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Gesundheitswesen 2012; 74(08/09): 476-484
DOI: 10.1055/s-0031-1285859
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Rauchen in Filmen und Etablierung des Rauchens im Jugendalter

Smoking in Movies and Established Smoking in Adolescence
R. Hanewinkel
1   Institut für Therapie- und Gesundheitsforschung (IFT-Nord), Kiel
2   Institut für Medizinische Psychologie und Soziologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel
,
S. Blohmke
2   Institut für Medizinische Psychologie und Soziologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel
,
J. D. Sargent
3   Dartmouth Medical School, Norris Cotton Cancer Center, Lebanon, New Hampshire, USA
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Publikationsverlauf

Publikationsdatum:
30. August 2011 (online)

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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.

Schlüsselwörter

Beginn des Rauchens - Jugendalter - Kohortenstudie - Medieneinfluss - Deutschland

Key words

initiation of smoking - adolescence - cohort study - media influence - Germany
 

  • 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
    CrossrefPubMedGoogle Scholar
  • 2 Tyas SL, Pederson LL. Psychosocial factors related to adolescent smoking: a critical review of the literature. Tob Control 1998; 7: 409-420
    CrossrefPubMedGoogle Scholar
  • 3 Brown JD, Cantor J. An agenda for research on youth and the media. J Adolesc Health 2000; 27: 2-7
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 10 Distefan JM, Pierce JP, Gilpin EA. Do favorite movie stars influence adolescent smoking initiation?. Am J Public Health 2004; 94: 1239-1244
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 13 Sargent JD, Hanewinkel R. Comparing the effects of entertainment media and tobacco marketing on youth smoking in Germany. Addiction 2009; 104: 815-823
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 22 Hanewinkel R. Rauchen in Film und Fernsehen. Wirkungen auf Kinder und Jugendliche Monatsschr Kinderheilkd 2009; 157: 254-259
    CrossrefPubMed
  • 23 Bondy SJ, Victor JC, Diemert LM. Origin and use of the 100 cigarette criterion in tobacco surveys. Tob Control 2009; 18: 317-323
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 25 Eilers PH, Goeman JJ. Enhancing scatterplots with smoothed densities. Bioinformatics 2004; 20: 623-628
    CrossrefPubMedGoogle Scholar
  • 26 Liang KY, Zegler SL. Longitudinal data analysis using generalized linear models. Biometrika 1986; 73: 13-22
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 35 Glantz SA. Smoking in movies: a major problem and a real solution. Lancet 2003; 362: 258-259
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 38 World Health Organization . Smoke-free movies: from evidence to action. World Health Organization; Geneva: Switzerland: 2009
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar