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Open Access Beyond 'Natural': Cigarette Ad Tactics that Mislead about Relative Risk

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Objectives: In 2016 the US Food and Drug Administration (FDA) and Santa Fe Natural Tobacco Company entered into a settlement agreement restricting use of the terms "additive free" and "natural" in American Spirit ads. American Spirit uses a variety of other tactics that could contribute to inaccurate reduced risk perceptions; yet, no research has examined the effects of these tactics. The current study examines the effect of the phrase 'tobacco and water', references to eco-friendly business practices, and plant imagery on young adults' perceptions of product harm, addictiveness, and nicotine content. Methods: We conducted a between-subjects experiment that randomized the presentation of 5 ad tactics (control, 'tobacco and water', eco-friendly reference, plant imagery, or all 3 tactics present) in 2 brands (American Spirit vs Marlboro) with a sample of 3054 18-24 year-old US young adults recruited via Amazon Mechanical Turk. Results: When used in an American Spirit ad, adding eco-friendly language (OR = 1.50, AOR = 1.51) or "tobacco and water" (OR = 1.48, AOR = 1.1.6) was associated with greater odds of misperceiving reduced harm compared to the control condition. Conclusions: Our findings provide additional support for FDA enforcement actions against tobacco companies using these misleading tactics.
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Document Type: Research Article

Publication date: September 2018

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  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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