Evidence map›Paper›PMID 35074930›Full record

ArticleTobacco control2023

Follow the money: a closer look at US tobacco industry marketing expenditures.

David T Levy, Alex C Liber, Christopher Cadham, Luz Maria Sanchez-Romero, Andrew Hyland, Michael Cummings, Cliff Douglas, Rafael Meza, Lisa Henriksen

Abstract read
In one paragraph

Article in Tobacco control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
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  8. Article
  9. Racial and Ethnic Disparities in Adolescent Combustible Tobacco Smoking From 2014 to 2020: Declines Are Lagging Among Non-Hispanic Black Youth.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  10. Commercial Tobacco Retailers Need to Be Included in Research on Policies Restricting the Sale of Menthol Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  11. Do Tobacco Companies Have an Incentive to Promote "Harm Reduction" Products?: The Role of Competition.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  12. The Longitudinal Association Between Cigarette Coupon Receipt and Short-term Smoking Cessation Among US Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  13. Sex and Sexual Identity Differences in Poly-tobacco Use and Psychological Distress in U.S. Adults: Results From the National Health Interview Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  14. Article
  15. Trends in Cigarette Marketing Expenditures, 1975-2019: An Analysis of Federal Trade Commission Cigarette Reports.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Article
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

9 authors.

David T LevyLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA dl777@georgetown.edu.ORCID 0000-0001-5280-3612
Alex C LiberLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA.ORCID 0000-0001-7863-3906
Christopher CadhamDepartment of Health Management and Policy, University of Michigan School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Luz Maria Sanchez-RomeroLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA.ORCID 0000-0001-7951-3965
Andrew HylandHealth Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA.
Michael CummingsPsychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID 0000-0002-7103-7017
Cliff DouglasHealth Management and Policy, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.ORCID 0000-0001-6910-2599
Rafael MezaEpidemiology, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-1076-5037
Lisa HenriksenStanford Prevention Research Center, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-9288-3562

Funding

Research Project 3: Modeling the Impact of Tobacco Control Policies on Polytobacco Use and Associated Health DisparitiesU54CA229974 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Mendez Emilien · 2018 to 2026
$39.2M
Vaporized Nicotine Product Initiation Among Youth in the US, Canada, and England: Methods to Predict Uptake and Policy EfficacyP01CA200512 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FONG, GEOFFREY T · 2016 to 2025
$25.3M
Project 3: Tobacco Town Policy ModelingP01CA225597 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HENRIKSEN, LISA ANNE, LUKE, DOUGLAS A · 2018 to 2023
$11.5M
NCI NIH HHS P01 CA200512NCI NIH HHS P01 CA225597NCI NIH HHS U54 CA229974
6 · The paper itself

Abstract

introductionWhile much of the concern with tobacco industry marketing has focused on direct media advertising, a less explored form of marketing strategy is to discount prices. Price discounting is important because it keeps the purchase price low and can undermine the impact of tax increases.

methodsWe examine annual US marketing expenditures from 1975 to 2019 by the largest cigarette and smokeless tobacco companies as reported to the Federal Trade Commission. We consider three categories: direct advertising, promotional allowances and price discounting. In addition to considering trends in these expenditures, we examine how price discounting expenditures relate to changes in product prices and excise taxes.

resultsUS direct advertising expenditures for cigarettes fell from 80% of total industry marketing expenditures in 1975 to less than 3% in 2019, while falling from 39% in 1985 to 6% in 2019 for smokeless tobacco. Price discounting expenditures for cigarettes became prominent after the Master Settlement Agreement and related tax increases in 2002. By 2019, 87% of cigarette marketing expenditures were for price discounts and 7% for promotional allowances. Smokeless marketing expenditures were similar: 72% for price promotions and 13% for promotional allowances. Price discounting increased with prices and taxes until reaching their currently high levels.

conclusionsBetween 1975 and 2019, direct advertising dramatically fell while price discounting and promotional expenditures increased. Local, state and federal policies are needed that apply non-tax mechanisms to increase tobacco prices and restrict industry contracts to offset industry marketing strategies. Further study is needed to better understand industry decisions about marketing expenditures.

Indexed as

Tobacco IndustryTobacco ProductsCommerceHealth ExpendituresHumansMarketingTaxesadvertising and promotioneconomicspricetaxationtobacco industry

Identifiers

PMID35074930
PMCPMC9346571

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.