DARTMOUTH COLLEGE · PI SARGENT, JAMES D. · 2005 to 2014
$3.4M
Medical Research Council MC_U130059811Medical Research Council MC_US_A540_0041NCI NIH HHS R01 CA077026NIAAA NIH HHS AA015591NIAAA NIH HHS R01 AA015591
6 · The paper itself

Abstract

backgroundLongitudinal studies from the U.S. suggest a causal relationship between exposure to images of smoking in movies and adolescent smoking onset. PURPOSE: This study investigates whether adolescent smoking onset is predicted by the amount of exposure to smoking in movies across six European countries with various cultural and regulatory approaches to tobacco.

methodsLongitudinal survey of 9987 adolescent never-smokers recruited in the years 2009-2010 (mean age=13.2 years) in 112 state-funded schools from Germany, Iceland, Italy, The Netherlands, Poland, and the United Kingdom (UK), and followed up in 2011. Exposure to movie smoking was estimated from 250 top-grossing movies in each country. Multilevel mixed-effects Poisson regressions were performed in 2012 to assess the relationship between exposure at baseline and smoking status at follow-up.

resultsDuring the observation period (M=12 months), 17% of the sample initiated smoking. The estimated mean exposure to on-screen tobacco was 1560 occurrences. Overall, and after controlling for age; gender; family affluence; school performance; TV screen time; personality characteristics; and smoking status of peers, parents, and siblings, exposure to each additional 1000 tobacco occurrences increased the adjusted relative risk for smoking onset by 13% (95% CI=8%, 17%, p<0.001). The crude relationship between movie smoking exposure and smoking initiation was significant in all countries; after covariate adjustment, the relationship remained significant in Germany, Iceland, The Netherlands, Poland, and UK.

conclusionsSeeing smoking in movies is a predictor of smoking onset in various cultural contexts. The results confirm that limiting young people's exposure to movie smoking might be an effective way to decrease adolescent smoking onset.

Indexed as

Cross-Cultural ComparisonMotion PicturesAdolescentAge of OnsetChildEuropeFemaleFollow-Up StudiesHumansLongitudinal StudiesMalePoisson DistributionRegression AnalysisSmoking

Identifiers

PMID23498098
PMCPMC3616269

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Registered trials

None linked

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.