Evidence map›Paper›PMID 41506908›Full record

ArticleTobacco control2026

Examining the influence of descriptors used to market unflavoured cigarillos: an experiment with a sample of youth and young adults from the USA.

Sarah D Kowitt, Sonia A Clark, Michael Jetsupphasuk, Kristen L Jarman, Rime Jebai, Adam O Goldstein, Jennifer Cornacchione Ross, Leah M Ranney

Registry-linked trialAbstract read
In one paragraph

Article in Tobacco control, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06413797 (Strengthening Little Cigar and Cigarillo Warnings to Prevent Adolescent Use), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06413797 nacompletednot on this map

Strengthening Little Cigar and Cigarillo Warnings to Prevent Adolescent Use

TypeinterventionalSponsorUNC Lineberger Comprehensive Cancer CenterRan2024 to 2024Enrolled928ConditionsLittle Cigars and Cigarillos (LCC) UseArmsFDA warnings + Image, FDA Warnings Text-Only, Surgeon General Text-Only Warnings
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Sarah D KowittDepartment of Family Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA kowitt@email.unc.edu.ORCID http://orcid.org/0000-0001-5216-3897
Sonia A ClarkLineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Michael JetsupphasukDepartment of Biostatistics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Kristen L JarmanDepartment of Family Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID http://orcid.org/0000-0002-6707-3058
Rime JebaiDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-9265-1323
Adam O GoldsteinDepartment of Family Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jennifer Cornacchione RossDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0001-5173-3130
Leah M RanneyDepartment of Family Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID http://orcid.org/0000-0001-9766-4767

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

significanceThe tobacco industry uses different descriptors to market unflavoured cigarillos, which represent around half of all cigarillos sold. Limited research has focused on perceptions of unflavoured cigarillos.

methodsWe conducted an online between-subjects experiment with n=742 US youth and young adults (ages 15-20) recruited July-November 2024 through Qualtrics who reported ever/past 30-day little cigar or cigarillo use or susceptibility to using little cigars or cigarillos. Participants were randomly assigned to view one of four fictitious cigarillo packages with descriptors commonly used to market unflavoured cigarillos-'un-sweet', 'tobacco', 'silver' and no descriptor. Cigarillos were chosen for their popularity among youth and young adults and dominance in cigar sales. Outcomes included perceived product flavour and taste, appeal, susceptibility and purchase intentions.

resultsThe silver descriptor led to more favourable flavour and taste perceptions, higher appeal and higher purchase intentions compared with the un-sweet descriptor (

conclusionsAmong a sample of US youth and young adults who have used little cigars or cigarillos or are susceptible to use, the silver descriptor was the least effective way to communicate that cigarillos were unflavoured and was viewed the most favourably. Even though a silver descriptor is currently used to market unflavoured cigarillos, it likely still communicates flavour/taste characteristics and could therefore increase purchase intentions and use. TRIAL REGISTRATION NUMBER: Clinicaltrials.gov ID: NCT06413797.

Indexed as

Non-cigarette tobacco productsPackaging and LabellingPrevention

Identifiers

PMID41506908
PMCPMC12888922

What OpenQuestion holds

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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.