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Tob Control. 2013 Sep;22(5):299-301. doi: 10.1136/tobaccocontrol-2012-050518. Epub 2012 Nov 6.

Changes in tobacco industry advertising around high schools in Greece following an outdoor advertising ban: a follow-up study.

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  • 1Department of Social Medicine, Clinic of Social and Family Medicine, University of Crete, Heraklion, Greece. vardavas@hsph.harvard.edu

Abstract

BACKGROUND:

As tobacco advertising bans are enacted in accordance with the Framework Convention on Tobacco Control, it is essential to assess enforcement and how the industry may circumvent such measures.

OBJECTIVE DESIGN:

During this longitudinal study, we compared the characteristics of points-of-sale (POS) advertising within 300 m of all high schools in Heraklion, Greece before (n=101 POS and 44 billboards in 2007) and after (n=106 POS in 2011) an outdoor advertising ban was implemented in 2009. Cigarette advertisements in all retailers near all high schools were assessed.

RESULTS:

Following the ban, tobacco industry billboards around schools were eradicated (from 44 to 0). The proportion of POS that had external advertisements dropped from 98% to 66% (p<0.001), more so in regulated convenience stores (from 97% to 35%, p<0.001) than in kiosks (98% to 92%, p=0.192), which were exempt from the ban. The proportion of convenience stores that had advertisements on the door (79.5% to 20.4%, p<0.001), ads that could be seen from the street (92.3% to 22.4%, p<0.001) or illuminated exterior ads (46.2% to 10.2%, p<0.001) was also significantly reduced. Overall, the average number of exterior advertisements per POS fell from 7.4 to 3.9 (p<0.05). This reduction was noted in regulated convenience stores (4.8±3.0 vs 0.9±2.1, p<0.001) and in unregulated kiosks (9.0±6.7 vs 6.5±4.5, p=0.019).

CONCLUSIONS:

The outdoor advertising restriction in Greece has led to a reduced number of tobacco advertisements per POS, and the eradication of billboard advertising. Nevertheless, there is a need to regulate kiosks, which were identified as a key vector for tobacco advertising, and to increase compliance among regulated convenience stores.

KEYWORDS:

Advertising and Promotion; Prevention; Priority/special populations; Surveillance and monitoring

PMID:
23132812
[PubMed - indexed for MEDLINE]
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