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Volume of tobacco advertising in African American markets: systematic review and meta-analysis.

机译:非裔美国人市场中烟草广告的数量:系统的回顾和荟萃分析。

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摘要

OBJECTIVE: African Americans currently bear the greatest burden of morbidity and mortality due to smoking, and exposure to pro-tobacco media messages predicts smoking. This study compared the concentration (proportion of media messages that are for tobacco) and density (pro-tobacco media messages per person) of pro-tobacco media messages between African American and Caucasian markets. METHODS: We searched Medline (1966 to June 2006), PsychINFO (1974 to June 2006), and CINAHL (1982 to June 2006) for studies from peer-reviewed journals directly comparing the volume of pro-tobacco media messages in African American and Caucasian markets. From each study, we extracted the number of total media messages, the number of tobacco-related messages, and the number of residents living in each market area. We calculated the concentration and density of tobacco advertising in each market. RESULTS: Out of 131 studies identified, 11 met eligibility criteria, including seven comparing billboard/signage in African American and Caucasian markets and four comparing magazine advertising in African American and Caucasian markets. Meta-analysis estimated a pooled odds ratio of 1.7 (95% confidence interval [CI] 1.1, 2.6) for a given billboard being smoking-related in African American vs. Caucasian market areas (i.e., concentration). The pooled rate ratio of the density of smoking-related billboards was 2.6 (95% CI 1.5, 4.7) in African American vs. Caucasian market areas. Magazine data were insufficient for meta-analysis. CONCLUSION: Available data indicated that African Americans are exposed to a higher volume of pro-tobacco advertising in terms of both concentration and density. These findings have important implications for research, policy measures, and educational interventions involving racial disparities due to tobacco.
机译:目的:由于吸烟,非裔美国人目前承担着最大的发病率和死亡率负担,而接触亲烟草媒体信息预示着吸烟。这项研究比较了非洲裔美国人和高加索人市场之间赞成烟草媒体消息的浓度(有关烟草的媒体消息的比例)和浓度(每人赞成烟草的媒体消息)。方法:我们在Medline(1966年至2006年6月),PsychINFO(1974年至2006年6月)和CINAHL(1982年至2006年6月)中进行了研究,以从同行评审期刊中直接比较非裔美国人和高加索人中的亲烟草媒体信息量市场。从每个研究中,我们提取了媒体消息总数,与烟草有关的消息数量以及每个市场区域中居住的居民数量。我们计算了每个市场中烟草广告的集中度和密度。结果:在确定的131项研究中,有11项符合资格标准,包括在非裔美国人和白种人市场中比较了七个广告牌/标牌,在非裔美国人和白种人市场中比较了四个杂志广告。荟萃分析估计,给定广告牌在非裔美国人与白种人市场区域(即集中度)中与吸烟相关,合并的优势比为1.7(95%置信区间[CI] 1.1、2.6)。在非洲裔美国人与白种人市场地区中,与吸烟相关的广告牌密度的汇总比率为2.6(95%CI 1.5,4.7)。杂志数据不足以进行荟萃分析。结论:现有数据表明,就浓度和密度而言,非洲裔美国人都接触了大量的促烟草广告。这些发现对涉及烟草造成种族差异的研究,政策措施和教育干预措施具有重要意义。

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