ArticleHealth education & behavior : the official publication of the Society for Public Health Education2017
Perceptions of "Natural" and "Additive-Free" Cigarettes and Intentions to Purchase.
Article in Health education & behavior : the official publication of the Society for Public Health Education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed.
- Greenwashed Cigarette Ad Text and Imagery Produce Inaccurate Harm, Addictiveness, and Nicotine Content Perceptions: Results From a Randomized Online Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Trial
- Perceptions of Game cigarillo packaging among young adult tobacco users: The effect of package color and the "natural leaf" descriptor.Addictive behaviors · 2022Trial
- "Tobacco and Water": Testing the Health Halo Effect of Natural American Spirit Cigarette Ads and Its Relationship with Perceived Absolute Harm and Use Intentions.Health communication · 2021Trial
- Adolescents' Health Perceptions of Natural American Spirit's On-the-Pack Eco-Friendly Campaign.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Trial
- Attitudinal Spillover from Misleading Natural Cigarette Marketing: An Experiment Examining Current and Former Smokers' Support for Tobacco Industry Regulation.International journal of environmental research and public health · 2019Trial
- Tobacco marketing and youth perceptions: connections between industry tactics and beliefs about harm and addiction among those under 21.Substance abuse treatment, prevention, and policy · 2026Article
- Patterns in US Cigar Sales and Prices from 2021 to 2025: An Examination of Pack Size, Flavor, "Natural" Descriptors, and Brand.Research square · 2026Article
- A descriptive content analysis of greenwashing tactics used in US cigarette advertisements between 2019-2023.Tobacco prevention & cessation · 2026Article
- Qualitative perspective on nicotine pouches from adults who smoke cigarettes in North Carolina.Tobacco control · 2025Article
- A content analysis of cannabis edibles package marketing in the United States.The International journal on drug policy · 2024Article
- Doing more with less: A proposal to advance cigarette packaging regulations in the United States.The International journal on drug policy · 2024Article
- Changes in Pack Features Among Top-Selling Cigarettes in the U.S., 2018 and 2021.American journal of preventive medicine · 2023Article
- Beliefs as causal mediators in the design of communication interventions: exploring semantic and affective priming in parallel encouragement designs.Human communication research · 2023Article
- Intention to purchase alternative tobacco products as a function of smoking status and responses to advertising, packaging, and sensory experiences.Addictive behaviors · 2022Article
- The "Organic" Descriptor and Its Association With Commercial Cigarette Health Risk Expectancies, Subjective Effects, and Smoking Topography: A Pilot Human Laboratory Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Flavors and Implied Reduced-Risk Descriptors in Cigar Ads at Stores Near Schools.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- The importance of psychology for shaping legal cannabis regulation.Experimental and clinical psychopharmacology · 2021Review
- Naturally similar: Natural American Spirit and Nat Sherman's new cigarette.Tobacco control · 2020Article
- Popularity of natural American Spirit cigarettes is greater in U.S. cities with lower smoking prevalence.Addictive behaviors · 2020Article
- Memorability of Cigarette Advertisements Making "Natural" Claims Among Adolescents.Tobacco regulatory science · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
In August 2015, the Food and Drug Administration (FDA) issued warning letters to cigarette manufacturers promoting brands as "natural" or "additive-free" because of concerns that such marketing claims might mislead consumers into believing that these brands are less dangerous to smoke than others. The current study examined consumer beliefs about the relative harms of "natural" cigarettes, and whether these beliefs influenced perceptions of advertising and purchase intentions when participants were shown an advertisement for American Spirit cigarettes. Data were collected using a web-based survey conducted in 2013 among 3,006 U.S.-based web panel members aged 15 to 65 years. Ratings of "natural" cigarette health risks (i.e., misperceptions) differed by sex, race, education, smoking status, and age. Controlling for perceived risks of other cigarette types, never smokers ( B = -0.31, p < .001) and ever/former smokers ( B = -0.15, p = .002) had significantly fewer misperceptions of "natural" cigarettes than current smokers. Current smoking (odds ratio [OR] = 17.8), believing the ad was truthful (OR = 1.18), and having more misperceptions about "natural" cigarette health risks (OR = 1.13) were independently associated with greater purchase intention. Consumers perceived cigarettes marketed as "natural" or "additive-free" as less harmful, and this influenced their perceptions of advertising claims and intention to purchase, controlling for other factors. These findings underscore Food and Drug Administration's recent warning letters.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.