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    Pediatrics
    July 2012
    From the American Academy of Pediatrics
    Article

    Influence of Motion Picture Rating on Adolescent Response to Movie Smoking

    James D. Sargent, Susanne Tanski, Mike Stoolmiller
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    Abstract

    OBJECTIVE: To examine the association between movie smoking exposure (MSE) and adolescent smoking according to rating category.

    METHODS: A total of 6522 US adolescents were enrolled in a longitudinal survey conducted at 8-month intervals; 5503 subjects were followed up at 8 months, 5019 subjects at 16 months, and 4575 subjects at 24 months. MSE was estimated from 532 recent box-office hits, blocked into 3 Motion Picture Association of America rating categories: G/PG, PG-13, and R. A survival model evaluated time to smoking onset.

    RESULTS: Median MSE in PG-13–rated movies was ∼3 times higher than median MSE from R-rated movies, but their relation with smoking was essentially the same, with adjusted hazard ratios of 1.49 (95% confidence interval [CI]: 1.23–1.81) and 1.33 (95% CI: 1.23–1.81) for each additional 500 occurrences of MSE respectively. MSE from G/PG-rated movies was small and had no significant relationship with adolescent smoking. Attributable risk estimates showed that adolescent smoking would be reduced by 18% (95% CI: 14–21) if smoking in PG-13–rated movies was reduced to the fifth percentile. In comparison, making all parents maximally authoritative in their parenting would reduce adolescent smoking by 16% (95% CI: 12–19).

    CONCLUSIONS: The equivalent effect of PG-13-rated and R-rated MSE suggests it is the movie smoking that prompts adolescents to smoke, not other characteristics of R-rated movies or adolescents drawn to them. An R rating for movie smoking could substantially reduce adolescent smoking by eliminating smoking from PG-13 movies.

    • adolescent smoking
    • motion picture rating
    • movie smoking
  • Abbreviations:
    CI —
    confidence interval
    MPAA —
    Motion Picture Association of America
    MSE —
    movie smoking exposure
    • Accepted April 16, 2012.
    • Copyright © 2012 by the American Academy of Pediatrics
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    Citation Tools
    Influence of Motion Picture Rating on Adolescent Response to Movie Smoking
    James D. Sargent, Susanne Tanski, Mike Stoolmiller
    Pediatrics Jul 2012, peds.2011-1787; DOI: 10.1542/peds.2011-1787

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    Influence of Motion Picture Rating on Adolescent Response to Movie Smoking
    James D. Sargent, Susanne Tanski, Mike Stoolmiller
    Pediatrics Jul 2012, peds.2011-1787; DOI: 10.1542/peds.2011-1787
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