Journal
TOBACCO REGULATORY SCIENCE
Volume 7, Issue 1, Pages 31-45Publisher
TOBACCO REGULATORY SCIENCE GROUP
DOI: 10.18001/TRS.7.1.3
Keywords
heated tobacco products; electronic nicotine delivery systems (ENDS); IQOS; cue reactivity; heat-not-burn
Categories
Funding
- NIDA [R01-DA044210]
- National Institutes of Health [T32-DA043469]
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The study found that exposure to IQOS increased smoking urge and behavior among young adult smokers, suggesting IQOS use as a smoking and vaping cue. Observers perceived actors using IQOS as less friendly and likable.
Objectives: In this study, we examined whether visual exposure to the heated tobacco product (HTP) IQOS, which was authorized for sale by the US Food and Drug Administration in 2019, acts as a cue to increase cigarette craving and smoking behavior among smokers. Methods: Young adult smokers (N = 105) were randomly assigned to view a video depicting use of either IQOS or bottled water. Main outcomes were changes in cigarette and e-cigarette desire and latency to smoke between the groups. We also examined participants' attitudes about the actors using IQOS and drinking water in the videos. Results: Exposure to the use of IQOS acutely increased observers' ratings of smoking urge and desire for a cigarette and an e-cigarette. The IQOS cue, compared with the water cue, also produced a marginally significant shorter latency to smoke. Participants perceived actors as less likeable and friendly when using IQOS than when drinking water. Conclusions: Results showed that exposure to IQOS produced smoking urge and behavior in young adult smokers, implicating IQOS use as a smoking and vaping cue. As HTPs gain popularity, product impact on passive observers should be included in their risk-benefit profile.
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