Cross-country comparison of cigarette and vaping product marketing exposure and use: findings from 2016 ITC Four Country Smoking and Vaping Survey

Cho, Yoo Jin; Thrasher, James F.; Cummings, Michael; Yong, Hua‐Hie; Hitchman, Sara C.; McNeill, Ann; Fong, Geoffrey T.; Hammond, David; Hardin, James W.; Lin, Li; Lindblom, Eric N.

doi:10.1136/tobaccocontrol-2018-054650

Cited by 10 publications

(12 citation statements)

References 19 publications

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“…The findings are also consistent with previous evidence in which national-level differences in marketing regulations were examined: youth and adult exposure to e-cigarette advertising is lower in countries with greater restrictions, such as Australia and Canada before the "opening" of the e-cigarette market in 2018. 12,27 This study is subject to limitations common to survey research, including response bias. For example, selfreported measures of marketing exposure may be subject to recall biases.…”

Section: Discussionmentioning

confidence: 99%

“…In 3 studies that included comparison of exposure across countries with different restrictions, the conclusions were that marketing exposure was higher among youth and adults in the United States and Canada compared with England and Australia, countries with greater restrictions. 12,26,27 The implementation of the TVPA in 2018 and the differing regulatory restrictions across Canadian provinces has created the conditions for a "natural experiment" to test the impact of e-cigarette marketing: although marketing practices increased in all provinces in 2018, we hypothesize that they increased to a greater extent in provinces with fewer restrictions. Accordingly, in our current study, we had 3 primary objectives: (1) to examine changes in exposure to e-cigarette marketing before and after implementation of the TVPA, (2) to examine whether exposure differed on the basis of the strength of provincial marketing restrictions, and (3) to test whether exposure to e-cigarette marketing was associated with the prevalence of vaping.…”

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confidence: 99%

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E-cigarette Marketing Regulations and Youth Vaping: Cross-Sectional Surveys, 2017–2019

et al. 2020

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BACKGROUND: Increased electronic cigarette (e-cigarette) use among young people is often attributed to industry marketing practices; however, the effectiveness of regulations that limit e-cigarette advertising and promotions has yet to be examined. New federal legislation that liberalized the Canadian e-cigarette market in May 2018, along with differences in provincial regulations, provides an opportunity to examine the impact of regulatory restrictions on e-cigarette marketing.METHODS: Repeat cross-sectional surveys of 12 004 16-to 19-year-olds in Canada, completed online in 2017, 2018, and 2019. Logistic regression models were used to examine differences over time in exposure to e-cigarette marketing and e-cigarette use, including between provinces with differing strengths of marketing restrictions. RESULTS:The percentage of youth surveyed who reported noticing e-cigarette promotions often or very often approximately doubled between 2017 and 2019 (13.6% vs 26.0%; adjusted odds ratio [AOR] = 2.24, 95% confidence interval [CI] = 1.97-2.56). Overall exposure to marketing was generally more prevalent in provinces with fewer regulatory restrictions. Respondents who reported noticing marketing often or very often were more likely to report vaping in the past 30 days (

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

E-cigarette Marketing Regulations and Youth Vaping: Cross-Sectional Surveys, 2017–2019

et al. 2020

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“…Cigarettes smoking status was also asked and recoded into three categories: daily smokers, nondaily smokers and recent quitters. As in previous research 26 , depending on respondents' cigarette and e-cigarette use, we re-categorized respondents into the following four types: cigarette-only smokers, concurrent users, e-cigarette-only users, and exsmokers ( Table 1).…”

Section: Other Covariatesmentioning

confidence: 99%

The association between smokers’ self-reported health problems and quitting: Findings from the ITC Four Country Smoking and Vaping Wave 1 Survey

Li¹,

Borland²,

O’Connor³

et al. 2019

Tob. Prev. Cessation

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INTRODUCTION This study aimed to systematically examine whether having health conditions or concerns related to smoking are associated with quitting activities among smokers across four western countries. METHODS Data came from the 2016 International Tobacco Control Four Country Smoking and Vaping Survey conducted in Australia, Canada, England and US. We asked smokers and recent quitters (n=11838) whether they had a medical diagnosis for heart disease, cancer, chronic lung disease, depression, anxiety, alcohol problems, diabetes, severe obesity and chronic pain (nine conditions), and whether they believed smoking had harmed/would harm their health, along with questions on quitting activities. RESULTS General concerns about smoking harming health and all specific health conditions, except for alcohol problems, were positively associated with quit attempts, but the relationships between health conditions and other quitting measures (being abstinent, planning to quit, use of quitting medications) were less consistent. Positive associations between conditions and use of quitting medications were only significant for depression, anxiety and chronic pain (adjusted odds ratios ranged from 1.4 to 1.5). There was a general tendency to report lower self-efficacy for quitting among those with the health conditions. CONCLUSIONS While those with smoking related conditions are somewhat more aware of the links to their smoking, and are largely taking more action, the extent of this is lower than one might reasonably expect. Enhanced awareness campaigns are needed and health professionals need to do more to use health conditions to motivate quit attempts and to ensure they are made with the most effective forms of help.

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“…With the growing popularity of alternative nicotine delivery products, recent studies have examined exposure to advertising of vaping products among adults and youth. Surveys in Canada, the US, England, and Australia show that self-reported exposure to marketing of vaping products generally reflects country and channel-specific advertising bans, with the exception of online channels which are difficult to regulate and enforce [23][24][25][26]. Youth smokers and/or vapers were more likely to report advertising exposure compared to non-smokers and non-vapers.…”

Section: Introductionmentioning

confidence: 99%

Awareness of Marketing of Heated Tobacco Products and Cigarettes and Support for Tobacco Marketing Restrictions in Japan: Findings from the 2018 International Tobacco Control (ITC) Japan Survey

Craig

Yoshimi

Fong

et al. 2020

IJERPH

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Japan is one of the world’s largest cigarette markets and the top heated tobacco product (HTP) market. No forms of tobacco advertising, promotion, and sponsorship (TAPS) are banned under national law, although the industry has some voluntary TAPS restrictions. This study examines Japanese tobacco users’ self-reported exposure to cigarette and HTP marketing through eight channels, as well as their support for TAPS bans. Data are from the 2018 ITC Japan Survey, a cohort survey of adult exclusive cigarette smokers (n = 3288), exclusive HTP users (n = 164), HTP-cigarette dual users (n = 549), and non-users (n = 614). Measures of overall average exposure to the eight channels of cigarette and HTP advertising were constructed to examine differences in exposure across user groups and products. Dual users reported the highest exposure to cigarette and HTP advertising. Tobacco users (those who used cigarettes, HTPs, or both) reported higher average exposure to HTP compared to cigarette advertising, however non-users reported higher average exposure to cigarette compared to HTP advertising. Retail stores where tobacco or HTPs are sold were the most prevalent channel for HTP and cigarette advertising, reported by 30–43% of non-users to 66–71% of dual users. Non-users reported similar exposure to cigarette advertising via television and newspapers/magazines as cigarette smokers and dual users; however, advertising via websites/social media was lower among non-users and HTP users than among cigarette smokers and dual users (p < 0.05). Most respondents supported a ban on cigarette (54%) and HTP (60%) product displays in stores, and cigarette advertising in stores (58%).

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Cross-country comparison of cigarette and vaping product marketing exposure and use: findings from 2016 ITC Four Country Smoking and Vaping Survey

Cited by 10 publications

References 19 publications

E-cigarette Marketing Regulations and Youth Vaping: Cross-Sectional Surveys, 2017–2019

E-cigarette Marketing Regulations and Youth Vaping: Cross-Sectional Surveys, 2017–2019

The association between smokers’ self-reported health problems and quitting: Findings from the ITC Four Country Smoking and Vaping Wave 1 Survey

Awareness of Marketing of Heated Tobacco Products and Cigarettes and Support for Tobacco Marketing Restrictions in Japan: Findings from the 2018 International Tobacco Control (ITC) Japan Survey

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