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Truth (stylized as truth) is a national campaign aimed at eliminating teen smoking in the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
. produces television and digital content to encourage teens to reject tobacco and to unite against the tobacco industry. When launched its campaign in 1998, the teen smoking rate was 23%. In 2018, tobacco products were used by 7.2% of middle schoolers and 27.1% of high schoolers. In August 2014, launched "Finish It", a redesigned campaign encouraging youth to be the generation that ends smoking.


History


Florida Tobacco Pilot Program

The campaign was a campaign developed by the Florida Tobacco Program, which ran from 1998 to 2003. Through their marketing campaign, the program set out to drive a wedge between the tobacco industry's advertising and a youth audience. The program not only assembled a team of advertising and public relations firms, but also collaborated with Florida youth to develop a campaign that would effectively speak to their generation. Youth articulated their frustrations with the manipulative marketing tactics used by the tobacco industry, and described their ideal campaign as one that would give them facts and the truth about tobacco. From this emerged the concept of uniting youth in a movement against tobacco companies promoted through grassroots advocacy and a youth-driven advertising campaign. In March 1998, student delegates at a meeting sponsored by Florida's Office of Tobacco Control voted to change the theme of the campaign to "truth, a generation united against tobacco." In April 1998, Florida launched a $25 million advertising campaign that included 33 television commercials, seven billboards, eight print ads and four posters. With a target audience of youth aged 12–17, the Florida campaign modeled their approach after commercial marketing to teens, and used messages that "attacked the obaccoindustry and portrayed its executives as predatory, profit hungry, and manipulative." The ads re-framed tobacco as an addictive drug promoted by the adult-establishment, and tobacco control as a hip, rebellious, youth-led movement. The grassroots effort of the campaign involved real teenagers taking on the tobacco industry as part of the 13-day "Truth Train" tour across the state. Despite positive results, reduced funding for the program, among other factors, ultimately led to the demise of Florida's campaign. One of the notable leaders of this campaign was Cleveland Robinson, who not only was the first of 10 student leaders to lead the statewide campaign, but was also a part of the Truth Train leadership team.


Truth Initiative campaign

As Florida's campaign diminished,
Truth Initiative Truth Initiative (formerly the American Legacy Foundation or Legacy) is a nonprofit tobacco control organization "dedicated to achieving a culture where all youth and young adults reject tobacco." It was established in March 1999 as a result of ...
(originally the American Legacy Foundation) adopted Florida's successful strategy and converted into a national campaign. Generally consistent with Florida's campaign, Truth Initiative's version of featured messages highlighting the deceptive practices of tobacco companies, and facts about the deadly effects of tobacco.


Campaign strategy and style

strives to be a brand youth can identify with. In stark contrast to the heavy "life or death" tone adopted by many anti-tobacco campaigns, the strategy behind is to emphasize the facts about tobacco products and industry marketing practices, without preaching or talking down to its target audience. The resonating theme underlying is one of tobacco industry manipulation. With hard-hitting advertisements featuring youths confronting the tobacco industry, built a brand focused on empowering youth to construct positive, tobacco-free identities. Above all, the campaign avoids making directive statements telling youth not to smoke, and instead encourages them to make up their own minds about smoking and the tobacco industry. channels youths’ rebellious nature and need to assert their independence towards tobacco control efforts. In addition to exposing industry marketing practices, many of the advertisements produced for focus on facts about the ingredients in cigarettes and the consequences of smoking, including addiction, disease, and death. A large portion of the facts and information exposed in advertisements were pulled from real tobacco industry documents that were made publicly accessible following the
Master Settlement Agreement The Tobacco Master Settlement Agreement (MSA) was entered on November 23, 1998, originally between the four largest United States tobacco companies ( Philip Morris Inc., R. J. Reynolds, Brown & Williamson and Lorillard – the "original participa ...
. The Truth Tobacco Documents Library, created in 2002 and managed by the
University of California San Francisco The University of California, San Francisco (UCSF) is a public land-grant research university in San Francisco, California. It is part of the University of California system and is dedicated entirely to health science and life science. It condu ...
, houses millions of formerly secret tobacco industry internal corporate documents.


Initial tactics and campaigns

The campaign's initial objective was to "change social norms and reduce youth smoking." In building a strategy to accomplish this goal, campaign designers looked to marketing and social science research, evidence from other successful campaigns, and engaged in conversations with teen audiences. This research revealed that although youth were aware of the deadly nature of cigarettes, they were attracted to smoking as a tool for rebellion and empowerment. The campaign designers wanted to counter the appeal of cigarettes by encouraging teens to rebel against the duplicity and manipulation exhibited by tobacco companies. Since the launch of in 2000, the campaign asserts it has "utilized many different forms of media and evolved its tactics to ensure it reached the teen audience most effectively." Arguably, the most recognized media produced for are its television advertisements. For example, the advertisement "1200" portrays a mass of youth walking up to a major tobacco company building, then suddenly collapsing as if dead while a single youth remains standing with a sign that reads, "Tobacco kills 1,200 people a day. Ever think about taking a day off?" In the "Body Bags" commercial, youth pile body bags on the sidewalk outside of Philip Morris's (now former) headquarters in
New York City New York, often called New York City or NYC, is the List of United States cities by population, most populous city in the United States. With a 2020 population of 8,804,190 distributed over , New York City is also the L ...
. One youth steps forward with a megaphone to shout up at the workers in the building, "...Do you know how many people tobacco kills every day? This is what 1200 people actually looks like." Another advertisement, "Singing Cowboy", portrays a cowboy who has a breathing stoma (opening) in his neck singing, "you don't always die from tobacco, sometimes you just lose a lung", and other similar lyrics. A third commercial, "1 out of 3", uses "fantasized scenes such as an exploding soda can" to convey the message that tobacco is the only product that prematurely kills one out of three users. Perhaps one of truth's best-known campaigns, "Shards O' Glass", aired during Super Bowl XXXVII. The commercial showed an executive for a popsicle company, "Shards O' Glass", that provided disclaimers for their product – a popsicle with shards of glass in it, clearly unsafe and deadly – and posed the question, "What if all companies advertised like big tobacco?" Through social media feedback and focus group testing, designers learned teens respond best to "up-front and powerful messages that display courage and honesty in a forceful way." With that in mind, other edgy advertisements with various themes were produced between 2000 and 2014, including "Connect truth", "The Sunny Side of truth", "Unsweetened truth", and "Ugly truth." Prior to the launch of the
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
's "Real Cost" campaign in February 2014, was the only national youth tobacco prevention campaign not sponsored by the tobacco industry.


Campaign re-launch strategy and examples

In August 2014, launched the "Finish It" campaign targeting the next generation of U.S. youth aged 15 to 21. Along with a revamped campaign design, web presence, and series of ads, Finish It embraces a powerful new campaign theme: be the generation that ends smoking for good. In research with its target audience, campaign designers discovered today's teenagers are less interested in protesting against tobacco industry manipulation, and more interested in driving positive collective action. "Finish It" was developed to suit this generation's desire to be agents of social change. The campaign aims to empower 94 percent of teenage nonsmokers, and 6 percent of teen smokers, to take an active role in ending the tobacco epidemic. The first campaign ad released, "Finishers", was shot in the style of a video manifesto and tells the youth, "We have the power. We have the creativity. We will be the generation that ends smoking. Finish it." The spot encouraged youth to get involved in the "Finish It" movement by superimposing the campaign logo, an "X" in an orange square, onto their
Facebook Facebook is an online social media and social networking service owned by American company Meta Platforms. Founded in 2004 by Mark Zuckerberg with fellow Harvard College students and roommates Eduardo Saverin, Andrew McCollum, Dustin M ...
profile picture. This online activism tactic is similar to that used by the
Human Rights Campaign The Human Rights Campaign (HRC) is an American LGBTQ advocacy group. It is the largest LGBTQ political lobbying organization within the United States. Based in Washington, D.C., the organization focuses on protecting and expanding rights for LGB ...
when they asked individuals to change their profile pictures in support of
marriage equality Same-sex marriage, also known as gay marriage, is the marriage of two people of the same Legal sex and gender, sex or gender. marriage between same-sex couples is legally performed and recognized in 33 countries, with the most recent being ...
. In another series of "Finish It" ads, "Unpaid Tobacco Spokesperson" and "Unpaid Tobacco Spokesperson Response", the campaign tries to shed light on the way smokers, especially celebrity smokers, give tobacco companies free marketing as "unpaid spokespeople" when their photos are posted. As a response, Finish It asked youth to "think before you post a smoking selfie." The campaign also encouraged youth to "erase and replace" cigarettes from photos on social media with various props from the website. In 2015, "Left Swipe Dat," a full-length song and music video created as part of the "Finish It" campaign, debuted at the
57th Annual Grammy Awards The 57th Annual Grammy Awards were held on February 8, 2015, at the Staples Center in Los Angeles, California. The show was broadcast live by CBS at 5:00 p.m. PST ( UTC−8). Rapper LL Cool J hosted the show for the fourth consecutive time ...
and connected smoking to dating. The video featured
Becky G Rebbeca Marie Gomez (born March 2, 1997), known professionally as Becky G, is an American singer and actress. She first gained recognition in 2011 when she began posting videos of herself covering popular songs online. One of her videos caught t ...
,
Fifth Harmony Fifth Harmony, often shortened to 5H, was an American girl group based in Miami, composed of Ally Brooke, Normani, Dinah Jane, Lauren Jauregui, and previously Camila Cabello until her departure from the group in December 2016. The group signe ...
,
King Bach Andrew Byron Bachelor (born June 26, 1988), also known as King Bach is a Canadian-American Internet personality and actor who rose to fame on the now-defunct video sharing service Vine, where he had 16.2 million followers, making him the most fol ...
and other influencers. The lyrics revealed that you get half the matches on dating apps if you're smoking in your profile picture. "Left Swipe Dat" encouraged teens to lose the cigarettes so they could avoid being "left swiped", that is, passed over on a dating app. In another effort to connect smoking to a teen passion point, "CATmageddon" showed teens that smoking is bad for pets and set up the scenario that if there were no cats (due to smoking-related illness and disease) there would be no cat videos and therefore there would be a "CATmageddon", a "world devoid of furry kittens and the adorable, hilarious videos that come with them." The ad launched at the
58th Annual Grammy Awards The 58th Annual Grammy Awards was held on February 15, 2016, at the Staples Center in Los Angeles. The ceremony recognizes the best recordings, compositions and artists of the eligibility year, which was from October 1, 2014, to September 30, 20 ...
and featured partnerships with
Petco Petco Health and Wellness Company, Inc. is an American pet retailer with corporate offices in San Diego and San Antonio. Petco sells pet food, products, and services, as well as certain types of live small animals. Founded in 1965 as a mail-ord ...
,
Adult Swim Adult Swim (AS; stylized as
dult swim Dult is a village in Batala in Gurdaspur district of Punjab State, India. It is located from sub district headquarter, from district headquarter and from Sri Hargobindpur. The village is administrated by Sarpanch an elected representati ...
and often abbreviated as s is an American adult-oriented night-time cable television Television channel, channel that shares channel space with the basic cable network Cartoon Network and is programme ...
, and
BuzzFeed BuzzFeed, Inc. is an American Internet media, news and entertainment company with a focus on digital media. Based in New York City, BuzzFeed was founded in 2006 by Jonah Peretti and John S. Johnson III to focus on tracking viral content. Ken ...
. In 2017, the campaign showed how the tobacco industry has targeted African-Americans, low-income communities, LGBTQ individuals, members of the military as well as those with mental health conditions. The campaign encouraged young people to take note of the industry's advertising tactics while educating teens on the tobacco-related health disparities across these demographics. Initial documentary style videos created for this campaign featured comedian and actress
Amanda Seales Amanda Ingrid Seales (born July 1, 1981), formerly known by the stage name Amanda Diva, is an American comedian and actress. Since 2017, she has starred in the HBO comedy series '' Insecure''. In 2019, HBO released her first stand-up comedy spe ...
and premiered at the
59th Annual Grammy Awards The 59th Annual Grammy Awards ceremony was held on February 12, 2017. The CBS network broadcast the show live from the Staples Center in Los Angeles. The ceremony recognized the best recordings, compositions, and artists of the eligibility year, ...
. Later videos, premiered at the 2017 MTV Video Music Awards and featured journalists
Kaj Larsen Kaj Larsen is an American journalist, correspondent, and producer who has worked for Vice News, CNN, NowThis News and Current TV. He worked for the ''Vanguard'' international news documentary investigative reporting show on Current TV beginn ...
and Ryan Duffy, as well as rapper
Logic Logic is the study of correct reasoning. It includes both formal and informal logic. Formal logic is the science of deductively valid inferences or of logical truths. It is a formal science investigating how conclusions follow from premises ...
. In 2018, launched anti-vaping campaign ads showing the dangers of vaping for the first time.


Grassroots tours

In addition to its television advertisements, maintains an online presence and employs guerrilla "on-the-street" marketing. Grassroots marketing is done via a team of "truth tour riders" who are sent to popular music and sporting events across the country every summer, including
Warped Tour The Warped Tour was a traveling rock tour that toured the United States plus three or four stops in Canada annually each summer from 1995 until 2019. It was the largest traveling music festival in the United States and the longest-running touring ...
,
Mayhem Festival The Mayhem Festival was a touring Heavy metal music, heavy metal festival that took place during the summer. The inaugural season took place in 2008; the festival later became an annual event across the United States. Most years also included a ...
and High School Nation.


Merchandise

also produces a line of custom merchandise every summer that is distributed at events. Each piece of merchandise features a design that corresponds with a fact about smoking. Items are often created in partnership with artists, such as a pair of custom sneakers made in collaboration with Kevin Lyons and
Vans Vans is an American manufacturer of skateboarding shoes and related apparel, established in Anaheim, California, and owned by VF Corporation. The company also sponsors surf, snowboarding, BMX, and motocross teams. From 1996 to 2019, the comp ...
shoes. That partnership also spawned a contest called "Custom Culture" where students competed in design challenges relevant to the campaign's merchandise and subject matter.


Evaluation and effectiveness

Rigorous evaluation studies of have been published in the peer-reviewed literature since the launch of the campaign in 2000. To evaluate the effectiveness of , Truth Initiative employs an internal Research and Evaluation team. Its efforts include evaluation of televised truth ads as well as digital, gaming and grassroots campaign components. Between 1999 and 2004, Truth Initiative (known at the time as the American Legacy Foundation) conducted a nationally representative Media Tracking Survey of youth aged 12–17 to inform its campaign evaluation. The Legacy Media Tracking Survey (LMTS) measured tobacco-related attitudes, beliefs, and behaviors, exposure to smoking influences including , sensation seeking, and openness to smoking. Cross-sectional studies on the effectiveness of the campaign provided convincing evidence that the campaign "had a significant impact on tobacco industry-related attitudes, beliefs, and other behavioral precursors, as well as a significant impact on youth smoking prevalence in the United States." Exposure to was also associated with a statistically significant reduction in nonsmokers’ intentions to smoke in the future. Another study of from 2000 to 2004 examined whether campaign awareness and receptivity differed for youth across socioeconomic backgrounds. In 2005, a study published in the ''
American Journal of Public Health The ''American Journal of Public Health'' is a monthly peer-reviewed public health journal published by the American Public Health Association that covers health policy and public health. The journal was established in 1911 and its stated missio ...
'' conducted by
RTI International Research Triangle Institute, trading as RTI International, is a nonprofit organization headquartered in the Research Triangle Park in North Carolina. RTI provides research and technical services. It was founded in 1958 with $500,000 in funding f ...
,
Columbia University Columbia University (also known as Columbia, and officially as Columbia University in the City of New York) is a private research university in New York City. Established in 1754 as King's College on the grounds of Trinity Church in Manhatt ...
, and Truth Initiative used a pre/post quasi-experimental design to relate changes in national youth smoking prevalence to exposure to the campaign over time. The study's statistical analyses showed that smoking rates among youth in the U.S. declined at a faster rate after the launch of the campaign. A similar study published in the ''
American Journal of Preventive Medicine The ''American Journal of Preventive Medicine'' is a monthly peer-reviewed medical journal that publishes articles (in-print and online) in the areas of prevention research, teaching, practice and policy. Original research is published on intervent ...
'' in 2009 found a direct association between youth exposure to messaging and a decreased risk of taking up smoking. A 2009 study examined whether the $324 million investment in the campaign could be justified by its effect on public health outcomes. Researchers found that the campaign was economically efficient because it saved between $1.9 and $5.4 billion in medical care costs to society between 2000-2002. In this way, the authors argue is a cost-effective public health intervention. A study evaluating the "Finish It" campaign indicated lower intentions to smoke in the next year as well as anti-tobacco attitudes with higher ad awareness. Ad recall remained high, even when the campaign aired lower levels of television targeted rating points as compared with earlier advertising campaigns.


Awards and praise

The campaign has been praised by a number of leading federal and state public health officials, as well as the U.S. Centers for Disease Control and Prevention, and the U.S. Department of Health and Human Services. The campaign has also been recognized for its achievements in marketing with numerous awards in advertising efficacy, such as
Emmy The Emmy Awards, or Emmys, are an extensive range of awards for artistic and technical merit for the American and international television industry. A number of annual Emmy Award ceremonies are held throughout the calendar year, each with the ...
, Clio Healthcare, and
Effie Effie is a feminine given name, sometimes a short form (hypocorism) of Euphemia (Greek: Εὐφημία). Notable people with the name include: Women * Effie Bancroft (1840–1921), English actress and theatre manager * Effie Boggess (1927-20 ...
awards. has also been featured in a variety of academic marketing and communications textbooks to educate the next generation of public health and social marketing leaders. In 2014, Advertising Age named truth one of the top 10 ad campaigns on the 21st century. In 2016, the
Monitoring the Future The Monitoring the Future (MTF) study, also known as the National High School Senior Survey, is a long-term epidemiological study that surveys trends in legal and illicit drug use among American adolescents and adults as well as personal levels of ...
study, which surveys national samples of over 45,000 youth in grades 8, 10 and 12, reported historically low levels of current cigarette use amongst youth - only 6 percent of teens still smoke.


Litigation

A campaign radio ad called "Dog Walker" prompted
Lorillard Tobacco Company Lorillard Tobacco Company was an American tobacco company that marketed cigarettes under the brand names Newport, Maverick, Old Gold, Kent, True, Satin, and Max. The company had two operating segments: cigarettes and electronic cigarettes. Th ...
to pursue litigation against Truth Initiative (then the American Legacy Foundation). The dispute ran from July 2001 until its resolution in July 2006. The advertisement states urine and tobacco both contain
urea Urea, also known as carbamide, is an organic compound with chemical formula . This amide has two amino groups (–) joined by a carbonyl functional group (–C(=O)–). It is thus the simplest amide of carbamic acid. Urea serves an important r ...
. Cases were filed in both
Delaware Delaware ( ) is a state in the Mid-Atlantic region of the United States, bordering Maryland to its south and west; Pennsylvania to its north; and New Jersey and the Atlantic Ocean to its east. The state takes its name from the adjacent Del ...
and
North Carolina North Carolina () is a state in the Southeastern region of the United States. The state is the 28th largest and 9th-most populous of the United States. It is bordered by Virginia to the north, the Atlantic Ocean to the east, Georgia and So ...
. The matter was resolved by the
Delaware Supreme Court The Delaware Supreme Court is the sole appellate court in the United States state of Delaware. Because Delaware is a popular haven for corporations, the Court has developed a worldwide reputation as a respected source of corporate law decision ...
on July 17, 2006. They ruled unanimously that the campaign did not violate the Master Settlement Agreement.


See also

*
Truth Initiative Truth Initiative (formerly the American Legacy Foundation or Legacy) is a nonprofit tobacco control organization "dedicated to achieving a culture where all youth and young adults reject tobacco." It was established in March 1999 as a result of ...
*
Master Settlement Agreement The Tobacco Master Settlement Agreement (MSA) was entered on November 23, 1998, originally between the four largest United States tobacco companies ( Philip Morris Inc., R. J. Reynolds, Brown & Williamson and Lorillard – the "original participa ...
*
Tobacco control Tobacco control is a field of international public health science, policy and practice dedicated to addressing tobacco use and thereby reducing the morbidity and mortality it causes. Since most cigarettes and cigars and hookahs contain/use ...
*
Project SCUM Project SCUM was a plan proposed in 1995 by R. J. Reynolds Tobacco Company (RJR) to sell cigarettes to members of the " alternative lifestyle" areas of San Francisco, in particular the large number of gay people in the Castro and hom ...


References


External links


campaign website

Truth Initiative website

truth campaign advertisements
{{DEFAULTSORT:Truth.Com American health websites Internet memes Internet properties established in 1998 Public service announcement organizations Smoking in the United States Tobacco control