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RESEARCH AND PRACTICE

Reinforcement of Smoking and Drinking: Tobacco


Marketing Strategies Linked With Alcohol in the
United States
Nan Jiang, PhD, MS, and Pamela M. Ling, MD, MPH

Smoking remains the leading preventable


cause of premature mortality in the United Objectives. We investigated tobacco companies’ knowledge about concurrent
use of tobacco and alcohol, their marketing strategies linking cigarettes with alcohol,
States, accounting for more than 440 000
and the benefits tobacco companies sought from these marketing activities.
deaths annually.1 Alcohol consumption is the
Methods. We performed systematic searches on previously secret tobacco
third-leading cause of mortality in the nation.2 industry documents, and we summarized the themes and contexts of relevant
Each year, approximately 79 000 deaths are search results.
attributable to excessive alcohol use.3 The con- Results. Tobacco company research confirmed the association between
current use of cigarettes and alcohol further tobacco use and alcohol use. Tobacco companies explored promotional strat-
increases risks for certain cancers, such as cancer egies linking cigarettes and alcohol, such as jointly sponsoring special events
of the mouth, throat, and esophagus.4,5 In addi- with alcohol companies to lower the cost of sponsorships, increase consumer
tion, the use of both tobacco and alcohol makes appeal, reinforce brand identity, and generate increased cigarette sales. They
it more difficult to quit either substance.6 also pursued promotions that tied cigarette sales to alcohol purchases, and
Smoking and drinking are strongly associ- cigarette promotional events frequently featured alcohol discounts or encour-
aged alcohol use.
ated behaviors.7---13 Smokers are more likely to
Conclusions. Tobacco companies’ numerous marketing strategies linking
drink alcohol,11 drink more frequently,8,11 con-
cigarettes with alcohol may have reinforced the use of both substances.
sume a higher quantity of alcohol,8,11,14 and Because using tobacco and alcohol together makes it harder to quit smoking,
demonstrate binge drinking (5 or more drinks policies prohibiting tobacco sales and promotion in establishments where
per episode) than are nonsmokers.9,11,12 Alcohol alcohol is served and sold might mitigate this effect. Smoking cessation
drinkers, especially binge drinkers, are also more programs should address the effect that alcohol consumption has on tobacco
likely to smoke7,8,10 and are more likely to smoke use. (Am J Public Health. 2011;101:1942–1954. doi:10.2105/AJPH.2011.
half a pack of cigarettes or more per day.10 300157)
The association between tobacco use and
alcohol use becomes stronger with the heavier
use of either substance.8,15,16 Alcohol consump- and that tobacco enhances the effect of alcohol: We used tobacco industry documents to
tion increases the desire to smoke,17,18 and it ‘‘brings on the buzz’’ or ‘‘gave you a double explore tobacco companies’ knowledge re-
nicotine consumption increases alcohol con- buzz.’’13,23,26 Young adult nondaily smokers de- garding linked tobacco and alcohol use and the
sumption.19 Experimental studies have demon- scribed the pairing of alcohol and cigarettes as companies’ marketing strategies that linked
strated that nicotine and alcohol enhance each resembling ‘‘milk and cookies’’ or ‘‘peanut butter cigarettes with alcohol. We were interested in
other’s rewarding effects.16,18 Alcohol increases with jelly.’’24 Young adults have also been the 3 basic issues: (1) what tobacco companies
the positive subjective effects of smoking,8,15,16,20 focus of aggressive tobacco promotional efforts knew about the association between drinking
and smoking while using alcohol is more rein- in places where alcohol is consumed, such as bars and smoking, especially about smokers’ drink-
forcing than is smoking without concurrent and nightclubs.27,28 ing behaviors, (2) how tobacco and alcohol
alcohol use.8 Smokers smoke more cigarettes Consumer products often fall into cohesive companies developed cross promotions fea-
while drinking alcohol,8,15,18 especially during groups (sometimes referred to as ‘‘Diderot turing cigarettes and alcohol, and (3) how
binge-drinking episodes.8,15 This behavior has unities’’) that may reinforce certain patterns of tobacco companies linked cigarettes with alco-
also been observed among nondaily smokers8,15 consumption,29 and these groupings may be hol in their marketing activities and the benefits
and light smokers.17 influenced by marketing activities. In the case of they expected to gain from those activities.
The concurrent use of alcohol and tobacco is tobacco and alcohol, these product links may
common among young adults,8,10,12,21 including have been further enhanced by cooperation METHODS
nondaily smokers,19,22---24 nondependent between tobacco and alcohol companies (e.g.,
smokers,8 and novice smokers.13 Young adult cosponsorship) or corporate ownership of both From July 2009 through July 2010 we used
smokers have reported that alcohol increases tobacco and alcohol companies (e.g., Philip Mor- the Legacy Tobacco Document Library (http://
their enjoyment of and desire for cigarettes8,25 ris’s past ownership of Miller Brewing Company). legacy.library.ucsf.edu) to systematically search

1942 | Research and Practice | Peer Reviewed | Jiang and Ling American Journal of Public Health | October 2011, Vol 101, No. 10
RESEARCH AND PRACTICE

archived internal tobacco industry documents. American Tobacco, American Tobacco, Lor- each document, such as ‘‘What was the purpose
Tobacco industry document research presents illard; and of the GF study?’’ ‘‘Did the results of this study
unique methodological challenges,30 and we d
cigarette brands, such as Marlboro, Virginia affect marketing and promotional activities?’’
followed standard techniques to conduct docu- Slims, Benson & Hedges, Camel, Winston, ‘‘What criteria did tobacco companies use to
ment research that combined traditional quali- Salem, Kool, Misty, Capri, Lucky Strike, GPC, select alcohol companies and types of alcoholic
tative methods31 with iterative search strategies Viceroy. beverage for joint sponsorship and joint pro-
tailored for this data set.32 motion?’’ ‘‘What benefits did tobacco compa-
Document research is typically not a hy- Initial searches yielded thousands of docu- nies expect to gain from alcohol co-marketing
pothesis-driven experiment. Thus, we ini- ments. For example, a search of all tobacco activities, and did they obtain these benefits?’’
tially posed exploratory, open-ended re- industry document collections on the Legacy and ‘‘What were the job titles of the individuals
search questions, such as ‘‘What did tobacco Tobacco Documents Library for the keyword mentioned in the documents, and what were
companies know about people’s preferences ‘‘cosponsor’’ yielded 10172 documents. Addi- the relationships among those people?’’
and patterns of alcohol use?’’ or ‘‘What did tional keywords were added to narrow We followed reviews of relevant documents
tobacco companies understand about the searches. For example, a search of ‘‘cosponsor’’ with ‘‘snowball’’ searches to find related docu-
relationship between alcohol use and smok- and ‘‘Miller’’ yielded 1734 documents, and ‘‘co- ments using additional search terms such as
ing?’’ Previous studies have documented sponsor’’ and ‘‘Miller’’ and ‘‘soccer’’ yielded 164 consecutive reference (Bates) numbers, file
increasingly frequent tobacco promotional documents. Searches were narrowed until they locations, dates, and individuals’ associates.
activities in bars during the last few de- generally yielded fewer than 400 documents. Through iterative searches, we attempted to
cades,27,28,33 so exploratory research questions After we narrowed the searches, we read all gain a more comprehensive understanding of
related to marketing activities included such the documents retrieved to determine their the research and marketing activities. We
questions as ‘‘Was it a coincidence that tobacco relevance to the exploratory research ques- wrote additional memos incorporating the
and alcohol companies seemed to sponsor sim- tions. We removed duplicate documents and newly retrieved documents, noting the theme
ilar special events, or was it an intentional documents that were clearly unrelated to our and context of each document, and we orga-
marketing strategy?’’ and ‘‘What marketing ac- research questions (such as tobacco companies’ nized the documents in clusters by topic (e.g.,
tivities did tobacco companies conduct featuring research on behaviors other than alcohol con- research study, promotional project, guideline
alcohol?’’ sumption and tobacco companies’ joint spon- for marketing activities).
Initial keyword searches combined terms sorship with companies that did not sell alco- We repeated the iterative search process
related to: hol). Documents containing the same text but until we reached saturation of both keywords
different marginalia were counted as separate and documents. We based the present analysis
d
marketing activities, such as joint sponsor- documents instead of duplicates. on a final collection of 128 documents relevant
ship, cosponsor, joint promotion, cross pro- Both authors then reviewed the documents to tobacco companies’ research on alcohol
motion, tie in, plan, strategy, proposal, pre- in detail to discern their themes and contexts, consumption, concurrent use of tobacco and
sentation, benefit, policy, guideline; such as the names of marketing studies, mar- alcohol, and joint promotion of cigarettes and
d
promotional events, such as spring break, keting promotional project titles, the time lines alcohol, and 358 documents related to mar-
resort program, sports, soccer, softball, ski, of these activities, and the relations between keting activities that linked cigarettes with
golf, volleyball, auto racing, ethnic sports, marketing studies and promotional activities. alcohol. The documents we located ranged in
concert, festival, bar night, nightclub; We wrote summary memoranda while reading date from 1974 to 1999. We limited our
d
marketing research, such as focus group, the documents and listed more specific search analysis to documents describing marketing
qualitative, quantitative, research, study, terms from the documents retrieved, such as activities in the United States.
consumer profile; study titles (e.g., Multi Marketing Inc. Lifestyle To triangulate findings in the documents, we
d
concurrent use of tobacco and alcohol, such Research, Promotional Services Center Survey, used additional data that we obtained from
as co-use, cross usage, drinking, life styles, General Food Survey), marketing promotional general online search engines (e.g., Google),
‘‘drinking and smoking’’; project titles (e.g., Marlboro Soccer Cup, news coverage (e.g., Google News or Lexis-
d
types of alcoholic beverage, such as beer, liquor, Winston-Budweiser Heritage Cup World Soft- Nexis), and advertising archives (e.g., the Trin-
wine, cocktail, vodka, whiskey, champagne; ball Tournament, Canadian Mist and Viceroy kets and Trash archive at the School of Public
d
alcohol brands, such as Miller, Budweiser, Rich Lights Designer Fashion Showcase), and Health of the University of Medicine and
Olympia, Jack Daniel’s, Canadian Mist, Coors, other important information (e.g., key individ- Dentistry of New Jersey, or the Pollay adver-
Schlitz, Southern Comfort; uals responsible for these activities, third tising collection at http://tobaccodocuments.
d
alcohol companies, such as Miller, Miller parties involved, dates of meetings, locations org). We used these adjunctive sources to
Brewing Company, Anheuser-Busch, Brown- and dates of events). validate and contextualize the marketing ac-
Forman, Olympia; We then asked a series of subsequent ques- tivities discussed in tobacco industry docu-
d
tobacco companies, such as Philip Morris, R.J. tions to guide further searches to help us better ments. Triangulation is a standard method that
Reynolds, Brown and Williamson, British understand the context and implications of qualitative researchers use to check for validity

October 2011, Vol 101, No. 10 | American Journal of Public Health Jiang and Ling | Peer Reviewed | Research and Practice | 1943
RESEARCH AND PRACTICE

and consistency of information among various impact of the 2 substances on each other. In purpose of these analyses was to determine cross
independent sources; specific triangulation 1974, Brown and Williamson Tobacco Com- usage and ‘‘investigate potential promotional
strategies using tobacco industry documents pany (B&W) hired Kenyon and Eckhardt Ad- tie-in partners’’ if any cross-usage links were
and advertising archives have been described vertising to conduct a consumer research study identified.41---44 The database size ranged from
previously.34 to investigate ‘‘the perceptions, attitudes and 131000 consumers in 1988 to 199 000 con-
Conversely, we also retrieved advertise- behavior of younger, recently starting smokers sumers in 1989. PM found that ‘‘monthly
ments with alcohol-related content from ad- regarding initial products usage, current household beer consumption predicted inci-
vertising archives; then, to find plans for these smoking and health concerns.’’35 They found dence of smoking.’’41,45 People whose house-
campaigns, we searched tobacco industry doc- that smoking increased with consumption of holds consumed smaller quantities of beer were
uments for these advertisements’ taglines, alcoholic beverages and that beer and cigarettes less likely to smoke than were households
slogans, or other descriptors. To build a com- could each enhance the taste sensations of and consuming larger quantities of beer; as house-
prehensive picture of how the different activi- increase the desire for the other.35---37 Kenyon hold beer consumption increased, the percentage
ties were related to each other both historically and Eckhardt observed concurrent use most of smokers increased.44---50 Nonsmoker house-
and conceptually, we made a summary of all frequently at social events, and they used the holds consumed the smallest quantities of beer,
research memos containing all major clusters of term ‘‘social smoking’’35 to describe this phe- full-flavor-smoker households consumed the
documents, summaries of all relevant docu- nomenon of smoking with alcohol use: largest quantities of beer, and low-tar-smoker
ments, and direct quotes from the documents. households were in between.47,51
Almost all of the respondents claimed an in-
The following criteria guided iterative anal- crease in smoking when at parties or on dates. In
R . J. Reynolds Tobacco Company (RJR) also
yses to maximize our confidence in the credi- most cases, this increase in smoking was related researched the cross usage of alcohol and
bility, dependability, and confirmability of the to consumption of alcoholic beverages, most cigarettes. In November 1980, RJR conducted
particularly beer. The general feeling seemed to
findings: we emphasized activities that were be that the two tastes and sensations tended to
a qualitative study to ‘‘investigate consumer
conducted repeatedly over time, activities that enhance one another, making each more plea- attitudes and perceptions toward menthol and
were pursued by multiple tobacco companies, surable when done together. In these social non-menthol cigarettes, reasons for smoking
smoking situations, the cigarette was described as
plans that were created by or sent to people in a menthol, and level of interest in ‘menthol-
a contributor to their relaxation and enjoyment.37
positions of power within the tobacco compa- alternatives.’’’52 While investigating menthol
nies (and thus were more likely to be carried In 1986, Philip Morris (PM) hired Callé and alternatives, RJR asked about reactions to li-
out or to be representative of company policy), Company to conduct a qualitative study among queur, liquor (bourbon, rum), or a white wine
and activities that were supported both by menthol smokers to learn about their needs taste in a cigarette. They found that the responses
internal documents and outside data sources. and lifestyles, including behaviors related to were mixed:
We selected quotes that were consistent with drinking and smoking together. PM intended
‘‘Good idea––drinks and cigarettes go together!’’
the general themes across the multiple tobacco this study to identify a framework of consumer-
‘‘White wine and tobacco––sounds awful.’’
companies, that were consistent with their desired products for future menthol cigarettes ‘‘I wouldn’t like an alcohol flavor in my
specific context in a document cluster, and that and other cigarette products, and to identify cigarette.’’
‘‘Liqueurs are too sweet to smoke.’’52
represented themes that were discussed re- potential new cigarettes that would extend the
peatedly. We conducted this analysis to gain perceived benefits of existing menthol products In June 1990, an RJR memo noted that
a greater understanding of tobacco industry to ‘‘go beyond the existing menthol/regular Simmons Market Research Bureau had con-
research and marketing activities related to product categories.’’38,39 Callé and Company’s ducted an analysis finding that among both
tobacco and alcohol, rather than to generate research summary included the finding that genders and across almost all age groups,
theory or to test specific hypotheses about smoking menthol cigarettes while drinking alco- smokers showed a positive index of alcohol
these activities. hol served to ‘‘greatly reduce perceived harsh- consumption.53 RJR planned to ‘‘utilize this
ness and to increase the ‘throat moisturizing’ learning which might enhance our marketing
RESULTS effects desired.’’38,39 The summary included efforts’’ and ‘‘to develop ways to leverage the
discussions about smoking and drinking, say- alcoholic beverage/tobacco use correlation
We found that tobacco companies did ex- ing that a menthol cigarette, in particular, ‘‘goes among adults.’’53
tensive research on smokers’ alcohol-related with drinks better. A nice sensation––like a Research about smokers’ drinking behavior.
behaviors, and they pursued a wide variety of chaser.’’38,39 The summary also included the Tobacco companies also investigated specific
marketing strategies to capitalize on those observation that ‘‘possibly drinking acts as a cig- drinking behaviors, such as the types and
behaviors. arette stimulant.’’38,39 brands of alcoholic beverages that smokers
From November 1988 to May 1989, PM usually drank and the locations where drinking
Research on Alcohol and Tobacco Use used the General Foods Corporation (GF) occurred. For example, in 1980, RJR hired
Research on cross usage of cigarettes and consumer database to conduct 3 analyses of Multi-Marketing, Inc, to conduct a study during
alcohol. Tobacco companies researched the cross usage of cigarettes, beer, and other food promotional events among young adults on
cross usage of cigarettes and alcohol and the products. PM acquired GF in 1985.40 The spring break in the area of Daytona Beach/Fort

1944 | Research and Practice | Peer Reviewed | Jiang and Ling American Journal of Public Health | October 2011, Vol 101, No. 10
RESEARCH AND PRACTICE

Lauderdale, Florida.54,55 The study found that young adults (18---24 years), and they found Brewing Company products via ‘‘‘masked’ prod-
98.3% of 1574 respondents spent money on that young adults had above-average con- uct linkage,’’ such as shared free-standing inserts,
alcoholic beverages, and 97.1% consumed alco- sumption of many types of alcoholic beverages shared efforts to populate direct mailing lists, or
holic beverages. Alcoholic beverages ranked compared with all adults.61,62 In 1988, RJR retailer-implemented corporate promotions.76,77
second after food in the average amount of studied the lifestyles of young adult smokers In August 1987, RJR studied promotion
money spent per month among both men and (18---24 years) and found that popular alcohol concepts appealing to young males,78 and they
women. The study found that beer was the pre- drinks among this population were regular beer, found that 2 of the 8 concepts with above-
ferred type of alcoholic beverage, the most pop- vodka, rum, tequila, gin, bubbly wines, and sweet average appeal involved alcohol paraphernalia:
ular brands of beer were Miller and Budweiser, wines; less popular alcohol drinks were light ‘‘free beverage holder and mug at retail with
Riunite and Lambrusco were the top 2 favorite beer, scotch, and traditional wines.63 In 1989, 2-pack purchase’’ and ‘‘four mugs with different
wine brands on campus, and Jack Daniel’s was RJR investigated the lifestyles of less educated Camel designs free at retail with 2-pack pur-
the number 1 brand of liquor on campus. About smokers64 and found that a higher percentage of chase.’’78
69.3% of respondents purchased beer in bars/ young adult smokers with low education levels
taverns, 14.2% consumed beer daily, and 51.9% attended bars and discos compared with young Marketing Strategies and Expected
consumed beer a few times a week.55 adult smokers who had graduated from col- Benefits
In March 1981, Leferman Associates con- lege.64 Many other studies also showed that We identified 3 main types of marketing
ducted a qualitative study for RJR to evaluate young adult smokers enjoyed going to bars and strategies that tobacco companies used to link
the reactions of young male smokers (18---24 discos and drinking beer.65---68 cigarettes with alcohol: (1) joint sponsorship, (2)
years) to Camel Lights’ participation in Expo PM conducted similar studies with young joint promotion, and (3) cigarette promotions
America, which was a traveling exposition smokers. In 1999, the research company featuring alcohol or alcohol paraphernalia.
combining showmanship and salesmanship Golden Door, Inc, conducted a study to assist Joint sponsorship. Tobacco companies jointly
targeting young adults.56---58 The study found PM in generating a stronger understanding of sponsored many special events with alcohol
that free or discounted beer was welcome young adult male culture and smoking experi- companies. These special events mainly in-
among young male smokers, although free soft ences.69---73 They found that young adult male cluded sporting events (e.g., auto racing, soccer,
drinks might have been just as well received.56 smokers frequently visited bars and clubs and softball, golf), art events (e.g., concerts, fashion
The report included several quotes from the that different cigarette brands were associated shows, festivals), ethnic events (e.g., Hispanic
participants: with different types and brands of alcohol.69 For and Black festivals and sporting events), resort
example, Newport smokers were associated programs (e.g., spring break), and bar and
‘‘It would have been nice had they had some-
with ‘‘40s’’ (40-oz beers) and Hennessey, Marl- nightclub programs. Sporting events and bar
thing like free beer.’’
‘‘After going on the bull, I was sweating so much I boro Red was associated with whiskey and nights were the most frequently sponsored
had to go out and get a beer.’’ moonshine, and Marlboro Light was associated events. Table 1 lists some examples of the joint
‘‘I came for the cheap beer and music.’’
with wine coolers.69 sponsorship efforts involving tobacco and al-
‘‘Free beer would have gone over real good.’’56
cohol companies.
In 1983, RJR mapped adults’ use of ciga- Formative Research on Potential PM expected joint sponsorship to lower the
rettes and other products, including many Joint Promotions cost of special event sponsorship, appeal more
different alcoholic beverages, by age and edu- Tobacco companies researched the potential to consumers, extend the outreach of brands’
cation level (Figure 1). They reported that effect of promoting cigarettes in conjunction special event involvement, reinforce brand
smokers of Benson & Hedges (the most ‘‘highly with alcohol. In April 1987, PM developed identification, and generate increased sales of
educated’’ cigarette brand in this exercise) a Joint Consumer Promotions Research pro- cigarettes.136,137 PM reported that as a result of
shared a similar education level with Budwe- gram to investigate the feasibility of running joint sponsorship, Marlboro was able to reduce
iser drinkers. Wine drinkers and imported beer joint consumer promotions that featured the fee for Miller’s sponsorship of the Marlboro
drinkers were much more educated than were brands from GF, PM, and Miller Brewing Grand Prix in 1988 by more than 25%, which
cigarette smokers.59 In the same year, research subsidiaries; these companies were all owned benefited PM, the owner of both Marlboro and
conducted to solicit RJR advertising in RockBill by PM.74,75 PM confirmed that there were risks Miller at the time.87 In November 1988, PM
magazine (a free magazine distributed at bars associated with promoting cigarettes with beer stated that the joint sponsorship of bar nights at
and clubs) also noted that and other food products.76,77 In market research spring break sites in Daytona Beach, Florida, and
on the concept, both smokers and nonsmokers South Padre Island, Texas, between Marlboro
our affluent, out-going, sociable audience regu-
larly consumes alcohol beverages as part of their had negative reactions, and PM noted that and Miller might save ‘‘over $50,000 for both
lifestyle––especially when they’re out with friends ‘‘cigarette inclusion in joint programs could Miller and Marlboro on materials, fees, etc.’’130
at ‘our’ clubs . . . and most specify the spirit by potentially have negative impact on other RJR expected joint sponsorship to increase
brand.60
brands,’’ particularly food brands.76 PM subse- the awareness of their promotional events,
Around 1983 and 1984, RJR conducted quently considered pursuing promotional activi- lower the cost of event sponsorship, provide
a study of the purchases and other activities of ties that only indirectly linked PM, GF, and Miller entertainment for the audience, and extend the

October 2011, Vol 101, No. 10 | American Journal of Public Health Jiang and Ling | Peer Reviewed | Research and Practice | 1945
RESEARCH AND PRACTICE

Source. Figure was obtained from R.J. Reynolds internal documents held at the Legacy Tobacco Documents Library.59
FIGURE 1—R. J. Reynolds Tobacco Company’s map of consumer cigarette, alcohol, and other product use by age (vertical axis) and education level
(horizontal axis): United States, 1983.

outreach of their special event involve- ‘‘could be potentially beneficial in terms of cost consumers, and extend brand exposures.139,140
ment.138---140 For example, RJR’s 1975 plans to sharing for future promotions.’’141 In 1989, RJR listed a series of creative marketing
cosponsor California Beach Volleyball with Joint promotion. Tobacco and alcohol com- ideas, including ‘‘promotions in convenience
Olympia beer mentioned that the joint sponsor- panies often jointly promoted their products at outlets which offer a ‘specified amount off’ the
ship would improve event organization, garner their jointly sponsored events. Through joint price of a six-pack of beer with 2 pack or 3 pack
a better reception for the event, ease promotion, promotion, PM expected to receive substantive purchase [of cigarettes].’’143 An RJR memo said
and lock out any competitive cigarette or beer benefits, such as increased sales impact, lower such a promotion could affect a consumer in the
companies from becoming involved with beach costs, and reinforced brand identity.76,77 For following ways:
volleyball.79 example, in a PM document reporting on the
(1) Consumer who intended to purchase only one
B&W also showed interest in lowering the conclusion of a 1982 Marlboro spring/summer pack of cigarettes may purchase two or three
cost of promotional events by jointly sponsor- resort program that aimed to maximize Marlboro packs in order to get discount on beer. (2)
Consumer who intended to purchase beer and
ing them with alcohol companies. For example, brand exposure and stimulate interest and trial
no cigarettes may purchase cigarettes to get
in July 1978, Action Marketing suggested that among the brand’s young adult target audience, discount on beer. Therefore, offering the dis-
in Kool Jazz Festival preliminary promotions, the topic of ‘‘a joint promotion between Miller count on beer may significantly increase the
number of packs of cigarettes sold.143
B&W should tie in with the manufacturers of and Marlboro’’ was broached as a possible im-
liquor, liqueurs, wine, beer, and other products provement.142 The document stated that ‘‘this B&W also showed an interest in joint pro-
to maximize awareness of the festival, decrease would enhance the bar program and increase motion of their cigarettes with alcohol and
costs, and ‘‘extend Kool direct purchase in- sales on both products while establishing brand expected that joint promotion would lower the
centive programs to other types of retail out- loyalty and awareness.’’142 cost. For example, in August 1978, B&W
lets.’’112 In January 1979, B&W reported on the RJR also expected joint promotion to in- discussed a promotional concept for ‘‘Kool
conclusion of their 1978 Rich Lights Disco Pro- crease the awareness of their promotions, Super Lights Black Market Promotions.’’ The
gram, stating that tying in with a liquor company lower the cost of promotion, appeal more to concept was that the consumer would get a free

1946 | Research and Practice | Peer Reviewed | Jiang and Ling American Journal of Public Health | October 2011, Vol 101, No. 10
TABLE 1—Examples of Joint Sponsorship Between Tobacco and Alcohol Companies: United States, 1976–1997

Event Year Tobacco Company Tobacco Brand Alcohol Brand (Alcohol Company)

Sporting events
California Beach Volleyballa,79,80 1976 RJR Winston Olympia
Winston-Budweiser Heritage Cup World Softball Tournament81–84 1985 RJR Winston Anheuser-Busch
Winston-Budweiser Heritage Cup World Softball Tournament83,85 1986 RJR Winston Anheuser-Busch
Golf outing86 1988 PM Brand not specified Miller
Marlboro Soccer Cup87–90 1988 PM Marlboro Miller
CART Indy car auto racinga,87 1988 PM Marlboro Miller
Marlboro Grand Prix87 1988 PM Marlboro Miller
Miller High Life Thunderbird Classic Hydroplane Racinga,91 1989 PM Marlboro Miller
Marlboro Auto Racing—Miller High Life 20092,93 1989 PM Marlboro Miller
Circle K LPGA Tucson Golf Opena,94 1990 PM Brand not specified Miller
VIP golf tournament95 1994 PM Marlboro Miller
Marlboro Auto Racing—Miller Genuine Draft 20096–98 1996 PM Marlboro Miller
Indy racesa,99 1997 B&W Kool Jack Daniels (Brown-Forman)

October 2011, Vol 101, No. 10 | American Journal of Public Health


Art events
Canadian Mist and Viceroy Rich Lights Designer Fashion Showcase100–111 1978 B&W Viceroy Canadian Mist (Brown-Forman)
Kool Jazz Festivala,112 1978 B&W Kool NA
National Rib Cook-Off88 1988 PM Marlboro Miller
Shriners National Convention entertainment activities (e.g., concert, 1990 PM Benson & Hedges Miller
bowling, golf tournaments)113,114
Houston International Festival115–117 1992 PM Benson & Hedges Miller
Smokin’ Joe’s Country Saloon ‘‘Wagon Train Pull’’ Competition118 1993 PM Marlboro Miller
Public affairs program community ‘‘clean-up’’a,119 1993 PM Brand not specified Miller
RESEARCH AND PRACTICE

Rock concerta,99 1997 B&W Lucky Strike Jack Daniels (Brown-Forman)


Jazz concerta,99 1997 B&W Kool Fetzer Wine (Brown-Forman)
Country concerta,99 1997 B&W GPC Southern Comfort and Jack Daniels
(Brown-Forman)
Ethnic events
Mississippi Delta Blues Festival120,121 1989 PM Benson & Hedges Miller
Folklore Festival122 1989 PM Marlboro Miller
Carnival Miami International Concert123 1990 PM Marlboro Miller
Calle Ocho Festival114,123 1990 PM Marlboro Miller
Golf at North Carolina Association of Minority Business114 1990 PM Marlboro Miller
Miami/Bahamas Goombay Festival114 1990 PM Marlboro Miller
Hispanic World’s Faira,113 1990 PM Brand not specified Miller
African World Festival—Benson & Hedges Blues Concert124–126 1990 PM Benson & Hedges Miller

Continued

Jiang and Ling | Peer Reviewed | Research and Practice | 1947


RESEARCH AND PRACTICE

6-pack of Budweiser beer when purchasing


a carton of Kool Super Lights. ‘‘Costs for this

Brand not specified (Brown-Forman)

Canadian Mist (Brown-Forman)


Jack Daniels (Brown-Forman)
promotion would be shared between Bud-
weiser and B&W––with each participant
covering one-half the cost of the refund.’’144

Bacardi
Miller
Miller
Miller

Miller
Miller
Miller

Miller
Miller
In 1997, Gray Advertising suggested many
comarketing ideas for B&W and a spirits and
wine company named Brown-Forman Corpo-
ration. One of the comarketing ideas was
‘‘Catalina Supermarket Coupon Program: pur-
chase Jack Daniel’s Country Cocktails and get
a coupon for $3 off a carton of any B&W
brand.’’99
Lucky Strike, Kool, Capri,

Cigarette promotions featuring alcohol or


Misty, Carlton, GPC

alcohol paraphernalia. Tobacco marketing


Lucky Strike
Marlboro
Marlboro
Marlboro

Marlboro
Marlboro
Marlboro

Marlboro
Marlboro
Kool

Kool

activities, particularly promotional events,


often included

1. discounted or free alcohol,


2. special drinks featuring tobacco promotion
These jointly sponsored events were planned by tobacco companies. However, we found no evidence that these events were actually carried out.

themes,
3. alcohol-related contests,
4. cigarette-branded gifts with alcohol pur-
Note. B&W = Brown and Williamson Tobacco Company; NA = not applicable; PM = Philip Morris; RJR = R.J. Reynolds Tobacco Company.

chases or alcohol-related contests, and


B&W

B&W

B&W
B&W
PM
PM
PM

PM
PM
PM

PM
PM

5. discounted or free alcohol paraphernalia.

Many tobacco companies offered discounted


or free alcohol at tobacco-company-sponsored
bar nights, nightclub events, and other pro-
motional events. At several Marlboro promo-
1991
1991
1994

1984
1988
1989

1978
1989
1993
1997

1997
1997

tional events in the late 1970s and early 1980s,


PM planned to offer free beer to the audience
to generate excitement and please the partici-
pants.145---148 RJR also offered discounted or free
beer and liquor at their bar nights and pro-
motional events in the 1980s and 1990s,149---152
Marlboro New Music Showcase Program at Marlboro Spring Resorta,129

which they expected would not only provide


prizes to the consumers but would also provide
benefits to the managers of the bars and night-
clubs, so that these managers would allow RJR to
conduct their marketing activities.150,151 Similarly,
Marlboro/Miller Rock n’ Roller Beach Weekends88

B&W also offered discounted and free alcoholic


drinks at their disco nights in 1978.153---155,134
Marlboro bar/restaurant program118

Tobacco companies also sometimes devel-


Bar nights at spring break sites130

oped special alcoholic drinks for their promo-


Spring break programa,130–133
Carnaval Miami Festival127

tional events. The name, color, taste, or con-


Bar and nightclub programs,a
Calle Ocho Festival127,128
TABLE 1—Continued

Bacardi KOOL Night134

tainer of these special drinks usually would


Calle Ocho Festival95

match the promotional theme and the charac-


Resort programs

teristics of the promoted brands. For example,


Bar night135
Bar night135
Bar night99

in the 1980s, RJR conducted many Salem bar


nights that featured a special drink named
‘‘Salem-Sling’’; this drink was colored green to
a

match the Salem logo, and it was flavored with

1948 | Research and Practice | Peer Reviewed | Jiang and Ling American Journal of Public Health | October 2011, Vol 101, No. 10
RESEARCH AND PRACTICE

mint to match Salem’s menthol flavoring.156,157 usually targeted at young males. Tobacco com- cigarettes, understood the high prevalence of co-
Special drinks were also offered at RJR’s Salem panies expected the contests to reinforce brand use of cigarettes and alcohol (especially beer),
Ski Scene.158,159 Similarly, B&W was encouraged image, enhance visibility, increase brand aware- and intended to use these findings to enhance
to develop an official Kool ‘‘Jazz Fizz’’ drink in ness, generate entertaining excitement, provide their marketing efforts. Tobacco companies’
1978 for their Jazz Festival to increase attendees’ branded incentives, and generate increased sales. marketing strategies linking cigarettes with al-
interest in and enthusiasm for the festival PM marketers noted that a beer-chug contest was cohol were elaborately planned and carefully
and to provide a unique way to tie Kools in ‘‘easy to run, does not need many participants executed both to connect tobacco sales with
with wine, liquor, or soft drink companies.112 and is exciting to watch.’’170 RJR noted that beer- alcohol purchases and to increase cigarette sales.
In 1978, B&W developed a Rich Lights drink chug contests involved skill, dexterity, strength, The link between smoking and drinking might
for the Rich Lights Disco Program.153 The and other masculine qualities169,172,173; gener- have been strengthened by these marketing
marketing firm hired by B&W to develop the ated ‘‘peer pressure’’ to win Camel prizes175; and activities. This finding is consistent with previous
special Rich Lights drinks160---163 provided were exciting and easy to understand.176 In research showing that tobacco manufacturers
specific requirements that the drinks should addition to bars and nightclubs, Lorillard con- incorporated images of and references to alcohol
meet: ducted beer-chugging contests during Newport in cigarette advertisements in magazines target-
promotions held at the Fort Bragg army base ing young adults.189
The drink should enhance and reinforce the
in April 1983.177,178 Young adults are the most frequent target of
positioning of Rich Lights cigarettes which is
distinctive in packaging and positioning, and rich Tobacco companies often provided ciga- tobacco companies’ marketing activities fea-
in tone and manner, packaging and imagery. The rette-branded gifts to those who purchased turing alcohol. Since at least the 1980s, tobacco
drink should be light in taste and visual appear-
special drinks or who won alcohol-related companies expressed special interest in this
ance. The drink should be rich in appearance (not
thick or heavy in taste). A thin blue float, blue contests.151,156,166---169,172---174,179 For example, population in both their research studies and
garnish, or blue ice cubes would be ideal. with alcohol purchases, RJR distributed Camel their marketing activities.25,27,28,33,190 The
Because of our desire to compliment [sic] the game cards that gave customers a chance to win companies understood that young adults spent
light nature of the Rich Lights cigarette product,
we would prefer to use a drink based on: Gin, Camel merchandise,151,169 and RJR provided time in bars and nightclubs and enjoyed social
Vodka, Rum, Tequila, Champagne, or White Camel beach towels to participants who won activities such as drinking and partying with
Wine. We do not feel that drinks based on the Camel beer-chug contests.174 Cigarette-branded friends in these places.36,37,54,59,60,63---69 The
use of Whiskey, Bourbon, Scotch or other dark
liquors would be appropriate.160
gifts included lighters, key chains, game cards, tobacco companies’ marketing activities linked
beach towels, T-shirts, and coasters.151,169,174,180,181 with alcohol were targeted at both male and
Tobacco promotional events often included These gifts were intended to increase visibility, female young adults, which is consistent with
alcohol-related contests, such as beer-chugging appeal more to the consumers (especially previous research on bar and nightclub
competitions. For example, in May 1989, PM’s young adults), extend awareness of the brand, events.25,27,28,33,190 Significant numbers of
bar night program included the following beer- and provide branded incentives.147,151,169,182,183 young adults continue to be exposed to these
chug contest: Cigarette-branded gifts frequently were al- promotions.25 Thus, young adults should be
Miller Beer Chug Contest: Sign up ten people to
cohol-related paraphernalia, such as bottle a priority for tobacco control and cessation
compete against each other. The winner would openers, beer mugs, beer coolers, wine skins, interventions, because young adulthood repre-
be the first one to drink all the beer and place the shot glasses, and champagne glasses.180,181,184 sents a unique period in the life cycle in which
mug upside down on his/her head and yell
For example, in January 1974, PM provided patterns of behaviors are established that will
‘‘MARLBORO IS NUMBER 1.’’164
a discounted wine rack to consumers who affect both current and future health.
Variations of beer-chug contests included bought 2 packs of Parliament cigarettes.145 Dur- Tobacco company sponsorship that involves
a Wild West Contest (PM)165 and a team com- ing the 1980s, PM included beer mugs in several using a tobacco brand’s name, logo, symbol,
petition (RJR).166,167 resort promotions.171,185---187 At RJR’s promo- motto, selling message, recognizable pattern of
tions, consumers could exchange packs of ciga- colors, or any other indicia of product identifi-
Wild West Contest was designed to fit the
Marlboro image in a bar setting. The contest was rettes for a free beer mug.181,188 In 1997, Gray cation of cigarettes or smokeless tobacco was
a cross between a wild bull ride and a beer Advertising suggested comarketing ideas for recently prohibited for athletic, musical, artistic,
chugging contest. Since health rules prohibited
B&W and Brown-Forman Corporation, includ- or other social or cultural events.191 However,
a bull in the bar, a tricycle was substituted
on a marked course with a beer chugging stop ing a promotion in which customers would tobacco companies still conduct promotional
in the middle. Very popular contest.165 ‘‘collect Kool UPC’s and get Lenox Glassware Set events at bars and nightclubs, which represent
Tent Stuff: . . . Each participant is given a stein of (shot glass, snifter, wine glass, martini glass, fun, smoker-friendly places for young people to
beer. The first person on each team must chug champagne flute, etc.).’’99 initiate and enjoy smoking in the context of
his/her beer and then enter the tent, followed by drinking. These promotional events continue
the second person doing the same.166,167
DISCUSSION even after implementation of smoke-free policies
Beer-chug contests were conducted in many in bars.
of PM’s and RJR’s sponsored bar nights and We found that tobacco companies re- Tobacco promotions in these venues may
nightclub events.151,166---174 These contests were searched the concurrent use of alcohol and be partly responsible for the creation and

October 2011, Vol 101, No. 10 | American Journal of Public Health Jiang and Ling | Peer Reviewed | Research and Practice | 1949
RESEARCH AND PRACTICE

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bacco industry and that create negative asso- About the Authors 9. Schorling JB, Gutgesell M, Klas P, Smith D, Keller A.
Nan Jiang and Pamela M. Ling are with the Center for Tobacco, alcohol and other drug use among college
ciations with tobacco brands will limit the Tobacco Control Research and Education, University of students. J Subst Abuse. 1994;6(1):105---115.
tobacco industry’s ability to cross promote California, San Francisco. Pamela M. Ling is also with the 10. Weitzman ER, Chen Y- Y. The co-occurrence of
cigarettes with other products or to attach Division of General Internal Medicine, Department of smoking and drinking among young adults in college:
Medicine, University of California, San Francisco. national survey results from the United States. Drug
cigarette brands to other products; this effect Correspondence should be sent to Pamela M. Ling, MD, Alcohol Depend. 2005;80(3):377---386.
is in addition to the strong relation that MPH, Associate Professor of Medicine, Box 1390, 530
Parnassus Ave, Suite 366, University of California San 11. Harrison ELR, Desai RA, McKee SA. Nondaily
denormalization campaigns have with smok- smoking and alcohol use, hazardous drinking, and alco-
Francisco, San Francisco, CA 94143-1390 (e-mail:
ing status and intentions to quit.193 Such pling@medicine.ucsf.edu). Reprints can be ordered at hol diagnoses among young adults: findings from the
effects may be particularly important in countries http://www.ajph.org by clicking the ‘‘Reprints/Eprints’’ link. NESARC. Alcohol Clin Exp Res. 2008;32(12):2081---
This article was accepted December 30, 2010. 2087.
where indirect advertising and cobranding are
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A limitation of the present study is that the Contributors alcohol misuse in US adults. Arch Intern Med. 2007;
P. M. Ling conceptualized and supervised the study. N.
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Jiang collected documents and led the writing of the
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This research was supported by the National Cancer
concurrent use of cigarettes and alcohol, their between alcohol and tobacco dependencies among alco-
Institute (grant CA-87472).
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The authors wish to thank the members of the smokers: patterns of alcohol and cigarette use. Addict
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tween smoking and drinking, and these mar- Force for their helpful comments on the article. 16. Rose JE, Brauer LH, Behm FM, Cramblett M, Calkins
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1950 | Research and Practice | Peer Reviewed | Jiang and Ling American Journal of Public Health | October 2011, Vol 101, No. 10
RESEARCH AND PRACTICE

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