Table 1.
LCC-related themes identified in TikTok videos collected with the hashtags #swishersweets and #backwoods. Videos unrelated to tobacco were excluded from the analytic sample.
| Theme | Definition | |
| Entertainment | ||
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Humor | Video that has a sarcastic tone, is satirical, or contains pranks, parody, or jokes (this may include memes—graphics or images that encapsulate a concept or catchphrase) |
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Music | Song including a chorus or instrumentals |
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Smoke tricks | Performing tricks with smoke |
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Pop culture | References to rap, hip-hop, or celebrity endorsements (eg, Snoop Dogg or Cardi B) |
| Product presence or use | ||
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|
LCCa presence | Visible LCC product packaging, product wrappers, or products displayed on a table, with or without product use; other tobacco products may be present along with LCCs (videos without the presence of actual products, such as those with people discussing, but not showing, LCCs or smoke clouds, were not included in this category) |
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LCC use | Self-reported or visible LCC use, including puffing, hitting, rolling, and blowing smoke or an individual holding an LCC |
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Blunt rolling | Blunt making (ie, the hollowing out of an LCC and refilling it with cannabis) |
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Polysubstance use | Use of an LCC in combination with other substances, such as other tobacco products, alcohol, marijuana, or other illicit drugs |
| Youth | ||
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Youth | Presence of young people (ie, a person in the video appears younger than 30 years) |
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Restrictions on LCC use by adolescents | Use by adolescents of LCCs during or after school hours on school grounds, possibly combined with disciplinary action from parents, schoolteachers, or other authority figures for using, or attempting to purchase, tobacco (before reaching the legal minimum age of 21 years) |
| Product characteristics | ||
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Flavors | Visible flavored LCC products, including flavor names on product packaging |
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Product review | Unboxing or removing items from their packaging and showing them to viewers |
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Price | Showing or discussing LCC prices, including their affordability |
| Marketing and sales | ||
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Branding | Visible LCC logos on merchandise, apparel, and accessories, including, but not limited to, matches, lighters, and ashtrays |
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Promotions | Discussing free products, discounts, or coupons (posts in this theme may contain URLs or provide a store’s physical address or other contact information) |
| User testimony | ||
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Product sentiment (negative) | Expressions of dissatisfaction with LCCs or disdain for their use (this may include descriptions of the product’s quality, burning speed, or dislike of the flavors) |
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Product sentiment (positive) | Expressions of approval of an LCC (this may include descriptions of the product’s quality, burning speed, or enjoyment of the flavors) |
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Product comparison | Comparisons between more than one LCC product (ie, one product being better or worse than another) |
| Positive or negative health effects and addiction | ||
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Addiction | Discussions of addiction to nicotine because of LCC use (these posts may demonstrate a person expressing cravings for or a desire for LCCs) |
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Health warnings | Expressions of concern about the health effects or adverse effects of LCC use, including lung failure, tongue discoloration, and cancer (these videos may contain scenes of a physician or medical provider offering medical advice; they do not include videos showing the nicotine warning label often seen on tobacco packages) |
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Cessation | Quitting nicotine or giving up LCCs |
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Risk-taking | Participating in a dangerous behavior to obtain or use an LCC (this may include cliff diving into a lake, sticking an arm into a vacuum, or inducing vomiting or other forms of self-harm) |
| Other themes | ||
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Paraphernalia | Visible LCC-related materials, such as matches, lighters, and ashtrays, that may or may not include LCC brand logos |
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Crowds/socializing | Videos showing groups of people (more than 3) |
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Other | Tobacco-related posts that do not naturally fit into the abovementioned themes |
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Nontobacco | Content unrelated to tobacco |
| Video currently unavailable | Post removed by TikTok | |
| The account is private | Post made private by a content creator | |
aLCC: little cigars and cigarillos.