Social Media Discussions on the FDA’s Modified Risk Tobacco Product Authorization of IQOS

2022 ◽  
pp. 1-9
Author(s):  
Jungmi Jun ◽  
Nanlan Zhang ◽  
Ali Zain ◽  
Ehsan Mohammadi
Keyword(s):  
2020 ◽  
pp. tobaccocontrol-2019-055427 ◽  
Author(s):  
Yoonsang Kim ◽  
Sherry L Emery ◽  
Lisa Vera ◽  
Bryn David ◽  
Jidong Huang

BackgroundElectronic nicotine delivery systems (ENDS) are the most-used tobacco product by adolescents, and Juul has rapidly become the most popular ENDS brand. Evidence indicates that Juul has been marketed heavily on social media. In light of recent lawsuits against the FDA spurred by claims that the agency responded inadequately to this marketing push, measuring the social media conversation about ENDS like Juul has important public health implications.MethodsWe employed search filters to collect Juul-related and other ENDS-related data from Twitter in 2017–2018 using Gnip Historic PowerTrack. Trained coders labelled random samples for Juul and ENDS relevance, and the labelled samples were used to train a supervised learning classifier to filter out irrelevant tweets. Tweets were geolocated into US counties and their fitness for use was assessed.ResultsThe amount of Juul-related tweets increased 67 times over the study period (from 18 849 in the first quarter of 2017 to 1 287 028 in the last quarter of 2018), spreading widely across US counties. By the last quarter 2018, 34% of US counties had more than 6 Juul-related posts per 10 000 people, up from 0% in the first quarter 2017. However, during the same period, the total of non-Juul ENDS-related tweets decreased by 25%.ConclusionsJuul-related content grew exponentially on Twitter and spread across the entire country during the time when the brand was gaining market share. This social media buzz continued to increase even after FDA’s multiple interventions to curb promotions targeting minors.


Author(s):  
Priya Fielding-Singh ◽  
Anna E Epperson ◽  
Judith J Prochaska

Abstract Introduction The decline in tobacco smoking among US adolescents has been exceeded by the exponential rise in nicotine vaping with an overall net gain in youth tobacco product use. While cigarette companies are restricted from advertising on television/radio, vaping promotions have been largely unrestricted. This study examined exposure to tobacco product promotions in a US sample of 1003 adolescents and its associations with product use and susceptibility to use. Aims and Methods Adolescents (13–17) were recruited online and anonymously surveyed in 2019 about their ever and current (past 30 days) tobacco smoking (cigarette and cigar) and nicotine vaping behaviors, and among never-users, susceptibility to vaping. Multivariate models tested associations with past-month exposure to tobacco product promotions controlling for demographic features, harm perceptions, and family and peer influences. Results Tobacco product use was 34% ever-use and 20% current-use. Most had seen cigarette (91%) and nicotine vaping (80%) product promotions in the past 30 days. A majority reported exposure at point-of-sale and on major (television and cinema) and social media. In adjusted multivariate models, greater exposure to tobacco product promotions was significantly associated with ever and current smoking and vaping; and among never-users, susceptibility to vaping (all p < .01, effect sizes 1.03–1.05). Family/peer use and attitudes also were significant correlates. Conclusions Tobacco product promotions remain ubiquitous and are significantly associated with adolescents’ tobacco product use and susceptibility to vape. Peers and family are important social influences and may reflect indirect channels of tobacco marketing. Stricter regulatory restrictions on tobacco marketing to young people are warranted. Implications This study adds to mounting evidence showing that tobacco marketing remains pervasive and is associated with tobacco use and susceptibility to use. Most youth report seeing cigarette and nicotine vaping product promotions, with notable differences by channel: traditional media predominate for cigarettes and social media/email for e-cigarettes. Greater exposure to tobacco promotions is significantly associated with ever and current smoking and vaping, and among never-users, susceptibility to vaping. The accumulating findings support stricter regulatory restrictions on marketing of tobacco products in media channels accessed by youth.


2020 ◽  
Vol 6 (5) ◽  
pp. 306-317
Author(s):  
Elizabeth L. Albert ◽  
Karen J. Ishler ◽  
Rachel Perovsek ◽  
Erika S. Trapl ◽  
Susan A. Flocke

Objectives: In this study, we examine the frequency of 'simultaneous use' (smoking tobacco in close temporal proximity to smoking marijuana) and substitution (smoking a cigarillo in place of a marijuana blunt – a cigar wrapper filled with marijuana) and their association with nicotine dependence (ND) among young cigarillo users. Methods: The sample consisted of 686 cigarillo and blunt co-users who responded to a cross-sectional, Web-based survey of 14-28-year-olds recruited via social media. We used bivariate analyses and multiple linear regression to examine the association of simultaneous use and substitution with participant demographics, tobacco product use, marijuana use, and ND. Results: Most users reported simultaneous use (72.4%) and substitution (67.9%). Chasing was the most common form of simultaneous use (63%). Simultaneous users were more likely to use tobacco daily and to smoke cigarettes, and reported a lower age of initiation to marijuana and tobacco than non-simultaneous users. The most common reason for substituting (73%) was the lack of availability of marijuana. Both practices were strongly and independently associated with greater ND, adjusting for covariates. Conclusions: Simultaneous use and substitution are common co-use behaviors among cigarillo users, and may play a role in promoting increased tobacco use and nicotine dependence.


2021 ◽  
pp. 106930
Author(s):  
Kelly D. Blake ◽  
Anna Gaysynsky ◽  
Rachel Grana Mayne ◽  
Andrew B. Seidenberg ◽  
Annette Kaufman ◽  
...  

2020 ◽  
Vol 6 (2) ◽  
pp. 205630512091247 ◽  
Author(s):  
Ganna Kostygina ◽  
Hy Tran ◽  
Steven Binns ◽  
Glen Szczypka ◽  
Sherry Emery ◽  
...  

Public health organizations are increasingly turning to social media as a channel for health campaign dissemination, as these platforms can provide access to “hidden” or at-risk audiences such as populations of color and youth. However, few studies systematically assess the effects of such campaigns in a competitive communication environment characterized by an influx of sophisticated tobacco product marketing. The objective of the current study is to investigate how content and source features of Twitter messages about truth® campaigns influence their popularity, support, and reach. Keyword rules were used to collect tweets related to each of the six campaigns from the Twitter Firehose posted between August 2014 and June 2016. Data were analyzed using a combination of supervised and unsupervised machine learning, keyword algorithms, and human coding. Tweets were categorized by source type (direct or truth®-owned social influencer; non-influencer). Tweet content was coded and classified for valence and campaign references (branded vs. non-branded or organic content). Message reach was calculated by source type and message type. Keyword filters captured 308,216 tweets posted by 225,912 Twitter users. Findings revealed that campaigns that utilized social influencers as message sources generated more campaign-branded and sharable content (e.g., campaign hashtags) and greater volume of tweets per day and reach per day. Influential users posted fewer organic messages and more branded/sharable content, generating greater reach compared to non-influencers. Oppositional messages decreased over time. Harnessing cultural elements endemic to social media, such as popular content creators (influencers) and messages (memes), is a promising strategy for improving health campaign interest and engagement.


2019 ◽  
Vol 22 (4) ◽  
pp. 580-582
Author(s):  
Shelagh Ferguson ◽  
Jack Smith ◽  
Janet Hoek

Abstract Introduction Social media platforms such as YouTube provide largely unregulated opportunities for covert tobacco product placement that immerse viewers in evolving narratives and surrounding fan-created material. A Winfield Blues product placement appeared in series 3 of The Big Lez Show, a “crude comedy,” DIY animation web series that has garnered more than 70 million views. Methods We used a netnographic approach that adapts the traditional, in-person participant observation techniques of ethnography to investigate this online fan and associated paratexts, and conducted a frame-by-frame analysis of the most pertinent 12 minutes and 5 seconds of animation, and 250 pages of paratexts. Results The Big Lez show links “Winnie Blues” to seemingly authentic virtual content, including memes, merchandise, discussion groups, and even smartphone apps. These para, or secondary texts, surround the original content, provide opportunities for brand co-creation in online fan forums, and integrate tobacco brands in everyday life. Conclusions The Big Lez Show integrates Winnie Blues with popular culture and raises important questions about how social media facilitates tobacco product placement. Policy responses include encouraging social media platforms to include tobacco within webmaster guidelines and requiring site owners to demonstrate their content reaches only those legally able to purchase tobacco. Implications Contemporary entertainment using social media platforms can create immersive contexts that present an elusive and ongoing challenge to tobacco control policies. The Big Lez Show’s use of the Winnie Blues brand imagery spawned memes, merchandise, and smartphone apps that amplified the brand’s reach and connection with young people. Policy responses include stronger requirements that webmasters include tobacco product placement within their guidelines or requirements that site owners featuring tobacco imagery demonstrate their sites do not reach those aged below the age at which tobacco may be legally purchased.


2020 ◽  
pp. tobaccocontrol-2019-055571 ◽  
Author(s):  
Andrew Seidenberg ◽  
Becky Freeman

In 2014, Philip Morris International (PMI) introduced the IQOS heated tobacco product system. It has been widely reported in the media that IQOS is an acronym for 'I quit ordinary smoking'. To our knowledge, PMI has never publicly used any acronym to describe or market IQOS. Moreover, PMI has repeatedly denied that IQOS is an acronym. The acronym, which is an implicit cessation claim, has also appeared in numerous peer-reviewed publications. While the origins of the acronym are unknown, PMI stands to benefit from the publicity and associated positive connotations. It is possible that early adopters of IQOS created the acronym online, which was then picked by reporters and the research community. Alternatively, given that tobacco manufacturers have used social media influencers to promote their products, it is also possible that PMI may have surreptitiously helped popularize the acronym. Regardless of its origin, researchers and journals should stop disseminating this internet myth that promotes a potentially misleading claim.


Author(s):  
Patricia Cavazos-Rehg ◽  
Xiao Li ◽  
Erin Kasson ◽  
Nina Kaiser ◽  
Jacob T Borodovsky ◽  
...  

Abstract Introduction Tobacco use is a current public health epidemic that puts individuals at risk for many health conditions and diseases, and adolescents are at high risk for the initiation and persistence of tobacco use behaviors partly due to engagement with social media content. The objective of this study is to examine the association between engaging in social media behaviors and patterns of electronic nicotine delivery systems (ENDS) and tobacco use at a 1-year follow-up among 11 279 adolescents from the PATH study. Methods Five social media variables were questioned at Wave 2 and then compared to ENDS and tobacco status transitions (i.e., initiation, persistence, and escalation) at a 1-year follow-up, respectively. Survey-weighted multivariable logistic regression models were used to calculate adjusted odds ratios and 95% confidence interval. Results Passive behaviors on social media were related to higher likelihoods of starting to use ENDS and other tobacco products. Additionally, active behaviors on social media were related to higher likelihoods for the initiation and persistence of tobacco use. In particular, sending tobacco content to other users was further associated with a higher likelihood of escalation of tobacco product use. Discussion Both exposure to and interactions with social media tobacco content had a significant impact on the patterns of ENDS and tobacco use in adolescents. Due to the amount of time adolescents spend engaging with online content, social media may be a critical place in which to intervene, possibly with the use of antitobacco or tobacco prevention messages. Implications The results of this study have implications for public health and the policies surrounding adolescents and their exposure to social media. Reducing the ENDS and tobacco content to which adolescents are exposed has the potential to decrease the instances of initiation and persistence of ENDS and tobacco use. Intervening on social media may prevent or slow the progression of ENDS and tobacco use, and increase motivation and actions toward the cessation of tobacco use in adolescents.


Author(s):  
Lorraine V. Craig ◽  
Itsuro Yoshimi ◽  
Geoffrey T. Fong ◽  
Gang Meng ◽  
Mi Yan ◽  
...  

Japan is one of the world’s largest cigarette markets and the top heated tobacco product (HTP) market. No forms of tobacco advertising, promotion, and sponsorship (TAPS) are banned under national law, although the industry has some voluntary TAPS restrictions. This study examines Japanese tobacco users’ self-reported exposure to cigarette and HTP marketing through eight channels, as well as their support for TAPS bans. Data are from the 2018 ITC Japan Survey, a cohort survey of adult exclusive cigarette smokers (n = 3288), exclusive HTP users (n = 164), HTP-cigarette dual users (n = 549), and non-users (n = 614). Measures of overall average exposure to the eight channels of cigarette and HTP advertising were constructed to examine differences in exposure across user groups and products. Dual users reported the highest exposure to cigarette and HTP advertising. Tobacco users (those who used cigarettes, HTPs, or both) reported higher average exposure to HTP compared to cigarette advertising, however non-users reported higher average exposure to cigarette compared to HTP advertising. Retail stores where tobacco or HTPs are sold were the most prevalent channel for HTP and cigarette advertising, reported by 30–43% of non-users to 66–71% of dual users. Non-users reported similar exposure to cigarette advertising via television and newspapers/magazines as cigarette smokers and dual users; however, advertising via websites/social media was lower among non-users and HTP users than among cigarette smokers and dual users (p < 0.05). Most respondents supported a ban on cigarette (54%) and HTP (60%) product displays in stores, and cigarette advertising in stores (58%).


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