Background: Advertising influences people's health behaviors. Tobacco companies have linked tobacco and
alcohol in their marketing activities.We examined how depictions of alcohol were placed in lifestyle magazines
produced by tobacco companies, and if these references differed depending on the magazine’s orientation, if it
was towards men, women, or if it was unisex.
Methods: Content analysis of 6 different tobacco industry lifestyle magazines (73 issues), including 73 magazine
covers, 1558 articles, 444 tobacco ads, and 695 non-tobacco ads.
Results: 14 of 73 (19%) magazine covers featured alcohol; 581 of 1558 (37%) magazine articles mentioned
alcohol; 119 of 444 (27%) tobacco ads showed alcohol images; and 57 of 695 (8%) non-tobacco ads portrayed
alcohol. Male-oriented magazines (Unlimited, CML, and Real Edge) contained the most alcohol references, and
the references were mainly beer, mixed drinks, and liquor or spirits. Female-oriented magazines (All Woman
and Flair) contained the fewest alcohol references, and wine and mixed drinks were the major types of alcoholic
beverage portrayed. For the unisex magazine (P.S.), the frequency of alcohol references fell between the maleand
female-oriented magazines, and the magazine most frequently mentioned mixed drinks.
Conclusions: Frequent depictions of smoking and drinking in tobacco industry lifestyle magazines might have reinforced
norms about paired use of tobacco and alcohol among young adults. The pairing of tobacco and alcohol
may particularly target youngmen. Anti-tobacco interventions need to address the co-use of tobacco and alcohol,
change the social acceptability of smoking in social settings, and tailor anti-tobacco messaging by gender.
© 2015 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license