The Association Between Smokers’ Perceived Importance of the Appearance of Cigarettes/Cigarette Packs and Smoking Sensory Experience: A Structural Equation Model

Ayo‐Yusuf, Olalekan A.; Agaku, Israel

doi:10.1093/ntr/ntu135

Cited by 9 publications

(12 citation statements)

References 23 publications

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“…Similar to packaging research, having warnings constantly ‘at hand’ will either continually, or at least periodically, remind smokers on the dangers associated with tobacco use and prompt quitting intentions . This allows cigarette stick warnings the potential to be as effective or more effective than current packaging warnings in reducing tobacco use . However, similar to graphic images on cigarette packaging, cigarette stick warnings would need to evoke a significant emotional response and ensure accurate perceptions of risk and increased quit intentions .…”

Section: Discussionmentioning

confidence: 99%

“…[29] This allows cigarette stick warnings the potential to be as effective or more effective than current packaging warnings in reducing tobacco use. [14,17,37] However, similar to graphic images on cigarette packaging, cigarette stick warnings would need to evoke a significant emotional response and ensure accurate perceptions of risk and increased quit intentions. [38] Many pharmacists in the survey and interviews cited the health warnings on cigarette sticks as being 'in your face' and likely to attract the attention of the smoker and onlookers.…”

Section: Discussionmentioning

confidence: 99%

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Australian community pharmacist experiences with smoking cessation and opinions of health warnings on individual cigarette sticks

Drovandi

Teague

Glass

et al. 2018

International Journal of Pharmacy Practice

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Pharmacists have considerable experience assisting smokers with quitting and based on these experiences believe that novel and tangible health warnings on cigarette sticks may be an effective future measure to combat tobacco use. Further research on the opinions of a more diverse range of health professionals and the general community will generate more robust findings regarding this method of intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Australian community pharmacist experiences with smoking cessation and opinions of health warnings on individual cigarette sticks

Drovandi

Teague

Glass

et al. 2018

International Journal of Pharmacy Practice

View full text Add to dashboard Cite

show abstract

“…32 For example, one recent study identified a series of mediational pathways through which health warnings lead to quit attempts, 12 while another used structural equation models to explore associations between aspects of cigarette and cigarette packaging appeal, and cigarette consumption and quit attempts. 33 In addition, longitudinal studies have established that quitting-related cognitions and microindicators of concern predict attempts to quit. 17 34–37 Studies that more thoroughly investigate the pathways through which PP and GHW policies lead to changes in smoking behaviours are critical.…”

Section: Discussionmentioning

confidence: 99%

Are quitting-related cognitions and behaviours predicted by proximal responses to plain packaging with larger health warnings? Findings from a national cohort study with Australian adult smokers

et al. 2015

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BackgroundImplementation of tobacco plain packaging (PP) with larger graphic health warnings (GHWs) in Australia had positive effects on responses reflecting the specific objectives of the PP policy and on follow-up quitting-related cognitions and behaviours. The aim of this study was to examine predictive relationships between these proximal and distal outcomes.MethodsA nationally representative sample of Australian adult cigarette smokers completed a baseline survey and a 1-month follow-up survey within the first year of policy implementation (n(weighted)=3125). Logistic regression analyses tested whether baseline measures of cigarette appeal, GHW effectiveness, perceived harm and concern/enjoyment predicted each of seven follow-up measures of quitting-related cognitions and behaviours, adjusting for baseline levels of the outcome and covariates.ResultsIn multivariable models, we found consistent evidence that several baseline measures of GHW effectiveness positively and significantly predicted the likelihood that smokers at follow-up reported thinking about quitting at least daily, intending to quit, having a firm date to quit, stubbing out cigarettes prematurely, stopping oneself from smoking and having attempted to quit. Two of the quitting-related outcomes were also predicted by feeling more smoking-related concern than enjoyment. A smaller number of the appeal variables were prospectively associated with quitting-related outcomes, while believing that brands do not differ in harmfulness did not positively predict any outcomes.ConclusionsThese findings provide an initial insight into the pathways through which PP with larger GHWs may lead to changes in smoking behaviour. Future research should examine whether the effects are conditional on individual demographic and smoking characteristics.

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“…Companies have an incentive to focus greater attention on packaging and the cigarette itself to convey brand image. 2 3 Ayo-Yusuf and Agaku 4 describe the cigarette itself as the ‘primary’ level of packaging, and argue that enhancements in cigarette packaging are associated with increased sales and also influence sensory perceptions around cigarettes in ways that are key to smoking behaviour and addiction.…”

Section: Introductionmentioning

confidence: 99%

Cigarette stick as valuable communicative real estate: a content analysis of cigarettes from 14 low-income and middle-income countries

et al. 2016

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BackgroundThe current cigarette market is heavily focused on low-income and middle-income countries. Branding of tobacco products is key to establishing and maintaining a customer base. Greater restrictions on marketing and advertising of tobacco products create an incentive for companies to focus more on branding via the product itself. We consider how tobacco sticks are used for communicative purposes in 14 low-income and middle-income countries with extensive tobacco markets.MethodsIn 2013, we collected and coded 3232 cigarette and kretek packs that were purchased from vendors in diverse neighbourhoods in 44 cities across the 14 low-income and middle-income countries with the greatest number of smokers. A single stick from each pack was assessed for branding, decorative and communicative elements using a common coding framework. Stick communication variables included brand name, brand image/logo, brand descriptor, colour and design carried through from pack, ‘capsule cigarette’ symbol, and embellishment of filter end.ResultsCommunication and branding on the stick is essentially ubiquitous (99.75%); 97% of sticks include explicit branding (brand name or logo present). Colour is commonly carried through from the pack (95%), and some sticks (13%) include decorative elements matching the pack. Decorative elements can be found anywhere on the stick, including the filter tip (8%), and ‘convertible’ cigarettes include a symbol to show where to push.ConclusionsCigarette sticks are clearly valuable ‘real estate’ that tobacco companies are using for communicative purposes. Across all countries and brands, the stick communicates branding via text, colour and imagery.

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The Association Between Smokers’ Perceived Importance of the Appearance of Cigarettes/Cigarette Packs and Smoking Sensory Experience: A Structural Equation Model

Abstract: These findings support the regulation of the appearance of cigarettes/cigarette packs to reduce cigarettes' appeal and abuse liability in line with Article 11 of WHO's Framework Convention on Tobacco Control.

Cited by 9 publications

References 23 publications

Australian community pharmacist experiences with smoking cessation and opinions of health warnings on individual cigarette sticks

Australian community pharmacist experiences with smoking cessation and opinions of health warnings on individual cigarette sticks

Are quitting-related cognitions and behaviours predicted by proximal responses to plain packaging with larger health warnings? Findings from a national cohort study with Australian adult smokers

Cigarette stick as valuable communicative real estate: a content analysis of cigarettes from 14 low-income and middle-income countries

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