Informed, engaged communities for health

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#ShiftingGearsSummit
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
codesign
community control
COVID-19
Croakey Conference News Service
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#GiantSteps21
#Govern4Health
#HealthReImagined
#HearMe21
#RANZCP2021
#SAHeapsUnfair
#ValueBasedCare
#WCepi2021
#YHFSummit
Croakey Professional Services
#BetterCareCOVID
#CommunityControl
#COVIDthinktank21
#HealthClimateSolutions21
ACSQHC series
Lowitja Indigenous knowledge translation series
Croakey projects
@WePublicHealth
@WePublicHealth2020
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#TalkingTeeth
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
Inside Story
Journal Watch
PIJ Commissions 2020
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Elections and budgets
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
global health
NHS
NZ Election 2017
WHO
health
Health workers
Healthcare and health reform
abortion
adverse events
aged care
allied health care
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
chronic diseases
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
health reform
health regulation
health workforce
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
nurses and nursing
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
primary health care
Primary Health Networks
private health insurance
quality and safety of health care
rural and remote health
screening
sexual health
social media and healthcare
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
PIJ Commissions 2021
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
public health
public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
discrimination
education
housing
justice
Justice Reinvestment
NBN
Newstart
poverty
racism
social policy
Summer reading 2020-2021
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#bettercareseries
#CommunityControl Twitter Festival
ACSQHC series 2019
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021
Support non-profit public interest journalism
Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#ShiftingGearsSummit
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
codesign
community control
COVID-19
Croakey Conference News Service
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#GiantSteps21
#Govern4Health
#HealthReImagined
#HearMe21
#RANZCP2021
#SAHeapsUnfair
#ValueBasedCare
#WCepi2021
#YHFSummit
Croakey Professional Services
#BetterCareCOVID
#CommunityControl
#COVIDthinktank21
#HealthClimateSolutions21
ACSQHC series
Lowitja Indigenous knowledge translation series
Croakey projects
@WePublicHealth
@WePublicHealth2020
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#TalkingTeeth
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
Inside Story
Journal Watch
PIJ Commissions 2020
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Elections and budgets
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
global health
NHS
NZ Election 2017
WHO
health
Health workers
Healthcare and health reform
abortion
adverse events
aged care
allied health care
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
chronic diseases
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
health reform
health regulation
health workforce
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
nurses and nursing
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
primary health care
Primary Health Networks
private health insurance
quality and safety of health care
rural and remote health
screening
sexual health
social media and healthcare
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
PIJ Commissions 2021
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
public health
public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
discrimination
education
housing
justice
Justice Reinvestment
NBN
Newstart
poverty
racism
social policy
Summer reading 2020-2021
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#bettercareseries
#CommunityControl Twitter Festival
ACSQHC series 2019
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021

Flavoured tobacco products – JournalWatch

In this month’s instalment of JournalWatch, Dr Melissa Stoneham discusses an article focussing on the inclusion of flavours into tobacco products as a strategy to recruit new users.  In particular, the article highlights this strategy as targeting both women and African-American in an attempt to widen the market base for cigars and small cigarettes.

While flavoured tobacco products are currently banned in Australia, Dr Stoneham argues that understanding the techniques and strategies used by the tobacco industry is important in order to combat them on a global level and to prepare for future moves by the tobacco industry to encourage the consumption of tobacco products.

[divide style=”dots” width=”medium”]

Dr Melissa Stoneham writes:

Take a look at this picture.

Flavoured tobacco products

At first glance what do you think the product is? Was your guess lollies? Ice-cream? Drinking yoghurt maybe? All of these would be believable. Yet these are fruit flavoured tobacco products. In this month’s JournalWatch, I am going to take a look at the tobacco industry’s use of flavours to recruit new users of little cigars and cigarillos – or little cigars- (LCCs).

The journal article that has sparked my interest in this area was led by Ganna Kostygina and published in Tobacco Control. Kostygina and her team, who are based at the Center for Tobacco Control Research and Education in California, have used the article to examine the evolving strategies used by tobacco companies to encourage uptake of flavoured LCCs and to describe industry research findings on consumer perceptions of flavoured LCC products.

So let’s look at the context for this article.

Cigars and health risks

The 1964 Surgeon General’s Report of Smoking and Health emphasised the harms of cigarette smoking, with cigar smoking having ‘little significance’ compared with cigarettes. Evidence now indicates that cigars contain the same toxic and addictive substances as cigarettes.

While cigars are sometimes viewed as safer than cigarettes, the National Cancer Institute advises that cigar users are at a higher risk than non-smokers of developing lung cancer and heart disease. Compared to non-smokers, cigar users’ bodies have elevated levels of metabolized nicotine, cadmium and tobacco-specific carcinogens and are at risk of cancers of the mouth, throat, larynx and oesophagus, with risk levels similar to cigarette smokers.

In 2009, a federal law banned candy and fruit-flavoured cigarettes in America. However this prohibition did not include cigars, cigarillos, smokeless tobacco and e-cigarettes. Tobacco companies took this opportunity to market an array of cheap, sweet and colourfully packaged cigars, which often look and are smoked, just like cigarettes. These cigars come with flavours such as chocolate, strawberry, peach and cherry and names such as “Swisher Sweets.”

Risks of flavoured tobacco products

WHO has stated that flavours can mask the harshness of cigar smoke, making them easier to inhale for new smokers and thereby increasing the perception of their relative harmlessness, and increasing the likelihood of young people becoming addicted. This is an important point, because the long-term viability of the domestic tobacco industry really does depend on recruiting new, younger users to replace those who quit or die.

The authors of the paper provide evidence to support these statements. They analysed previously secret tobacco industry documents from RJ Reynolds (RJR), Philip Morris (PM), British American Tobacco, Lorillard and U.S. Smokeless Tobacco Company (USST, formerly United States Tobacco Company) on the development and marketing of flavoured non-cigarette combustible products to determine not only the purpose of flavoured additives in LCCs, but also what role flavours played in LCC product use.

A total of 251 documents that specifically related to flavoured tobacco products and which were dated between 2010-2013, were scanned. These were then organised chronologically and thematically to identify common themes.

Industry tactics

The authors found that the inclusion of flavours was part of an industry effort to blur the line between little cigars, cigarillos and cigarettes and make the products more appealing to new smokers. More specifically, they suggest that the inclusion of flavours served four purposes from an industry perspective and these included:

  • masking the harsh properties of cigar tobacco to make it more palatable to new users;
  • increasing attractiveness to younger users;
  • increasing acceptance among women and recruiting women as new users of LCCs; and
  • targeting minorities, specifically African-American users. These tactics resulted in altered consumer perceptions of LCCs, including confusing the products with cigarettes.

These findings mirror the tactics of cigarette companies. The only difference is the product – flavoured cigars rather than favoured cigarettes. The aim remains the same – to increase consumption.

Let’s take some examples from the journal article. The scanned industry documents identified that the tobacco industry was releasing flavoured products specifically targeting young people and that the industry recognised the importance of the youth market to tobacco industry growth.

One of the quotes within the article was “Consolidated Cigar has introduced two new cigars aimed directly at youth. Elite Cigars “for today’s young, contemporary smokers” and Tipalets, a burgundy flavored “new thing in smoking.”… Both Consolidated and Bayuk Cigars are complementing their youth-oriented campaigns with record albums and other premium offers.”

Targeting women

As with cigarettes, it was found that the cigar companies tried to achieve female acceptance with flavours, slimmer cigar shapes and milder tobaccos. Initially, marketing techniques such as promoting mildness and acceptability among women to appeal to young men were used, but eventually women were portrayed as cigar users and female celebrities were promoting the flavoured cigars publically.

Of course, these marketing tactics worked. A recent study found that the top five most frequently smoked brands of cigars all fell into the cigarillo/little cigar category. In Canada, about 52% of young tobacco users said they had used flavoured products in the month before they filled in a survey at school.

The evidence from the scanned industry documents within the journal article, also revealed that consumers perceived mint and menthol cigars to be less harsh and more acceptable to smokers, and flavoured tobacco products, when compared with cigarettes, were perceived to offer benefits including health, change of pace, easy draw, good taste, lack of irritation, relaxing, pleasing aroma, enjoyable without inhaling, pleasant in the mouth, helped cut down smoking and were low in tar and nicotine.

Promotional issues

There are always lessons to be learnt from past industry tactics. The difference with the flavoured tobacco products, at least in countries like America and Canada, is they are still available on the market and are being promoted in spaces that attract young people.

For example, the Executive Branch cigarillo was endorsed by the famous singer Snoop Lion (aka Snoop Dogg) in 2012, where the singer placed cigarillo advertisements in his music videos on YouTube. One video featuring the advertisement had over 51 million views as of 2014. The allure of flavoured products in combination with colourful and stylish packaging and celebrity endorsement are being used by industry to mask the harsh and toxic properties of tobacco and to promote youth initiation. This all sounds very familiar.

Australia has a ban on flavoured tobacco products with States and Territories having legislation that delegates authority to the Health Ministers to prohibit tobacco products or classes of tobacco products that have a distinctive fruity, sweet, or confectionery-like character and/or that might encourage a minor to smoke we have a ban on the sale of flavoured tobacco products.

Other countries such as Brazil have adopted a ban of all tobacco product flavours and additives, including menthol, and the European Union and the USA are considering a similar ban. Lobby groups have been formed to address this issue with a key example being Freeze the Industry, which is based in Canada and is advocating for a ban on flavoured tobacco as a first step toward freezing the industry’s use of creative marketing strategies that appeal to youth.

Policy solutions

Other policy solutions to reduce the sale and promotion of flavoured tobacco products include those that have been successful with reducing cigarette consumption. These could include increasing the price of flavoured tobacco products, prohibiting tobacco retailers from selling tobacco products at a discount either by buy-some-get-some deals or through multi-pack discounts, ensuring a minimum package law that requires certain tobacco products to be sold in packages containing no less than an established number of units (e.g. packs of 4 rather than individual sales) and having a LLC specific mass media and education campaign.

Continued and sustained advocacy efforts on issues such as flavoured tobacco products is needed. One of the most troubling aspects of LCCs is the perceived lack of harm from using them compared to traditional cigarettes and the fact that young people generally view them as less harmful than traditional cigarettes. It is often said that the essence of advocacy is persuasion.

Understanding the evidence, the industry and those most affected by industry marketing tactics – learning from the past and projecting to the future – are all important strategies that advocates continue to refine and use.

Article Tobacco industry use of flavours to recruit new users of little cigars and cigarillos. Ganna Kostygina, Stanton Glantz & Pamela Ling.

About JournalWatch

The Public Health Advocacy Institute WA (PHAIWA) JournalWatch service reviews 10 key public health journals on a monthly basis, providing a précis of articles that highlight key public health and advocacy related findings, with an emphasis on findings that can be readily translated into policy or practice.

The Journals reviewed include:

Australian & New Zealand Journal of Public Health (ANZJPH)

Journal of Public Health Policy (JPHP)

Health Promotion Journal of Australia (HPJA)

Medical Journal of Australia (MJA)

The Lancet

Journal for Water Sanitation and Hygiene Development

Tobacco Control (TC)

American Journal of Public Health (AMJPH)

Health Promotion International (HPI)

American Journal of Preventive Medicine (AJPM)

These reviews are then emailed to all JournalWatch subscribers and are placed on the PHAIWA website. To subscribe click to Journal Watch click here.

Comments 2

  1. John says:

    Assuming this article is from the States or Australia, the Canadian gov’t and various provinces have banned all these products, to great effect. Having worked in the industry at one time, I have to concur with the tactics being employed in the marketing of flavoured tobacco, and their goal.

    In the short-term, the ban has seriously damaged a couple distributors’ sales numbers up here, but that’s a small price to pay for the overall impact on health care expenditure. It’s likely a couple distributors up here will go out of business because of it, having immersed themselves so deeply in the sale of these products, but I doubt anyone is shedding a tear.

    Good article, these products are pretty sinister really, when you think about it.

  2. I enjoyed your article about flavored cigarettes, but would like to make some comments, and give some background about Australia.

    Tobacco manufacturers have increased the toxicity of cigarettes around the world. The US Surgeon General confirmed this in the latest report on smoking and tobacco, and it is well explained on the Tobacco-Free Kids website.
    .
    There ARE flavourings in Australian cigarettes including – Sucrose and/or sucrose syrup, Angelica root oil, Flavour Anise star oil, Cocoa and cocoa products, Acetic Acid, Acetoin, Apple Juice/Concentrate, Carob Bean Extract, Cellulose Fibre, Cocoa Extract, Cocoa Powder, Cocoa Shell Extract, Coffee Extract, Corn syrup, Caramel, Carvone, Cassia extract (fistula), Citric acid, Dill Herb Extract, Ethyl Vanillin, Fenugreek Extract, Fenugreek Oleoresin, Fig juice concentrate and/or extract,Glycerin, Guar Gum, Licorice Extract, Lovage Extract, Maltol, Molasses, (Sugar Cane), Orange Oil, Propylene glycol, Prune Juice/Concentrate, Raisin extract and/or concentrate, Rose Oil (Red),Rum, Spearmint Oil, Vanillin and Menthol. See each tobacco company list on the Australian Department of Health government website – go to http://www.health.gov.au/tobacco the scroll down and click on “Australian cigarette ingredient dislosure”. This is purely voluntary disclosure- most Australian smokers don’t know to look at this list – so it is rarely accessed. It is not checked by any government or regulatory agency.

    In the 2000s a couple of overseas companies tried to market in Australia very obviously fruit and confectionery flavoured cigarettes. The tobacco companies went ballistic and wanted these banned, because they were competitors. Various Ministers, beginning in SA and TAS got terrible excited and had them banned.

    The legislation banning flavoured cigarettes is not worded well but it provides an “out” for Australian tobacco companies, because they argued (and governments supported them) that their flavours are not “obvious” and therefore not unlawful. Governments around Australia stupidly went along with this. The tobacco companies were happy because they shooed away a competitor; the governments were happy because the Ministers were able to big-note themselves and be heroes for “saving children from flavoured cigarettes”. But of course tobacco in Australia remained flavoured and attractive to new users (children).

    The tobacco flavouring issue is a big scam. Tobacco companies have “gamed ” Australian state and federal governments and got away with (even more) murders.

    I have argued for many years for cigarette engineering regulation in Australia, because there isn’t any, and so do Bill King at the Cancer Council in Victoria, Murray Laugesen in NZ and Prof Matthew Peters in NSW. Many tobacco control activists think it is a waste of time to campaign against additives and flavourings because the product is so toxic – we should just get rid of it. But until we can get rid of it, we should at least make an effort to reduce its addictiveness and attractiveness to children and adolescents.

    We should also ban filter ventilation, as Bill King says “… banning filter ventilation may not only reduce the consumer attractiveness of cigarettes, it may have the added benefit of making cigarettes at least marginally less harmful.”

    Suggest further reading – Prof Matthew Peters in the RACGP and Bill King in Tobacco Control. Nigel Gray from the Victorian Cancer Council worked on these issues for many years at an international level.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Search by: Categories or tags

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#ShiftingGearsSummit
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
codesign
community control
COVID-19
Croakey Conference News Service
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#GiantSteps21
#Govern4Health
#HealthReImagined
#HearMe21
#RANZCP2021
#SAHeapsUnfair
#ValueBasedCare
#WCepi2021
#YHFSummit
Croakey Professional Services
#BetterCareCOVID
#CommunityControl
#COVIDthinktank21
#HealthClimateSolutions21
ACSQHC series
Healthdirect Australia series 2019
Lowitja Indigenous knowledge translation series
Croakey projects
@WePublicHealth
@WePublicHealth2020
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#TalkingTeeth
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
Inside Story
Journal Watch
PIJ Commissions 2020
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Elections and budgets
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
global health
NHS
NZ Election 2017
WHO
health
Health workers
Healthcare and health reform
abortion
adverse events
aged care
allied health care
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
chronic diseases
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
health reform
health regulation
health workforce
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
nurses and nursing
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
primary health care
Primary Health Networks
private health insurance
quality and safety of health care
rural and remote health
screening
sexual health
social media and healthcare
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
PIJ Commissions 2021
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
public health
public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
discrimination
education
housing
justice
Justice Reinvestment
NBN
Newstart
poverty
racism
social policy
Summer reading 2020-2021
Tasmanian election 2021
Testing Croakey News category 1
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
<