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This resource corresponds to Day 4.
  • Target young people in grades six and nine (ages 11 and 15). These years define critical periods in most children's social development, times when many young people change schools and peer groups.
  • Target adults with complementary, noncontradictory messages. In a comprehensive strategy, media messages that inevitably spill over from one audience to another can be mutually reinforcing and synergistic. Clean indoor air messages can provide added motivation for adults to quit smoking. Cessation messages for adults can affect young people's perception of norms and highlight the problem of addiction. Prevention messages for young people can increase the salience of the tobacco issue among parents and community leaders.
  • Highlight nonsmoking as the majority behavior. Most young people overestimate the number of their peers who use tobacco. Campaigns should seek to correct this misperception and highlight an increasing "problem" of kids who smoke.
  • Present realistic tobacco-free lifestyles as practiced by diverse, appealing, and interesting persons. Youth behaviors are driven by how young people perceive the behaviors of people like them. Having a repertoire of social choices is a fundamental need for teens, who are going through a period of profound social and environmental transition.
  • Provide constructive alternatives to tobacco use and discourage destructive alternatives. Sports and other youth-oriented activities associated with the tobacco-free lifestyle can provide some of that positive social repertoire.
  • Communicate the relevant dangers of tobacco. Certain dangers of tobacco, if explained in a creative and memorable manner, resonate with young people-for example, addiction portrayed as a loss of control, the carcinogenicity of environmental tobacco smoke, the toxic chemicals in tobacco products and smoke, and the tangible suffering and visible disfigurement from tobacco-related diseases. Communicate health messages through personal testimonies (tell a story) and creative executions that break through young people's sense of immortality and their (and adults') resistance to traditional health messages.
  • Encourage youth empowerment and control. Teens need to be offered information and anecdotal experience from which they can begin to understand the world and take control of their own lives.
  • Abandon the search for the "magic-bullet" message. There is no single best motivator for preventing or reducing tobacco use. Campaign messages for both young people and adults should feature a variety of themes, appeals (fear, humor, satire, testimonials, etc.), and executional styles. Maximize the number, variety, and novelty of messages rather than communicating a few messages repeatedly.
  • Use multiple nonpreachy voices. Not only do different teens require different appeals and creative executions, but diversity of messages is itself a sophisticated message. Teens strongly reject attempts by anyone to dominate or direct them. Messages about industry manipulation, if they are to be relevant and acceptable to youth, should be delivered by nonauthoritarian sources (such as Florida's "Truth" campaign teenagers), not with melodramatic appeals. Avoid highlighting a single theme, tagline, identifier, or sponsor.
  • Use a complementary, reinforcing mix of television, radio, print, and outdoor advertising. The campaign should also explore the various alternative media options available (e.g., movie trailers, the Internet, other computer resources, video games, materials for schools and community groups). The media mix is especially important in view of today's proliferating fragmented media market.
  • Involve parents and families in activities that will reduce risk factors and promote protective factors for young people at risk for tobacco use. Parents and other family members have substantial influence on the perceptions and behaviors of young people.
  • Maximize use of existing high-quality media materials produced by the government, voluntary agencies, and a number of individual states. (A new, high-quality television spot commonly costs more than $100,000 to produce.) A large collection of advertisements is currently avail-able through the CDC's Media Campaign Re-source Center for Tobacco Control. The cost of placing an advertisement will vary significantly by state and media market.
  • Include grassroots promotions, local media advocacy, event sponsorships, and other community tie-ins to support and reinforce the counteradvertising campaign (see "Media Advocacy," earlier in this chapter). Work in concert with other interventions to promote policies that aim to change social norms regarding tobacco. A local "look" for local media messages (e.g., featuring people of ethnic or geographic representation similar to the viewing audience) appears to be more important for adults than for youth, because young people tend to share and be shaped by a more universal, multiethnic youth "media world."

Excerpted from: U.S. Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2000.


 

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