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PubMed1992

Advertising and the dental profession. Retrospective and prospective.

"Advertising" has become a very controversial topic, not just among dentists, but among all professionals. That controversy focuses on three questions. First, what are the legal issues surrounding dental advertising and how are these issues being resolved? Second, what are the attitudes toward advertising among practicing dentists and how are these attitudes changing? Finally, how many dentists advertise and what are those advertising dentists actually doing? The purpose of this paper is to neither praise nor excoriate advertising, but to refer to the law and to published research in order to provide dental practitioners with a broader understanding of this topic.

Advertising↗
PubMedDate not supplied

Tobacco advertising in retail stores.

Recent studies have described tobacco advertising in the print media, on billboards, and through sponsorship of cultural and sporting events. However, little attention has been given to another common and unavoidable source of tobacco advertising, that which is encountered in retail stores. In July 1987, we conducted a survey of 61 packaged goods retail stores in Buffalo, NY, to assess the prevalence and type of point-of-sale tobacco advertising. In addition, store owners or managers were surveyed to determine their store's policy regarding tobacco advertising, receipt of monetary incentives from distributors for displaying tobacco ads, and willingness to display antitobacco ads. Six types of stores were involved in the study: 10 supermarkets, 10 privately owned grocery stores, 9 chain convenience food stores that do not sell gasoline, 11 chain convenience food stores that sell gasoline, 11 chain pharmacies, and 10 private pharmacies. Two-thirds of the stores displayed tobacco posters, and 87 percent had promotional items advertising tobacco products, primarily cigarettes. Larger stores, and those that were privately owned, tended to display more posters and promotional items. Eighty percent of tobacco product displays were for cigarettes, 16 percent for smokeless tobacco products, and 4 percent for cigars and pipe tobacco. Convenience stores selling gasoline had the most separate tobacco product displays. Of tobacco product displays, 24 percent were located adjacent to candy and snack displays. Twenty-nine of the 61 store owners or managers indicated that their store had a policy regulating the display of tobacco ads and tobacco product displays. Policies dealt primarily with the location of tobacco posters (for example, no ads in the window) and number of product displays. Only 14 shop owners or managers indicated that they had previously displayed antitobacco information; more than half (31 of 61) said that they would be willing to display antitobaccoads.In many stores space availability is a barrier to displaying antitobacco information. Materials should be designed that have some utility for the store, such as posters that list store hours or directional information (that is, in and out signs).Antitobacco messages could also be displayed on check out dividers, check out mats, shopping carts,shopping bags, and milk cartons. In chain stores,decisions regarding the display of antitobacco information are likely to be made at the corporate level. Standards encouraging retailers to adopt more responsible policies related to advertising and sale of tobacco products should be established.

Advertising↗
PubMedDate not supplied

Attitudes toward advertising among Fellows of the American Academy of Ophthalmology: 1988.

In order to determine the advertising practices of ophthalmologists in the United States, and to understand their feelings toward advertising, a multiple-choice survey of 5,000 ophthalmologists (all Fellows of the American Academy of Ophthalmology) was mailed on July 5, 1988. The questionnaire was mailed to an nth-name sample taken from a Zip-sequence mailing list obtained from the Academy. Six weeks after the mailing over 2,000 replies had been obtained. The replies were analyzed using DBase III software. Survey data were crosstabulated so that advertising practices and attitudes could be analyzed with respect to the age of the ophthalmologist, volume of cataract surgeries per month, and geographic location. There seemed to be a direct correlation between cataract surgery volume and tendency to advertise. There was a greater tendency for younger ophthalmologists to advertise. There did not seem to be great geographic variation with respect to advertising practices.

Advertising↗
PubMed1989

[Attitude of South African dentists and final year dental students to advertising].

Advertising or promotion comprises two aspects: the advertising message and the advertising medium. Since both aspects are viewed differently by various professions, including the dental profession, the current investigation was carried out to ascertain the attitude of South African dental practitioners. Although it was found that the majority of dentists were against the advertising of new practices and re-advertising of existing practices, the majority of the final year dental students of 1986 were in favour. Both groups, however, were against unlimited advertising and also preferred professional cards to press, radio and television as the medium of communication.

Adult↗
PubMed1982

A longitudinal analysis of dentists' attitudes toward advertising their fees and services.

Over the past five years restrictions on advertising by various categories of professionals have gradually been reduced. A study was conducted in 1976 and replicated in 1981 to provide a basis for comparison of the change in attitudes by dentists toward advertising in general, advertising of fees, advertising of services, and the effect of advertising on various public issues. The attitudes of dentists toward advertising changed significantly during this period, generally becoming more positive.

Advertising↗
PubMed1996

Changes in marketplace demand for physicians: a study of medical journal recruitment advertisements.

OBJECTIVE: To measure trends in marketplace demand for physicians in different specialties. METHODS: Retrospective review of physician recruitment advertisements appearing in the September issues of 7 medical journals in 1984, 1987, 1990, 1993, and 1995. MAIN OUTCOME MEASURE: Number of advertised positions in each of the studied specialties. RESULTS: Steep declines in the number of advertised positions for specialist physicians over the past 5 years were consistently observed with the exception of pediatric specialists. The most dramatic changes occurred in the number of internal medicine specialist positions, which declined by 75% since 1990. For physicians as a whole, there were 4 specialist positions for every generalist position advertised in 1990; by 1995, this ratio dropped to 1.8. Family medicine exhibited continuous growth in the number of advertised positions, more than doubling during the period studied. CONCLUSIONS: Our data suggest a recent decline in marketplace demand for physicians, particularly those in specialist fields. Among generalists, demand for internists and pediatricians is rising. Ongoing analysis of these advertisements will provide timely information about the demand for physicians in a rapidly changing health care system.

Advertising↗
PubMed1996

The use of targeted and non-targeted advertising to enrich skin cancer screening samples.

The purpose of this study was to determine whether the risk factor profile of persons attending skin cancer screening clinics could be enriched by appropriate advertising prior to the screening events. Eleven screening clinics were held in eight rural and three suburban communities. Matched communities were randomly assigned to either a target or non-target condition. Targeted communities received an advertisement designed to attract high-risk individuals. The advertisement listed a number of risk factors and encouraged readers with one or more of the listed risk factors to attend the screening. Non-targeted communities received a general advertisement requesting individuals who felt they were at risk of skin cancer to attend the clinic. Risk factor profiles of all participants were measured on the factors listed in the targeted advertisement. The risk factor profiles of screenees and the referral rates for skin lesions requiring attention were significantly higher in the targeted communities than in the non-targeted communities. Lesions suspicious of malignant melanoma or Hutchinson's melanotic freckle also were higher, but not statistically significant, in the targeted communities. Population samples attending community-based skin cancer screening clinics can be enriched by appropriate targeted advertising prior to the screening events. This has important implications for determining the potential cost-effectiveness of population screening programmes.

Adolescent↗
PubMed1997

A longitudinal study of the attitudes of the medical profession towards competition and advertising.

AIMS: To measure changes in the attitudes of medical practitioners toward the move from a collegial to a more competitive orientation of the medical profession and, in particular, toward the role of advertising. METHOD: In the years 1985, 1988 and 1994, self-completion questionnaires were mailed to samples of medical practitioners. The questionnaires for each year were identical, containing forty Likert scales with questions relating to advertising, competition and commercial behaviour. Similar data were also gathered from members of the dental, veterinary, legal and accounting professions. RESULTS: Over the three studies there has been an undramatic but steady movement towards acceptance of a competitive orientation in general and towards acceptance of informative advertising in particular. There remains substantial reservation towards the use of persuasive advertising. Although patients are viewed as being more demanding than in past times, practitioners still expect their relationships with patients to be long lasting. CONCLUSION: The results suggest that acceptance of the move towards a more competitively oriented profession will continue. The results also suggest that in view of the kinds of advertising that are now used by medical practices, and of the change in attitudes that has occurred, control of advertising might cease to be a concern to the profession.

Advertising↗
PubMed1998

[Is drug advertising reliable?].

In order to assess the quality of pharmaceutical advertising in Norway, we conducted a review of advertisements for selective serotonin re-uptake inhibitors published in the Journal of the Norwegian Medical Association and the journal Legemidler og samfunn during the period 1995-97. 18 advertisements with 38 reference citations were identified. In six citations (16%), errors made it impossible to identify the source with certainty solely on the basis of the advertisement. Under Norwegian drug advertisement regulations, a total of 56 statements should have been followed by a reference citation. In 18 of these (33%), it was debatable whether the statements were in accordance with the regulations. This review indicates that a significant proportion of the statements in drug advertisements is inaccurate and gives a too positive picture of the properties of the drug.

Advertising↗
PubMed1995

Does alcohol advertising have an impact on the public health?

This presentation draws on recent New Zealand and international research to examine a number of questions about the possible public health impact of policy which allows alcohol to be advertised on the broadcast media. The relevant public health questions include: the contribution of alcohol advertising to aggregate levels of consumption and alcohol-related problems; the impact on the drinking and attitudes of the heaviest drinking sector, young males, who tend to be a primary target for the advertising; the impact on those already experiencing problems associated with their drinking and wanting to abstain or cut down; the impact on the young as they move towards becoming drinkers; the impact on the likely efficacy of educational campaigns about drinking; and the impact on the social climate surrounding alcohol and in turn on the support for effective public policies to reduce alcohol-related harm. Research in this area has increased in both conceptual and methodological sophistication in the past decade and studies using a number of complementary methods are available to assist our understanding of the likely impact of broadcast alcohol advertising. Evidence that advertising is likely to contribute to higher levels of drinking and related problems has strengthened over the past decade, suggesting that public health interests should be considered as one of the relevant voices in the ongoing policy debate around alcohol advertising.

Journal Article↗
PubMed2004

Trade-offs between sexual advertisement and immune function in the pied flycatcher (Ficedula hypoleuca).

Good genes models of sexual selection assume that sexual advertisement is costly and thus the level of advertisement honestly reveals heritable viability. Recently it has been suggested that an important cost of sexual advertisement might be impairment of the functioning of the immune system. In this field experiment we investigated the possible trade-offs between immune function and sexual advertisement by manipulating both mating effort and activity of immune defence in male pied flycatchers. Mating effort was increased in a non-arbitrary manner by removing females from mated males during nest building. Widowed males sustained higher haematocrit levels than control males and showed higher expression of forehead patch height, suggesting that manipulation succeeded in increasing mating effort. Males that were experimentally forced to increase mating effort had reduced humoral immune responsiveness compared with control males. In addition, experimental activation of immune defence by vaccination with novel antigens reduced the expression of male ornament dimensions. To conclude, our results indicate that causality behind the trade-off between immune function and sexual advertisement may work in both directions: sexual activity suppresses immune function but immune challenge also reduces sexual advertisement.

Analysis of Variance↗
PubMed1997

A comparison of placebo response with major depressive disorder in patients recruited through newspaper advertising versus consultation referrals.

Recent evidence indicates few differences between patients recruited through advertising and by consultation referral, and there is some suggestion that those recruited through advertising are more representative of the target community population. However little has been reported on differences in placebo response and compliance in these two patient groups. We conducted a retrospective chart review of 49 patients with major depressive disorder (MDD), recruited through advertising or consultation, randomized to placebo in five clinical trials. Variables included demographics, clinical history, efficacy, compliance, and completion data. Homogeneity was demonstrated for most variables. Differences in placebo groups included significantly lower Hamilton Rating Scale for Depression (HAM-D) scores for the advertisement group throughout the trials. Advertisement patients were also more likely to be early placebo responders and in remission at Days 14 and 28. No differences were found in completion rates or reasons for early termination. Compliance was excellent for both groups. Early placebo response of the advertisement group reinforces the need for trials of at least 8 weeks. In addition, consultation patients may have a more severe illness and be treatment resistant, suggesting they are less generalizable to community practice populations.

Adult↗
PubMed2006

Does children's screen time predict requests for advertised products? Cross-sectional and prospective analyses.

OBJECTIVE: To examine children's screen media exposure and requests for advertised toys and food/drinks. DESIGN: Prospective cohort study. SETTING: Twelve elementary schools in northern California. PARTICIPANTS: Eight hundred twenty-seven third grade children participated at baseline; 386 students in 6 schools were followed up for 20 months. INTERVENTION: None. MAIN OUTCOME MEASURES: Child self-reported requests for advertised toys and foods/drinks. RESULTS: At baseline, children's screen media time was significantly associated with concurrent requests for advertised toys (Spearman r = 0.15 [TV viewing] and r = 0.20 [total screen time]; both P<.001) and foods/drinks (Spearman r = 0.16 [TV viewing] and r = 0.18 [total screen time]; both P<.001). In prospective analysis, children's screen media time at baseline was significantly associated with their mean number of toy requests 7 to 20 months later (Spearman r = 0.21 [TV viewing] and r = 0.24 [total screen time]; both P<.001) and foods/drinks requests (Spearman r = 0.14 [TV viewing] and r = 0.16 [total screen time]; both P<.01). After adjusting for baseline requests and sociodemographic variables, the relationship between screen media exposure and future requests for advertised foods/drinks remained significant for total TV viewing and total screen media exposure. The relationship with future requests for toys remained significant for total screen media exposure. CONCLUSIONS: Screen media exposure is a prospective risk factor for children's requests for advertised products. Future experimental studies on children's health- and consumer-related outcomes are warranted.

Advertising↗
PubMed2007

Ghettoizing outdoor advertising: disadvantage and ad panel density in black neighborhoods.

This study investigated correlates of outdoor advertising panel density in predominantly African American neighborhoods in New York City. Research shows that black neighborhoods have more outdoor advertising space than white neighborhoods, and these spaces disproportionately market alcohol and tobacco advertisements. Thus, understanding the factors associated with outdoor advertising panel density has important implications for public health. We linked 2000 census data with property data at the census block group level to investigate two neighborhood-level determinants of ad density: income level and physical decay. Results showed that block groups were exposed to an average of four ad spaces per 1,000 residents and that vacant lot square footage was a significant positive predictor of ad density. An inverse relationship between median household income and ad density did not reach significance, suggesting that relative affluence did not protect black neighborhoods from being targeted for outdoor advertisements.

Advertising↗
PubMed1989

A social history of psychotropic drug advertisements.

Psychotropic drug advertising for psychiatrists serves many purposes beyond its ostensible function of providing technical information. Medical advertising research has tended almost exclusively to use 'conspiratorial theory'--that is, they embrace the notion that one group (the advertisers) manipulates the other (the physicians). An examination of psychiatric journals from 1955 to 1980 shows the situation to be more complex. Such advertising seems to serve an orienting and therapeutic function for the physician, mirroring and supporting his professional identity or image. Such a view is in conformation with more recent research on nonmedical advertising.

Advertising↗
PubMed2005

Factors influencing the shift of patients from one proton pump inhibitor to another: the effect of direct-to-consumer advertising.

BACKGROUND: Switching from one proton pump inhibitor (PPI) to another is common, and may be related to factors other than efficacy and tolerability. OBJECTIVES: The purposes of this study were to describe the incidence of therapeutic switching among PPI users, quantify direct ambulatory medical costs of switching, and characterize the relationship between product switching and variables hypothesized to influence a switch (eg, direct-to-consumer [DTC] advertising, structure of insurance coverage, disease diagnosis). METHODS: This was a retrospective cohort study of health plans using 1998 data. The subjects were employees and dependents with employer-sponsored health insurance contributing to the Medstat Market-Scan administrative dataset. Using a commercially available database to quantify DTC advertising by marketing area, market-specific expenditures were matched to eligible subjects. Among PPI users, we identified those who switched from one product to another (switchers) and compared their utilization and spending with nonswitchers. We then evaluated the relationship between drug use and variables hypothesized to affect switching: DTC advertising, insurance characteristics, patient diagnosis, diagnostic procedures, comorbidities, age, and sex. RESULTS: The analysis used data for 396,500 individuals from 47 unique markets that were geographically well distributed, with population density similar to that of the United States overall. The sample was also comparable with US census estimates for age and sex among working adults and their dependents. Only 620 (6.3%) of PPI users switched products during the 1998 calendar year. Annual diagnostic and drug costs were >US $400 higher for switchers than nonswitchers. Subjects in areas with high levels of DTC advertising were 43% more likely to switch from lansoprazole to omeprazole than those in the low-expenditure areas. Additionally, patients paying prescription drug copayments >US $5 were 12% less likely to switch from lansoprazole to omeprazole than patients paying lower copayments. CONCLUSIONS: In these privately insured patients using PPIs, product switching was associated with increased treatment costs. DTC advertising and patient cost-sharing were important predictors of product switching.

2-Pyridinylmethylsulfinylbenzimidazoles↗
PubMed2004

Ethics in medical information and advertising.

This article presents findings and recommendations of an international conference held in Cairo, Egypt in 2003 concerning issues of ethical practice in how information is provided to and by medical practitioners. Professional advertising to practitioners and the public is necessary, but should exclude misrepresentation of qualifications, resources, and authorship of research papers. Medical institutions are responsible for how staff members present themselves, and their institutions. Medical associations, both governmental licensing authorities and voluntary societies, have powers and responsibilities to monitor professional advertisement to defend the public interest against deception. Medical journals bear duties to ensure authenticity of authorship and integrity in published papers, and the scientific basis of commercial advertisers' claims. A mounting concern is authors' conflict of interest. Mass newsmedia must ensure accuracy and proportionality in reporting scientific developments, and product manufacturers must observe truth in advertising, particularly in Direct-to-Consumer advertising. Consumer protection by government agencies is a continuing responsibility.

Advertising↗
PubMed2004

A media literacy nutrition education curriculum for head start parents about the effects of television advertising on their children's food requests.

OBJECTIVE: To evaluate whether a media literacy nutrition education curriculum about the effects of television advertising on children's food choices influenced the behavior, attitudes, and knowledge of Head Start parents. SUBJECTS: Participants were a convenience sample of 35 parents from Head Start programs. DESIGN: This study used a pretest-posttest, comparison condition-intervention condition design. INTERVENTION: The 35 parents participated in both a four-week food safety curriculum (to serve as an educational placebo, comparison condition) that was followed immediately by a four-week media literacy nutrition education curriculum (intervention condition). MAIN OUTCOME MEASURES: Evaluation measures included parents' understanding of the persuasive techniques of commercials; ability to distinguish between truths and claims in advertising; and outcome expectations, values, self-efficacy, and behaviors in relation to talking about television advertisements with children while co-viewing or in response to purchase requests in the grocery store. STATISTICAL ANALYSES: Paired t tests, analysis of covariance, and chi(2) analyses were used. RESULTS: The media literacy nutrition education intervention curriculum had significant effects in terms of Head Start parents' understanding television advertising (P<.001), attitudes about television advertisements (P<.001), outcome expectations (P<.05), values (P<.01), self-efficacy (P<.001), and TV mediation behaviors (P<.001), and understanding of, and ability to read, food labels (P<.001). CONCLUSIONS/APPLICATIONS: Results suggest that a media literacy nutrition education curriculum can be easily conducted by dietitians. Dietitians can modify the curriculum to teach parents how to critically analyze many other forms of media (supermarket magazines, brochures, newspapers, Web sites) that sell nutrition misinformation to the public.

Adult↗