Adult Smokers’ Awareness and Interest in Trying Heated Tobacco Products: Perspectives from Mexico, where HTPs and E-Cigarettes are Banned

Cruz-Jiménez, Lizeth; Barrientos‐Gutiérrez, Inti; Coutiño-Escamilla, Liliana; Gallegos‐Carrillo, Katia; Arillo-Santillán, Edna; Thrasher, James F.

doi:10.3390/ijerph17072173

Cited by 10 publications

(8 citation statements)

References 37 publications

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“…The research questions and outcome measures, including the study questionnaire, were based on our previous research on e-cigarettes in Guatemala and Mexico. 13 The instrument was piloted among Guatemalan adolescents from schools not included in the study sample to ensure comprehension, and further edited by local researchers to fit the country-specific environment. Participating schools were involved prior to data collection and asked to review the study protocol.…”

Section: Methodsmentioning

confidence: 99%

“…24 Patient and public involvement The research questions and outcome measures, including the study questionnaire, were based on our previous research on e-cigarettes in Guatemala and Mexico. 13 The instrument was piloted among Guatemalan adolescents on December 20, 2020 by guest. Protected by copyright.…”

Section: Survey Design and Datamentioning

confidence: 99%

“…10 11 Nevertheless, consumers equate reduced exposure with reduced risk 12 : HTPs appeal to adult smokers and use of HTPs has been rapidly increasing in some high-income countries (HIC) where they have been introduced, suggesting a potential public health benefit, similar to that of e-cigarettes. [13][14][15] Nonetheless, the appeal of HTPs among adolescents, particularly those who would otherwise not use tobacco, is relatively unknown. IQOS was introduced in some countries in 2014, and is advertised as a less harmful alternative for smokers who want to reduce exposure to harmful chemicals produced by tobacco combustion.…”

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confidence: 99%

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Cross-sectional study on the awareness, susceptibility and use of heated tobacco products among adolescents in Guatemala City, Guatemala

et al. 2020

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ObjectivesHeated tobacco products (HTPs) are increasingly marketed worldwide, yet limited research on HTPs has been conducted in low and middle-income countries (LMICs) or among adolescents. Guatemala is one of the few LMICs where HTPs are available. This study examined prevalence and correlates of HTP awareness, susceptibility and use among adolescents in Guatemala.Design, setting and participantsA cross-sectional survey on HTP awareness, susceptibility and use was conducted among 2870 students between the ages of 13 and 17 in private schools in Guatemala City, Guatemala.Primary and secondary outcome measuresThe primary outcome was susceptibility to future use of HTP among school-aged current and never smokers in Guatemala. We also explored awareness and use of HTPs. Multivariate binomial regression models were used to explore associations between these outcomes and both sociodemographic factors and established smoking correlates.ResultsOf all students (n=2870), about half were aware of HTPs (52.4%) and susceptible to future or continued use (52.4%). Whereas 8.4% of students had tried HTPs in the lifetime (but not in the last month), only 2.9% used HTPs in the past month. Independent correlates of HTP susceptibility and ever-use included: use of other tobacco products (current smoking: adjusted OR (AOR)=10.53 and 6.63, respectively; current e-cigarette use: AOR=21.87 and 10.40, respectively), moderate alcohol consumption (AOR=1.49 and 1.19, respectively), marijuana use in the past 30 days (AOR=3.49 and 2.29, respectively) and having friends who use HTPs (AOR=1.83 and 7.28, respectively).ConclusionsAmong this sample of adolescents in Guatemala City, where tobacco control is weak, the prevalence of HTP use was low but susceptibility to future use was high. Tobacco prevention and intervention strategies for cigarettes and e-cigarettes should now also include HTPs, which tend to be used by similar adolescent populations (ie, those who use other substances or are exposed to tobacco through family and friends).

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Section: Methodsmentioning

confidence: 99%

Section: Survey Design and Datamentioning

confidence: 99%

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confidence: 99%

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Cross-sectional study on the awareness, susceptibility and use of heated tobacco products among adolescents in Guatemala City, Guatemala

et al. 2020

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“…Mexican smokers were recruited to participate in an open-cohort study through Kantar, an online commercial panel for marketing research, with study design details described elsewhere [49][50][51]. Eligible participants were 18 years or older and had smoked at least 100 cigarettes in their life and at least once in the last 30 days.…”

Section: Participantsmentioning

confidence: 99%

Smoking Behaviors, Mental Health, and Risk Perceptions during the Beginning of the COVID-19 Pandemic among Mexican Adult Smokers

Loud

Gallegos‐Carrillo

Barrientos‐Gutiérrez³

et al. 2021

IJERPH

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Mexico is one of the countries most affected by COVID-19. Studies have found that smoking behaviors have been impacted by the pandemic as well; however, results have varied across studies, and it remains unclear what is causing the changes. This study of an open cohort of smokers recruited from a consumer panel (n = 2753) examined changes in cigarettes per day (CPD), daily vs. non-daily smoking, recent quit attempts, perceived stress, depression, and perceived severity of COVID-19 at two points during the pandemic: March and July 2020. Differences in CPD between waves were estimated with Poisson regression using generalized estimating equations (GEE). Differences in perceived stress were estimated with linear regression using GEE, and differences in recent quit attempts, depression, and perceived severity of COVID-19 were estimated using separate logistic regression GEE models. Rates of depression were higher in July compared to March (AOR = 1.55, 95% C.I. 1.31–1.85), and the likelihood of recent quit attempt was lower in July compared to March (AOR = 0.85, 95% C.I. 0.75–0.98). There was no statistically significant change in CPD, daily smoking, or perceived stress. Perceived COVID-19 severity for oneself increased significantly (AOR: 1.24, 95% C.I. 1.02–1.52); however, the perceived COVID-19 severity for smokers remained constant. Our study suggests that as the COVID-19 pandemic expanded in Mexico, smoking frequency remained stable, and quit attempts decreased, even as adult smokers increasingly perceived infection with COVID-19 for themselves as severe. These results can aid in the development of health communication strategies to educate smokers about their risk for COVID-19, potentially capitalizing on concerns that stem from this syndemic of communicable and smoking-related non-communicable disease.

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“…Contrastingly, the two other statements on this issue, one each in Mexico and New Zealand, were more assertive, presented more like a fact than an individual opinion. In Mexico, PMI may be using this claim as part of its extensive campaigning in the region 35 where, until recently, manufacturers used a legal loophole to market HTPs. 36 Some statements, both within and between countries, were contradictory.…”

Section: Original Researchmentioning

confidence: 99%

Corporate communication of the relative health risks of IQOS through a webchat service

2022

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BackgroundCommunication of the relative health risks of IQOS can attract potential consumers, aiding its commercial success. However, health-related claims need to be used cautiously to avoid inaccuracies and attracting non-smokers. We used the live webchat service on the IQOS website to identify information and claims on the relative risks of IQOS made directly to potential consumers in different countries.MethodsThe study was promoted through authors’ networks and conducted between 1 August and 30 November 2020. Participants collected webchat conversation responses to three queries regarding the safety of IQOS relative to cigarettes and e-cigarettes using step-by-step guidance and a predesigned form. Responses were analysed to identify health-related claims and information provided.Results70 webchat attempts were recorded across 27 countries, 54 of which (in 22 countries) were successful webchat conversations. In 48 of these, one or more claims were used to indicate IQOS is safer than cigarettes, such as IQOS is smoke free, emits less harmful substances or reduces harm. Four conversations contained statements indicating IQOS is safer than e-cigarettes. Some statements provided were contradictory. Participant age was consistently requested on accessing the website, but tobacco/nicotine use was not. Other information provided included referral to the 2020 US Food and Drug Administration Modified Risk Tobacco Product decision, IQOS or Philip Morris International web pages and claims that IQOS is not risk free nor a cessation device.ConclusionsA variety of claims and information on the relative safety of IQOS were used in webchat communications. Response variation highlights that clearer regulation is needed to appropriately control corporate communications via live webchat services.

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Adult Smokers’ Awareness and Interest in Trying Heated Tobacco Products: Perspectives from Mexico, where HTPs and E-Cigarettes are Banned

Cited by 10 publications

References 37 publications

Cross-sectional study on the awareness, susceptibility and use of heated tobacco products among adolescents in Guatemala City, Guatemala

Cross-sectional study on the awareness, susceptibility and use of heated tobacco products among adolescents in Guatemala City, Guatemala

Smoking Behaviors, Mental Health, and Risk Perceptions during the Beginning of the COVID-19 Pandemic among Mexican Adult Smokers

Corporate communication of the relative health risks of IQOS through a webchat service

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