title: Historical declines and disparities in cigarette coupon saving among adolescents in the United States, 1997-2013.
abstract: Exposure to cigarette coupons is associated with smoking initiation and likelihood of cigarette purchase among adolescents. Some adolescents who are exposed to cigarette coupons take a step further by choosing to save or collect these coupons, a further risk factor for cigarette smoking. This study examines historical trends and disparities in cigarette coupon saving among adolescents in the United States from 1997 to 2013. National samples of 10th and 12th grade students (n=129,111) were obtained from Monitoring the Future surveys in 1997-2013. Prevalence of lifetime and current cigarette coupon saving was estimated in each year in the overall adolescent population, and in race/ethnicity, parent education level, sex, and urban/rural subgroups. Prevalence of lifetime and current cigarette coupon saving was then estimated in each year based on smoking status. Prevalence of cigarette coupon saving has decreased dramatically among adolescents; only 1.2% reported currently saving coupons in 2013. However, disparities in cigarette coupon saving remain with prevalence higher among rural, White, and low parental education level students. Adolescent smokers continue to save coupons at high rates; 21.2% had ever saved coupons and 6.9% currently saved coupons as of 2013. Despite overall declines in adolescent cigarette coupon saving, existing sociodemographic disparities and the considerably high prevalence of coupon saving among adolescent smokers suggest that cigarette coupons remain a threat to smoking prevention among youth. Additional research is needed to further elucidate longitudinal associations between cigarette coupon saving and smoking initiation and maintenance among adolescents.
authors.affiliation: Department of Kinesiology & Health Education, University of Texas at Austin, TX, USA.
authors.forename: Olusegun
authors.initials: O
authors.lastname: Owotomo
authors.affiliation: Department of Kinesiology & Health Education, Population Research Center, University of Texas at Austin, TX, USA. Electronic address: maslowsky@austin.utexas.edu.
authors.forename: Julie
authors.initials: J
authors.lastname: Maslowsky
authors.affiliation: Department of Kinesiology & Health Education, University of Texas at Austin, TX, USA.
authors.forename: Keryn E
authors.initials: KE
authors.lastname: Pasch
mesh_terms: D000293:Adolescent; D000329:Advertising / Q000191:economics / Q000379:methods*; D003430:Cross-Sectional Studies; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008297:Male; D040541:Marketing / Q000191:economics / Q000266:history / Q000379:methods / Q000706:statistics & numerical data*; D015995:Prevalence; D057566:Self Report; D012907:Smoking / Q000453:epidemiology / Q000266:history / Q000639:trends; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology
keywords: Adolescent smoking; Adolescents; Cigarette coupons; Smoking disparities; Smoking prevention; Tobacco control policy; Tobacco marketing