Abstract
OBJECTIVE—To assess beliefs about the tar and nicotine delivery characteristics and health benefits of Light and Ultra Light cigarettes among cigarette smokers. DESIGN—Random digit dialed telephone survey conducted in September 1999. SUBJECTS—Daily smokers (n = 2120) of Regular (46%), Light (39%), and Ultra Light (15%) cigarettes in the USA. The sample was weighted to match the US smoker population on age, sex, and ethnicity. MAIN OUTCOME MEASURES—Beliefs about Light and Ultra Light cigarettes were summarised on three dimensions: Safety (reduced health risk), Delivery (lowered tar and nicotine delivery), and Sensation (less harsh). RESULTS—Most smokers believed Lights and Ultra Lights were less harsh and delivered less tar and nicotine. On average, smokers believed that Lights afforded a 25% reduction in risk, and Ultra Lights a 33% reduction in risk. Light and Ultra Light cigarette smokers evaluated the risks of their own cigarette types more favourably. Light smokers had greater interest in quitting than Ultra Light smokers. Quitting intention was modestly related to beliefs about these cigarettes. Believing that Lights and Ultra Lights delivered less tar and nicotine and that they were less harsh each independently contributed to the belief that these cigarettes were safer. CONCLUSIONS—Many Light and Ultra Light smokers believe that smoking these cigarettes impart a substantial health benefit, due in part to their experience that these cigarettes are less harsh and the belief that these cigarettes deliver less tar. Keywords: Light; Ultra Light; smokers' beliefs
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Selected References
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- Biener L., Abrams D. B. The Contemplation Ladder: validation of a measure of readiness to consider smoking cessation. Health Psychol. 1991;10(5):360–365. doi: 10.1037//0278-6133.10.5.360. [DOI] [PubMed] [Google Scholar]
- Davis R. M. Tobacco Control: reflections on the first seven years. Tob Control. 1999 Spring;8(1):1–9. doi: 10.1136/tc.8.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heatherton T. F., Kozlowski L. T., Frecker R. C., Fagerström K. O. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991 Sep;86(9):1119–1127. doi: 10.1111/j.1360-0443.1991.tb01879.x. [DOI] [PubMed] [Google Scholar]
- Hoffmann D., Djordjevic M. V., Hoffmann I. The changing cigarette. Prev Med. 1997 Jul-Aug;26(4):427–434. doi: 10.1006/pmed.1997.0183. [DOI] [PubMed] [Google Scholar]
- Hurt R. D., Robertson C. R. Prying open the door to the tobacco industry's secrets about nicotine: the Minnesota Tobacco Trial. JAMA. 1998 Oct 7;280(13):1173–1181. doi: 10.1001/jama.280.13.1173. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T., Goldberg M. E., Yost B. A., Ahern F. M., Aronson K. R., Sweeney C. T. Smokers are unaware of the filter vents now on most cigarettes: results of a national survey. Tob Control. 1996 Winter;5(4):265–270. doi: 10.1136/tc.5.4.265. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T., Goldberg M. E., Yost B. A., White E. L., Sweeney C. T., Pillitteri J. L. Smokers' misperceptions of light and ultra-light cigarettes may keep them smoking. Am J Prev Med. 1998 Jul;15(1):9–16. doi: 10.1016/s0749-3797(98)00004-x. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T., Pillitteri J. L. Beliefs about "Light" and "Ultra Light" cigarettes and efforts to change those beliefs: an overview of early efforts and published research. Tob Control. 2001;10 (Suppl 1):i12–i16. doi: 10.1136/tc.10.suppl_1.i12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shiffman S., Pillitteri J. L., Burton S. L., Rohay J. M., Gitchell J. G. Effect of health messages about "Light" and "Ultra Light" cigarettes on beliefs and quitting intent. Tob Control. 2001;10 (Suppl 1):i24–i32. doi: 10.1136/tc.10.suppl_1.i24. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thun M. J., Burns D. M. Health impact of "reduced yield" cigarettes: a critical assessment of the epidemiological evidence. Tob Control. 2001;10 (Suppl 1):i4–11. doi: 10.1136/tc.10.suppl_1.i4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thun M. J., Lally C. A., Flannery J. T., Calle E. E., Flanders W. D., Heath C. W., Jr Cigarette smoking and changes in the histopathology of lung cancer. J Natl Cancer Inst. 1997 Nov 5;89(21):1580–1586. doi: 10.1093/jnci/89.21.1580. [DOI] [PubMed] [Google Scholar]
- Warner K. E., Peck C. C., Woosley R. L., Henningfield J. E., Slade J. Treatment of tobacco dependence: innovative regulatory approaches to reduce death and disease: preface. Food Drug Law J. 1998;53 Suppl:1–8. [PubMed] [Google Scholar]
- Warner K. E., Slade J. Low tar, high toll. Am J Public Health. 1992 Jan;82(1):17–18. doi: 10.2105/ajph.82.1.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilkenfeld J., Henningfield J., Slade J., Burns D., Pinney J. It's time for a change: cigarette smokers deserve meaningful information about their cigarettes. J Natl Cancer Inst. 2000 Jan 19;92(2):90–92. doi: 10.1093/jnci/92.2.90. [DOI] [PubMed] [Google Scholar]