[Health, hospitality sector and tobacco industry]

To present the strategies used by the tobacco industry to meet government regulatory measures of its products. To demonstrate the relationship between tobacco industry and the hospitality sector. Note that the arguments and strategies used routinely by the hospitality industry have been previously provided by the tobacco industry. Location of key documents by meta-search, links to declassified documents, specific websites of the tobacco and hospitality industry, news sources and published articles in health journals. This review reveals the close relationship between tobacco industry and hospitality sector. It highlights the strategies carried out by the tobacco industry, including strategic hoarding of information, public relations, lobbying, consultation program, smoker defence groups, building partnerships, intimidation and patronage. The arguments and strategies used by the hospitality industry to match point by point that used by the tobacco industry. These arguments are refutable from the point of view of public health as it is scientifically proven that totally smoke-free environments are the only way to protect non-smokers from tobacco smoke exposure and its harmful effects on health.

[Tobacco and advertising. Systematic review of the articles published between 2000 and 2008]

OBJECTIVE

To evaluate the influence of tobacco advertising on consumer habits.

DESIGN

Systematic review.

DATA SOURCES

PubMed, Ovid, Scielo, Mediclatina, Elsevier-Doyma, Isooc (CSIC) (January 2000-September 2008)

METHODS

A total of 44 national and international articles, linking the consumption of tobacco with any promotional or advertising practice. Articles not focused on the impact of advertising and promotion of cigarettes and research on prevention, intervention, plans and laws were removed.

RESULTS

Advertising influences tobacco consumption. Publicity leads to starting smoking (5 articles) and maintaining the habit (3 articles). It uses the relationship between advertising and smoker's image and concept (5 articles) and different advertising strategies (22 articles).

CONCLUSIONS

The advertising developed by the tobacco industry uses different strategies of influence on the consumption of cigarettes in the population.

[The cinema as a vector of expansion of the smoking epidemic]

For many years the film industry has been a loyal contributor to the tobacco industry by showing actors smoking cigarettes onscreen and hence encouraging young people to become nicotine addicts. The Prevention of Nicotine Addiction movement in the United States has adequately documented this phenomenon and there is now sufficient scientific evidence to demonstrate the close relationship between smoking in films and the onset of smoking in adolescents and young adults. To encourage social debate, working groups have been created to put pressure on the film industry through the use of commercials in mainstream media in the hope of making Hollywood accept its responsibility and change its attitude. Smoke Free Movies, an initiative led by the University of California, is making substantial progress toward limiting the appearance of cigarettes in American movies. In Europe, and particularly in Spain, these kinds of initiatives are still fairly new. The Prevention of Nicotine Addiction Movement in Spain should learn from the United States in order to promote similar policies. Some of the proven measures include the following: certification in credits stating no payment was received for the appearance of tobacco in the film, projection of anti-tobacco advertisements before any film that contains scenes with smoking, no brand identification and no subsidies for films that encourage smoking.

Tabaco y medios de comunicación escritos en España: una atracción fatal

OBJECTIVE

Tobacco advertising is a powerful factor in encouraging smoking initiation. We analyzed tobacco advertising in written mass media in Spain between 2002 and 2005.

METHODS

We performed an annual cross-sectional study of advertisements in the 41 most widely disseminated written mass media (nearly 10 million readers).

RESULTS

In the period studied, 37% of the media included tobacco advertising (an average of 4.35 million readers). Only 4% of the media included anti-drug campaigns (an average of 0.27 million readers). Tobacco advertising increased from 2.0 to 4.7% (overall) and from 4.3 to 8.0% (in media allowing tobacco advertising). Four out of every 10 readers and one out of eight Spaniards aged 15 years or older were exposed to tobacco advertising. Fifty-six percent of advertisements included young people.

CONCLUSIONS

Tobacco advertising remains prominent in written mass media in Spain and was mainly directed at young people.

[Cognitive factors associated with smoking initiation in adolescents]

OBJECTIVE

To study the association between cognitive factors of the behavioral change model "Attitude Self Efficacy" (ASE) at different phases of smoking initiation among adolescents.

METHODS

We carried out a cross-sectional survey among students in the second grade of Compulsory Secondary Education (13-14 years old) from Cornellà de Llobregat (Barcelona, Spain) in 2000 to obtain information on cognitive factors and smoking. Logistic regression analysis was used to investigate the variables associated with smoking (odds ratio [OR] of experimenters vs. non-smokers and of smokers vs. experimenters).

RESULTS

The prevalence of daily smoking was 22.9% (95% CI, 16.5%-29.3%) among boys and 36.2% (95% CI, 29.7%-42.6%) among girls. Factors associated with experimenting (vs. non-smoking) were: attitudes to smoking (disagreement with smoke-free areas [OR = 3.46; 95% CI, 1.65-7.24], agreement with smoking promotion [OR = 3.42; 95% CI, 1.42-8.28]), and subjective norms (perceiving friends as smokers [OR = 2.50; 95% CI, 1.17-5.35]). The variables associated with regular smoking (vs experimenting) belong to: self-efficacy and attitudes to smoking.

CONCLUSIONS

Focussing on subjective norms and smoking attitudes with programs targetted younger ages seems appropriate, since these factors are more closely associated with the experimenting phase. Encouraging skills to refuse cigarettes offered by friends is appropriate at a more advanced age, since this determinant is associated with the change from experimenting to regular smoking.

Results of a Comprehensive Workplace Program for the Prevention and Treatment of Smoking Addiction

OBJECTIVES

To assess a comprehensive smoking prevention and treatment program in an electrical appliances company with 1600 employees.

MATERIAL AND METHODS

The program included smoking restrictions with the designation of smoking areas and the offer of smoking cessation treatment for the smokers affected. Study variables were age, sex, nicotine dependence (Fagerström Test), carbon monoxide in expired air, adherence to therapy, and smoking abstinence at 1 week, 1 month, 3 months (end of treatment), and 6 months. Successful smoking abstinence was defined as continuous abstinence from the beginning of treatment.

RESULTS

Smoking prevalence was 34.8% and 19.5% of smokers requested treatment (77.4% men and 22.6% women). Mean (SD) age was 41.3 (10.3) years. Mean score of nicotine dependence was 5.3 (2.6) and the mean quantity of carbon monoxide in expired air was 35.6 (23.7) ppm. Adherence to therapy was good in 80% of patients. Rate of abstinence was 57.5% at 6 months, signifying a 4% reduction in prevalence.

CONCLUSIONS

Workplace smoking cessation programs reduce prevalence and facilitate the establishment of smoking restrictions at the worksite. Companies are convenient settings for the implementation of programs aimed at smoking prevention and treatment.