Legal Tobacco Research Articles

Recall of Netflix Scripted Content Known to Contain E-Cigarette-Related Imagery is Associated with Susceptibility to Use E-Cigarettes Among Young Adults

Introduction Netflix pledged to avoid depictions of e-cigarette use in scripted series and movies rated TV-14 or below. However, this policy did not extend to young adults, many of whom are below the legal tobacco purchasing age. This study examined the association between recall of Netflix scripted series and movies previously identified to contain e-cigarette imagery and susceptibility to use e-cigarettes among never users. Materials and Methods A non-probability representative sample of young adults (ages 18-24; N = 1500) living in California were recruited to complete an online survey assessing their recall of Netflix scripted series and movies previously identified to contain e-cigarette imagery and e-cigarette-related behaviors. Adjusted and weighted logistic regression analyses were used among participants who had never used e-cigarettes (n = 967). Results Among participants who had never used e-cigarettes, 68.1% (n = 659/967) recalled viewing at least one Netflix scripted series or movie previously identified to contain e-cigarette imagery, including 66.4% (n = 192/289) of participants under the legal tobacco purchasing age. Participants who recalled viewing at least one Netflix scripted series or movie previously identified to contain e-cigarette imagery, compared with those who did not, had greater odds of reporting susceptibility to use e-cigarettes among never users (AOR = 1.65, 95% CI = 1.20-2.25). Conclusions Young adults living in California recalled Netflix scripted series or movies previously identified to contain e-cigarette imagery. Such recall was associated with susceptibility to use e-cigarettes among never users. These findings should motivate prevention programmers to design tobacco-related digital media literacy interventions for young adults.

Potential smoke-free dividend across local areas in England: a cross-sectional analysis

BackgroundThe value that might be added to local economies each year through the money that people who smoke tobacco would save if everyone quit smoking is called the ‘smoke-free dividend’....

Perceptions of Illicit Tobacco Sources Following a Proposed Reduction in Tobacco Availability: A Qualitative Analysis of New Zealanders Who Smoke.

Tobacco companies claim that substantially reducing tobacco retail outlets in Aotearoa New Zealand will increase illicit tobacco trade and crime. However, we know little about whether people who smoke anticipate using illicit tobacco once this measure is implemented. Exploring current illicit tobacco use and expected market development would clarify the likely scale of this potential problem. We undertook online in-depth interviews with 24 adults who smoke and explored their experiences of illicit tobacco, perceptions of illicit market growth once legal tobacco became less available, intentions to engage in this market, and potential measures that could curb illicit market development. We interpreted the data using a qualitative descriptive approach. Few participants had purchased illegally imported or stolen tobacco. While most did not know how to access illicit tobacco products, many expected illicit trade and crime would increase, if legal tobacco became difficult to access. While cheaper tobacco appealed to many, most perceived illicit supply routes as unsafe and saw products obtained via these sources as likely to be of poor quality. Few suggested measures to control illicit markets, though a minority called for social reforms to reduce poverty, which they thought fueled illegal practices. Although illicit trade may appear to threaten new policy initiatives, participants' limited knowledge of these markets and concerns regarding product safety suggest illegal tobacco may pose less of a threat than tobacco companies have claimed. Policy makers should not be deterred from reducing tobacco availability by industry arguments. Although participants believed illicit trade would increase if the number of tobacco retailers was substantially reduced, few anticipated purchasing illegal tobacco. They viewed supply routes as unsafe and product quality as likely to be low. Industry predictions that illicit tobacco trade will grow if tobacco becomes less available do not reflect how people who smoke expect to engage with these markets and should not deter the introduction of retail reduction measures.

Narrative theory v: Narratives about penalties resulting from illegal tobacco purchases increase psychological distress.

Previous research with individuals with substance use disorder indicated that different narratives have different effects on one's behaviors and decision-making. One question that remains unanswered is whether simulating real-world consequences of illegal purchases using narratives would induce psychological distress levels as expected in real-world situations. The present experiment used a between-group design to study how different narratives regarding penalties impact smokers' affective state and more specifically, psychological distress. Participants (N = 93) were randomized into one of the three groups: (a) legal tobacco purchases (LTP), (b) illegal tobacco purchases with fines (ITP_F), and (c) illegal tobacco purchases with fines, criminal record, and negative public exposure (ITP_F + CR + NPE) to complete an online survey. The survey contained one narrative randomly assigned to each participant, demographic questions, the heaviness of smoking index, the Positive and Negative Affect Schedule (PANAS), and a single-item psychological distress question. The results showed that (a) narratives about making illegal tobacco purchases significantly increased psychological distress when compared to narratives about making LTP, (b) no differences were observed on psychological distress and negative affective state between a narrative describing a fine and a narrative describing a fine, a criminal record, and negative public exposure, and (c) a narrative about a criminal record had the greatest effect on psychological distress among the different narratives about penalty types. Narratives involving illegal purchases increase psychological distress, which varies according to the hypothetical penalties described. More research regarding the use of narratives on decision-making and purchasing of hypothetical substances is warranted. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The Determinants of Illicit Cigarette Trade in Malaysia

Tobacco use is the leading cause of some preventable deaths and it imposes a heavy burden on countries. Realizing the threat that tobacco use inflicts on global public health, the World Health Organization (WHO) has implemented the Framework Convention on Tobacco Control (FCTC) since 2003. Apart from controlling the consumption of legal tobacco products, the existence of illicit tobacco products in the market is becoming a prevalent problem and a severe challenge to public health. The term “illicit trade” has been well-defined in the WHO FCTC (WHO, 2003) as any practice or conduct prohibited by law and which relates to production, shipment receipt, possession, distribution, sale, or purchase, including any practice or conduct intended to facilitate such activity. To mitigate the illicit trade problem, WHO FCTC established a Protocol to Eliminate Illicit Trade in Tobacco Products (WHO, 2013) based on Article 15 and entered into force on 25 September 2018 (WHO, 2018). This protocol consists of a package of measures in combating illicit trade issues and the forfeiture and confiscation of proceeds acquired from the illicit tobacco trade. Several strategies were implemented by Malaysia to minimize illicit tobacco trade, and Malaysia is considering the idea of ratifying the current protocol (Hassan et al., 2019).

Time-inconsistent preferences and the minimum legal tobacco consuming age

In both the United States of America and the European Union, Member States are encouraged to prevent young people from starting to smoke by forbidding selling tobacco products to people under a certain age. By contrast, there are in general no legal minimum age requirements for consuming those products. Our aim is to address such discrepancy from a theoretical viewpoint by focusing on the case where people have time-inconsistent preferences. Specifically, we build a three-period (youth, adulthood, old age) model of smoking decision in which individual intertemporal preferences are present-biased. Then, using this model, we show that when agents are naive, that is when they are unaware that their intertemporal preferences are time-inconsistent, it may be worthwhile, from the individual viewpoint, to legally prevent young people from smoking. This conclusion does not always hold, because what is good for an agent in youth can be disputable in adult age (and conversely). When individuals are sophisticated, that is, not naive, a legal smoking age (either for buying, consuming or selling tobacco products) is pointless. This conclusion is also reached if one follows the continuing person approach advocated by Sugden. JEL Classification Numbers : I12, I18, K32, D15

Size and scope of the tobacco trade on the darkweb

ABSTRACTGlobally, tobacco is responsible for the death of approximately 6 million individuals per year. In reaction, governments have enacted tobacco control policies that cope with the harmful effects of the drug. However, these policies have also created geographic price disparities and increased the effort needed to purchase legal tobacco products. The result was the creation of a new illicit tobacco market. While tobacco smuggling continues through conventional avenues, a new generation of traffickers have turned to a different source for the illicit distribution of tobacco – the internet, specifically the darkweb. The purpose of this paper is to describe the size and scope of illicit trafficking of tobacco on cryptomarkets, and the diverse types of tobacco-related products available on the cryptomarkets. Our analysis will provide guidance for policymakers, researchers, and all interested in the illicit trade of tobacco.

Effect of Exposure to Smoking in Movies on Young Adult Smoking in New Zealand.

Onscreen Smoking Is a Form of Tobacco MarketingTobacco advertising has been prohibited in New Zealand since 1990, and the government has set a goal of becoming a smokefree nation by 2025. However, tobacco marketing persists indirectly through smoking in motion pictures, and there is strong evidence that exposure to onscreen smoking causes young people to start smoking. We investigated the relationship between exposure to smoking in movies and youth smoking initiation among New Zealand young adults. Data from an online survey of 419 smokers and non-smokers aged 18 to 25 were used to estimate respondents’ exposure to smoking occurrences in 50 randomly-selected movies from the 423 US top box office movies released between 2008 and 2012. Analyses involved calculating movie smoking exposure (MSE) for each respondent, using logistic regression to analyse the relationship between MSE and current smoking behaviour, and estimating the attributable fraction due to smoking in movies.Effect of Smoking in Movies on New Zealand YouthExposure to smoking occurrences in movies was associated with current smoking status. After allowing for the influence of family, friends and co-workers, age and rebelliousness, respondents’ likelihood of smoking increased by 11% for every 100-incident increase in exposure to smoking incidents, (aOR1.11; p< .05). The estimated attributable fraction due to smoking in movies was 54%; this risk could be substantially reduced by eliminating smoking from movies currently rated as appropriate for youth. We conclude that exposure to smoking in movies remains a potent risk factor associated with smoking among young adults, even in a progressive tobacco control setting such as New Zealand. Harmonising the age of legal tobacco purchase (18) with the age at which it is legal to view smoking in movies would support New Zealand’s smokefree 2025 goal.

DO MINIMUM LEGAL TOBACCO PURCHASE AGE LAWS WORK?

This paper uses a regression discontinuity design to estimate the impact of the minimum legal tobacco purchase age (MLTPA) laws on smoking behavior among young adults. Using data from the confidential version of National Longitudinal Survey of Youth (1997 Cohort), which contains information on the exact birth date of the respondents, we find that the impact of the MLTPA on several indicators of smoking among youth is moderate but often statistically insignificant. However, for those who reported to have smoked before, we show that granting legal access to cigarettes and tobacco products at the MLTPA leads to an increase in several indicators of smoking participation, including up to a 5 percentage point increase in the probability of smoking. These results imply that policies that are designed to restrict youth access to tobacco may only be effective in reducing smoking behavior among certain groups of young adults. (JEL I10, I18, I19)

Tobacco tax and the illicit trade in tobacco products in New Zealand

ObjectivesTo estimate the size of illegal tobacco trade and consumption and assess the impact of tobacco tax on the illicit tobacco market in New Zealand (NZ). MethodsData on the import and seizure of legal and illegal tobacco in NZ was obtained from NZ Customs. Previous literature was used to calculate interception rates of illegal tobacco being smuggled and grown in NZ. Annual tobacco returns figures, obtained via the NZ Ministry of Health, were analysed to assess the market dynamics of legal tobacco products. ResultsThis study found that illicit tobacco constituted 1.8–3.9% of total national tobacco consumption in NZ in 2013. This represents a minor increase compared to previous estimates from 2007–09, suggesting that tax increases enacted by the NZ Government since 2010 have had a minimal impact on encouraging the use and procurement of illicit tobacco. ConclusionsThe results highlight a slight rise in small‐scale tobacco smuggling through ports and mail centres. However, tobacco returns figures show that current tobacco tax policy has forced manufacturers to focus on the production of cheap legal tobacco products, directly competing with and undercutting the demand for illicit tobacco products. At the same time, locally grown illicit tobacco continues to remain a small, isolated problem and, with recent cuts in duty free tobacco allowance, it is expected that overall illicit tobacco will remain a very small proportion of total tobacco consumption in NZ.

Variabilidad en el consumo de cigarrillos según la fuente de información en España (1993-2009)

ObjectivesTo assess the variability in the number of cigarettes smoked per person per day in Spain according to the information source (health surveys versus legal sales). MethodsWe compared cigarette consumption per person per day (population aged ≥16 years) obtained from the national health surveys in Spain and the official data on legal tobacco sales between 1993 and 2009. ResultsCigarette consumption per person per day decreased between 1993 and 2009. Over the entire period, the number of cigarettes smoked per person per day according to legal sales exceeded that reported by national health surveys (up to 46.9%). ConclusionThe difference in data on the number of cigarettes smoked between national health surveys and legal sales has increased in the last few years in Spain.

The Changing Role of China in the Global Illegal Cigarette Trade

This study explores the history of the illegal production, distribution, and smuggling of cigarettes in mainland China. Data were obtained from a content analysis of 931 media reports retrieved from LexisNexis for the time period 1975 until 2010, and from other open sources. The illegal cigarette trade first emerged in the form of violations of state tobacco monopoly regulations. In the course of the restructuring of the legal tobacco sector, which occurred under external political pressure to open the Chinese market to foreign competition, an illegal cigarette industry emerged which at first primarily produced fake Chinese brand cigarettes for the domestic black market. At the same time, China became a destination country for smuggled genuine Western brand cigarettes. It was only after effective crackdowns against cigarette smuggling and domestic distribution channels in the late 1990s that the Chinese illegal cigarette industry shifted to exporting large numbers of counterfeit Western brand cigarettes to black markets abroad. China’s current role as a leading supplier of counterfeit cigarettes is a result of the contradictions of the economic reform process and of external licit and illicit forces that worked toward opening up the Chinese tobacco sector to the outside world.

Understanding the motivations of contraband tobacco smokers

Aim: This study explored the motivations behind illicit tobacco use in Australia. A key focus was to investigate the hypothesis that the primary motivation for illicit tobacco use is its low cost in comparison to the price of legal tobacco.Methods: An Australian tobacco usage telephone survey was conducted in 2007. Illicit tobacco smokers completed a longer version of the questionnaire, with questions relating to illicit tobacco usage and perceptions.Findings: Of the current smokers of illicit tobacco surveyed, almost half would consider increasing illicit tobacco consumption if the cost of legal tobacco were to increase to four times the price of illicit tobacco, although others stated consumption would remain the same regardless of such a price change. Almost all former smokers of illicit tobacco claimed that price did not influence the decision to stop smoking illicit tobacco.Conclusions: Some illicit tobacco smokers appear to be sensitive to the price of tobacco products, but price is not always an underlying motivator. Personal preference and supply also influence illicit tobacco consumption. The findings suggest that reducing the availability of illicit tobacco would be a useful strategy for combating the growing illicit tobacco problem.

The tobacco sales ban and tobacco purchases by adolescents: a general population study in The Netherlands

The study aimed to assess the effect of the introduction on 1 January 2003 of a legal tobacco sales ban in The Netherlands on tobacco purchases by smoking and non-smoking adolescents aged <16 years. Two cross-sectional surveys were conducted among adolescents aged 13 through 15 years, one at end 1999 (n = 4751) and the other at end 2003 (n = 13 298). The percentage of adolescents buying tobacco decreased significantly from 26.3% in 1999 to 10.8% in 2003 (P < 0.001). Further analysis showed that, after the ban, the proportion of smokers among buyers almost tripled [Odds Ratio (OR) = 2.9], while the likelihood of non-smokers buying tobacco decreased strongly (OR = 0.17). A difference in the pattern of purchasing tobacco also emerged after the ban. In 2003, the proportion of smokers buying at least weekly in commercial outlets was larger than in 1999. For non-smokers there was no difference between 1999 and 2003 in the proportion buying weekly. The variety of commercial outlets in which purchases were made increased among both smoking and non-smoking purchasers of tobacco. Implementation of the 2003 tobacco sales ban has had the (intended) effect of lowering tobacco purchases among adolescents. This was mainly due to the decrease in the likelihood of buying tobacco among those who regard themselves as a non-smoker. The decrease in buying tobacco is associated with a decrease in prevalence of smoking. The sales ban has probably contributed to a stronger decrease in prevalence of smoking.

Health perceptions of home-grown tobacco (chop-chop) smokers

We present results from a qualitative study of smokers of home-grown tobacco (chop-chop). In particular, we focused on participants' perceptions of the health effects of smoking chop-chop relative to legal tobacco. Consistent with previous work, we found that smokers of chop-chop believe that relatively less chemical treatment of chop-chop tobacco meant lower health risks than with legal products, although many believed the ultimate difference in effect on health was negligible.

Smoking is an occupational hazard.

Even though the prevalence of tobacco smoking has declined in the general population and among white-collar workers, the prevalence of tobacco smoking among blue-collar workers remains unacceptably high. Blue-collar workers experience greater exposure to workplace toxins which can add to, or even multiply, their risk of adverse health effects from tobacco smoking. Among blue-collar workers, workers in the restaurant, bar, and gaming industries are exposed to much higher levels of environmental tobacco smoke (ETS) than are office workers, and are at increased risk of cancer and cardiovascular diseases even if they are non-smokers themselves. The literature on health risks, and the disparity between white and blue collar workers in smoking prevalence, and the literature on various tobacco control strategies provide the sources on which this review is based. Over the past 20 years, the accumulating scientific evidence about smoking as an occupational hazard has prompted the implementation of various educational, economic, and legal tobacco control strategies.