The experimental tobacco marketplace: Narrative influence on electronic cigarette substitution.

The experimental tobacco marketplace: Narrative influence on electronic cigarette substitution.
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DOI:
10.1037/pha0000233
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发表时间:
2019-04
影响因子:
2.3
通讯作者:
Bickel WK
Bickel WK
中科院分区:
医学3区
文献类型:
--
作者:
DeHart WB;Kaplan BA;Pope DA;Mellis AM;Bickel WK

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Despite promising decreases in overall smoking rates, a significant proportion of the population continue to engage in this costly behavior. Substituting e-cigarettes for conventional cigarettes is an increasingly popular harm-reduction strategy. Narratives may be one method of increasing the substitutability of e-cigarettes. Participants (N = 160) were assigned to one of four narratives that described a close friend becoming ill. In the Positive narrative, participants read about a friend that became ill but learned it was only the flu. In the Negative narrative, the friend became ill from smoking cigarettes, in the Negative-Regret narrative, the friend became ill from smoking cigarettes and explicitly expressed regret for having started smoking, and in the Negative-Change narrative, the friend became ill from smoking, switched to e-cigarettes and made a full recovery. Participants then completed an experimental tobacco marketplace (ETM) where they could purchase conventional cigarettes and alternative nicotine products including e-cigarettes. Across ETM trials, the price of conventional cigarettes increased while the price of the alternative products remained constant. Initial purchasing of conventional cigarettes decreased and initial purchasing of e-cigarettes increased in the Negative-Change group compared to the other three groups. This finding was moderated by conventional cigarette dependence and perception of e-cigarette risk but not previous e-cigarette exposure. Narratives can change conventional cigarette and e-cigarette purchasing in an ETM that mimics real-world marketplaces. Narratives can be a valuable harm-reduction tool because they are cost-effective, can be widely disseminated, and can be personalized to individuals.
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