Abstract
Data sources: Searched from November 1999 to November 2000 internet databases of industry documents (www.pmdocs.com, www.rjrtdocs.com, www.lorillarddocs.com, www.bw.aalatg.com, www.cdc.gov/tobacco/industrydocs, www.tobaccodocuments.org, www.tobaccopapers.org, www.hlth.gov.bc.ca/Guildford, www.cctc.ca/ncth/Guildford, www.cctc.ca/ncth/Guildford2) for documents related to filter ventilation. Documents found dated from 1955 through 1994.
Study selection: Those documents judged to contain the most relevant information or data on filter ventilation related to cigarette taste and compensatory smoking, while also trying to avoid redundancy from various documents deriving from the same underlying data.
Data synthesis: Filter ventilation is a crucial design feature creating three main problems for lower tar cigarettes as measured by official smoking machine testing. Firstly, it misleadingly makes cigarettes taste lighter and milder, and, therefore, they appear less dangerous to smokers. Secondly, it promotes compensation mainly by facilitating the taking of larger puffs. Thirdly, for very heavily ventilated cigarettes (that is, > 65% filter air dilution), behavioural blocking of vents with lips or fingers is an additional contributor to compensatory smoking. These three effects are found in industry research as well as published research.
Conclusions: Filter ventilation is a dangerous, defective technology that should be abandoned in less hazardous nicotine delivery systems. Health interested groups should test cigarettes in a way that reflects compensatory smoking. Lower tar (vented filter) cigarettes should be actively countermarketed.
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Selected References
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- Byrd G. D., Davis R. A., Caldwell W. S., Robinson J. H., deBethizy J. D. A further study of FTC yield and nicotine absorption in smokers. Psychopharmacology (Berl) 1998 Oct;139(4):291–299. doi: 10.1007/s002130050720. [DOI] [PubMed] [Google Scholar]
- Byrd G. D., Robinson J. H., Caldwell W. S., deBethizy J. D. Comparison of measured and FTC-predicted nicotine uptake in smokers. Psychopharmacology (Berl) 1995 Nov;122(2):95–103. doi: 10.1007/BF02246082. [DOI] [PubMed] [Google Scholar]
- Djordjevic M. V., Hoffmann D., Hoffmann I. Nicotine regulates smoking patterns. Prev Med. 1997 Jul-Aug;26(4):435–440. doi: 10.1006/pmed.1997.0184. [DOI] [PubMed] [Google Scholar]
- Djordjevic M. V., Stellman S. D., Zang E. Doses of nicotine and lung carcinogens delivered to cigarette smokers. J Natl Cancer Inst. 2000 Jan 19;92(2):106–111. doi: 10.1093/jnci/92.2.106. [DOI] [PubMed] [Google Scholar]
- Gyi D. E., Porter J. M., Robertson N. K. Seat pressure measurement technologies: considerations for their evaluation. Appl Ergon. 1998 Apr;29(2):85–91. doi: 10.1016/s0003-6870(97)00036-7. [DOI] [PubMed] [Google Scholar]
- Herning R. I., Jones R. T., Bachman J., Mines A. H. Puff volume increases when low-nicotine cigarettes are smoked. Br Med J (Clin Res Ed) 1981 Jul 18;283(6285):187–189. doi: 10.1136/bmj.283.6285.187. [DOI] [PMC free article] [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]
- Jarvis M. J., Boreham R., Primatesta P., Feyerabend C., Bryant A. Nicotine yield from machine-smoked cigarettes and nicotine intakes in smokers: evidence from a representative population survey. J Natl Cancer Inst. 2001 Jan 17;93(2):134–138. doi: 10.1093/jnci/93.2.134. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T., Appel C. P., Frecker R. C., Khouw W. Nicotine, a prescribable drug available without prescription. Lancet. 1982 Feb 6;1(8267):334–334. doi: 10.1016/s0140-6736(82)91585-9. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T. Blocking the filter vents of cigarettes. JAMA. 1986 Dec 19;256(23):3214–3214. [PubMed] [Google Scholar]
- Kozlowski L. T., Frecker R. C., Khouw V., Pope M. A. The misuse of 'less-hazardous' cigarettes and its detection: hole-blocking of ventilated filters. Am J Public Health. 1980 Nov;70(11):1202–1203. doi: 10.2105/ajph.70.11.1202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T., Goldberg M. E., Sweeney C. T., Palmer R. F., Pillitteri J. L., Yost B. A., White E. L., Stine M. M. Smoker reactions to a "radio message" that Light cigarettes are as dangerous as Regular cigarettes. Nicotine Tob Res. 1999 Mar;1(1):67–76. doi: 10.1080/14622299050011171. [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. Measuring smokers' perceptions of the health risks from smoking light cigarettes. Am J Public Health. 2000 Aug;90(8):1318–1319. doi: 10.2105/ajph.90.8.1318. [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., Heatherton T. F., Frecker R. C., Nolte H. E. Self-selected blocking of vents on low-yield cigarettes. Pharmacol Biochem Behav. 1989 Aug;33(4):815–819. doi: 10.1016/0091-3057(89)90476-0. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T. Less hazardous smoking and the pursuit of satisfaction. Am J Public Health. 1987 May;77(5):539–541. doi: 10.2105/ajph.77.5.539. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T., Mehta N. Y., Sweeney C. T., Schwartz S. S., Vogler G. P., Jarvis M. J., West R. J. Filter ventilation and nicotine content of tobacco in cigarettes from Canada, the United Kingdom, and the United States. Tob Control. 1998 Winter;7(4):369–375. doi: 10.1136/tc.7.4.369. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T., O'Connor R. J. Official cigarette tar tests are misleading: use a two-stage, compensating test. Lancet. 2000 Jun 17;355(9221):2159–2161. doi: 10.1016/S0140-6736(00)02390-4. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T., Pillitteri J. L., Sweeney C. T. Misuse of "light" cigarettes by means of vent blocking. J Subst Abuse. 1994;6(3):333–336. doi: 10.1016/s0899-3289(94)90524-x. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T., Pope M. A., Lux J. E. Prevalence of the misuse of ultra-low-tar cigarettes by blocking filter vents. Am J Public Health. 1988 Jun;78(6):694–695. doi: 10.2105/ajph.78.6.694. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T., Rickert W. S., Pope M. A., Robinson J. C. A color-matching technique for monitoring tar/nicotine yields to smokers. Am J Public Health. 1982 Jun;72(6):597–599. doi: 10.2105/ajph.72.6.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T., Rickert W. S., Pope M. A., Robinson J. C., Frecker R. C. Estimating the yield to smokers of tar, nicotine, and carbon monoxide from the 'lowest yield' ventilated filter-cigarettes. Br J Addict. 1982 Jun;77(2):159–165. doi: 10.1111/j.1360-0443.1982.tb01417.x. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T. Smokers, non-smokers, and low-tar smoke. Lancet. 1981 Feb 28;1(8218):508–508. doi: 10.1016/s0140-6736(81)91902-4. [DOI] [PubMed] [Google Scholar]
- Kozlowski L. T., Strasser A. A., Giovino G. A., Erickson P. A., Terza J. V. Applying the risk/use equilibrium: use medicinal nicotine now for harm reduction. Tob Control. 2001 Sep;10(3):201–203. doi: 10.1136/tc.10.3.201. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T. The determinants of tobacco use: cigarette smoking in the context of other forms of tobacco use. Can J Public Health. 1982 Jul-Aug;73(4):236–241. [PubMed] [Google Scholar]
- Kozlowski L. T., White E. L., Sweeney C. T., Yost B. A., Ahern F. M., Goldberg M. E. Few smokers know their cigarettes have filter vents. Am J Public Health. 1998 Apr;88(4):681–682. doi: 10.2105/ajph.88.4.681-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlowski L. T., Yost B., Stine M. M., Celebucki C. Massachusetts' advertising against light cigarettes appears to change beliefs and behavior. Am J Prev Med. 2000 May;18(4):339–342. doi: 10.1016/s0749-3797(00)00125-2. [DOI] [PubMed] [Google Scholar]
- Leistikow B. N., Martin D. C., Milano C. E. Fire injuries, disasters, and costs from cigarettes and cigarette lights: a global overview. Prev Med. 2000 Aug;31(2 Pt 1):91–99. doi: 10.1006/pmed.2000.0680. [DOI] [PubMed] [Google Scholar]
- Pillitteri J. L., Morse A. C., Kozlowski L. T. Detection of vent-blocking on light and ultralight cigarettes. Pharmacol Biochem Behav. 1994 Jun;48(2):539–542. doi: 10.1016/0091-3057(94)90567-3. [DOI] [PubMed] [Google Scholar]
- Rickert W. S., Robinson J. C., Young J. C., Collishaw N. E., Bray D. F. A comparison of the yields of tar, nicotine, and carbon monoxide of 36 brands of Canadian cigarettes tested under three conditions. Prev Med. 1983 Sep;12(5):682–694. doi: 10.1016/0091-7435(83)90226-8. [DOI] [PubMed] [Google Scholar]
- Sutton S. R., Feyerabend C., Cole P. V., Russell M. A. Adjustment of smokers to dilution of tobacco smoke by ventilated cigarette holders. Clin Pharmacol Ther. 1978 Oct;24(4):395–405. doi: 10.1002/cpt1978244395. [DOI] [PubMed] [Google Scholar]
- Sweeney C. T., Kozlowski L. T. Blocking filter vents increases carbon monoxide levels from ultralight, but not light cigarettes. Pharmacol Biochem Behav. 1998 Mar;59(3):767–773. doi: 10.1016/s0091-3057(97)00567-4. [DOI] [PubMed] [Google Scholar]
- Sweeney C. T., Kozlowski L. T., Parsa P. Effect of filter vent blocking on carbon monoxide exposure from selected lower tar cigarette brands. Pharmacol Biochem Behav. 1999 May;63(1):167–173. doi: 10.1016/s0091-3057(98)00250-0. [DOI] [PubMed] [Google Scholar]
- Thun M. J., Day-Lally C. A., Calle E. E., Flanders W. D., Heath C. W., Jr Excess mortality among cigarette smokers: changes in a 20-year interval. Am J Public Health. 1995 Sep;85(9):1223–1230. doi: 10.2105/ajph.85.9.1223. [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]
- Zacny J. P., Stitzer M. L., Yingling J. E. Cigarette filter vent blocking: effects on smoking topography and carbon monoxide exposure. Pharmacol Biochem Behav. 1986 Dec;25(6):1245–1252. doi: 10.1016/0091-3057(86)90119-x. [DOI] [PubMed] [Google Scholar]