Cigarette flavors, package shape, and cigarette brand perceptions: an experiment among young Brazilian women

Islam, Farahnaz; Thrasher, James F.; Szklo, André Salem; Figueiredo, Valeska Carvalho; Perez, Consuelo M.; White, Christine M.; Hammond, David

doi:10.26633/rpsp.2018.5

Cited by 9 publications

(10 citation statements)

References 27 publications

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“…Currently, there is no research literature supporting the belief that smoking slim cigarettes is less harmful than smoking regular cigarettes. However, this study shows that many smokers do believe slim cigarettes are less harmful, as suggested in some experimental studies [ 50 , 51 ]. This belief could be based in part on the noticeable feature that slim cigarettes are much smaller in volume than regular cigarettes.…”

Section: Discussionsupporting

confidence: 50%

Slim cigarette smoking in Urban China: Who are the early adopters and why?

et al. 2021

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Sales data in China indicate that slim cigarette consumption has increased dramatically over the last few years. This study examined who smoked slim cigarettes and the reasons for adopting these new products. A survey of an online panel from 19 Chinese cities was conducted from October 2018 to April 2019 with 20,055 members aged 16 and older. Among the 31.7% [95% confidence interval (CI) = 30.1–33.4] of panel members who reported currently smoking, 37.7% (95% CI = 34.8–40.5) smoked slim cigarettes. Among smokers, women were significantly more likely to smoke slim cigarettes than men [56.5% (95% CI = 50.8–62.2) vs. 35.5% (95% CI = 32.8–38.1)]. Smokers with a bachelor’s degree were more likely to smoke slim cigarettes than those without [41.3% (95% CI = 38.1–44.4) vs. 33.1% (95% CI = 30.0–36.1)]. Most slim cigarette smokers were dual smokers [77.7% (95% CI = 75.3–80.1)], smoking both regular and slim cigarettes. Among dual smokers, 97.5% (95% CI = 96.7–98.3) started smoking regular cigarettes before slim cigarettes. Of the many reasons given for smoking slim cigarettes, 37.0% (95% CI = 34.3–39.7) directly related to harm reduction with another 10.1% (95% CI = 8.4–11.7) reporting their reason as wanting “to reduce consumption of regular cigarettes,” a plausible indication of harm reduction. These findings suggest strong interest in harm reduction among the current Chinese smoking population and that the popularity of slim cigarettes is likely to increase, with the more educated as the early adopters. Given the absence of any evidence that these products actually reduce harm, it is urgent that the public health community be on high alert in order to avoid repeating the sad history of low-tar cigarettes, when a supposed harm-reduction product misled the field of tobacco control.

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Section: Discussionsupporting

confidence: 50%

Slim cigarette smoking in Urban China: Who are the early adopters and why?

et al. 2021

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“…Kiss) in their local market [22]. Collectively, these findings demonstrate efforts across tobacco companies to design packs that signal the suitability of smoking among women in LMICs and potentially increase receptivity to smoking among this demographic group through appealing branded packs [15,16,[35][36][37].…”

Section: Discussionmentioning

confidence: 96%

“…Packs were also coded for the presence of overt feminine marketing appeals discussed in the existing literature [ 15 , 16 , 20 – 26 , 30 , 35 – 37 ]. Specifically, we coded packs as feminine if they contained imagery or descriptors associated with the following: flowers/butterflies, fashion, (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…Slim cigarettes that appear to be designed for women were associated with increased odds of experimental smoking among adolescents in China [ 35 ], and experimental studies conducted among young women in Mexico (16–18 years old) and Brazil (16–26 years old) found that participants rated flavored cigarette packs branded with feminine colors, (e.g. light pastels, pink) as more appealing than flavored, non-branded plain packs [ 36 , 37 ]. However, little is known about the extent to which cigarette packs sold in LMICs feature feminine imagery or appeals outside of pack shape and reduced harm claims.…”

Section: Introductionmentioning

confidence: 99%

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Feminine Appeals on Cigarette Packs Sold in 14 Countries

Czaplicki

Welding

Cohen

et al. 2021

Int J Public Health

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Objective: Limited research has examined feminine marketing appeals on cigarette packs in low-and middle-income countries (LMICs). We reviewed a systematically collected sample of cigarette packs sold across 14 LMICs in 2013 (Wave 1) and 2015–2017 (Wave 2).Methods: Packs in Wave 1 (n = 3,240) and Wave 2 (n = 2,336) were coded for feminine imagery and descriptors (flowers, fashion, women/girls, color “pink”). We examined trends in feminine appeals over time, including co-occurrence with other pack features (slim or lipstick shape, flavor, reduced harm, and reduced odor claims).Results: The proportion of unique feminine cigarette packs significantly decreased from 8.6% (n = 278) in Wave 1 to 5.9% (n = 137) in Wave 2 (p < 0.001). Among all feminine packs, flower-and fashion-related features were most common; a substantial proportion also used flavor and reduced odor appeals.Conclusion: While there was a notable presence of feminine packs, the decline observed may reflect global trends toward marketing gender-neutral cigarettes to women and a general contempt for using traditional femininity to market products directly to women. Plain packaging standards may reduce the influence of branding on smoking among women.

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“…The development of attractive packaging is one of the many marketing strategies used to promote tobacco products among youth, increase brand appeal, and create misleading impressions about tobacco products [4][5][6] . Reviews of TI documents show how cigarette packs are designed to target consumers and increase product appeal 7 , including in Brazil 8 .…”

Section: Introductionmentioning

confidence: 99%

Tobacco industry strategies to prevent a ban on the display of tobacco products and changes to health warning labels on the packaging in Brazil

Silva¹,

Grilo²,

Branco³

et al. 2020

Tob. Prev. Cessation

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INTRODUCTION Through packaging and marketing, the tobacco industry (TI) is able to increase the appeal of its products and reduce the effectiveness of health warning labels (HWLs). Based on scientific evidence and the principles of the WHO Framework Convention on Tobacco Control (FCTC), ANVISA, the Brazilian surveillance and regulatory agency, conducted a process to implement new regulations at the point-of-sale (POS), including a display ban, and new parameters to HWLs. In order to prevent the regulation from entering into force, the TI strategically used several approaches. The objective of this study was to analyze the approaches used by the TI to prevent the implementation of a tobacco display ban and new requirements to HWLs. METHODS In order to identify and describe TI's approaches, we reviewed several sources of documentation, including published articles, reports, legislation, TI documents, and media stories. RESULTS Well-known, reported approaches were used by the TI in order to prevent the implementation of new regulations. These approaches included political interference, litigation, and funding studies to question tobacco control measures as previously reported in Brazil and other countries. CONCLUSIONS Using established approaches, the TI successfully stopped the implementation of a tobacco display ban and new parameters to HWLs in Brazil.

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Cigarette flavors, package shape, and cigarette brand perceptions: an experiment among young Brazilian women

Cited by 9 publications

References 27 publications

Slim cigarette smoking in Urban China: Who are the early adopters and why?

Slim cigarette smoking in Urban China: Who are the early adopters and why?

Feminine Appeals on Cigarette Packs Sold in 14 Countries

Tobacco industry strategies to prevent a ban on the display of tobacco products and changes to health warning labels on the packaging in Brazil

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