Evidence map›Paper›PMID 39171360›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2025

Greenwashed Cigarette Ad Text and Imagery Produce Inaccurate Harm, Addictiveness, and Nicotine Content Perceptions: Results From a Randomized Online Experiment.

Meghan Bridgid Moran, Maryam Ibrahim, Lauren Czaplicki, Jennifer Pearson, Johannes Thrul, Eric Lindblom, Shae Robinson-Mosley, Ryan David Kennedy, Ariel Balaban, Matthew Johnson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Meghan Bridgid MoranDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0001-6745-6668
Maryam IbrahimDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lauren CzaplickiDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0002-7496-0990
Jennifer PearsonDepartment of Health Behavior, Policy, and Administration Sciences, School of Public Health, University of Nevada-Reno, Reno, NV, USA.ORCID 0000-0002-1400-5932
Johannes ThrulDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0001-8929-9579
Eric LindblomO'Neill Institute for National & Global Health Law, Georgetown University Law Center, NW Washington, DC, USA.
Shae Robinson-MosleyDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Ryan David KennedyDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0002-9448-5234
Ariel BalabanDepartment of Behavioral & Community Health, University of Maryland School of Public Health, College Park, MD, USA.
Matthew JohnsonBehavioral Pharmacology Research Unit, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Funding

Greenwashing cigarettes: Perceptual and behavioral evidence of inaccurate modified risk advertisingR01DA049814 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MORAN, MEGHAN BRIDGID · 2020 to 2022
$1.4M
National Institute on Drug Abuse at the National Institutes of HealthNIDA NIH HHS R01 DA049814U.S. Food and Drug Administration Center for Tobacco Products R01DA049814
6 · The paper itself

Abstract

introductionThe tobacco industry has a long history of circumventing regulations to present their products, inaccurately, as less harmful. Greenwashing (portraying a product as natural/eco-friendly) is increasingly used by tobacco companies and may mislead consumers to believe that certain cigarettes are less harmful than others. This study assesses the effect of some common greenwashing tactics on consumer product perceptions. AIMS AND

methodsWe conducted an online experiment with 1504 participants ages 18-29, randomized to view a cigarette ad manipulated for presence-absence of a combination of four different greenwashing techniques: greenwashed ad text, greenwashed ad imagery, recycled paper ad background, and image of greenwashed cigarette pack. Participants rated perceived absolute harm, relative harm to other cigarettes, absolute addictiveness, relative addictiveness, and relative nicotine content.

resultsParticipants who viewed ads containing greenwashed text were more likely to have inaccurate perceptions about absolute harm (AOR = 1.72), relative harm (AOR = 3.92), relative addictiveness (AOR = 2.93), and nicotine content (AOR = 2.08). Participants who viewed ads containing greenwashed imagery were more likely to have inaccurate perceptions of relative harm (AOR = 1.55), absolute addictiveness (AOR = 1.72), relative addictiveness (AOR = 1.60), and nicotine content (AOR = 1.48). Forty-two percent of those who saw an ad with all greenwashed features believed the product was less harmful than other cigarettes versus 2% of those who saw an ad without greenwashed features.

conclusionsWe found that greenwashed text and imagery produced inaccurate risk perceptions. More active U.S. Food & Drug Administration (FDA) enforcement against such greenwashing and new FDA rulemaking to prohibit unnecessary imagery in tobacco advertising and establish plain packaging requirements would help protect consumers and public health. IMPLICATIONS: These findings provide evidence that greenwashing tactics used by the tobacco industry increase inaccurate product risk perceptions. These tactics could be a way for the industry to make implicit modified risk claims, despite applicable U.S. Family Smoking Prevention and Tobacco Control Act prohibitions. Findings from this study support the need for prohibitions on these tactics, and the potential for such prohibitions to help protect public health.

Indexed as

AdvertisingNicotineTobacco ProductsAdolescentAdultFemaleHumansMalePerceptionTobacco IndustryYoung AdultNicotine

Identifiers

PMID39171360
PMCPMC12476977

What OpenQuestion holds

Textmetadata
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.