Effects of tobacco product type and characteristics on appeal and perceived harm: Results from a discrete choice experiment among Guatemalan adolescents

Monzón, Jose; Islam, Farahnaz; Mus, Sophia; Thrasher, James F.; Barnoya, Joaquín

doi:10.1016/j.ypmed.2021.106590

Cited by 12 publications

(6 citation statements)

References 62 publications

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“…Ipsos generated study-specific poststratification survey weights to account for disparities in basic demographic characteristics resulting from recruitment and non-completion 45. Prior DCEs in tobacco research have found a range of effect sizes 47 48. The current sample enables detection of small effect sizes with power ( β ) >0.80 49…”

Section: Methodsmentioning

confidence: 88%

Messaging about very low nicotine cigarettes (VLNCs) to influence policy attitudes, harm perceptions and smoking motivations: a discrete choice experiment

et al. 2022

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BackgroundTo reduce smoking and the harms it causes, countries, including the USA, are considering policies to reduce nicotine in combustible tobacco to minimally addictive levels. Effective messages about very low nicotine cigarettes (VLNCs) and this policy are crucial in combating misperceptions threatening the policy’s effectiveness.Data and methodsA discrete choice experiment assessed messages about VLNCs. Participants were 590 adults who smoked exclusively, 379 adults who both smoked and used e-cigarettes, 443 adults who formerly smoked and 351 young adults who never smoked (total n=1763). Seven message attributes were varied systematically (source, harm, chemicals, nicotine, satisfaction, addictiveness and quitting efficacy). Outcomes were selection of messages that generated the most positive attitude towards reduced nicotine policy, the greatest perceived harmfulness of VLNCs, and most strongly motivated quitting and initiating behaviour for VLNCs.ResultsInformation about specific harms and chemicals of VLNCs had the largest effects on selection of messages as eliciting more negative attitudes towards VLNCs policy, increasing perceived VLNC harmfulness, increasing motivation to quit VLNCs and decreasing motivation to try VLNCs. Messages with information about quitting efficacy were selected as more motivating to quit among those who smoke, but also more motivating to try VLNCs among those who do not smoke.ConclusionHarm and chemical information can be prioritised to ensure VLNCs are not misperceived as less harmful than regular cigarettes. Messages about increased quitting efficacy and reduced addictiveness associated with VLNCs may backfire if presented to those who do not smoke.

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Section: Methodsmentioning

confidence: 88%

Messaging about very low nicotine cigarettes (VLNCs) to influence policy attitudes, harm perceptions and smoking motivations: a discrete choice experiment

et al. 2022

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“…Although data in India are limited, protective measures have nonetheless have been put into place in 2019, when e-cigarettes were banned to protect minors 119 . Concern has been raised in Guatemala over the lack of regulatory control over flavored e-cigarettes that are enticing for teenagers 120 . While little is known about Africa, South Africa is planning on placing restrictions on e-cigarettes in 2021 121 , but there has been strong opposition from the Tobacco Industry 122 .…”

Section: Resultsmentioning

confidence: 99%

Global youth vaping and respiratory health: epidemiology, interventions, and policies

Lyzwinski

Naslund

Miller

et al. 2022

npj Prim. Care Respir. Med.

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E-cigarette usage (also known as e-cigarettes or vaping products) has increasingly been recognized as a global public health problem. One challenge in particular involves their marketing to minors (teenagers and children) and the rising prevalence of use in this population. E-cigarettes unnecessarily expose minors to health risks, these include respiratory health problems, such as exacerbations of asthma, bronchitis, and respiratory-tract irritation. Nicotine, commonly found in e-cigarettes, is also associated with cognitive impairment and neurodevelopmental problems. E-cigarettes are also risk factors for downstream substance use, including cigarettes and cannabis initiation (the gateway hypothesis), which compounds health risks in dual users. Current public health preventative and intervention studies are limited, and there is a clear need for more interventions that may prevent usage and assist with cessation in this vulnerable population. Physician education and screening uptake should also be enhanced. Stricter public health policy and protection measures are also needed on a global scale to limit e-cigarette exposure in minors.

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“…Tobacco companies have used enticing and appealing flavours to maintain and grow their customer base. Smokers and non-smokers, including adolescents, perceive flavoured products as less harmful than unflavoured ones 9 10. While some countries have banned flavour additives or characterising flavours in tobacco products,11 flavoured tobacco products remain prevalent in many other countries including in LMICs 12…”

Section: Proliferation Of Flavors and Emergence Of Flavour Capsules A...mentioning

confidence: 99%

Innovations that harm: tobacco product and packaging in low-income and middle-income countries

et al. 2022

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Effects of tobacco product type and characteristics on appeal and perceived harm: Results from a discrete choice experiment among Guatemalan adolescents

Cited by 12 publications

References 62 publications

Messaging about very low nicotine cigarettes (VLNCs) to influence policy attitudes, harm perceptions and smoking motivations: a discrete choice experiment

Messaging about very low nicotine cigarettes (VLNCs) to influence policy attitudes, harm perceptions and smoking motivations: a discrete choice experiment

Global youth vaping and respiratory health: epidemiology, interventions, and policies

Innovations that harm: tobacco product and packaging in low-income and middle-income countries

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