A Novel Method for Evaluating the Acceptability of Substitutes for Cigarettes: The Experimental Tobacco Marketplace.
A Novel Method for Evaluating the Acceptability of Substitutes for Cigarettes: The Experimental Tobacco Marketplace.
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DOI：
10.18001/trs.3.3.3
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发表时间：
2017-07-01
影响因子：
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通讯作者：
Bickel, Warren K
中科院分区：
文献类型：
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作者：
Heckman, Bryan W;Cummings, K Michael;Bickel, Warren K
目的：本研究在在线实验烟草市场 (ETM) 的背景下测试尼古丁替代疗法 (NRT)、电子烟 (EC) 和极低尼古丁香烟 (VLNC) 的可替代性，该市场旨在模拟吸烟者在 4 种政策情景下的选择。方法：荷兰吸烟者 (N = 840) 于 2015 年 7 月完成了一项在线调查。ETM 由传统香烟组成香烟、VLNC、EC（一次性/盒/罐系统）和 NRT（含片/贴片/片剂）。所有参与者都完成了禁止传统香烟的场景。为了测试其他政策场景，参与者被随机分配到 3 个实验之一：1) 无 VLNC，2) 所有产品均可用，或 3) 无 EC。当传统卷烟的成本为市场价格 (MP)、MP、2x MP 和 4x MP 时，假设每周购买量。替代性是通过卷烟价格上涨时估计消费量的变化来衡量的。结果：罐装和盒装 EC 以及 VLNC 是比一次性 EC 和 NRT 产品更强的卷烟替代品。当 VLNC 可用时，EC 和 NRT 对卷烟的替代受到抑制。结论：ETM 提供了一种方法来预测吸烟者可能如何应对改变市场上潜在可替代产品供应的政策。
OBJECTIVES: The current study tests the substitutability of nicotine replacement therapy (NRT), electronic cigarettes (ECs), and very low nicotine cigarettes (VLNCs) in the context of an online experimental tobacco marketplace (ETM) that was designed to mimic the choices of smokers under 4 policy scenarios.METHODS: Dutch cigarette smokers (N = 840) completed an online survey in July 2015. The ETM was comprised of conventional cigarettes, VLNCs, ECs (disposable/cartridge/tank systems), and NRT (lozenges/patches/tabs). All participants completed a scenario in which conventional cigarettes were banned. To test additional policy scenarios participants were randomized to one of 3 experiments: 1) no VLNCs, 2) all products available, or 3) no ECs. Hypothetical weekly purchases were made when the cost for conventional cigarettes was market price (MP), MP, 2x MP, and 4x MP. Substitutability was measured by the change in estimated consumption as cigarette prices increased.RESULTS: Tank and cartridge ECs and VLNCs were stronger cigarette substitutes than disposable ECs and NRT products. Substitution of ECs and NRT for cigarettes was dampened when VLNCs were available.CONCLUSIONS: The ETM offers a method to predict how smokers might respond to policies that alter the availability of potentially substitutable products available in the marketplace.