Aims
To examine perceptions of risk related to type of cigarette brand.
Design and Setting
Cross-sectional findings from Wave 5 of the ITC Four Country Survey, conducted with nationally representative samples of smokers in 2006.
Participants
8,243 current and former adult (≥ 18 years) smokers from Canada (n=2,022), US (n=2,034), UK (n=2,019), and Australia (n=2,168).
Measurements
Outcomes included beliefs about the relative risks of cigarettes, including perceptions of “own” brand. Correlates included socio-demographic, smoking-related covariates and brand characteristics.
Findings
One-fifth of smokers incorrectly believed that “some cigarette brands could be less harmful” than others. False beliefs were higher in both the US and UK compared to Canada and Australia. Smokers of “light/mild”, “slim”, and, 100mm/120mm cigarettes were more likely to believe that some cigarettes could be less harmful (OR=1.29, 95%CI=1.12-1.48) and that their own brand might be a little less harmful (OR=2.61, 95%CI=2.01-3.41). Smokers of “gold”, “silver”, “blue”, “purple” brands were more likely to believe their “own brand might be a little less harmful” compared to smokers of “red” or “black” brands (OR=12.48, 95%CI=1.45-107.31).
Conclusions
Despite current prohibitions on the words “light” and “mild”, smokers in Western countries continue to falsely believe that some cigarette brands may be less harmful than others. These beliefs are associated with descriptive words and elements of package design that have yet to be prohibited, including the names of colours and long, slim cigarettes.