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Adam O. Goldstein, MD; Jonathan D. Klein, MD, MPH
University of North Carolina Chapel Hill

John W. Richards, Jr, MD; Paul M. Fischer, MD
Medical College of Georgia Augusta

JAMA. 1991;265(10):1259.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Despite mounting scientific evidence suggesting a causal relationship between tobacco advertising and increased consumption of tobacco products, particularly among adolescents,^1-3 promotion of tobacco products by tobacco manufacturers continues to increase.^4,5 The distribution of coupons redeemable for free tobacco products is a major focus for tobacco industry advertising. In 1988, $876 million of the $3 billion spent by US tobacco manufacturers on tobacco advertising was spent on free coupon promotions.⁴ This study addresses the effects of tobacco coupon promotions on adolescents' ability to obtain tobacco products.

Study.—

Two male and two female adolescent volunteers (aged 14 and 20 years and 15 and 19 years, respectively) were given either seven or eight coupons for the discounted purchase of cigarettes. These coupons had been promoted nationally by various tobacco manufacturers and obtained from local newspapers. The coupons stated that the cigarette discount was restricted to "smokers 21 . . . [Full Text PDF of this Article]

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