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Tob Control. 2005 December; 14(6): 409–415.
PMCID: PMC1748120

Marketing to the marginalised: tobacco industry targeting of the homeless and mentally ill

Abstract

Objectives: To describe the tobacco industry's relationships with and influence on homeless and mentally ill smokers and organisations providing services to them.

Methods: Analysis of internal tobacco industry documents and journal articles.

Results: The tobacco industry has marketed cigarettes to the homeless and seriously mentally ill, part of its "downscale" market, and has developed relationships with homeless shelters and advocacy groups, gaining positive media coverage and political support.

Discussion: Tobacco control advocates and public health organisations should consider how to target programmes to homeless and seriously mentally ill individuals. Education of service providers about tobacco industry efforts to cultivate this market may help in reducing smoking in these populations.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Yerger VB, Malone RE. African American leadership groups: smoking with the enemy. Tob Control. 2002 Dec;11(4):336–345. [PMC free article] [PubMed]
  • Lew Rod, Tanjasiri Sora Park. Slowing the epidemic of tobacco use among Asian Americans and Pacific Islanders. Am J Public Health. 2003 May;93(5):764–768. [PubMed]
  • Smith Elizabeth A, Malone Ruth E. The outing of Philip Morris: advertising tobacco to gay men. Am J Public Health. 2003 Jun;93(6):988–993. [PubMed]
  • Connor Sharon E, Cook Robert L, Herbert Mary I, Neal Stephen M, Williams Jennifer T. Smoking cessation in a homeless population: there is a will, but is there a way? J Gen Intern Med. 2002 May;17(5):369–372. [PMC free article] [PubMed]
  • Snyder Laurie D, Eisner Mark D. Obstructive lung disease among the urban homeless. Chest. 2004 May;125(5):1719–1725. [PubMed]
  • Szerlip Molly I, Szerlip Harold M. Identification of cardiovascular risk factors in homeless adults. Am J Med Sci. 2002 Nov;324(5):243–246. [PubMed]
  • Farrell M, Howes S, Taylor C, Lewis G, Jenkins R, Bebbington P, Jarvis M, Brugha T, Gill B, Meltzer H. Substance misuse and psychiatric comorbidity: an overview of the OPCS National Psychiatric Morbidity Survey. Addict Behav. 1998 Nov-Dec;23(6):909–918. [PubMed]
  • Lee Tony C, Hanlon John G, Ben-David Jessica, Booth Gillian L, Cantor Warren J, Connelly Philip W, Hwang Stephen W. Risk factors for cardiovascular disease in homeless adults. Circulation. 2005 May 24;111(20):2629–2635. [PubMed]
  • Lasser K, Boyd JW, Woolhandler S, Himmelstein DU, McCormick D, Bor DH. Smoking and mental illness: A population-based prevalence study. JAMA. 2000 Nov 22;284(20):2606–2610. [PubMed]
  • Schroeder Steven A. Tobacco control in the wake of the 1998 master settlement agreement. N Engl J Med. 2004 Jan 15;350(3):293–301. [PubMed]
  • Lamberg Lynne. Patients need more help to quit smoking: counseling and pharmacotherapy double success rate. JAMA. 2004 Sep 15;292(11):1286–1290. [PubMed]
  • Hall Joanne M. Marginalization and symbolic violence in a world of differences: war and parallels to nursing practice. Nurs Philos. 2004 Apr;5(1):41–53. [PubMed]
  • Hall JM. Marginalization revisited: critical, postmodern, and liberation perspectives. ANS Adv Nurs Sci. 1999 Dec;22(2):88–102. [PubMed]
  • Hall JM, Stevens PE, Meleis AI. Marginalization: a guiding concept for valuing diversity in nursing knowledge development. ANS Adv Nurs Sci. 1994 Jun;16(4):23–41. [PubMed]
  • Williams Jill M, Ziedonis Douglas. Addressing tobacco among individuals with a mental illness or an addiction. Addict Behav. 2004 Aug;29(6):1067–1083. [PubMed]
  • Malone RE, Balbach ED. Tobacco industry documents: treasure trove or quagmire? Tob Control. 2000 Sep;9(3):334–338. [PMC free article] [PubMed]
  • Katz SK, Lavack AM. Tobacco related bar promotions: insights from tobacco industry documents. Tob Control. 2002 Mar;11 (Suppl 1):I92–101. [PMC free article] [PubMed]
  • KLISIECKI A, WIKTOR Z, PYTASZ M, DEC L. [Alkalization, ammonia and urea in urine in kidney diseases]. Pol Tyg Lek. 1961 Dec 25;16:2001–2004. [PubMed]
  • Friend Karen B, Pagano Maria E. Smoking initiation among nonsmokers during and following treatment for alcohol use disorders. J Subst Abuse Treat. 2004 Apr;26(3):219–224. [PMC free article] [PubMed]
  • Aloot CB, Vredevoe DL, Brecht ML. Evaluation of high-risk smoking practices used by the homeless. Cancer Nurs. 1993 Apr;16(2):123–130. [PubMed]
  • Irvine EE, Bagnalasta M, Marcon C, Motta C, Tessari M, File SE, Chiamulera C. Nicotine self-administration and withdrawal: modulation of anxiety in the social interaction test in rats. Psychopharmacology (Berl) 2001 Jan;153(3):315–320. [PubMed]
  • Picciotto Marina R, Brunzell Darlene H, Caldarone Barbara J. Effect of nicotine and nicotinic receptors on anxiety and depression. Neuroreport. 2002 Jul 2;13(9):1097–1106. [PubMed]
  • Irving LM, Seidner AL, Burling TA, Thomas RG, Brenner GF. Drug and alcohol abuse inpatients' attitudes about smoking cessation. J Subst Abuse. 1994;6(3):267–278. [PubMed]
  • Arnsten Julia H, Reid Kristen, Bierer Michael, Rigotti Nancy. Smoking behavior and interest in quitting among homeless smokers. Addict Behav. 2004 Aug;29(6):1155–1161. [PubMed]
  • Evins A Eden, Cather Corinne, Rigotti Nancy A, Freudenreich Oliver, Henderson David C, Olm-Shipman Casey M, Goff Donald C. Two-year follow-up of a smoking cessation trial in patients with schizophrenia: increased rates of smoking cessation and reduction. J Clin Psychiatry. 2004 Mar;65(3):307–453. [PubMed]
  • John Ulrich, Meyer Christian, Rumpf Hans-Jürgen, Hapke Ulfert. Depressive disorders are related to nicotine dependence in the population but do not necessarily hamper smoking cessation. J Clin Psychiatry. 2004 Feb;65(2):169–176. [PubMed]
  • Burling TA, Burling AS, Latini D. A controlled smoking cessation trial for substance-dependent inpatients. J Consult Clin Psychol. 2001 Apr;69(2):295–304. [PubMed]
  • George Tony P, Vessicchio Jennifer C, Termine Angelo, Bregartner Thomas A, Feingold Alan, Rounsaville Bruce J, Kosten Thomas R. A placebo controlled trial of bupropion for smoking cessation in schizophrenia. Biol Psychiatry. 2002 Jul 1;52(1):53–61. [PubMed]
  • Dudas Melissa M, George Tony P. Non-nicotine pharmacotherapies for nicotine dependence. Essent Psychopharmacol. 2005;6(3):158–172. [PubMed]
  • Williams Jill M, Ziedonis Douglas M, Foulds Jonathan. A case series of nicotine nasal spray in the treatment of tobacco dependence among patients with schizophrenia. Psychiatr Serv. 2004 Sep;55(9):1064–1066. [PubMed]
  • Ziedonis Douglas, Williams Jill M, Smelson David. Serious mental illness and tobacco addiction: a model program to address this common but neglected issue. Am J Med Sci. 2003 Oct;326(4):223–230. [PubMed]
  • Williams Jill M, Foulds Jonathan, Dwyer Martha, Order-Connors Bernice, Springer Monifa, Gadde Padma, Ziedonis Douglas M. The integration of tobacco dependence treatment and tobacco-free standards into residential addictions treatment in New Jersey. J Subst Abuse Treat. 2005 Jun;28(4):331–340. [PubMed]
  • Evins A Eden, Cather Corinne, Deckersbach Thilo, Freudenreich Oliver, Culhane Melissa A, Olm-Shipman Casey M, Henderson David C, Schoenfeld David A, Goff Donald C, Rigotti Nancy A. A double-blind placebo-controlled trial of bupropion sustained-release for smoking cessation in schizophrenia. J Clin Psychopharmacol. 2005 Jun;25(3):218–225. [PubMed]
  • KLISIECKI A, WIKTOR Z, PYTASZ M, DEC L. [Alkalization, ammonia and urea in urine in kidney diseases]. Pol Tyg Lek. 1961 Dec 25;16:2001–2004. [PubMed]
  • Smith Elizabeth A, Malone Ruth E. Altria means tobacco: Philip Morris's identity crisis. Am J Public Health. 2003 Apr;93(4):553–556. [PubMed]
  • Sachs-Ericsson N, Wise E, Debrody CP, Paniucki HB. Health problems and service utilization in the homeless. J Health Care Poor Underserved. 1999 Nov;10(4):443–452. [PubMed]
  • Wrenn K. Immersion foot. A problem of the homeless in the 1990s. Arch Intern Med. 1991 Apr;151(4):785–788. [PubMed]
  • Solsona J, Caylà JA, Nadal J, Bedia M, Mata C, Brau J, Maldonado J, Milà C, Alcaide J, Altet N, et al. Screening for tuberculosis upon admission to shelters and free-meal services. Eur J Epidemiol. 2001;17(2):123–128. [PubMed]
  • Butler James, Okuyemi Kolawole S, Jean Samuel, Nazir Niaman, Ahluwalia Jasjit S, Resnicow Ken. Smoking characteristics of a homeless population. Subst Abus. 2002 Dec;23(4):223–231. [PubMed]
  • Rosenheck RA, Dausey DJ, Frisman L, Kasprow W. Outcomes after initial receipt of social security benefits among homeless veterans with mental illness. Psychiatr Serv. 2000 Dec;51(12):1549–1554. [PubMed]
  • Steinberg ML, Williams JM, Ziedonis DM. Financial implications of cigarette smoking among individuals with schizophrenia. Tob Control. 2004 Jun;13(2):206–206. [PMC free article] [PubMed]
  • Balbach Edith D, Gasior Rebecca J, Barbeau Elizabeth M. R.J. Reynolds' targeting of African Americans: 1988-2000. Am J Public Health. 2003 May;93(5):822–827. [PubMed]

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