Leading-Brand Advertisement of Quitting Smoking Benefits for E-Cigarettes

Ramamurthi, Divya; Gall, Phillip A.; Ayoub, Noel; Jackler, Robert K.

doi:10.2105/ajph.2016.303437

Cited by 42 publications

(34 citation statements)

References 14 publications

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“…E-cigarette companies are known to use a variety of euphemistic phrases to suggest that their products can be used for cessation. 50 Despite not making overt cessation claims, these messages may serve as cessation claims.…”

Section: Discussionmentioning

confidence: 99%

“…55 No currently marketed e-cigarettes have received FDA authorization to make harm reduction or cessation claims. 55 By stating that e-cigarettes are less harmful than cigarettes and implicitly suggesting e-cigarettes could be used for cessation, 50 harm reduction messages, like the one tested in this study, may not be allowed by FDA or other regulatory agencies.…”

Section: Implications For Tobacco Regulationmentioning

confidence: 99%

See 1 more Smart Citation

Effects of E-cigarette Advertising Messages and Cues on Cessation Outcomes

Jo¹,

Golden²,

Noar³

et al. 2018

tobacco reg sci

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Objectives We examined effects of e-cigarette ad messages and visual cues on outcomes related to combustible cigarette smoking cessation: smoking cessation intention, smoking urges, and immediate smoking behavior. Methods US adult smokers (N = 3293) were recruited through Amazon Mechanical Turk and randomized to condition in a 3 (message: e-cigarette use anywhere, harm reduction, control) × 2 (e-cigarette cue presence or absence) between-subjects experiment. Stimuli were print ads for cigarette-like e-cigarettes (“cigalikes”) that were manipulated for the experimental conditions. We conducted ANOVA and logistic regression analyses to investigate effects of the manipulations. Results Message effects on cessation intention and smoking urges were not statistically significant. There was no evidence of cue effects or message × cue interactions across outcomes. Contrary to expectations, e-cigarette use anywhere and harm reduction messages were associated with lower odds of immediate smoking than the control message (AOREUA = 0.75, 95%CI = 0.58, 0.97, p = .026; AORHR = 0.72, 95%CI = 0.55, 0.93, p = .013). Conclusions E-cigarette use anywhere and harm reduction messages may encourage smoking cessation, given the observed reduction in immediate smoking. E-cigarette cues may not influence smoking cessation outcomes. Future studies should investigate whether message effects are a result of smokers believing e-cigarettes to be effective cessation aids.

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Section: Discussionmentioning

confidence: 99%

Section: Implications For Tobacco Regulationmentioning

confidence: 99%

Effects of E-cigarette Advertising Messages and Cues on Cessation Outcomes

Jo¹,

Golden²,

Noar³

et al. 2018

tobacco reg sci

View full text Add to dashboard Cite

show abstract

“…10 Cessation and health-related claims are also prevalent in e-cigarette marketing. [11][12][13] While e-cigarettes have been found to contain lower amounts of many toxicants than conventional cigarettes, 14,15 the long-term health effects of e-cigarettes are unknown. Furthermore, concerns remain about the potential toxicity of some components of e-cigarettes, such as flavorings.…”

Section: Introductionmentioning

confidence: 99%

Patterns of and reasons for electronic cigarette use in primary care patients

et al. 2017

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“…can ENDS aid smoking cessation; do young ENDS users become smokers; what are the health effects among Box 1 Evidence on electronic nicotine delivery systems (ENDS) deemed to be substantial or conclusive [1] • ENDS use among young people increases the risk of future combustible tobacco use • Although rare, ENDS devices can explode, causing harm to users • Direct e-liquid contact (e.g. Further, as ENDS are marketed as 'switching', rather than quitting, devices, they also elude the restriction on cessation claims [7], despite ENDS now being the leading product used by US adult smokers attempting to reduce or quit combustibles [8]. formaldehyde, acrolein); can induce oxidative stress, although generally at levels lower than combustible cigarettes; and can induce acute endothelial cell dysfunction • ENDS emissions increase nicotine and particulate matter in indoor environments • ENDS, when completely substituted for combustible cigarettes, can reduce toxicant exposures dual users?).…”

mentioning

confidence: 99%

“…As a result, there is no incentive for ENDS manufacturers to invest in the regulatory process for FDA approval of therapeutic claims. Further, as ENDS are marketed as 'switching', rather than quitting, devices, they also elude the restriction on cessation claims [7], despite ENDS now being the leading product used by US adult smokers attempting to reduce or quit combustibles [8]. Meanwhile, US researchers remain unable to empirically evaluate ENDS as a treatment for quitting smoking.…”

mentioning

confidence: 99%

The public health consequences of e‐cigarettes: a review by the National Academies of Sciences. A call for more research, a need for regulatory action

Prochaska

2018

Addiction

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Electronic nicotine delivery systems (ENDS) are less harmful than combustible cigarettes but lack demonstrated safety. They may help some smokers to quit, while enticing future generations to smoke. The US regulatory environment has restricted research on ENDS for tobacco cessation yet extended the time for open market sales. Calls for further research ought not to stall regulatory action.Electronic nicotine delivery systems (ENDS; e.g. ecigarettes) have gained world-wide attention. Gaps in the evidence on ENDS have contributed to varied opinions, many passionately at odds. The National Academies of Sciences' (NAS) review of more than 800 research papers on ENDS was congressionally mandated and sponsored by the US Food and Drug Administration (FDA) to summarize the state of the science and identify research needs [1]. The NAS report provides a useful summary for policymakers, practitioners and researchers internationally and sheds light on the nuances in the risk/benefit equation for ENDS.Of the nearly 50 conclusions in the NAS report, the strongest evidence (deemed as substantial or conclusive) is listed in Box 1. Are ENDS harm-reducing or harm-creating? The answer is probably both. That is, ENDS may be harm-reducing for smokers seeking to quit (i.e. when the comparator is combustible tobacco), while harm-creating for former or never smokers, particularly among youth, for whom ENDS use appears to increase the risk of future use of combustible tobacco.Being less harmful than combustible cigarettes, which contribute to the deaths of two in three long-term users [2,3], does not mean ENDS are safe. ENDS aerosol contains nicotine, which is addictive; ultrafine particles, that can be inhaled deeply into the lungs; flavorings such as diacetyl, a chemical linked to serious lung disease; volatile organic compounds; cancer-causing chemicals; and heavy metals such as nickel, tin and lead, although all at lower levels than in combusted tobacco smoke [4]. This list is limited by the chemicals assayed to date. Other toxicants, yet to be determined, may be created by repeated heating of the plastic and metal devices.The NAS findings were incorporated into a dynamic population model, and the conclusion was a net public health benefit with reduced loss of life when modeled out to 2050. These gains, however, were lost when extended

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Leading-Brand Advertisement of Quitting Smoking Benefits for E-Cigarettes

Abstract: These results can help the Food and Drug Administration clarify whether tobacco products should be regulated as drugs with therapeutic purpose or as recreational products.

Cited by 42 publications

References 14 publications

Effects of E-cigarette Advertising Messages and Cues on Cessation Outcomes

Effects of E-cigarette Advertising Messages and Cues on Cessation Outcomes

Patterns of and reasons for electronic cigarette use in primary care patients

The public health consequences of e‐cigarettes: a review by the National Academies of Sciences. A call for more research, a need for regulatory action

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