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Adult Smokers’ Awareness and Interest in Trying Heated Tobacco Products: Perspectives from Mexico, where HTPs and E-Cigarettes are Banned

Author

Listed:
  • Lizeth Cruz-Jiménez

    (Evaluation and Surveys Research Center, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico)

  • Inti Barrientos-Gutiérrez

    (Evaluation and Surveys Research Center, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico)

  • Liliana Coutiño-Escamilla

    (Tobacco Research Department, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico)

  • Katia Gallegos-Carrillo

    (Tobacco Research Department, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico
    Epidemiology and Health Services Research Unit, Mexican Institute of Social Security, Cuernavaca, Mor 62000, Mexico)

  • Edna Arillo-Santillán

    (Tobacco Research Department, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico
    School of Demography, Australian National University, Canberra 0200, Australia)

  • James F. Thrasher

    (Tobacco Research Department, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico
    Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA)

Abstract

Background: We evaluated smokers’ perceptions of heated tobacco products (HTPs) in Mexico, where industry publically lobbied to introduce HTPs into this country that banned both HTPs and e-cigarettes. Methods: Online surveys (November 2018 to July 2019) were analyzed from adults who only smoked cigarettes ( n = 2091) or who smoked and used e-cigarettes (“dual users” n = 1128). Logistic models regressed HTP awareness, interest to trying HTPs, and having seen HTPs for sale (only among aware participants) on sociodemographics and tobacco-related variables. Results: Of the 17.1% who were aware of HTPs, 52.7% reported having seen HTPs for sale. Of all respondents, 75% were somewhat or very interested in trying HTPs. Compared to their counterparts, more frequent smokers, dual users, those exposed to online e-cigarette ads, and those with friends who used e-cigarettes were both more aware of and interested in trying HTPs. Greater awareness was also associated with higher education, recent attempts to quit, receipt of email e-cigarette ads, and smoking among friends and family. Seeing HTPs for sale was higher for those who recently attempted to quit, were exposed to e-cigarette ads online or by email, or had friends who used e-cigarettes. Conclusion: Interest in HTPs is high among smokers in Mexico, which already has a large black market for illegal e-cigarettes. HTPs use should be monitored in this context, especially given the public health impacts of HTPs are unclear.

Suggested Citation

  • Lizeth Cruz-Jiménez & Inti Barrientos-Gutiérrez & Liliana Coutiño-Escamilla & Katia Gallegos-Carrillo & Edna Arillo-Santillán & James F. Thrasher, 2020. "Adult Smokers’ Awareness and Interest in Trying Heated Tobacco Products: Perspectives from Mexico, where HTPs and E-Cigarettes are Banned," IJERPH, MDPI, vol. 17(7), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2173-:d:336736
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    References listed on IDEAS

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    1. Carla J. Berg & Yael Bar-Zeev & Hagai Levine, 2020. "Informing iQOS Regulations in the United States: A Synthesis of What We Know," SAGE Open, , vol. 10(1), pages 21582440198, January.
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    Cited by:

    1. Emily E. Loud & Katia Gallegos-Carrillo & Inti Barrientos-Gutiérrez & Edna Arillo-Santillán & Victoria C. Lambert & Luis Zavala-Arciniega & James F. Thrasher, 2021. "Smoking Behaviors, Mental Health, and Risk Perceptions during the Beginning of the COVID-19 Pandemic among Mexican Adult Smokers," IJERPH, MDPI, vol. 18(20), pages 1-14, October.

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