Smokers’ Responses to the Introduction of Reduced-Ignition Propensity (RIP) Cigarettes in Massachusetts   Fourth Inter...
RIP Cigarette Legislation <ul><li>49 US states </li></ul><ul><li>Canada </li></ul><ul><li>South Africa  </li></ul><ul><li>...
Effect of RIP Cigarettes <ul><li>Connelly  et al  found no change in cigarette volume sales after implementation of New Yo...
Objective <ul><li>Assess smokers responses to the introduction of RIP cigarettes: </li></ul><ul><ul><li>Cigarette Characte...
Massachusetts <ul><li>2007: 2,097 smoking material fires  </li></ul><ul><ul><li>19 civilian deaths </li></ul></ul><ul><ul>...
Methods <ul><li>A random-digit-dialed telephone survey  </li></ul><ul><li>Interviewed before and eight months after the st...
Population <ul><li>620 adult smokers interviewed before the sale of RIP cigarettes  </li></ul><ul><ul><li>between 8/3/07 a...
Population Race/Ethnicity White 90.63% Other 9.37% Household Income ($1000s) < 30 27.67% 30-60 33.96% 60-90 22.64% >90 15....
Cigarette Characteristics Baseline OR 95% CI Taste very or somewhat unpleasant 15.10% 1.54 0.91-2.63 Not at all or only a ...
Purchasing Patterns Baseline OR 95% CI Internet 1.96% 5.00 0.56-236.49 Native American Reservation 5.56% 1.55 0.68-3.65 Fo...
Smoking Topography Baseline OR 95% CI Inhale deeply into chest or as deeply as possible  52.86% 0.53 0.32-0.86 Smoke > 20 ...
Perceptions of Fire-risk Baseline OR 95% CI Worry about starting a fire 30.82% 0.55 0.33-0.90 Worry about burning others 1...
Perceptions of Fire-risk Baseline OR 95% CI Smokers will be more careful 49.53% 0.46 0.30-0.70 Smokers will see little cha...
Fire-risk Behaviors Baseline OR 95% CI Left a cigarette unattended 25.41% 1.17 0.73-1.89 Smoked in bed 19.34% 1.10 0.42-2....
Fire Events Baseline OR 95% CI Home fire 0.33% 0.00 0.00-39.00 Burn clothing 13.95% 1.4 0.76-2.62 Burn furniture 5.26% 1.2...
Quitting -13% of respondents quit smoking  Baseline OR 95% CI Want to quit smoking 82.78% 1.73 0.78-4.02 Set a quit date 2...
Quitting Baseline OR 95% CI Concern for personal health 91.19 2.0 0.69-6.49 Price of cigarettes 81.15 1.92 0.95-4.09 Smoki...
Conclusions <ul><li>The introduction of RIP cigarettes in MA did not have adverse effects in terms of smokers’ experience ...
<ul><li>Thank You </li></ul>
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Smokers' Responses to the Introduction of Reduced-Ignition Propensity (RIP) Cigarettes in Massachusetts

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Andrew Seidenburg, MPH, presented findings of a study he co-authored with Hillel Alpert, ScM, at the Harvard School of Public Health, on the response of smokers to fire-safe cigarettes in Massachusetts.

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Smokers' Responses to the Introduction of Reduced-Ignition Propensity (RIP) Cigarettes in Massachusetts

  1. 1. Smokers’ Responses to the Introduction of Reduced-Ignition Propensity (RIP) Cigarettes in Massachusetts Fourth International Conference on “Fire Safer” Cigarettes October 29, 2009 Andrew Seidenberg, MPH Hillel R. Alpert, ScM
  2. 2. RIP Cigarette Legislation <ul><li>49 US states </li></ul><ul><li>Canada </li></ul><ul><li>South Africa </li></ul><ul><li>Australia </li></ul><ul><li>European Union </li></ul>
  3. 3. Effect of RIP Cigarettes <ul><li>Connelly et al found no change in cigarette volume sales after implementation of New York’s RIP law </li></ul><ul><li>O’Connor et al found no difference in reported taste, quit intentions, and quit attempts between RIP cigarette smokers in New York and non-RIP cigarette smokers elsewhere in the United States </li></ul>
  4. 4. Objective <ul><li>Assess smokers responses to the introduction of RIP cigarettes: </li></ul><ul><ul><li>Cigarette Characteristics </li></ul></ul><ul><ul><li>Purchasing patterns </li></ul></ul><ul><ul><li>Smoking topography </li></ul></ul><ul><ul><li>Perceptions of fire-risk </li></ul></ul><ul><ul><li>Fire-risk behaviors and events </li></ul></ul><ul><ul><li>Quitting intentions </li></ul></ul>
  5. 5. Massachusetts <ul><li>2007: 2,097 smoking material fires </li></ul><ul><ul><li>19 civilian deaths </li></ul></ul><ul><ul><li>49 civilians and 44 fire service injuries </li></ul></ul><ul><ul><li>$22.7 million </li></ul></ul><ul><li>“ An Act Relative to the Loss of Life Due to Fires Caused By Cigarettes” signed into law on July 8 th , 2006 </li></ul><ul><li>Effective January 1, 2008 </li></ul><ul><li>Retailers allowed to sell off remaining inventory of non-RIP cigarettes </li></ul>
  6. 6. Methods <ul><li>A random-digit-dialed telephone survey </li></ul><ul><li>Interviewed before and eight months after the state mandated sale of RIP cigarettes </li></ul><ul><li>McNemar’s χ 2 statistic </li></ul>
  7. 7. Population <ul><li>620 adult smokers interviewed before the sale of RIP cigarettes </li></ul><ul><ul><li>between 8/3/07 and 11/20/07 </li></ul></ul><ul><li>353 (57%) interviewed after the sale of RIP cigarettes </li></ul><ul><ul><li>between 8/26/08 and 10/4/08 </li></ul></ul>
  8. 8. Population Race/Ethnicity White 90.63% Other 9.37% Household Income ($1000s) < 30 27.67% 30-60 33.96% 60-90 22.64% >90 15.72% Gender Female 55.68% Male 44.32% Age (years) 18-24 6.27% 25-39 10.54% 40-54 33.90% > 55 49.29%
  9. 9. Cigarette Characteristics Baseline OR 95% CI Taste very or somewhat unpleasant 15.10% 1.54 0.91-2.63 Not at all or only a little satisfying 11.00% 0.68 0.36-1.26 Lit end or live ash fall off 39.67% 0.69 0.45-1.05 Goes out between puffs 51.64% 4.28 2.54-7.60 Goes out between puffs often 29.50% 2.71 1.44-5.42
  10. 10. Purchasing Patterns Baseline OR 95% CI Internet 1.96% 5.00 0.56-236.49 Native American Reservation 5.56% 1.55 0.68-3.65 Foreign country 4.25% 0.71 0.18-2.61 Different state 46.41% 1.70 1.06-2.76
  11. 11. Smoking Topography Baseline OR 95% CI Inhale deeply into chest or as deeply as possible 52.86% 0.53 0.32-0.86 Smoke > 20 cigarettes per day 22.04% 0.25 0.08-0.63 Don't inhale into chest 3.37% 0.83 0.20-3.28 Take as many puffs as possible 46.32% 0.78 0.49-1.24 Take only a few puffs 6.32% 1.85 0.90-3.95
  12. 12. Perceptions of Fire-risk Baseline OR 95% CI Worry about starting a fire 30.82% 0.55 0.33-0.90 Worry about burning others 13.11% 1.89 1.06-3.50 Worry about burning self 13.11% 1.73 0.88-3.52 Worry about burning objects 17.11% 0.88 0.47-1.63
  13. 13. Perceptions of Fire-risk Baseline OR 95% CI Smokers will be more careful 49.53% 0.46 0.30-0.70 Smokers will see little change in their cigarettes 51.47% 0.61 0.42-0.88 There will be fewer fires in MA 72.83% 0.40 0.26-0.59 Smokers will smoke in bed more often 17.83% 0.91 0.54-1.54 Smokers will buy black market cigarettes 36.74% 1.30 0.87-1.96
  14. 14. Fire-risk Behaviors Baseline OR 95% CI Left a cigarette unattended 25.41% 1.17 0.73-1.89 Smoked in bed 19.34% 1.10 0.42-2.89 Dozed off while smoking 3.29% 2.33 0.53-13.98 Fallen asleep while smoking 1.63% 1.00 0.01-78.50
  15. 15. Fire Events Baseline OR 95% CI Home fire 0.33% 0.00 0.00-39.00 Burn clothing 13.95% 1.4 0.76-2.62 Burn furniture 5.26% 1.27 0.54-3.10
  16. 16. Quitting -13% of respondents quit smoking Baseline OR 95% CI Want to quit smoking 82.78% 1.73 0.78-4.02 Set a quit date 20.44% 0.62 0.32-1.16 Plan to quit in next 6 months 42.71% 1.04 0.68-1.59
  17. 17. Quitting Baseline OR 95% CI Concern for personal health 91.19 2.0 0.69-6.49 Price of cigarettes 81.15 1.92 0.95-4.09 Smoking restrictions 38.62 1.48 0.90-2.46 Advice to quit from doctor 62.18 0.81 0.47-1.41 Changes in usual brand of cigarettes 17.80 1.43 0.79-2.63 Don't enjoy smoking as much 65.26 0.76 0.44-1.31
  18. 18. Conclusions <ul><li>The introduction of RIP cigarettes in MA did not have adverse effects in terms of smokers’ experience with cigarettes or fire-risk behaviors and events; however fire-risk perceptions of smokers in response to the law are variable. </li></ul><ul><li>Further research is needed to evaluate the law’s effectiveness with regards to cigarette fire incidence. </li></ul>
  19. 19. <ul><li>Thank You </li></ul>

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