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Little is known about health‐related advertising on university environments. Given the power of advertising and its potential effect on health behaviors, the purpose of this paper is to assess the health‐related advertisement environment and policies on university campuses.

In total, ten geographically and ethnically diverse US university campuses that were trained in using the health‐related advertisement survey tool participated in the study. Inter‐rater reliability with data collectors at each university was established before data commencement began in Spring 2011. The survey tool assessed the types, locations, and prevalence of health‐related advertisements and messages (e.g. nutrition, alcohol, tobacco) on campus, and included both advertisements and messages related to any aspect of health by any sponsor. Current campus health‐related policies from each institution were collected as well.

The largest proportion of advertisements on all campuses were for diet/nutrition, exercise/fitness, and alcohol. The majority of advertisements promoted positive health behaviors recommended by health professionals. Unbranded advertisements were more likely to promote positive health behaviors than branded advertisements. Diet/nutrition, tobacco, and drug advertisements were more likely to be positive, whereas alcohol‐related advertisements tended to be negative.

The paper's findings indicate significant gaps in campus health‐related policies with regard to healthy eating and physical activity and lack of policies covering health‐related advertisement content. Benchmark data like those reported here can help campus stakeholders set priorities and work with campus decision makers to advocate for the development and implementation of healthy campus policies that support healthy environments.

Advertising can affect health‐related behaviors of young adults. However, little is known about this environmental influence on college campuses. The purpose of this paper is to create an inventory for assessing health‐related advertisements and use it to assess advertising on/near the campus of a major Northeastern university.

The inventory was developed from existing instruments, input from experts, and data collected from student focus groups. The instrument was pilot tested, refined, and used by three trained data collectors (inter‐rater reliability =87.5 percent) to assess the advertising in academic buildings (n=10), residence halls (n=3), libraries (n=2), recreation centers (n=3), student centers (n=2), dining halls (n=3), bookstores (n=2), bus stops (n=4), campus student listserves, and retail stores adjacent to campus.

Of the 130 advertisements, most common types were related to diet/nutrition (41.5 percent) and exercise/fitness (14.6 percent). An evaluation of advertising message polarity revealed 61.5 percent promoted positive health behaviors. Negative messages were mostly related to branded diet/nutrition ads (26 percent). Health‐related advertising on/near this university's campus mostly promoted good health practices in accordance to the university policies. However, improvements in developing university policies with regard to branded diet/nutrition ads on campus are warranted.

The study described in this paper was conducted at one time point at a single university. Future studies should examine seasonal variations and the usefulness of this instrument on other college campuses.

This valid data collection tool will be of benefit to other college campuses and policy makers who wish to identify how to improve campus‐related advertising policies to ensure they promote positive health behaviors.