Evidence map›Paper›PMID 39121827›Full record

ArticleAddictive behaviors2024

Examining the influence of cigar and cannabis co-marketing on packaging perceptions: An experiment with a sample of US youth.

Sarah D Kowitt, Sonia A Clark, Olivia Glaser, Michael Jetsupphasuk, Kristen L Jarman, Adam O Goldstein, James F Thrasher, Leah M Ranney, Jennifer Cornacchione Ross

Abstract read
In one paragraph

Article in Addictive behaviors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Sarah D KowittDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States. Electronic address: kowitt@email.unc.edu.
Sonia A ClarkLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Olivia GlaserDepartment of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Michael JetsupphasukDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Kristen L JarmanDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Adam O GoldsteinDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
James F ThrasherDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, United States.
Leah M RanneyDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Jennifer Cornacchione RossDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA, 02118, United States.

Funding

Biostatstics for Research in Environmental HealthT32ES007018 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Rebecca Fry · 1985 to 2026
$31.3M
Strengthening Cigar Warnings to Prevent Adolescent UseR01CA260822 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CORNACCHIONE ROSS, JENNIFER JANE, RANNEY, LEAH MARIE · 2021 to 2023
$1.2M
NCI NIH HHS R01 CA260822NIEHS NIH HHS T32 ES007018
6 · The paper itself

Abstract

significanceCigars are sometimes marketed with cannabis references because they are often used for smoking blunts (i.e., cannabis rolled in cigar paper with or without tobacco). However, little research exists on the impact of cannabis co-marketing on cigar perceptions.

methodsParticipants included 506 US youth (ages 15-20) recruited April-June 2023 through Qualtrics who reported ever using little cigars or cigarillos (LCCs), past 30-day use of LCCs, or susceptibility to using LCCs. We then conducted a between-subjects experiment, randomizing youth to view one of two cigarillo packages: 1) a package with cannabis co-marketing (i.e., the package included a cannabis-related flavor descriptor and the word "blunt" appeared in the brand name and product label) or 2) a package with no cannabis co-marketing. We assessed the effects of the packaging on perceptions of product ingredients, addictiveness and harm perceptions, product appeal, susceptibility to using the product shown, and purchase intentions.

resultsPackages with cannabis co-marketing were perceived as more likely to contain cannabis (OR: 5.56, 95 % CI: 3.73, 8.27) and less likely to contain tobacco (OR: 0.42, 95 % CI: 0.25, 0.70) or nicotine (OR: 0.57, 95 % CI: 0.40, 0.82). Cannabis co-marketing also led to higher susceptibility to using the product shown (B: 0.21, p = 0.02). We did not find evidence that cannabis co-marketing changed harm perceptions or purchase intentions.

conclusionsAmong a sample of US youth, cannabis co-marketing on cigar packages may change perceptions of product ingredients and increase susceptibility to using such products, which could lead to the initiation of cigars and cannabis.

Indexed as

MarketingProduct PackagingTobacco ProductsAdolescentCannabisCigar SmokingFemaleHumansIntentionMalePerceptionProduct LabelingUnited StatesYoung AdultAdvertisingBluntCannabisCigarTobaccoTobacco and cannabis co-use

Identifiers

PMID39121827
PMCPMC11376231

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Registered trials

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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.