From Voice ~ Topics: health, user research/usability

Smoking Kills and That’s the Truth

Becoming your own person—someone who is different than your parents—is a natural and necessary part of growing up. This can create problems, especially when parents or their in-locus-parentis representatives try to give guidance. Say “don’t do this,” and chances are that “this” is exactly what your teen will do.

Take smoking. Everyone knows that smoking is bad. But when it comes to the teen years, the natural need to rebel can make kids either “forget” the facts or embrace the dangers precisely because adults counsel against them.

In light of this, what are the chances that adult-sponsored anti-smoking campaigns can succeed? Statistics suggest the chances are slim to none: though smoking among teenagers has declined since 1997, 20 percent still use tobacco. One in five—that’s a lot.

One anti-smoking campaign we’ve been watching in recent years is The Truth.

Designed as a teen-based activist campaign to expose tobacco industry abuses, the Truth campaign includes print and TV advertising, a website, and the Truth van’s live city-to-city tour. But does it work?

To test whether or not a communication works, you first have to ask what it hopes to accomplish. Traditional public health ads aim to convince kids not to smoke. Truth shares that goal. No surprise. The surprise comes in the messaging hierarchy, which leads to critical questions about messaging:

You can send only three messages. What are you going to say? Which message comes first, which second, and which third?

Traditional campaigns use “It’s bad, don’t do it,” “healthy is cool,” and “cigarettes kill” in various combinations. Truth replaces these with “tobacco companies are bad,” “you can change the world,” and “being an anti-smoking activist is cool.” It tells teens to take command of their own destinies and work against bad adults. That’s a message the 13-going-on-30 set should take much better.

Truth points out how tobacco companies manipulate advertising to entice young people—very young people—to buy their products. They expose big tobacco’s attempts to manipulate government, withhold scientific and medical evidence, and mislead the public. When they talk about individuals who smoke, they talk about how hard it is to quit, how addictive tobacco is, and what the manufacturers do to make their products more addictive. It’s not the smoker—potentially, you—who is bad, but the products, promoters, and purveyors.

Instead of brewing rebellion against the adults who sponsor the ads, this approach brews rebellion against the kind of large corporations young people already mistrust.

So far, so good. in fact, so far, so excellent. But I detect a flaw. In some respects, the campaign lies.

The visual language is grungy and unprofessional, as though the material was produced by high schoolers using small donations instead of by professionals using government money. The print ads use un-retouched, un-styled photography, snapped fast to mimic surveillance or reportage pictures. The information is laid out to look like evidence organized by amateur detectives, complete with pinned-on notes and orange threads that connect the statements in a logical sequence. Truth’s TV ads use hand-held videography of real people on real streets, being challenged in smart guerrilla theater actions by volunteer youths in activist dress. But the theater is written and directed—and volunteers are selected—by adult supervisors. Adults are clearly in control of this “grass-roots” effort.

This is a standing problem. How do you use the language of your target market without coming off as an imposter? Your audience knows that you are not them. So, though this design language is very well executed, very hip, and rings true, it could backfire. Kids know adults may feel, once again, manipulated. On the web site, for instance, there's a section for letters from readers and responses from Truth. The letters are real, misspellings and all, but in the replies adult authority asserts itself-in a kind of kid-speak some may find offensive:

“QUESTION: Who pays for your commercials and your Truth campaign, I heard it was the cigarette companies. Is this the TRUTH????”

“ANSWER: Truth does not answer to any tobacco company.”

Hmmmm. I smell evasion. Let’s see how they get out of this.

“Truth is funded by the American Legacy Foundation—an independent, public health organization created in 1999.”

“Basically, 46 states got together and sued the tobacco companies to make up for some of the cost of caring for sick smokers. Instead of going to trial, the tobacco companies settled out of court to pay the states a certain amount of money, and the states then funded the American Legacy Foundation with a very small part of their money...”

A better answer might have been: “Yes. But it wasn’t their idea. The money comes from lawsuits against big tobacco?”

Other responses sound defensive, or even rejecting. One young lady wrote that she would like to be “apart” of Truth; another asked if the Truth truck will be coming to her town, so she can join in the guerrilla theater. Both were told “no,” in such terms as: “Sometimes we don’t know where we’re going to be doing things until just days before. We’re kooky that way. Still, who knows? Maybe one day you’ll be enjoying a nice milky milkshake with your buds down at the galleria food court and we’ll be there.”

It’s too bad that the language is pandering. Kids will feel that. Instead of trying to make it seem that Truth’s programs are being produced by activist teens, it might be more effective to acknowledge that adults are running the show.

Maybe they could present the evidence in a more grown-up way: take steady-cam footage of the people who do the research as they present their findings? Use a factual, scientific visual language in print ads?

Better yet, the organization should encourage these kids to run their own activist events, and turn the campaign into a real grass-roots movement. They might use some of the get-involved material Howard Dean famously put on his website: planning tools for meet-up parties, house parties, and other events in your own town, with downloadable rally signs and ordering pages for buttons, stickers, and other wearable gear. How cool would it be to have kids all over the country wearing anti-tobacco tee-shirts and caps? Truth could even sponsor contests for kids to design graphics, write slogans, and script guerrilla-theater events.

Truth’s expose-the-bad-adults strategy is smart as heck. The fact that they focus on violators rather than victims is eminently practical-nip it in the bud. Their taking-it-to the streets concept is brilliant. You just can't help but wish they’d take it all the way.

About the Author: Nancy Bernard, former managing editor of Critique magazine, has been an illustrator, packaging designer, and brand consultant. She is now a freelance journalist and copywriter.

  1. link to this comment by Mason Fri May 07, 2004

    The truth ads don't work. The fact remains smoking IS cool and no marketing campain, however well done is going to convince kids otherwise. In addition, teens today are incredibly perceptive in recognizing when they are being "sold" something. It only hinders the anti-smoking movement when these ads pretend to be cool.

  2. link to this comment by Miz Bernard Sat May 08, 2004

    Re: first comment: I agree. I had originally intended to test the campaign with teens directly to see what they thought of it. Unfortunately, when I approached high schools I was given the runaround ("what will the kids get out of this?"), so the test didn't occur. Maybe I should have looked for a media-literacy class? nb

  3. link to this comment by Gunnar Swanson Mon May 10, 2004

    The campaign does seem to have been effective. One of the agreements in the tobacco settlement was that the education campaign money not be spent to vilify the tobacco companies—more evidence that the tobacco companies have spent much more time and effort thinking about what motivates kids to smoke or not to—and the companies have filed several complaints. My choice of solution—charging tobacco executives with murder and criminal conspiracy—might have vilified them more effectively.

  4. link to this comment by sam Wed May 12, 2004

    Outside many restaurants in NYC these days is a bizarre device used for the disposal of cigarettes. It is a narrow shaft with a small opening on either side standing atop a large base. On top of the shaft is a four-sided rectangular display for advertisements. A large number of these ads are against smoking. Is it just me, or is this the stupidest, most cynical, totally insulting invention? Cigarette smoking is not going to be curtailed by dumb ashtrays that say "don't smoke." Or hip ad campaigns. Forget the cute truth stuff. Show a photo of a lung patient in a hospital bed spitting up blood and painfully trying to breath. The only other thing that will end this plague on youth is an end to all glorification of the cigarette in all public media. I'm for liberty, but I'm also for a total abolition of tobacco, but no one has the guts.

  5. link to this comment by Mel Matsuoka Wed May 26, 2004

    In response to Mason:

    You seem to be defining "working" as the complete cessation of smoking among young people, mainly because of an ad campaign. Of course, this is an absurd notion. However, there is compelling evidence that that the Truth campaign DOES indeed work.

    In Florida, where in a two year period following the launch of the Truth campaign in the state, teen smoking rates dropped from 18.5% to 8.6% for middle schoolers, and 27.4% to 20.9% for high schoolers. Also, numerous studies and focus groups consistently show that young people are more influenced by the "corporate deception" angle of anti-smoking campaigns than they are by the traditional, "health" angle. It seems pretty obvious that the unrelenting continuation of anti-industry oriented campaigns will ultimately win the battle for activists. It won't happen tomorrow, or even in the next 5 years, but propaganda DOES work.

    The only thing I would agree with you about is that selling anti-smoking activism as a "cool" thing to do (e.g., "anti-tobacco tee-shirts and caps", as Ms. Bernard suggests) is shallow at best, and completely ineffective at worst. However, I don't see the Truth campaign ads as attempts to be "cool" at all. There are no hip-hop or pseudo-punkrock music beds and no "underground" celebrities preaching at you. If anything, it is the least condescending ad campaign specifically targeted towards the youth market in recent history--it states the dirty facts in plain English, then gets out of the way and compels the viewer to form thier own logical conclusions. That to me is much more "grown-up" (to use Ms. Bernard's words) and effective, in the long run, than having some dopey hip-hop guy tell your kids that "Smoking aint dope, y'all". And the research actually bears this hypothesis out.

    But maybe "smoking aint dope" isn't that bad of a slogan, now that I think about it.

  6. link to this comment by RS Wed May 26, 2004

    Just saw Jim Jarmuch's film "Coffee and Cigarettes," a wonderful series of (inconsistent) vignettes all tied together by the consumption of coffee and cigarettes in various cafes. While in one hilarious episode in an Little Italy social club one old guy berates his buddy for smoking, and another features Iggy Pop and Tom Waits professing they had quit (but now have the will-power to start and stop), the rest of the film is so hip, so cool, so emo, that it might be called the "un-truth" campaign commercial.

    Upon leaving the theater my friend's young son asked "is that movie supposed to make me want to smoke or not?" The ambiguity of the message as evidenced in that question is, well, disturbing.

    Smoking is a drug. Drugs are bad (at least narcotics are bad). Why does art often promote the bad. Is it good to be bad? Is it bad to be good? Again, I support total aversion therapy as the only answer. Make it as distasteful as eating live grubs. Oh, I forgot, thanks the the Fear Factor, that's cool too.

  7. link to this comment by Michael Surtees Tue Jun 15, 2004

    The Canadian campaign that places warning labels on packages may be familiar to those people following anti smoking campaigns around the world. However for those that haven't seen the labels on Canadian cigarettes, cnn.com/health has an article that states in percentages on the labels effectiveness. It can be viewed at http://edition.cnn.com/2002/HEALTH/01/09/canadian.cigarettes /

  8. link to this comment by Martin Fri Jul 23, 2004

    What about the relevancy of graphic design and smoking? What about any designers who lack the virtues to boycott their art against cigarette companies and design firms who do cigarette ads and packaging?

    Good designers are behind every attractive looking package of cigarettes. Spelled with a K, for cool, the new Kamel cigarette packaging is very nice. I’m not even a smoker, but seeing this package on the table, the beautiful grid, nice color scheme and even nicer typography makes me want to have a cig. It says clean, it says witty, it says its ok to have a smoke. The packaging suggests moderation?it’s not a smokers pack, it’s the pack of someone who smokes in moderation. The Kamel pack was designed by someone who is clearly using the fluency of the Visual Language to suggest smoking.

    This is all about psychology. Want to get down to the dirt of all this? Examine the semiotics in cigarette packaging. Designers are signifying how cool it is to smoke. Smoking is an individual right, no doubt, but I wonder how many people would choose to smoke if ALL packages came in generic packaging with standard Helvetica type. If the typography looked globally standard on all brands, the signifier would be removed. I’m certain the young people who are most influenced by these billboards on a box would think again. Brainwashing through visual communication. It’s a shame that more designers aren’t boo’ing this type of corruptive power. Visual communication is powerful, it requires responsibility, it IS used as rhetoric and it is more destructive than we wish to believe. It’s a personal choice to design these things, but keep in mind the collective harm you’ll be contributing to. Don’t be a thoughtless drone to a careless corporation’s whims. Do as Plato would have, and be Good.

  9. link to this comment by Shaun Mon Sep 06, 2004

    It seems this thread may have been abandoned months ago but I'll post anywho.

    I just turned 21 recently, so I'm probably within, if not just over, the age group that the truth ads are aiming for. I'm a smoker, have been since I was 16, I'm pretty sure the main reasons I started was beacause 1. Rebellion/Trying to get away with something and 2. My brother smoked and I have always been really close with him and looked up to him. So I think a lot of these postings are pretty much right on. As far as the Truth commercials go, pretty much all of my friends think they're a huge joke and everyone lights up when they come on. But they might be somehow affecting me subconciously because in the last few months I've really really wanted to quit smoking I just don't have the will power or patience, at least right now. My best friend has terrible asthma and he's been smoking Marlboro Reds for years, he's got a horrible cough and I think all of us are really worried about him, but what are we gonna do we tell him but he just doesn't care. Plus, we're all being hypocrites because if we really cared we'd quit ourselves.... hmmm... well now I've got a lot to think about again. That's my half a penny, happy postings everyone.

  10. link to this comment by dan Sat Jun 11, 2005

    What kills ? How much for how long ? I'm a smoker, in 71 I was at the Ia. St. fair for seven days showing a horse and a bull. To kill time spent a lot of time playing games on the midway, the prizes at that time was packs of Cigs., I came away with ten cartons so I smoked them, since this was a State thing can I sue the state ? I've probably average atleast 3 packs a day since, 34 yrs. X 3 packs per day = 37,230 pks., so when does it kill ?? But who's at fault if it does ? I am !! For almost 4 yrs. I've been doing a lot of studying, in everything I've studied I've come to the conclusion only sinning kills. Other the someone actually killing another intensional or not or accidents.

  11. link to this comment by Kessler Wed Oct 26, 2005

    Of course ad campaigns will not stop cigarette smoking, but they are essential to the cause. I do believe that some anti-smoking ad campaigns work to some degree. Campaigns are not developed with the expectation that every teenager will read the ads or that every teenagers who reads an ad will give a second thought, but some will. One of the many reason anti-smoking ads are not as effective is because they are severely out numbered be the ads promoting tobacco products.

  12. link to this comment by The Tue Jan 24, 2006

    Alright, the Truth commercials are a good idea and all that (if you're a 50 year old parent) to get kids to realise that smoking is "Bad". However, "Bad" is simply a perspective. I could say eating veggies is bad, and have commercials telling you all about the pestacides in them, but i bet you 50 dollars that there will always be people eating the vegetables. Either way, the truth commercials were actually smart when they first came out, now, they have one that says things about methane gas coming from cow farts. What does that have to do with anything? Everyone in the united states (and the rest of the world) farts, so when you are breathing in just regularly, say, on a hike, or in the city, you are breathing in farts. It doesnt take a brain surgeon to figure that out. Kids are always going to smoke, no matter how much money you fascist people put into commercials to buy yourselves ways to tell kids not to smoke. Why the hell are you so hell-bent on making people stop smoking? "Because it kills" is all the reasons i've heard for the past 16 years. So what? Car crashes kill too, and so does cancer. Why doesnt TRUTH put money into finding a cure for cancer instead of making people not smoke? Wouldnt that be ironic?!? People still smoke, but theres a way to cure the tumors that they get. They could make so much money. Instead of spending it on commercials trying to buy young kids into their ideas, as stated before. Please dont hate me ;).

  13. link to this comment by Darcee Wed Feb 01, 2006

    hey, i'm 16 years old and i'm doing a research paper on banning tobacco in the united states. any information or statistics that you could send me to help me out would be great. thanks!

  14. link to this comment by sarah Fri Feb 17, 2006

    i need to know how cigarette componies get young kids to smoker for a research paper and some examples could you put something on your website that could help before tuesday the 21st febuary

  15. link to this comment by michael roberts Mon Apr 09, 2007

    Did you know, a single pin-head sized drop of liquid nicotine would kill you instantly if introduced directly into the blood stream, and yet many expose their body and, as importantanly, those around them to cigarette smoke everyday.

    There is a need for high doses of Vitamin b and c, plus a number of other herbs and vitamins, that can help to protect your body from harmful toxins.

  16. link to this comment by lissa aguirre Fri May 11, 2007

    people that like to smoke u thank ur are cool u are wrong

  17. link to this comment by C. Dahlke Mon Sep 17, 2007

    Fight smoking with humor, and spread the word!

    Design on Single T-Shirt:
    http://www.cafepress.com/spherearts.169890385

    More Shirts:
    http://www.cafepress.com/spherearts

    Posters, Prints, etc.:
    http://www.deviantart.com/print/1733287/

    More info on the Design:
    http://delilahsassychick.deviantart.com/art/Save-the-Cigarettes-64873690

    (This design and it's basic ideas may not be copied or used without my permission being granted privately.)

  18. link to this comment by rae Fri Sep 21, 2007

    if you want to get a tee shrit with a logo or something you want to say- we sell tees anf at a great price-1.89each-
    thank you
    rae

  19. link to this comment by craig hicks Thu Nov 08, 2007

    I am an ex-smoker, I got cancer on my vocal cordes and had to have radiation treatments that did not work so I then had to had a complete laryngectomy so I no longer have a voice box and now speak with a voice prostisis and have to breath through a hole in my neck......to all that smoke....STOP!!! it is not worth it !! I am only 39 years old

  20. link to this comment by Nenad Molerovic Sat Dec 29, 2007

    I want to inform you that we are building the largest Quit Smoking database on the Net, accordingly we are offering you back links to your Web Sites, and we will include your articles in our newsletters campaigns in order to help our visitors achieve their goals. If you think you can help them, please submit your link and your articles to our directory. Furthermore, if your Article is very good we will publish them on the Front page.

    http://smokerness.com

  21. link to this comment by mishal maqbool Thu Mar 13, 2008

    smoking thrills but kills

  22. link to this comment by Christian Erives Fri Mar 21, 2008

    I agree with Martin!

    This Campaing it is designed to get into our kid’s Subconsious Mind!!

    I really believe in creativity!... As designers and advertisers we have the enormous responsability to comunicate and Inform to people accurately in issues like this.
    After all this is a stay Heatlhy or Die Issue. There is no way around it!

    I honestly think this campaing is totally influencing to our kids to think towards the cigarrette as a TOOL to experience magical situations!!!! That is scary, dark, ominous and very sinister.

    And this is for MEL MATSUOKA:

    Damn right it states the dirty facts in plain English,(in a COOL and a MAGICAL WAY!!)
    As a matter of fact looking at all those Magical characters revolving and smiling around a giant lighted cigarrette It makes me think of one of those Walt Disney’s Characters .
    If you leave it up to me when I was a Kid and I saw Mickey Mouse or Donald Duck interacting with a giant Cigarette that is lighted in such a friendly way, I would definitely grab one cigarrette for my self....
    Are U NUTS!
    After all as a kid how much judgement of my own could I have to make the right decision and get to my own logical conclusions.

    C’mon dude be real and be more professional!!!

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