Flavour capsule heat-sticks for heated tobacco products

Cho, Yoo Jin; Thrasher, James F.

doi:10.1136/tobaccocontrol-2018-054472

Cited by 25 publications

(12 citation statements)

References 17 publications

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“…As the market share for flavour capsules has grown, the industry has increasingly introduced a great range of flavours beyond menthol (eg, berry, citrus, cucumber, mango), including varieties with two differently flavoured capsules, 43 packs with sticks that have up to five different capsule flavours 43 and the application of this product innovation to heated tobacco products. 89 In Mexico, the rapid uptake of this innovation is a possible explanation for why FCTC-recommended policies have not been as effective as expected. 68 Unlike in other countries, Mexican smokers' preferences for flavour capsules is less skewed towards younger populations.…”

Section: Discussionmentioning

confidence: 99%

Assessing cigarette packaging and labelling policy effects on early adolescents: results from a discrete choice experiment

et al. 2020

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IntroductionCigarette packaging is a primary channel for tobacco advertising, particularly in countries where traditional channels are restricted. The current study evaluated the independent and interactive effects of cigarette packaging and health warning label (HWL) characteristics on perceived appeal of cigarette brands for early adolescents in Mexico.MethodsA discrete choice experiment (DCE) was conducted with early adolescents, aged 12–14 years (n=4251). The DCE involved a 3×25 design with six attributes: brand (Marlboro, Pall Mall, Camel), tobacco flavour (regular, menthol), flavour capsule (none, 1 or 2 capsules), presence of descriptive terms, branding (vs plain packaging), HWL size (30%, 75%) and HWL content (emphysema vs mouth cancer). Participants viewed eight sets of three cigarette packs and selected a pack in each set that: (1) is most/least attractive, (2) they are most/least interested in trying or (3) is most/least harmful, with a no difference option.ResultsParticipants perceived packs as less attractive, less interesting to try and more harmful if they had plain packaging or had larger HWLs, with the effect being most pronounced when plain packaging is combined with larger HWLs. For attractiveness, plain packaging had the biggest influence on choice (43%), followed by HWL size (19%). Interest in trying was most influenced by brand name (34%), followed by plain packaging (29%). Perceived harm was most influenced by brand name (30%), followed by HWL size (29%).ConclusionIncreasing the size of HWLs and implementing plain packaging appear to reduce the appeal of cigarettes to early adolescents. Countries should adopt these policies to minimise the impact of tobacco marketing.

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Section: Discussionmentioning

confidence: 99%

Assessing cigarette packaging and labelling policy effects on early adolescents: results from a discrete choice experiment

et al. 2020

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“…Particularly concerning is the introduction of flavoured HTPs in some countries, which involves the addition of sticks with flavour capsules in the filter that the consumer can crush to make the aerosol taste like diverse flavours, ranging from mint to ginger to bubble gum. 42 Flavour capsules in cigarettes, which include an even broader range of flavours (eg, mango, mint, berry) that are popular with youth, are increasingly popular worldwide, including in Guatemala, where they represented 32% of the cigarette market in 2017. 43 While it does not seem like HTPs are gateway tobacco products for adolescents, as most current users in our sample report initially using e-cigarettes, as HTPs become more common and integrate new flavours and flavour technologies, it is possible that this could change, particularly among adolescents.…”

Section: Discussionmentioning

confidence: 99%

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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“…9 Since 2014, flavour capsules have also become available in filters for roll-your-own and make-your-own cigarettes, as well as cigars, cigarillos and heated tobacco products. [10][11][12] The retail environment is important in promoting capsule cigarettes ( Figure 3), even in countries which have banned the display of tobacco products. Following a display ban in the UK, for instance, tobacco industry representatives have encouraged small retailers to promote certain brands of capsule cigarettes.…”

Section: Flavour Capsule Cigarettes Continue To Experience Strong Glomentioning

confidence: 99%

Flavour capsule cigarettes continue to experience strong global growth

et al. 2018

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Flavour capsule heat-sticks for heated tobacco products

Cited by 25 publications

References 17 publications

Assessing cigarette packaging and labelling policy effects on early adolescents: results from a discrete choice experiment

Assessing cigarette packaging and labelling policy effects on early adolescents: results from a discrete choice experiment

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

Flavour capsule cigarettes continue to experience strong global growth

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