Evidence of a dose-response relationship between "truth" antismoking ads and youth smoking prevalence

Matthew C. Farrelly, Kevin C. Davis, M. Lyndon Haviland, Peter Messeri, Cheryl G. Healton

Research output: Contribution to journalReview articlepeer-review


Objectives. In early 2000, the American Legacy Foundation launched the national "truth" campaign, the first national antismoking campaign to discourage tobacco use among youths. We studied the impact of the campaign on national smoking rates among US youths (students in grades 8, 10, and 12). Methods. We used data from the Monitoring the Future survey in a pre/post quasi-experimental design to relate trends in youth smoking prevalence to varied doses of the "truth" campaign in a national sample of approximately 50 000 students in grades 8, 10, and 12, surveyed each spring from 1997 through 2002. Results. Findings indicate that the campaign accounted for a significant portion of the recent decline in youth smoking prevalence. We found that smoking prevalence among all students declined from 25.3% to 18.0% between 1999 and 2002 and that the campaign accounted for approximately 22% of this decline. Conclusions. This study showed that the campaign was associated with substantial declines in youth smoking and has accelerated recent declines in youth smoking prevalence.

Original languageEnglish (US)
Pages (from-to)425-431
Number of pages7
JournalAmerican journal of public health
Issue number3
StatePublished - Mar 2005

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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