702 The Marketing Book
social behaviour is illustrated if we examine the
known correlates and predictors of health
behaviour. For example, if we examine the
issue of tobacco smoking, the evidence base
demonstrates that smoking initiation is influ-
enced by many factors, of which some may be
related to the individual (e.g. gender, age,
academic achievements, socio-economic group,
personality factors, ethnicity), social factors
(e.g. peer group or family) and wider, environ-
mental factors (e.g. price of cigarettes, their
availability, media portrayal of smoking,
tobacco marketing and cultural representation
of smoking). Most of these influences are
outside the reach of the individual, and while it
is possible to intervene to prevent smoking or
to encourage cessation, a comprehensive social
marketing strategy should also intervene at
these other levels. These other upstream strate-
gic options may be more cost effective and offer
a more constructive, less victim-blaming,
approach (Hastings et al., 2000).
Therefore, social marketing campaigns need
to address behaviour change at the individual
level, the immediate environment and the wider
social context (see Figure 27.3).
Figure 27.3 shows that social marketing
interventions can influence the desired behav-
iour, either directly (e.g. a smoking prevention
campaign aimed at adolescents) or indirectly
by either challenging social pressures (e.g. a
peer education approach) or by tackling the
wider social context (e.g. banning tobacco
advertising). In each sphere the same principles
of social marketing can be applied. At either the
individual, immediate or wider levels, the
social marketer’s objective is behaviour change,
either of the end consumer or some other key
stakeholder, such as families, community
groups, policy-makers or the media. For exam-
ple, Case 2 shows how social marketing can be
used to encourage local authorities and private
water companies to fluoridate the water supply,
a measure that would have tremendous dental
health benefits.
Finally, social marketers can encourage
independent environmental improvements to
reach their objectives, which involve no
Table 27.1 Types of social change, by time and level of society
Micro level
(individual consumer)
Group level
(group or organization)
Macro level
(society)
Short-term
change
Behaviour change Change in norms
Administrative change
Policy change
Example: Attendance at stop-
smoking clinic
Removal of tobacco
advertising from outside a
school
Banning of all forms of
tobacco marketing
Long-term
change
Lifestyle change Organizational change ‘Socio-cultural evolution’
Example: Smoking cessation Deter retailers from
selling cigarettes to
minors
Eradication of all tobacco-
related disease
Adapted from Levy and Zaltman (1975).