Evidence map›Paper›PMID 35617767›Full record

Trial reportAddictive behaviors2022

Perceptions of Game cigarillo packaging among young adult tobacco users: The effect of package color and the "natural leaf" descriptor.

William J Young, Ollie Ganz, Michelle Jeong, Olivia A Wackowski, Cristine D Delnevo

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 29% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The Impact of Cigarillo Text Warning Presence and Size on Young Adults' Cigarillo Risk Beliefs, Knowledge, Appeal, and Use Intentions.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

William J YoungRutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, USA. Electronic address: william.j.young@rutgers.edu.
Ollie GanzRutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, USA; Department of Health Behavior, Society and Policy, Rutgers School of Public Health, USA; Rutgers Cancer Institute of New Jersey, USA. Electronic address: og96@cts.rutgers.edu.
Michelle JeongRutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, USA; Department of Health Behavior, Society and Policy, Rutgers School of Public Health, USA; Rutgers Cancer Institute of New Jersey, USA. Electronic address: michelle.jeong@rutgers.edu.
Olivia A WackowskiRutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, USA; Department of Health Behavior, Society and Policy, Rutgers School of Public Health, USA; Rutgers Cancer Institute of New Jersey, USA. Electronic address: wackowol@cts.rutgers.edu.
Cristine D DelnevoRutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, USA; Department of Health Behavior, Society and Policy, Rutgers School of Public Health, USA; Rutgers Cancer Institute of New Jersey, USA. Electronic address: delnevo@cts.rutgers.edu.
Rutgers HealthRutgers Cancer Institute of New JerseyRutgers, The State University of New Jersey · US

Funding

Tobacco Industry Marketing CoreU54CA229973 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DELNEVO, CRISTINE D · 2018 to 2022
$18.8M
The Impact of E-cigarette Marketing Features on Youths' E-cigarette Perceptions and Use IntentionsK01CA242591 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI JEONG, MICHELLE · 2019 to 2023
$964k
NCI NIH HHS K01 CA242591NCI NIH HHS U54 CA229973
6 · The paper itself

Abstract

introductionTobacco packaging elements have been shown to influence product perceptions and use intentions. Garcia y Vega's Game cigarillos are distinct from other brands in their use of "natural leaf" on packaging. The term "natural" has been linked to misperceptions about lower risk in the context of cigarettes. This study examines the impact of the "natural leaf" descriptor and pack color on young adults' cigarillo perceptions and intentions.

methodsIn April-June 2020, we conducted an online experiment with 1,063 young adults (ages 18-34) that were past year users of cigars, vaping products, or marijuana. Subjects were randomly assigned to view one of eight images of Game cigarillo packs that varied in color and presence of the "natural leaf" descriptor.

resultsPurple packaging increased perceptions that the product tasted good, smelled nice, was flavored, and that a typical user was young. "Natural leaf" increased beliefs that the product contained high quality tobacco and that a typical user was trendy. When on grey packs, it increased favorable perceptions compared to when on brightly colored packs, including perceptions that the product tasted good, was fresh, that a typical user was trendy, and that the product was flavored.

conclusionsThis study is the first to present quantitative evidence on the impact of the "natural leaf" descriptor on cigarillo perceptions and intentions, extending work that has been done in the context of cigarettes. Utilizing highly realistic stimuli, findings demonstrate that both the term "natural leaf" and packaging color can increase favorable perceptions of cigarillos.

Indexed as

Tobacco ProductsAdolescentAdultFlavoring AgentsHumansPlant LeavesProduct PackagingTobacco UseYoung AdultFlavoring AgentsGame cigarillos“Natural leaf” descriptorPackage colorSurvey experiment

Identifiers

PMID35617767
PMCPMC9190173
OpenAlexW4224129183

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.