ArticleBMJ open2019
Quantifying tobacco and alcohol imagery in Netflix and Amazon Prime instant video original programming accessed from the UK: a content analysis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- 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 · 2022Pooled it
- Analysis of oral health-related behaviours in children's programmes on a streaming platform.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- Australia needs to better regulate alcohol marketing in films.Drug and alcohol review · 2025Article
- Scalable Surveillance of E-Cigarette Products on Instagram and TikTok Using Computer Vision.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Quantifying and characterising tobacco content in the most in-demand streamed series in 10 low/middle-income countries in 2019.Tobacco control · 2023Article
- Exposure to tobacco, alcohol and 'Junk food' content in reality TV programmes broadcast in the UK between August 2019-2020.Journal of public health (Oxford, England) · 2023Article
- An Observational Study of the Implementation of the Tobacco-Free Film and Television Policy in India.Tobacco use insights · 2023Article
- A content analysis of 'junk food' content in children's TV programmes: a comparison of UK broadcast TV and video-on-demand services.Journal of public health (Oxford, England) · 2022Article
- Content analysis of Netflix and Amazon Prime Instant Video original films in the UK for alcohol, tobacco and junk food imagery.Journal of public health (Oxford, England) · 2022Article
- Tobacco and alcohol content in soap operas broadcast on UK television: a content analysis and population exposure.Journal of public health (Oxford, England) · 2021Article
- Quantifying audio visual alcohol imagery in popular Indian films: a content analysis.BMJ open · 2021Observational
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Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesExposure to tobacco and alcohol content in audio-visual media is a risk factor for smoking and alcohol use in young people. Previous UK research has quantified tobacco and alcohol content in films and broadcast television but not that of video-on-demand (VOD) services such as Netflix and Amazon Prime. Furthermore, it is not clear whether regulation by Dutch (Netflix) or UK (Amazon Prime) authorities results in differences in content. We report an analysis of tobacco and alcohol content in a sample of episodes from the most popular programmes from these two VOD providers, and compare findings with earlier studies of UK prime-time television content.
settingUK.
participantsNone. Content analysis of a sample of 50 episodes from the five highest rated series released on Netflix and Amazon Prime in 2016, using 1 min interval coding of any tobacco or alcohol content, actual or implied use, paraphernalia and branding.
resultsOf 2704 intervals coded, any tobacco content appeared in 353 (13%) from 37 (74%) episodes. Any alcohol content appeared in 363 (13%) intervals in 47 (94%) episodes. There were no significant differences between the two services, however the proportion of episodes containing tobacco and alcohol was significantly higher in VOD original programmes than those recorded in an earlier study of prime-time UK television.
conclusionsAudio-visual tobacco and alcohol content is common in VOD original programmes and represents a further source of exposure to imagery causing smoking uptake and alcohol use in young people. This appears to be equally true of services regulated in the UK and The Netherlands. Given that VOD services are consumed by a global audience, it appears likely that VOD content is an important global driver of tobacco and alcohol consumption.
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Registered trials
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.