Youth Exposure to Alcohol Advertising on Television — 25 Markets, United States, 2010

The following posting by CHW Contributing Writer David Jernigan and his colleagues appeared earlier this month in CDC’s MMWR. For full text and charts, click here.  

 

11.27
Credit: Center on Alcohol Marketing to Youth

Excessive alcohol consumption accounted for an estimated 4,700 deaths and 280,000 years of potential life lost among youths aged <21 years each year during 2001–2005 (1). Exposure to alcohol marketing increases the likelihood to varying degrees that youths will initiate drinking and drink at higher levels (2). By 2003, the alcohol industry voluntarily agreed not to advertise on television programs where >30% of the audience is reasonably expected to be aged <21 years. However, the National Research Council/Institute of Medicine (NRC/IOM) proposed in 2003 that “the industry standard should move toward a 15% threshold for television advertising” (3).

 

Because local media markets might have different age distributions, the Center on Alcohol Marketing and Youth, Johns Hopkins Bloomberg School of Public Health, evaluated the proportion of advertisements that appeared on television programs in 25 local television markets* and resulting youth exposure that exceeded the industry standard (i.e., >30% aged 2–20 years) or the proposed NRC/IOM standard (i.e., >15% aged 12–20 years). Among national television programs with alcohol advertising, placements were assessed for the 10 programs with the largest number of youth viewers within each of four program categories: network sports, network nonsports, cable sports, and cable nonsports (40 total). Of the 196,494 alcohol advertisements that aired on television programs with the largest number of youth viewers in these local markets, placement of 23.7% exceeded the industry threshold and 35.4% exceeded the NRC/IOM threshold.

 

These results indicate that the alcohol industry’s self-regulation of its advertising could be improved, and youth exposure to alcohol advertising could be further reduced by adopting and complying with the NRC/IOM standard. In addition, continued public health surveillance would allow for sustained assessment of youth exposure to alcohol advertising and inform future interventions.

 

Nielsen Station Index Local People Meter Market Survey† data for 2010 were used to assess exposure to alcohol advertisements placed on nationally telecast programs among a sample of households in 25 local media markets, as well as the demographic characteristics of program viewers aged ≥2 years in these markets (approximately 98.9% of all U.S. households have televisions) (4). In 2010, these 25 media markets were among the largest in the United States and accounted for 50.3% of the total U.S. population aged 12–20 years living in homes with televisions (5).

 

Advertising exposure was analyzed first using the current voluntary industry standard, which calls for no alcohol advertising during programs for which persons aged 2–20 years composed >30% of the expected audience. Exposure also was analyzed using the NRC/IOM proposed standard that called on industry to move toward a 15% threshold for television advertising using persons aged ≥12 years as the denominator.§ Alcohol use usually begins in early adolescence; federal surveys begin measuring youth drinking at age 12 years, and age 21 years is the minimum legal age for the purchase of alcohol in all 50 states. The local population was used as the denominator to account for differences in the age distribution of local media markets.

 

Among nationally televised programs with alcohol advertising, exposure to this advertising was evaluated for the 10 programs with the largest number of youth viewers in each of four program categories: cable sports, cable nonsports, broadcast network sports, and broadcast network nonsports (i.e., 40 programs in total) in each of the 25 television media markets. Nationally, these programs represented 29% of all youth exposure to alcohol advertising on broadcast network nonsports, 20% on broadcast network sports, 20% on cable sports, and 14% on cable nonsports. The total number of gross impressions,¶ an indicator used by the advertising industry to measure advertising exposure, was calculated by summing the placement-specific number of viewers of different ages across all advertising placements for a particular market. A total of 196,494 alcohol product advertisements aired on the 40 programs that were assessed across the 25 markets, or approximately 7,860 advertisements per market; however, not all advertisements appeared in all markets.

 

Of the 196,494 total alcohol advertisements, 46,493 (23.7%) were placed during programs for which >30% of the audience was aged 2–20 years (range: 31.5% in Houston, Texas, to 16.3% in Washington, DC); and 69,622 (35.4%) were placed during programs that exceeded the 15% threshold (range: 45.2% in Chicago, Illinois, to 25.9% in Portland, Oregon) (Table 1).** Of the 797,571,000 total alcohol advertising impressions among youths aged 12–20 years that resulted from these advertisements, 33.3% were from advertisements that were placed in programs exceeding the 30% threshold (range: 45.4% in Orlando-Daytona Beach-Melbourne, Florida, to 25.2% in Washington, DC); and 54.4% were from advertisements on programs that exceeded the 15% threshold (range: 65.3% in New York, New York, to 42.0% in Boston, Massachusetts) (Table 2).††

 

 

Reported by

David H. Jernigan, PhD, Johns Hopkins Univ, Baltimore, MD. Craig S. Ross, MBA, Joshua Ostroff, Virtual Media Resources, Natick, MA. Lela R. McKnight-Eily, PhD, Robert D. Brewer, MD, Div of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC. Corresponding contributor: David H. Jernigan, djernigan@jhsph.edu, 410-502-4096.

 

References

  1. CDC. Alcohol-related disease impact. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://apps.nccd.cdc.gov/dach_ardi/default/default.aspx.
  2. Anderson P, de Bruijn A, Angus K, Gordon R, Hastings G. Impact of alcohol advertising and media exposure on adolescent alcohol use: a systematic review of longitudinal studies. Alcohol Alcohol 2009;44:229–43.
  3. National Research Council and Institute of Medicine. Reducing underage drinking: a collective responsibility. committee on developing a strategy to reduce and prevent underage drinking. Washington, DC: The National Academies Press; 2004.
  4. Nielsen. 2010 U.S. television universe estimates. New York, NY: Nielsen; 2009.
  5. Nielsen. 2010 local market television universe estimates. New York, NY: Nielsen; 2009.
  6. Center on Alcohol Marketing and Youth. Youth exposure to alcohol advertising on television, 2001–2009. Baltimore, MD: Center on Alcohol Marketing and Youth; 2010.
  7. Siegel MB, Naimi TS, Cremeens JL, Nelson DE. Alcoholic beverage preferences and associated drinking patterns and risk behaviors among high school youth. Am J Prev Med 2011;40:419–26.
  8. Evans J, Kelly R. Self-regulation in the alcohol industry: a review of industry efforts to avoid promoting alcohol to underage consumers. Washington, DC: Federal Trade Commission;1999.
  9. Community Preventive Services Task Force. Preventing excessive alcohol consumption. The Guide to Community Preventive Services 2012; Atlanta, GA: Community Preventive Services Task Force; 2013. Available at http://www.thecommunityguide.org/alcohol/index.htmlExternal Web Site Icon.

 

* Television media markets studied included Atlanta, Georgia; Baltimore, Maryland; Boston, Massachusetts; Charlotte, North Carolina; Chicago, Illinois; Cleveland, Ohio; Dallas, Texas; Denver, Colorado; Detroit, Michigan; Houston, Texas; Los Angeles, California; Miami, Florida; Minneapolis, Minnesota; New York, New York; Orlando, Florida; Philadelphia, Pennsylvania; Phoenix, Arizona; Pittsburgh, Pennsylvania; Portland, Oregon; Sacramento, California; San Francisco, California; Seattle, Washington; St. Louis, Missouri; Tampa, Florida; and Washington, DC. These 25 media markets represent 25 of the 26 largest television markets by population. Raleigh-Durham, North Carolina, the 25th largest market, was excluded because it did not have Nielsen Local People Meter data at of the time of this analysis.

 

† Introduced by Nielsen in 2002, Local People Meters measure viewing behavior and viewer demographics and have been phased into the largest television markets over the past decade. In comparison with traditional paper diary methods, or with earlier-generation channel-tuning meters supplemented by paper diaries to obtain demographic viewing estimates, Local People Meters are more precise and are now widely accepted by advertisers, television networks, and television stations as the standard for measuring local viewing in larger markets.

 

§ The rationale for 30% was to limit advertisements to media in which the legal-age adult audience (aged ≥21 years) was proportional to the legal-age adult population, at that time 70%. This standard has most recently been revised to 28.4% underage (71.6% legal age) based on 2010 census data. However, not all youths are at equal risk for drinking. For example, few youths ages 2–11 years engage in drinking behaviors, and the youngest age at which federal surveys begin measuring drinking behavior is 12 years. Thus, the 15% standard is based on the at-risk population of youths aged 12–20 years, which makes up approximately 15% of the U.S. population aged ≥12 years.

 

¶ An advertising impression occurs when one person sees an advertisement. If an advertisement is seen by five different people, that counts as five impressions. Gross impressions are the sum of impressions for any given advertising campaign, and include multiple exposures for some or all of the people who are exposed to that campaign.

 

** Table 1 shows the top and bottom five markets with youth audiences in excess of 30%. Portland was the low market on the 15% standard, but was not in the bottom five for the 30% standard, so it does not appear in the table.

 

†† Data for all 25 markets available at http://www.camy.orgExternal Web Site Icon.

Lobbyists Clash Over Proposed E-cigarette Restrictions in D.C.

The Washington Post reported last week that tobacco industry lobbyists and public health advocates battled it out in a D.C. Council committee chamber over whether the city should restrict electronic cigarettes from all of the same places that it bans those rolled with tobacco. In the absence of any federal guidelines on the increasingly popular devices, states and cities have scrambled to decide how to treat them. On Thursday, those for and against a bill to create “parity” with tobacco cigarettes, restricting them from all indoor areas, patios and bus stops, presented wildly different views of the battery-operated inhalers.

FDA Removes Marketing Limits on Diabetes Drug Avandia

The Food and Drug Administration, in a U-turn from its position three years ago, removed restrictions on diabetes drug Avandia, reports the Wall Street Journal, and said it no longer had serious concerns over the drug’s heart-attack risk. One prominent Avandia critic, Steven Nissen of the Cleveland Clinic, predicted doctors wouldn’t return to prescribing the drug. “I do not think this decision is in the public interest,” said Dr. Nissen, the clinic’s chairman of cardiovascular medicine and a prominent researcher who presented evidence of the drug’s risk.

Brady Advocates Call on Congress to Expand Law to Online and Gun Show Sales Now

Hundreds of gun violence prevention advocates from around the country took to the halls of Congress last week calling on members to expand effective Brady background checks to online and gun show sales.  The lobby day is the culmination of a three-day summit put on by the Brady Campaign that brought in hundreds of leaders and activists in the gun violence prevention movement and related organizations to discuss solutions in the areas of policy, legal action, and health and safety education. The theme of the event is “Make Your Voice Matter.”

Questions About India’s Drug Industry

On May 13, 2013, writes the Indian newspaper The Hindu, Indian pharmaceutical manufacturer Ranbaxy pleaded guilty to seven felonies relating to drug manufacturing fraud and agreed to cough up $500 million to settle the case brought by the U.S. Department of Justice (DoJ) after eight years of investigation. The vast evidence in the case included inspection reports compiled after multiple US FDA visits to Ranbaxy plants in India — in Paonta Sahib, Himachal Pradesh, and Dewas, Madhya Pradesh. Now two more major Indian pharmaceutical companies are coming under legal scrutiny. 

Industry’s Secret Plan to Get the Feds to Kill GMO Labeling in Every State

Cross-posted from EatDrinkPolitics

 

Internal documents from the Grocery Manufacturers Association reveal height of corporate chutzpah. Industry’s solution to GMO labeling is to: “Pursue statutory federal preemption which does not include a labeling requirement.”

 

11.20

With the disappointing results now in from I-522, the initiative in Washington State that would have required labeling of genetically-engineered food (aka GMOs), the looming question is, what’s next? At least for the junk food lobby, that answer in painfully clear: stop this state-level movement at any cost. In the New York Times, Stephanie Strom reports on the dirty details contained in industry documents that I obtained from the Washington State attorney general’s office in the wake of a lawsuit brought against the Grocery Manufacturers Association for illegally concealing donors to the No on 522 campaign.

 

As I explained back in February, the food industry’s ultimate game plan to stop the bleeding in the state-by-state onslaught of GMO labeling efforts is to lobby for a weak federal law that simultaneously preempts or trumps any state-level policy. While we have known that industry would want to put an end to the public relations nightmare happening state by state, this document for the first time reveals the lobbyists’ specific strategy.

 

The details are even worse than I thought and give new meaning to the word chutzpah. I had predicted a federal compromise, where industry would agree to a weak form of labeling in exchange for stripping state authority. But what industry wants instead is to stop state laws to require labeling, while not giving up anything in return. In their own words, the game plan is to “pursue statutory federal preemption which does not include a labeling requirement.”

 

Let me repeat that: The junk food lobby’s “federal solution” is to make it illegal for states to pass laws requiring GMO labeling. Period. End of story.

 

This is not the way preemption is supposed to work. A quick primer. Preemption simply means that a higher law trumps a lower law: so federal trumps state, and state trumps local. This is often the most economically feasible policy approach for business. But it’s also industry’s way of ensuring uniformity and stopping a movement in its tracks. Here is the pattern: a grassroots movement builds over time to enact local or state laws to protect public health or increase the minimum wage, or some other social goal, and industry fights these efforts for years, until they can no longer win. At that point, corporate lobbyists either get their own weak bill passed, or work with advocates to pass a compromise version. In exchange, this new law will preempt or prevent any state or city from passing a different or stronger law. It will also negate any law already passed. Forever.

 

But usually, there is some underlying legal requirement that industry must follow for the concept of preemption to even make sense. The idea is to require some action by industry, with the trade-off for companies to follow one standard instead of 50. Take menu labeling in chain restaurants as a good example. For that issue, there was also a grassroots movement in both states and cities around the nation. So when the National Restaurant Association had enough of fighting those bills, the lobbying group agreed to a federal compromise to require only calorie counts (a weak standard) in exchange for preemption, that is, not allowing any state or local laws to go further. In fact, the Grocery Manufacturers Association itself endorsed this plan.

 

But in the current GMA chutzpah scenario, the federal government would outlaw states from enacting GMO labeling, while food makers would not have to label their products. In other words, industry would stop the grassroots movement and not have to pay any price.

 

Now that the junk food lobby’s true agenda has been revealed, our federal representatives and officials are on notice: The food movement will be holding you accountable to ensure that this democracy-killing power grab does not come to fruition.

 

You can read the entire set of documents from GMA here. Much of the text is redacted, a sign that industry has a lot more to hide.

U.S. Demands in Trans-Pacific Partnership Agreement Text, Published Today by WikiLeaks, Contradict Obama Policy and Public Opinion at Home and Abroad

Secret documents published today by WikiLeaks and analyzed by Public Citizen reveal that the Obama administration is demanding terms that would limit Internet freedom and access to lifesaving medicines throughout the Asia-Pacific region and bind Americans to the same bad rules, belying the administration’s stated commitments to reduce health care costs and advance free expression online, Public Citizen said today.

 

More information about the Trans-Pacific Partnership negotiations is available at www.citizen.org/tpp

Advocacy for Reducing the Role of the Global Alcohol, Food and Beverage, and Tobacco Industries in Health Education

 

11.13.2 11.13.111.13

 

In recent decades, the alcohol, tobacco and food and beverage industries have become the leading global providers of public information about their products and their health impact, spending far more than governments or public health agencies to disseminate messages to consumers.

 

At the American Public Health Association meeting in Boston last week, Corporations and Health Watch sponsored a session that examined the implications of this corporate takeover for the discipline and profession of health education and for the prevention of chronic diseases, now the world’s leading killers.

 

First, Cheryl G. Healton, Dean of the  New York University Global Institute of Public Health and former CEO of the American Legacy Foundation described the role of the tobacco industry in promoting its products and compared its strategies to those used by the food and beverage and alcohol industries.

 

Next, Michele Simon from Eat Drink Politics and the author of Appetite for Profit examined the food and beverage industry. In her report And Now a Word From Our Sponsors, she described the ways the Academy of Nutrition and Dietetics collaborates with the food industry, jeopardizing the credibility of nutritionists and nutrition educators.

 

David H. Jernigan, the Director of the Center on Alcohol Marketing and Youth at the Bloomberg School of Public Health at Johns Hopkins University analyzed the role of the alcohol industry in educating consumers and policy makers about alcohol and described some of the ways the industry sought to influence alcohol policy.    

 

Finally, Nicholas Freudenberg from City University of New York School of Public Health and Hunter College, who served as moderator, discussed the roles that health educators and other public health professionals can play in mobilizing various constituencies to oppose the takeover of health education by the alcohol, food and beverage and tobacco industries. 

Clowning Around with Charity: How McDonald’s Exploits Philanthropy and Targets Children

Cross-Posted from  EatDrinkPolitics

11.6EXECUTIVE SUMMARY

The full report is available here.

Philanthropy is a common way for corporations to generate positive feelings among the public and the media. It is also a time-honored response to criticism of harmful corporate practices, such as McDonald’s lobbying efforts to thwart public policy and its aggressive marketing to children—marketing that demonstrably contributes to today’s epidemic of diet-related disease. And as this report reveals, the actual value of McDonald’s giving is relatively small compared to the corporation’s rhetoric.

 

With McDonald’s facing heightened scrutiny while being increasingly on the defensive over its role in harming child health, the corporation’s charitable activities deserve special examination. Several themes emerged over the course of our research into McDonald’s philanthropic activities that raise serious questions about the substance of the corporation’s charitable giving. They include:

 

• Promoting the McDonald’s brand unremittingly through Ronald McDonald House Charities, despite contributing only a fraction of the charity’s revenue.

 

• Taking undue credit for the generosity of its customers. For example, McDonald’s often claims the “donation box” contributions to Ronald McDonald Houses as its own.

 

• Selling unhealthy children’s menu items by linking their sale to very modest charitable giving.

 

• Profiting from marketing to children in schools under the guise of charity and education.

 

While other corporations have designated foundations, McDonald’s instead created a branded charity that is an extremely valuable PR vehicle. McDonald’s describes Ronald McDonald House Charities as its “charity of choice” but it’s really an extension of the McDonald’s brand. There is no question the cause is noble: mainly, providing rooms either in or near hospitals so parents can be close to their sick children during treatment. Little could be more important than giving families a comforting place to stay together during such stressful times. The cause’s importance, and the extent to which McDonald’s is serving versus exploiting that cause, is all the more reason for gaining a better understanding of McDonald’s involvement.

 

Major Findings

Value of McDonald’s Giving

• McDonald’s philanthropic giving is 33 percent lower than leading corporations.

• The average American earning over $50,000 donates 4.7 percent of their discretionary income to charity, which is 14 times more than what McDonald’s gives.

• McDonald’s spent almost 25 times as much on advertising as it did on charitable donations in 2011.

 

McDonald’s Giving to Ronald McDonald House Charities

• Based on available information, in 2012, on average, McDonald’s donated about one-fifth of the revenues of Ronald McDonald House Charities, the corporation’s “charity of choice”—yet McDonald’s enjoys 100 percent of the branded benefit of this charity.

• Local Ronald McDonald Houses use common disclaimers on their websites to explain how little McDonald’s contributes and to encourage community members to give.

• Local Ronald McDonald Houses (as distinguished from the global Ronald McDonald House Charities entity) report receiving only about 10 percent of their revenue from McDonald’s, including from direct customer donations.

• Ronald McDonald Houses report that the Ronald McDonald name causes many people to assume that McDonald’s provides 100 percent of the charity’s funds – and that this “common misperception” is “absolutely confusing.”

• The Ronald McDonald Care Mobile “Tooth Truck” (a project of the Ronald McDonald House Charities of the Ozarks) is 50 percent funded by taxpayer Medicaid funds, with the other half coming from community donations.

 

McDonald’s Marketing Disguised as Charity in Schools

• At events called “McTeacher’s Night,” teachers serve as free labor for McDonald’s while parents buy fast food to raise money for schools. While generously boosting sales for McDonald’s, the return for schools can equal as little as $1 per student.

• McDonald’s only donates about 15 to 20 percent of the proceeds from McTeacher’s nights, although the events are billed as fundraisers for schools.

• McDonald’s persistent targeting of school children violates its own self-regulatory pledge to not advertise in schools.

 

Recommendations

• McDonald’s should rename the Ronald McDonald House Charities organization it controls and stop licensing its brand to local chapters and houses to enable these entities to change their name.

• McDonald’s should retire Ronald McDonald and stop marketing to children.

• McDonald’s should conform to philanthropy best practices by being more transparent regarding its charitable giving practices.

• McDonald’s should abide by its voluntary pledge to not market in schools.

• Organizations and schools should reject McDonald’s “partnerships” and funding.

 

 

ACKNOWLEDGEMENTS

This report was written by Michele Simon. Many thanks to Seema Rupani for excellent research assistance, to Anna Lappé and the staff of Corporate Accountability International for creative input and much more, to Sarah Short and Susan Miller for financial expertise, to Haven Bourque for top-notch media outreach, and to Ross Turner for professional design. Special thanks to Josh Golin of the Campaign for a Commercial-Free Childhood for sharing research on McDonald’s in schools.

 

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