Demarketing Tobacco Products Strategy to Impact Customers for Social Change

2017 ◽  
Vol 4 (4) ◽  
pp. 16-30
Author(s):  
Neeta Baporikar ◽  
Rosalia Fotolela

This article describes how demarketing is a strategy aimed at reducing the demand for the product and thereby the consumption. This strategy is well suited for harmful products though they may have utility in the economics of liquor, drugs, cigars and tobacco products. Many consume cigarettes and chew gutka, which is a tobacco product either as habit, stress reliever or style. The consumption of tobacco products has negative side effects such as lung cancer and oral diseases. Thus, the aim of this article is to reflect on the demarketing strategy of tobacco products adopted in India and to determine the impact on customers in Mysore, Southern India. Mixed method of research was used. The sample was 50 respondents, chosen with an accidental sampling technique to test differences of opinion between customers and non-customers of tobacco products. The findings indicate that demarketing tobacco products has made an impact along with societal change.

2018 ◽  
Vol 27 (Suppl 1) ◽  
pp. s82-s86 ◽  
Author(s):  
Wendy B Max ◽  
Hai-Yen Sung ◽  
James Lightwood ◽  
Yingning Wang ◽  
Tingting Yao

ObjectivesWe review the Population Health Impact Model (PHIM) developed by Philip Morris International and used in its application to the US Food and Drug Administration (FDA) to market its heated tobacco product (HTP), IQOS, as a modified-risk tobacco product (MRTP). We assess the model against FDA guidelines for MRTP applications and consider more general criteria for evaluating reduced-risk tobacco products.MethodsIn assessing the PHIM against FDA guidelines, we consider two key components of the model: the assumptions implicit in the model (outcomes included, relative harm of the new product vs cigarettes, tobacco-related diseases considered, whether dual or polyuse of the new product is modelled, and what other tobacco products are included) and data used to estimate and validate model parameters (transition rates between non-smoking, cigarette-only smoking, dual use of cigarettes and MRTP, and MRTP-only use; and starting tobacco use prevalence).ResultsThe PHIM is a dynamic state transition model which models the impact of cigarette and MRTP use on mortality from four tobacco-attributable diseases. The PHIM excludes morbidity, underestimates mortality, excludes tobacco products other than cigarettes, does not include FDA-recommended impacts on non-users and underestimates the impact on other population groups.ConclusionThe PHIM underestimates the health impact of HTP products and cannot be used to justify an MRTP claim. An assessment of the impact of a potential MRTP on population health should include a comprehensive measure of health impacts, consideration of all groups impacted, and documented and justifiable assumptions regarding model parameters.


Author(s):  
Adriana Pérez ◽  
Elena Penedo ◽  
Meagan A. Bluestein ◽  
Baojiang Chen ◽  
Cheryl L. Perry ◽  
...  

This study examined the recalled age of initiation of seven different tobacco products (TPs) and explored potential influences of sex, race/ethnicity, and cigarette-smoking status on tobacco use initiation among adults 26–34 years old using the PATH study. Methods: Secondary analyses were conducted in the adult restricted PATH wave 1 (2013–2014) dataset. Weighted statistics are reported using the balanced repeated replication method and Fay’s correction to account for PATH’s complex study design. Distributions and histograms of the recalled age of initiation of seven different TPs (cigarettes, cigarillos, traditional cigars, filtered cigars, hookah, smokeless tobacco, and e-cigarettes) are reported, as well as the impact of sex and race/ethnicity using Cox proportional hazard models. The impact of cigarette-smoking status on the recalled age of initiation of each tobacco product other than cigarettes was explored. Results: The highest modes of the recalled age of initiation of cigarette use were at 14–15 and 15–16 years old. The distributions of the recalled age of initiation of cigarillos, traditional cigars, filtered cigars, hookah, and smokeless tobacco occurred later, with the highest modes at 15–16 and 17–18 years old. The distribution of the recalled age of initiation of e-cigarettes had a different shape than the other TPs, with the highest mode reported at 27–28 years old. Conclusion: Due to the ever-changing tobacco marketplace, understanding when contemporary adults aged 26–34 years recall initiating TP use is important and will inform prevention researchers.


2019 ◽  
pp. tobaccocontrol-2019-055124 ◽  
Author(s):  
Lindsay Kephart ◽  
Claude Setodji ◽  
Joseph Pane ◽  
William Shadel ◽  
Glory Song ◽  
...  

BackgroundFlavoured tobacco products are widely available in youth-accessible retailers and are associated with increased youth initiation and use. The city of Boston, Massachusetts restricted the sale of flavoured tobacco products, including cigars, smokeless tobacco and e-cigarettes, to adult-only retailers. This paper describes the impact of the restriction on product availability, advertisement and consumer demand.MethodsBetween January and December 2016, data were collected in 488 retailers in Boston at baseline and 469 retailers at 8-month follow-up, measuring the type, brand and flavour of tobacco products being sold. Process measures detailing the educational enforcement process, and retailer experience were also captured. McNemar tests and t-tests were used to assess the impact of the restriction on product availability.ResultsAfter policy implementation, only 14.4% of youth-accessible retailers sold flavoured products compared with 100% of retailers at baseline (p<0.001). Flavoured tobacco product advertisements decreased from being present at 58.9% of retailers to 28.0% at follow-up (p<0.001). Postimplementation, retailers sold fewer total flavoured products, with remaining products often considered as concept flavours (eg, jazz, blue). At follow-up, 64.0% of retailers reported that customers only asked for flavoured products a few times a week or did not ask at all. Retailers reported that educational visits and the flavoured product guidance list aided with compliance.ConclusionTobacco retailers across Boston were largely in compliance with the regulation. Availability of flavoured tobacco products in youth-accessible retailers declined city-wide after policy implementation. Strong educational and enforcement infrastructure may greatly enhance retailer compliance.


2020 ◽  
Vol 30 (Supplement_3) ◽  
pp. iii84-iii90
Author(s):  
Sarah Kahnert ◽  
Pete Driezen ◽  
James Balmford ◽  
Christina N Kyriakos ◽  
Sarah Aleyan ◽  
...  

Abstract Background Tobacco product packaging is a key part of marketing efforts to make tobacco use appealing. In contrast, large, prominent health warnings are intended to inform individuals about the risks of smoking. In the European Union, since May 2016, the Tobacco Products Directive 2014/40/EU (TPD2) requires tobacco product packages to carry combined health warnings consisting of a picture, a text warning and information on stop smoking services, covering 65% of the front and back of the packages. Methods Key measures of warning label effectiveness (salience, cognitive reactions and behavioural reaction) before and after implementation of the TPD2, determinants of warning labels’ effectiveness and country differences were examined in a longitudinal sample of 6011 adult smokers from Germany, Greece, Hungary, Poland, Romania and Spain (EUREST-PLUS Project) using longitudinal Generalized Estimating Equations (GEE) models. Results In the pooled sample, the warning labels’ effectiveness increased significantly over time in terms of salience (adjusted OR = 1.18; 95% CI: 1.03–1.35), while cognitive and behavioural reactions did not show clear increases. Generally, among women, more highly educated smokers and less addicted smokers, the effectiveness of warning labels tended to be higher. Conclusion We found an increase in salience, but no clear increases for cognitive and behavioural reactions to the new warning labels as required by the TPD2. While it is likely that our study underestimated the impact of the new pictorial warning labels, it provides evidence that health messages on tobacco packaging are more salient when supported by large pictures.


2018 ◽  
Vol 8 (5) ◽  
pp. 247
Author(s):  
Muhammad Arfan Lodhi ◽  
Syeda Ibrar ◽  
Mahwish Shamim ◽  
Sumera Naz

The new generation is fascinated by the overwhelming exposition of media. Today, media is performing powerful role in the mental growth and emotional development of children. At the very first stage of cognitive development, children copy the words and expressions used in their surroundings. Cartoons and language used in them directly affect cognitive and linguistic development of children. The present study dissects the linguistic patterns and ideologies used in cartoons shown in Pakistani media. It further attempts to overlook the impact of linguistic features of cartoons on language learning propensities of children. The study adopted mixed method research design by following qual-quan approach. The linguistic analysis of the cartoons was done qualitatively whereas its impact on children’s language was measured through quantitative way. 100 students and 100 teachers were selected to determine the sample by applying random sampling technique. Self-developed questionnaire was used to collect data from the respondents. The collected data shows that cartoons are source of education, entertainment and information for children. Children can improve their language competencies by watching cartoon. However, students were found using many Hindi words in their daily conversation. Linguistic benefits of cartoon language collide with the cultural threats faced by a large number of parents. The findings of the study recommend that children should be shown level oriented and culturally specific cartoons so that students may get maximum linguistic benefits from them.


2021 ◽  
Vol 9 (4) ◽  
pp. 777-783
Author(s):  
Sunita Kumari Bijarniya ◽  
Ritu Kapoor ◽  
Manoj Adlakha

Tobacco consumption is a major social health problem in India as well as throughout the world, because it harms both health and wealth of an addict. Tobacco is a Sthavara Patra Visha received from the plant Nicotiana tobacum/ Nicotiana rusticum leaves by curing them. Tobacco contains an alkaloid nicotine in abundant amount, which is sufficient to make addict like alcohol, cocaine and morphine. There are so many different forms of smoking and smokeless tobacco in India, like cigarette, bidi, gutka, jarda, pan masala etc. Long timed use of Tobacco like adductive products by oral route, acts as a slow poison (Dushi Visha) induces chronic toxicity to the gastrointestinal tract like oral diseases, gingivitis and periodontitis, Leukoplakia (precancerous stage), and may lead to cancer also in advance stage. This chronic toxicity affects cardiovascular system and results as increasing coronary blood flow, heart rate and blood pressure which may trigger the chances of heart attack rate in addict person. Before we can do any effort for reducing toxicity produced by tobacco products its mandatory to knowing the basic knowledge of tobacco products, their chemical composition, their mechanism of action with comparative toxicity and specific tobacco product related to a specific mouth part cancer. Because we can’t stop a person to start tobacco use but we can circulate the knowledge of tobacco products in adolescent groups so that when the beginner chose a tobacco product, he will be aware about the toxicity and affecting organ because of its use. So that, the toxicity can be minimised. Keywords: Tobacco consumption, nicotine, slow poison, cancer, comparative toxicity


2021 ◽  
pp. 109019812110275
Author(s):  
Ashley L. Feld ◽  
Todd Rogers ◽  
Jennifer Gaber ◽  
Jessica Pikowski ◽  
Matthew C. Farrelly ◽  
...  

Background As of September 2020, more than 300 state and local jurisdictions restrict the sales of flavored tobacco, with some including menthol. Aims o evaluate the impact of local ordinances restricting the sale of flavored tobacco, we surveyed Californians regarding policy support and perceived access to flavored tobacco. Methods In 2019, we conducted an online survey of 3,075 California youth and young adults recruited via social media, about half of whom lived in a policy jurisdiction. Logistic regressions assessed differences on propensity score–weighted outcomes, policy support, and perceived access. Results Most respondents indicated agreement with almost all policy support statements. Although policy respondents were less likely than rest-of-California respondents to report perceived difficulty in buying flavored cigars, flavored vape users in policy jurisdictions were more likely than those in the rest of California to report perceived difficulty in buying flavored e-liquid. Regardless of jurisdiction, certain priority subgroups were significantly more likely to report perceived difficulty in accessing flavored cigars, flavored vaping products, flavored e-liquid, and menthol cigarettes. Discussion With some exceptions, these findings demonstrate that among vape users in policy jurisdictions and priority subgroups, there is a higher likelihood of reporting perceived difficulty to access flavored tobacco products. Conclusions Findings might be an early indication of shifts in social norms about flavored tobacco products in California, which could gain traction as local sales restriction ordinances proliferate throughout the state and a statewide flavored-tobacco sales restriction goes into effect.


Author(s):  
Kelvin Choi ◽  
Maki Inoue-Choi ◽  
Timothy S McNeel ◽  
Neal D Freedman

Abstract Increasing numbers of adults in the United States use more than 1 tobacco product. Most use cigarettes in combination with other tobacco products. However, little is known about the all-cause and cancer-specific mortality risks of dual– and poly–tobacco-product use. We examined these associations by pooling nationally representative data from the 1991, 1992, 1998, 2000, 2005, and 2010 National Health Interview Surveys (n = 118,144). Mortality information was obtained through linkage to the National Death Index. Cigarette smokers who additionally used other tobacco products smoked as many if not more cigarettes per day than exclusive cigarette smokers. Furthermore, cigarette smokers who additionally used other tobacco products had mortality risks that were as high as and sometimes higher than those of exclusive cigarette smokers. As tobacco use patterns continue to change and diversify, investigators in future studies need to carefully assess the impact of noncigarette tobacco products on cigarette use and determine associated disease risks.


2021 ◽  
Vol 12 ◽  
Author(s):  
James N. D. Battey ◽  
Justyna Szostak ◽  
Blaine Phillips ◽  
Charles Teng ◽  
Ching Keong Tung ◽  
...  

Cigarette smoking causes adverse health effects that might occur shortly after smoking initiation and lead to the development of inflammation and cardiorespiratory disease. Emerging studies have demonstrated the role of the intestinal microbiome in disease pathogenesis. The intestinal microbiome is susceptible to the influence of environmental factors such as smoking, and recent studies have indicated microbiome changes in smokers. Candidate modified risk tobacco products (CMRTP) are being developed to provide substitute products to lower smoking-related health risks in smokers who are unable or unwilling to quit. In this study, the ApoE–/– mouse model was used to investigate the impact of cigarette smoke (CS) from the reference cigarette 3R4F and aerosols from two CMRTPs based on the heat-not-burn principle [carbon-heated tobacco product 1.2 (CHTP 1.2) and tobacco heating system 2.2 (THS 2.2)] on the intestinal microbiome over a 6-month period. The effect of cessation or switching to CHTP 1.2 after 3 months of CS exposure was also assessed. Next-generation sequencing was used to evaluate the impact of CMRTP aerosols in comparison to CS on microbiome composition and gene expression in the digestive tract of mice. Our analyses highlighted significant gene dysregulation in response to 3R4F exposure at 4 and 6 months. The findings showed an increase in the abundance of Akkermansiaceae upon CS exposure, which was reversed upon cessation. Cessation resulted in a significant decrease in Akkemansiaceae abundance, whereas switching to CHTP 1.2 resulted in an increase in Lactobacillaceae abundance. These microbial changes could be important for understanding the effect of CS on gut function and its relevance to disease pathogenesis via the microbiome.


2018 ◽  
Vol 27 (Suppl 1) ◽  
pp. s62-s69 ◽  
Author(s):  
Sherine El-Toukhy ◽  
Sabeeh A Baig ◽  
Michelle Jeong ◽  
M Justin Byron ◽  
Kurt M Ribisl ◽  
...  

ObjectiveUnder US law, tobacco product marketing may claim lower exposure to chemicals, or lower risk of health harms, only if these claims do not mislead the public. We sought to examine the impact of such marketing claims about potential modified risk tobacco products (MRTPs).MethodsParticipants were national samples of 4797 adults and 969 adolescent US smokers and non-smokers. We provided information about a potential MRTP (heated tobacco product, electronic cigarette or snus). Experiment 1 stated that the MRTP was as harmful as cigarettes or less harmful (lower risk claim). Experiment 2 stated that the MRTP exposed users to a similar quantity of harmful chemicals as cigarettes or to fewer chemicals (lower exposure claim).ResultsClaiming lower risk led to lower perceived quantity of chemicals and lower perceived risk among adults and adolescents (all p<0.05, Experiment 1). Among adults, this claim led to higher susceptibility to using the MRTP (p<0.05). Claiming lower exposure led to lower perceived chemical quantity and lower perceived risk (all p<0.05), but had no effect on use susceptibility (Experiment 2). Participants thought that snus exposed users to more chemicals and was less safe to use than heated tobacco products or electronic cigarette MRTPs (Experiments 1 and 2).DiscussionRisk and exposure claims acted similarly on MRTP beliefs. Lower exposure claims misled the public to perceive lower perceived risk even though no lower risk claim was explicitly made, which is impermissible under US law.


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