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DOI: 10.1055/s-0031-1285859
Rauchen in Filmen und Etablierung des Rauchens im Jugendalter
Smoking in Movies and Established Smoking in AdolescencePublication History
Publication Date:
30 August 2011 (online)
![](https://www.thieme-connect.de/media/gesu/20120809/lookinside/thumbnails/10.1055-s-0031-1285859-1.jpg)
Zusammenfassung
Ziel der Studie:
Untersuchung der Fragestellung, ob das Rauchen in Filmen die Etablierung des Rauchens im Jugendalter prognostizieren kann.
Methodik:
Longitudinale Studie über einen Zeitraum von 13 Monaten mit 4112 Jugendlichen. Aus 398 Hollywoodfilmen wurde jedem Jugendlichen eine individuelle Liste von 50 randomisiert ausgewählten Filmen vorgelegt. Durch Zusammenführung der Information, welche Filme der Jugendliche gesehen hatte, mit der inhaltsanalytisch gewonnenen Information, wie viele Rauchszenen in diesen Filmen vorkommen, wurde die Exposition mit Tabakrauchereignissen in Filmen geschätzt.
Ergebnisse:
272 Jugendliche gaben in der Katamnese an, in ihrem Leben mehr als 100 Zigaretten geraucht zu haben. Während die Etablierung des Rauchens bei Jugendlichen mit der geringsten Exposition zu Tabakrauchereignissen in Filmen bei 2,1% lag, betrug sie in der Gruppe mit der höchsten Exposition 13,4%. Das adjustierte relative Risiko der Initiierung des etablierten Rauchens lag in der Gruppe mit der höchsten Exposition 2,05-mal höher als in der Gruppe mit der niedrigsten Exposition (95% Konfidenzinterval: 1,25–3,35).
Schlussfolgerung:
Die Untersuchungsergebnisse legen nahe, dass das Rauchen in Filmen als ein eigenständiger Risikofaktor für die Initiierung des etablierten Rauchens im Jugendalter angesehen werden kann.
Abstract
Aim:
The aim of this study was to examine whether smoking in movies can predict established smoking in adolescence.
Methods:
A longitudinal study was conducted over a period of 13 months with 4112 German students. Adolescents′ exposure to smoking in movies was assessed by asking each student to indicate which film he or she had seen from a unique list of 50 movies, which was randomly selected for each individual survey from a sample of 398 popular contemporary movies. We calculated exposure to movie smoking for each respondent by summing the number of smoking occurrences for each movie that the respondent reported seeing.
Results:
At follow-up, a total of 272 young people had smoked more than 100 cigarettes during their lifetime. While 2.1% of the young people with the lowest exposure to movie smoking initiated established smoking, 13.4% of the group with the highest exposure to movie smoking initiated established smoking. The adjusted relative risk of initiation of established smoking was 2.05 times higher in the group with the highest movie smoking exposure compared to the group with the lowest exposure (95% confidence interval: 1.25–3.35).
Conclusion:
Our data indicate that smoking in movies can be regarded as an independent risk factor for the initiation of established smoking in adolescence.
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Literatur
- 1 Cummings KM, Fong GT, Borland R. Environmental influences on tobacco use: evidence from societal and community influences on tobacco use and dependence. Annu Rev Clin Psychol 2009; 5: 433-458
- 2 Tyas SL, Pederson LL. Psychosocial factors related to adolescent smoking: a critical review of the literature. Tob Control 1998; 7: 409-420
- 3 Brown JD, Cantor J. An agenda for research on youth and the media. J Adolesc Health 2000; 27: 2-7
- 4 Bandura A. Social cognitive theory of mass communication. In: Bryant J, Oliver MB. eds. Media effects: advances in theory and research. 3rd ed. Routledge; New York: 2009: 94-124
- 5 Dalton MA, Sargent JD, Beach ML et al. Effect of viewing smoking in movies on adolescent smoking initiation: a cohort study. Lancet 2003; 362: 281-285
- 6 Sargent JD, Beach ML, Dalton MA et al. Effect of seeing tobacco use in films on trying smoking among adolescents: cross sectional study. BMJ 2001; 323: 1394-1397
- 7 Tanski S, Stoolmiller M, Dal Cin S, Worth K, Gibson J, Sargent JD. Movie character smoking and adolescent smoking: who matters more, good guys or bad guys?. Pediatrics 2009; 124: 135-143
- 8 Titus-Ernstoff L, Dalton MA, Adachi-Mejia AM, Longacre MR, Beach ML. Longitudinal study of viewing smoking in movies and initiation of smoking by children. Pediatrics 2008; 121: 15-21
- 9 Adachi-Mejia AM, Primack BA, Beach ML et al. Influence of movie smoking exposure and team sports participation on established smoking. Arch Pediatr Adolesc Med 2008; 163: 638-643
- 10 Distefan JM, Pierce JP, Gilpin EA. Do favorite movie stars influence adolescent smoking initiation?. Am J Public Health 2004; 94: 1239-1244
- 11 Hanewinkel R, Sargent JD. Exposure to smoking in popular contemporary movies and youth smoking in Germany. Am J Prev Med 2007; 32: 466-473
- 12 Hanewinkel R, Sargent JD. Exposure to smoking in internationally distributed American movies and youth smoking in Germany: a cross-cultural cohort study. Pediatrics 2008; 121: e108-e117
- 13 Sargent JD, Hanewinkel R. Comparing the effects of entertainment media and tobacco marketing on youth smoking in Germany. Addiction 2009; 104: 815-823
- 14 Maruska K, Hanewinkel R. Der Einfluss des Rauchens in Filmen auf Kinder und Jugendliche: Eine systematische Übersichtsarbeit. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2010; 53: 186-195
- 15 Dalton MA, Beach ML, Adachi-Mejia AM et al. Early exposure to movie smoking predicts established smoking by older teens and young adults. Pediatrics 2009; 123: e551-e558
- 16 Sargent JD, Stoolmiller M, Worth KA et al. Exposure to smoking depictions in movies: its association with established adolescent smoking. Arch Pediatr Adolesc Med 2007; 161: 849-856
- 17 Galanti MR, Siliquini R, Cuomo L, Melero JC, Panella M, Faggiano F. Testing anonymous link procedures for follow-up of adolescents in a school-based trial: The EU-DAP pilot study. Prev Med 2007; 44: 174-177
- 18 Post A, Gilljam H, Rosendahl I, Meurling L, Bremberg S, Galanti MR. Validity of self reports in a cohort of Swedish adolescent smokers and smokeless tobacco (snus) users. Tob Control 2005; 14: 114-117
- 19 Murray DM, O′Connell CM, Schmid LA, Perry CL. The validity of smoking self-reports by adolescents: a reexamination of the bogus pipeline procedure. Addict Behav 1987; 12: 7-15
- 20 Sargent JD, Worth KA, Beach M, Gerrard M, Heatherton TF. Population-based assessment of exposure to risk behaviors in motion pictures. Commun Methods Meas 2008; 2: 134-151
- 21 Dalton MA, Tickle JJ, Sargent JD, Beach ML, Ahrens MB, Heatherton TF. The incidence and context of tobacco use in popular movies from 1988 to 1997. Prev Med 2002; 34: 516-523
- 22 Hanewinkel R. Rauchen in Film und Fernsehen. Wirkungen auf Kinder und Jugendliche Monatsschr Kinderheilkd 2009; 157: 254-259
- 23 Bondy SJ, Victor JC, Diemert LM. Origin and use of the 100 cigarette criterion in tobacco surveys. Tob Control 2009; 18: 317-323
- 24 Lange M, Kamtsiuris P, Lange C, Schaffrath RA, Stolzenberg H, Lampert T. Messung soziodemografischer Merkmale im Kinder- und Jugendgesundheitssurvey (KiGGS) und ihre Bedeutung am Beispiel der Einschätzung des allgemeinen Gesundheitszustandes. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007; 50: 578-589
- 25 Eilers PH, Goeman JJ. Enhancing scatterplots with smoothed densities. Bioinformatics 2004; 20: 623-628
- 26 Liang KY, Zegler SL. Longitudinal data analysis using generalized linear models. Biometrika 1986; 73: 13-22
- 27 Conrad A, Schulz C, Seiwert M, Becker K, Ullrich D, Kolossa-Gehring M. German environmental survey IV: children′s exposure to environmental tobacco smoke. Toxicol Lett 2010; 192: 79-83
- 28 Fischer P, Greitemeyer T, Kastenmüller A, Vogrincic C, Sauer A. The effects of risk-glorifying media exposure on risk-positive cognitions, emotions, and behaviors: A meta-analytic review. Psychol Bull 2011; 137: 367-390
- 29 Dalton MA, Adachi-Mejia AM, Longacre MR et al. Parental rules and monitoring of children′s movie viewing associated with children′s risk for smoking and drinking. Pediatrics 2006; 118: 1932-1942
- 30 Dalton MA, Ahrens MB, Sargent JD et al. Relation between parental restrictions on movies and adolescent use of tobacco and alcohol. Eff Clin Pract 2002; 5: 1-10
- 31 Hanewinkel R, Morgenstern M, Tanski SE, Sargent JD. Longitudinal study of parental movie restriction on teen smoking and drinking in Germany. Addiction 2008; 103: 1722-1730
- 32 Sargent JD, Beach ML, Dalton MA et al. Effect of parental R-rated movie restriction on adolescent smoking initiation: a prospective study. Pediatrics 2004; 114: 149-156
- 33 Jackson C, Brown JD, L′Engle KL. R-rated movies, bedroom televisions, and initiation of smoking by white and black adolescents. Arch Pediatr Adolesc Med 2007; 161: 260-268
- 34 Sargent JD, Dalton MA, Heatherton T, Beach M. Modifying exposure to smoking depicted in movies: a novel approach to preventing adolescent smoking. Arch Pediatr Adolesc Med 2003; 157: 643-648
- 35 Glantz SA. Smoking in movies: a major problem and a real solution. Lancet 2003; 362: 258-259
- 36 Hanewinkel R, Isensee B, Sargent JD, Morgenstern M. Effect of an antismoking advertisement on cinema patrons′ perception of smoking and intention to smoke: a quasi-experimental study. Addiction 2010; 105: 1269-1277
- 37 Glantz SA. Commentary on Hanewinkel et al. (2010): Anti-smoking advertisments vaccinate movie viewers against effects of on-screen smoking. Addiction 2010; 105: 1278-1279
- 38 World Health Organization . Smoke-free movies: from evidence to action. World Health Organization; Geneva: Switzerland: 2009
- 39 Millett C, Glantz SA. Assigning an ‘18’ rating to movies with tobacco imagery is essential to reduce youth smoking. Thorax 2010; 65: 377-378