Parri Gregory

Adolescent and young adult perceptions of Australian alcohol advertisements.

There is substantial evidence that children and youth are exposed to and recall alcohol advertising, and increasing evidence of associations between liking alcohol advertisements and under-age drinking. Alcohol advertising in Australia, as in many industrialized countries, is subject to a self-regulatory code developed and administered by the alcohol industry. The purpose of the current study was to investigate young people’s perceptions of the messages in recent alcohol advertisements and whether these perceptions support the industry view that self-regulation is effective in protecting young people from inappropriate messages about alcohol. Six print and six television advertisements were selected for the study, and 287 respondents aged 15–24 years viewed two alcohol advertisements (one print and one television) and completed a questionnaire immediately after viewing each advertisement. The respondents perceived messages in the advertisements regarding several social benefits of consuming alcohol, including that the advertised product would make them more sociable and outgoing, help them have a great time, help them fit in, help them feel more confident, help them feel less nervous, and help them succeed with the opposite sex. All of these messages transgress the terms of the self-regulatory code for alcohol advertising. There was also a strong association between emotional responses to the advertisements and stated intentions to try the advertised products.

Australian women’s awareness of breast cancer symptoms and responses to potential symptoms

ObjectivesPoor awareness of breast cancer symptoms has been associated with patient delay in seeking help; thus reduced survival, more aggressive treatment, and fewer treatment choices. The aim of this study was to develop a representative picture of Australian women’s knowledge of symptoms, experienced potential symptoms, and behavioral responses.MethodsA general population sample of approximately 3,000 women aged 30–69 completed a telephone survey; results were compared to previous surveys conducted in 1996 and 2003.ResultsThe most commonly cited potential symptom of breast cancer was a lump in the breast, identified by 86% of respondents (an increase from 75% in 2003). Other commonly mentioned symptoms were discharge from the nipple, pain/soreness, skin puckering, or dimpling; and a change in breast shape. The proportion unable to name any potential symptoms of breast cancer decreased from one in ten in 2003 to approximately one in twenty in 2007. The primary reason for not seeking medical advice in response to a potential symptom was the belief that breast cancer was not present.ConclusionsHealth promotion efforts need to continue to aim at increasing community understanding of potential breast cancer symptoms and encouraging women to act on potential symptoms by seeking medical advice.

Branded food references in children's magazines: ‘advertisements’ are the tip of the iceberg

While childrens magazines ‘blur the lines’ between editorial content and advertising, this medium has escaped the calls for government restrictions that are currently associated with food advertisements aired during childrens television programming. The aim of this study was to address significant gaps in the evidence base in relation to commercial food messages in childrens magazines by systematically investigating the nature and extent of food advertising and promotions over a 12‐month period.

Australian women’s awareness of ovarian cancer symptoms, risk and protective factors, and estimates of own risk

ObjectiveTo examine Australian women’s perceived risk of ovarian cancer, reasons for perceived risk levels, and knowledge of ovarian cancer symptoms at two timepoints (2003 and 2007).MethodsA computer-assisted telephone (CATI) survey of 2,954 Australian women with no history of ovarian cancer was conducted.ResultsApproximately 60% of women perceived their risk of ovarian cancer was similar to other women of their age; 10% indicated an increased risk, and 30% indicated a lower risk. These figures were similar in 2003 and 2007. Logistic regression found that lower income, increased age, being born overseas, and being retired were significantly associated with lower perceived risk (accounted for only 7.5% of the variance). Common reasons for higher perceived risk included family history of ovarian/other cancers, increasing age, and having had other types of cancer or health problems. Reasons for lower than average risk included absence of family history, having a hysterectomy, and having regular Pap smears (indicating confusion between ovarian and cervical cancer). There appeared to be substantial confusion in women’s understanding of ovarian cancer symptoms; this was similar in 2003 and 2007.ConclusionThe observed misperceptions and confusion regarding ovarian cancer symptoms and risk factors suggest ongoing public education campaigns are needed to improve knowledge and awareness.

Health warning labels on alcohol products - the views of Australian university students

While Australian legislation does not currently require health warning labels on alcohol products, several medical and advocacy organizations have been campaigning for their mandatory inclusion. The current study examines the attitudes and opinions of university students (a particularly high-risk group) relating to these messages, and the likelihood of such labeling influencing personal behaviors, in order to establish whether the introduction of these labels is likely to be effective. Alcohol warning labels have the potential to influence behaviors of adolescents and young adults, especially if modifications are made to the content and format of these—suggestions are given in this article. Finally, results of this research indicate that such health messages must be integrated with other educational measures and strategies aiming to internalize alcohol risk information by changing beliefs and, ultimately, behaviors.

The influence of price-related point-of-sale (POS) promotions on bottle shop purchases of young adults [accepted manuscript]

INTRODUCTION AND AIMS To investigate the impact of point-of-sale promotions on product choice, brand choice and purchase quantity of young adults purchasing alcohol for off-premise consumption in Australia. DESIGN AND METHODS A cross-sectional interviewer-completed survey conducted at 24 bottle shops (liquor stores), 12 each in the capital cities of Sydney, New South Wales and Perth, Western Australia. Participants were 509 adults (18 and over) exiting bottle shops having purchased alcohol. RESULTS When prompted, 26.5% indicated that there was a special offer, price discount, or special promotion connected with a product that they had purchased. Those who participated in point-of-sale promotions purchased a greater quantity of alcohol than those who did not participate: ready to drink, an average of 11.5 standard drinks (SD) compared with an average of 8.9 SD (t = 1.320, P = 0.190); beer, an average of 26.8 SD compared with an average of 16.4 SD; wine, an average of 16.1 SD compared with an average of 13.8 SD (t = 0.924, P = 0.357). DISCUSSION AND CONCLUSIONS Participation in point-of-sale promotions may be associated with increased purchase quantities, not solely shifting between brands. There is a need for further research to explore changes in purchase and consumption patterns as a result of the availability of price-based promotions. The results of this study, combined with previous research, suggest that regulators-and marketers-should consider the immediate and cumulative effect of point-of-sale promotions on drinking patterns, particularly those of younger drinkers.

It might be illegal but I'll do it anyway: the problem of underage alcohol supply

Issue: Harmful use of alcohol is a leading cause of disease burden for young Australians. Little is known about the context of adolescent alcohol initiation and the development of harmful patterns of consumption. This research reports descriptive baseline data from a national Australian longitudinal cohort. Approach: Parent-child dyads were recruited nationally via NSW, Tasmanian and WA secondary schools. During 2010/11, 1929 parent–child dyads completed baseline surveys. Measures include: alcohol use and harms; rules; parental style and monitoring; family relationships, confl ict and relations; peer substance use and approval; and delinquency. Key Findings: Sixty-eight percent of adolescents (M = 12.5 yrs) had tried alcohol. Parent factors including frequency and quantity of alcohol consumption (÷2 (3, N=1880) = 79.27, P < 0.00005; ÷2 (3, N=1879) = 63.75, P < 0.00005), drinking alcohol in the presence of their child (÷2 (3, N=1879) = 81.63, P < 0.00005) and younger age of alcohol initiation (÷2 (1, N=1785) = 20.13, P < 0.00005) were associated with adolescent alcohol initiation. Children with higher levels of rule breaking and aggressive behaviour (÷2 (1, N=1903) = 44.43, P < 0.0005; ÷2 (1, N=1893) = 13.40, P = 0.0003), who were male (÷2 (1, N=1904) = 6.72, P = 0.0095) and who had at least some friends who had tried alcohol (÷2 (3, N=1896) = 506.94, P < 0.00005) and who approved of drinking alcohol (÷2 (2, N=1903) = 91.21, P < 0.00005) were more likely to have tried alcohol themselves. Implications: To address current levels of binge drinking and long term harms from alcohol, it is essential to understand the context of early-adolescent alcohol use and how harmful trajectories may develop. Conclusion: Future analyses of this cohort will provide insight into the impact of contextual factors on adolescent alcohol use and inform public health policy and prevention.