Johnson Andrea C, Mercincavage Melissa, Souprountchouk Valentina, Rogelberg Sasha, Sidhu Anupreet K, Delnevo Cristine D, Strasser Andrew A
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
University of Pennsylvania-Rutgers University Tobacco Center of Regulatory Science, Philadelphia, Pennsylvania, USA.
Tob Control. 2021 Oct 7. doi: 10.1136/tobaccocontrol-2021-056826.
To systematically review the literature regarding responses to commercial and public health marketing features for reduced nicotine cigarettes (RNCs) to anticipate potential industry and regulatory actions should an RNC product standard be issued.
We searched PubMed for English-language articles using several keywords for reduced nicotine products, cigarettes and marketing features published through 2020.
Of 4092 records, 26 studies were retained for review that met criteria focusing on responses to RNC marketing features.
Search terms created by the research team were used for review and included independent extraction and coding by two reviewers. Coding was categorised using study design terminology, commercial and public health features in tobacco regulatory science, and their association with individual responses outlined by several message processing outcomes.
Most studies focused on current cigarette smokers and were cross-sectional. Reactions to RNCs and attitudes and beliefs were the most common outcomes measured. For commercial features, articles generally studied RNC advertisements, products and/or descriptors. For public health features, articles studied counter-messaging (eg, warning labels) or general descriptors about nicotine or a reduced nicotine product standard. Commercial features were generally associated with favourable responses. Public health features offset favourable responses across most outcomes, though their efficacy was mixed. Contrasts in results by smoking status are discussed.
Commercial marketing of RNCs is appealing and may need stronger regulations or communication campaigns to accurately convey risks. Opportunities exist for future research within tobacco regulatory science.
系统回顾关于对低尼古丁卷烟（RNC）商业和公共卫生营销特点的反应的文献，以预测如果发布RNC产品标准，行业和监管机构可能采取的行动。
我们在PubMed上搜索了截至2020年发表的、使用多个关键词描述低尼古丁产品、卷烟和营销特点的英文文章。
在4092条记录中，保留了26项符合标准的研究进行综述，这些研究聚焦于对RNC营销特点的反应。
研究团队创建的搜索词用于综述，包括两名评审员的独立提取和编码。编码使用研究设计术语、烟草监管科学中的商业和公共卫生特点，以及它们与几种信息处理结果所概述的个体反应的关联进行分类。
大多数研究聚焦于当前吸烟者，且为横断面研究。对RNC的反应以及态度和信念是最常测量的结果。对于商业特点，文章通常研究RNC广告、产品和/或描述符。对于公共卫生特点，文章研究反信息（如警示标签）或关于尼古丁或低尼古丁产品标准的一般描述符。商业特点通常与积极反应相关。公共卫生特点在大多数结果中抵消了积极反应，尽管其效果不一。讨论了吸烟状况导致的结果差异。
RNC的商业营销具有吸引力，可能需要更强有力的监管或宣传活动来准确传达风险。烟草监管科学领域未来的研究存在机会。
