Abstract
Using two population-based surveys of Ontarians, we examined the proportions of smokers who smoke ‘light’ and ‘mild’ cigarettes (L/M). We compared L/M smokers to regular cigarette smokers regarding demographic, health knowledge, and smoking characteristics and examined their health-related perceptions of L/M and reasons for smoking them. Use of these cigarettes increased from 71% in 1996 to 83% in 2000. Those who smoked L/M were more likely to be female, to be less addicted, and to be more advanced toward quitting. In 1996, one in five believed that smoking L/M lowers the risk of cancer and heart disease. In 1996 and 2000, respectively, 44% and 27% smoked L/M to reduce health risks, 41% and 40% smoked them as a step toward quitting, and 41% in both years said they would be more likely to quit if they learned L/M could provide the same tar and nicotine as regular cigarettes. These data provide empirical support for banning ‘light’ and ‘mild’ on cigarette packaging.
Résumé
Nous avons mené deux enquêtes représentatives auprès d’Ontariens pour étudier la proportion relative des fumeurs de cigarettes « légères » et « douces » (L/D). Nous avons comparé les fumeurs de cigarettes L/D aux fumeurs de cigarettes ordinaires du point de vue de leur profil démographique, de leurs connaissances en matière de santé et de leur profil de tabagisme, puis examiné leurs perceptions des risques pour la santé des cigarettes L/D et les raisons pour lesquelles ils choisissent ces cigarettes. La consommation des cigarettes L/D est passée de 71 % en 1996 à 83 % en 2000. Les fumeurs de cigarettes L/D étaient plus souvent des femmes; ils étaient aussi proportionnellement moins dépendants de la cigarette et plus près de renoncer au tabac. En 1996, un fumeur sur cinq croyait que le fait de fumer des cigarettes L/D réduirait ses risques de cancer et de cardiopathie. En 1996 et en 2000, respectivement 44 % et 27 % fumaient des cigarettes L/D pour ménager leur santé, 41 % et 40 % le faisaient pour se préparer à renoncer au tabac, et 41 % (les deux années) ont déclaré qu’ils seraient plus susceptibles d’y renoncer s’ils apprenaient qu’avec les cigarettes L/D, ils inhalaient autant de goudron et de nicotine qu’avec des cigarettes ordinaires. Ces données empiriques confirment l’utilité d’interdire les mentions « légères » et « douces » sur les emballages de cigarettes.
References
- 1.Action on Smoking and Health (U.K.) Campaign for Tobacco-Free Kids. Trust Us. We’re The Tobacco Industry. Chapter 11. Product Design: “Light” and “Low Tar” Cigarettes. 2001. [Google Scholar]
- 2.Selin H. Face Value? Descriptive Cigarette Brand Labelling and Reported Toxin Levels. Ottawa: Smoking and Health Action Foundation; 1997. [Google Scholar]
- 3.Djordjevic MV, Fan J, Ferguson S, Hoffman D. Self-regulation of smoking intensity. Smoke yields of the low-nicotine, low-‘tar’ cigarettes. Carcinogenesis. 1995;16:2015–21. doi: 10.1093/carcin/16.9.2015. [DOI] [PubMed] [Google Scholar]
- 4.Djordjevic MV, Stellman SD, Zang E. Doses of nicotine and lung carcinogens delivered to cigarette smokers. J Natl Cancer Institute. 2000;92:106–11. doi: 10.1093/jnci/92.2.106. [DOI] [PubMed] [Google Scholar]
- 5.Kozlowski LT, Frecker RC, Khouw V, Pope MA. The misuse of ‘less-hazardous’ cigarettes and its detection: Hole-blocking of ventilated filters. Am J Public Health. 1980;70:1202–3. doi: 10.2105/AJPH.70.11.1202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Kozlowski LT, Pillitteri JL, Sweeney CT. Misuse of ‘light’ cigarettes by means of vent blocking. J Subst Abuse. 1994;6:333–36. doi: 10.1016/S0899-3289(94)90524-X. [DOI] [PubMed] [Google Scholar]
- 7.Jarvis MJ, Boreham R, Primatesta P, et al. Nicotine yields from machine-smoked cigarettes and nicotine intakes in smokers: Evidence from a representative population survey. J Natl Cancer Inst. 2001;93:134–38. doi: 10.1093/jnci/93.2.134. [DOI] [PubMed] [Google Scholar]
- 8.Russell MA, Jarvis MJ, Iyer R, Feyerbend C. Relation of nicotine yield of cigarettes to blood nicotine concentrations in smokers. Br Med J. 1980;280:972–76. doi: 10.1136/bmj.280.6219.972. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Benowitz NL, Hall SM, Herning RI, et al. Smokers of low-yield cigarettes do not consume less nicotine. N Engl J Med. 1983;309:139–42. doi: 10.1056/NEJM198307213090303. [DOI] [PubMed] [Google Scholar]
- 10.Woodward M, Tunstall-Pedoe H. Do smokers of lower tar cigarettes consume lower amounts of smoke component? Results from the Scottish Heart Health Study. Br J Addiction. 1992;87:921–28. doi: 10.1111/j.1360-0443.1992.tb01987.x. [DOI] [PubMed] [Google Scholar]
- 11.Benowitz NL. Editorial: Health and public policy implications of the “low yield” cigarette. N Engl J Med. 1989;320:1619–21. doi: 10.1056/NEJM198906153202409. [DOI] [PubMed] [Google Scholar]
- 12.Ashley MJ, Pederson L, Poland B, et al. Smoking, Smoking Cessation, Tobacco Control and Programming: A Qualitative and Quantitative Study. Report prepared for the National Health Research and Development Program. 1996. [Google Scholar]
- 13.Northrup DA, Rhyne D. Smoking, Smoking Cessation, Tobacco Control and Programming: A Qualitative and Quantitative Study. Technical Documentation. Toronto: Institute for Social Research, York University; 1996. [Google Scholar]
- 14.Ashley MJ, Cohen J, Osterlund K. Provincial Survey of Tobacco Use, Knowledge of Health Effects and Attitudes About Tobacco Control, 2000. Documentation. Toronto: Ontario Tobacco Research Unit; 2001. [Google Scholar]
- 15.Northrup DA. Provincial Survey of Tobacco Use, Knowledge About Health Effects and Attitudes Towards Tobacco Control Measures, 2000. Technical Documentation. Toronto: Institute for Social Research, York University; 2001. [Google Scholar]
- 16.O’Rourke D, Blair J. Improving random respondent selection in telephone surveys. J Marketing Research. 1983;20:428–32. doi: 10.2307/3151446. [DOI] [Google Scholar]
- 17.Groves RM, Lyberg LE, et al. An overview of nonre-sponse issues in telephone surveys. In: Groves RM, Biemer PP, Lyberg LE, et al., editors. Telephone Survey Methodology. New York: John Wiley and Sons; 1988. pp. 191–212. [Google Scholar]
- 18.Heatherton TF, Kozlowski L, Frecker RC, et al. Measuring the heaviness of smoking using self-reported time to the first cigarette of the day and number of cigarettes smoked per day. Br J Addiction. 1989;84:791–99. doi: 10.1111/j.1360-0443.1989.tb03059.x. [DOI] [PubMed] [Google Scholar]
- 19.Kozlowski LT, Porter CQ, Orleans CT, et al. Predicting smoking cessation with self-reported measures of nicotine dependence: FTQ, FTND, and HSI. Drug and Alcohol Dependence. 1994;34:211–16. doi: 10.1016/0376-8716(94)90158-9. [DOI] [PubMed] [Google Scholar]
- 20.Stata Corporation. Stata Reference Manual: Release 7. College Station, TX: Stata Corporation; 2001. [Google Scholar]
- 21.Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Prom. 1997;12:38–48. doi: 10.4278/0890-1171-12.1.38. [DOI] [PubMed] [Google Scholar]
- 22.Health Canada. You’re Not the Only One Smoking This Cigarette. CTUMS (Canadian Tobacco Use Monitoring Survey) Annual. 2000. [Google Scholar]
- 23.Kozlowski LT, Goldberg ME, Yost BA, et al. Smokers’ misperceptions of light and ultra-light cigarettes may keep them smoking. Am J Prev Med. 1998;15:9–16. doi: 10.1016/S0749-3797(98)00004-X. [DOI] [PubMed] [Google Scholar]
- 24.Kozlowski LT, Yost B, Stine MM, Celebucki C. Massachusetts’ advertising against light cigarettes appears to change beliefs and behavior. Am J Prev Med. 2000;18:339–42. doi: 10.1016/S0749-3797(00)00125-2. [DOI] [PubMed] [Google Scholar]
- 25.Cohen JB. Smokers’ knowledge and understanding of advertised tar numbers: Health policy implications. Am J Public Health. 1996;86:18–24. doi: 10.2105/AJPH.86.1.18. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Jarvis M, Bates C. April One: Why low-tar cigarettes don’t work and how the tobacco industry fooled the smoking public. 1998. [Google Scholar]
- 27.Pillitteri JL, Shiffman S, Rohay JM, et al. Smokers’ beliefs about light and ultra light cigarettes are more fiction than fact. Poster presentation at the 7th Annual Meeting of the Society for Research on Nicotine and Tobacco. 2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.European Parliament. Tough EU rules on manufacture, presentation, and sale of tobacco products agreed. Press release. 2001. Health and Consumer Protection Directorate-General. [Google Scholar]
- 29.World Health Organization. Intergovernmental Negotiating Body on the WHO Framework Convention on Tobacco Control. Second session. Chair’s text of a framework convention on tobacco control. 2001. p. 4. [Google Scholar]
- 30.The Government of Brazil. Resolution RDC No. 46, 28th March. 2001. [Google Scholar]
- 31.Rock A. Letter from the Minister of Health for Canada to the Canadian tobacco industry. 2001. [Google Scholar]
- 32.Statutes of Canada 1997. Chapter 13. Bill C-71 (the Tobacco Act) An Act to regulate the manufacture, sale, labelling and promotion of tobacco products, to make consequential amendments to another Act and to repeal certain Acts. 2nd Session, 35th Parliament, 45–46 Elizabeth II, 1996–97. Royal Assent. 1997. [Google Scholar]
- 33.Ministerial Advisory Council on Tobacco Control. Putting an End to Deception. A Report to the Canadian Minister of Health. 2001. [Google Scholar]
