Adolescent drinking and smoking tend to go hand in hand, the authors
write in the journal Tobacco Control, and the combination of alcohol
flavors in tobacco products is sure to appeal to teen users.
So-called characterizing flavors in cigarettes, except for menthol,
are banned by the U.S. Food and Drug Administration (FDA), and these
restrictions should be extended to the many flavored tobaccos for
cigars, cigarillos and hookahs, as well as e-cigarette liquids, they
add.
“We were surprised by the large number of brands of alcohol-flavored
tobacco products on the market and the wide variety of alcoholic
flavors,” said lead author Dr. Robert Jackler of Stanford University
in California.
“Not surprisingly, sweet and fruity varieties . . . which appeal to
teenagers predominated,” he told Reuters Health by email.
Jackler and colleagues analyzed the top 20 U.S. brands of cigarillos
and e-cigarettes using the Nielsen database, which includes unit
sales in 25 major chains and 14,000 convenience stores. They also
looked for the top hookah and shisha brands online. Then they
searched among the top brands for products with flavors related to
alcoholic beverages such as beer, appletini and margarita.
The research team found 455 e-cigarette brands and more than 100
flavored cigar, cigarillo and hookah brands. The most popular fruity
flavors were pina colada, mojito and margarita, and the most popular
spirit flavors were rum, bourbon and whiskey.
The cigars and cigarillos were marketed by large, multinational
tobacco companies such as Philip Morris, Imperial Tobacco, Swisher
International, Swedish Match and Scandinavian Tobacco Group, and the
e-cigarette flavors were nearly all offered by minor brands, the
study team notes.
“We found it disturbing that major international tobacco companies,
which claim to be socially responsible and who profess they would
never target underage youth, produce a wide spectrum of flavored
mini-cigars and e-cigarettes, including quite a few with
alcohol-themed names,” Jackler said.
In 2009, the FDA banned flavors other than menthol from traditional
cigarettes, but rulings about e-cigarettes and other tobacco
products are still under discussion. Since 2009, California cities
such as San Francisco, Oakland, Sonoma, El Cerrito, Manhattan Beach
and Berkeley have banned some flavored tobacco products.
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In June, the San Francisco Board of Supervisors unanimously banned
flavored tobacco. R.J. Reynolds Tobacco Company, which makes Newport
menthol cigarettes, is reported to have spent $700,000 on a campaign
to collect 34,000 signatures and bring a referendum before city
voters. The choice will be on the ballot in June 2018.
“If R.J. Reynolds spent this much money on a local policy in one
city, they’re sending a message that these bans could severely hurt
their business and affect who smokes,” said Dr. Pamela Ling of the
University of California at San Francisco School of Medicine, who
wasn’t involved with the study.
“We’re going to see vociferous conversations about tobacco flavors
in coming months (in San Francisco),” she told Reuters Health in a
phone interview. “I think some people were misled when they were
asked to sign the petition and didn’t realize what it was about.”
Jackler and colleagues are now studying how flavored products are
advertised to appeal to teens. They’re comparing the differences on
social media channels such as Twitter, which predominantly appeals
to adult smokers, and Instagram, which appeals to younger smokers,
he said.
“Our overall goal is to provide legislators and regulators with the
evidence they need to enact effective regulations to protect
American teens,” Jackler said.
Ling encourages parents to be informed and take a stand in their
communities as well.
“Parents should take action and say they don’t want these products
in their stores or neighborhoods,” she said. “There’s not a good
scientific reason to leave these products on the market. We should
protect our young people.”
SOURCE: http://bit.ly/2fcHpyA Tobacco Control, August 23, 2017.
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