IQOS print magazine advertising characteristics and reach before and after FDA authorisation as a modified risk tobacco product

IntroductionIQOS is a heated tobacco product that was authorised as a modified risk tobacco product (MRTP) in July 2020. While it was removed from the US market in 2021 for legal reasons, as the first tobacco product to receive an 'exposure modification' MRTP order, surveillance of IQOS marketing is needed to inform regulation and policy for future MRTPs. The purpose of this study is to expand the current research on IQOS advertising in the USA by examining content and readership characteristics of IQOS ads in print magazines before and after US Food and Drug Administration MRTP authorisation. MethodsWe merged content analysis data with Kantar Media data on magazine placement and expenditures. Magazine readership data were obtained from MRI-Simmons. We compared data from pre-MRTP authorisation with data post-MRTP authorisation. This study was conducted in 2021. ResultsThere was one unique ad and there were 13 observations pre-MRTP, and eight unique ads and 132 observations post-MRTP. Compared with pre-MRTP ads, more post-MRTP ads featured Marlboro HeatSticks, including Amber HeatSticks, and featured people. All ads contained a warning label-most warning labels were cigarette specific. IQOS ads were featured in magazines that are especially popular among women. ConclusionsAfter receiving MRTP authorisation, IQOS increased ad expenditures in print magazines with a readership comprised of primarily women. If IQOS returns to the US market, it will be important for tobacco control to monitor their advertisement content, placement, and expenditures.

Automated summary

IQOS, a heated tobacco product, was authorized as a modified risk tobacco product (MRTP) in July 2020. Despite being removed from the US market in 2021, surveillance of IQOS marketing is crucial for future MRTP regulation and policy. This study analyzed IQOS ads in print magazines before and after MRTP authorization, revealing an increase in ad expenditures and a focus on Marlboro HeatSticks and female-targeted magazines after MRTP authorization. Monitoring IQOS advertisement content, placement, and expenditures will be important if it returns to the US market.