The effect of support for action against the tobacco industry on smoking among young adults.
OBJECTIVE
We investigated associations between tobacco industry denormalization attitudes and the smoking behavior of young adults (aged 18 to 29 years).


METHODS
We analyzed data from 9455 young adults in the 2002 California Tobacco Survey.


RESULTS
The data showed that 27.4% of young adults were "ever smokers" (smoked > or = 100 cigarettes in their lifetime), of whom 66.9% were current smokers (18.3% of young adults). Denormalization attitudes formed 2 major factors: support for anti-tobacco industry action and mistrust of tobacco companies. In multivariate logistic regression, support for action against the tobacco industry was negatively associated with current smoking (odds ratio [OR] = 0.16; 95% confidence interval [CI]=0.13, 0.19) and susceptibility to smoking, after we controlled for demographics, exposure to smokers, and advertising receptivity. Mistrust of tobacco companies was associated with smoking behavior, with anti-industry support acting as a mediating variable. Among current smokers, support for anti-tobacco industry action was strongly associated with intentions to quit (OR=4.64; 95% CI=3.15, 6.84) after we controlled for demographics, exposure to smokers, and advertising receptivity.


CONCLUSIONS
Support for anti-tobacco industry action protects against smoking and is associated with intentions to quit among young adults. Encouraging involvement in tobacco control and against the tobacco industry may decrease smoking among young adults.
Ling
Pamela M
PM
Department of Medicine, Division of General Internal Medicine, and Center for Tobacco Control Research and Education, University of California, San Francisco, CA 94143-1390, USA. pling@medicine.ucsf.edu
Neilands
Torsten B
TB
Glantz
Stanton A
SA
D000293:Adolescent; D000328:Adult; D000329:Advertising; D001290:Attitude; D002140:California / Q000453:epidemiology; D003254:Consumer Advocacy / Q000331:legislation & jurisprudence; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D008960:Models, Psychological; D015999:Multivariate Analysis; D010379:Peer Group; D012044:Regression Analysis; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology*; D000074606:Smoking Prevention; D019460:Tobacco Industry / Q000331:legislation & jurisprudence; D035502:Trust