Increasing youths' exposure to a tobacco prevention media campaign in rural and low-population-density communities

Jennifer C. Duke, Donna M. Vallone, Jane A. Allen, Jennifer Cullen, Paul D. Mowery, Haijun Xiao, Nicole Dorrler, Eric T. Asche, Cheryl Healton

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Objectives. We examined the effectiveness of a program to increase exposure to national "truth" tobacco countermarketing messages among youths in rural and low-population-density communities. Methods. A longitudinal survey of 2618 youths aged 12 to 17 years was conducted over 5 months in 8 media markets receiving supplemental advertising and 8 comparison markets receiving less than the national average of "truth" messages. Results. Confirmed awareness of "truth" increased from 40% to 71% among youths in treatment markets while remaining stable in comparison markets. Over 35% of all youths who were unaware of the campaign at baseline became aware of it as a direct result of the increased advertising. Youths living in rural and low-population-density communities were receptive to the campaign's messages. Conclusions. Through purchase of airtime in local broadcast media, the reach of a national tobacco countermarketing campaign was expanded among youths living in rural and low-population-density areas. This strategy of augmenting delivery of nationally broadcast antitobacco ads can serve as a model for leveraging limited tobacco control resources to increase the impact of evidence-based tobacco prevention campaigns.

Original languageEnglish (US)
Pages (from-to)2210-2216
Number of pages7
JournalAmerican Journal of Public Health
Issue number12
StatePublished - Dec 1 2009
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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