Análisis del valor percibido y desinformación aplicados a los cigarrillos electrónicos en españoles jóvenes

  1. Víctor José Villanueva-Blasco 1
  2. Merve Akardas 2
  3. Manuel Isorna Folgar 3
  4. Juan Miguel Rey- Pino 2
  1. 1 Facultad de Ciencias de la Salud, Universidad Internacional de Valencia, 46002, Valencia, España.
  2. 2 Universidad de Granada.
  3. 3 Facultad de Educación y Trabajo Social, Campus As Lagoas, Universidad de Vigo, 32004 Ourense, España.
Show affiliations +
Journal:
Acciones e investigaciones sociales

ISSN: 1132-192X

Year of publication: 2023

Issue: 44

Pages: 179-200

Type: Article

DOI: 10.26754/OJS_AIS/ACCIONESINVESTIGSOC.2023449002 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Acciones e investigaciones sociales

Abstract

Tobacco, and its main component, nicotine, continues to be one of the main health problems worldwide. The use of electronic cigarettes (EC) is currently increasing. The objective was to analyze the perceived value and motivations for the consumption of nicotine through e-cigarettes and their convergence with the disinformation and marketing strategies of the nicotine industry. Methods. A qualitative methodology was used through a review focused on the perceived value of nicotine and its usual consumption technologies, and in-depth interviews with 15 university students. Results. Several components of the perceived value of the nicotine-consuming experience through EC versus conventional cigarettes are identified, in line with the industry’s disinformation and fake news dissemination strategy. These refer to EC as less harmful, clean, attractive, and facilitating products for the cessation of tobacco use. Conclusions. It is evident how brands are taking advantage of the limited rationality of the consumer in their decision making through the marketing communication made, based on disinformation and fake news. Further research is needed into industry strategies to promote nicotine use in the population, especially among young people.

€ View funding

Funding information

Funders

Bibliographic References

  • Ajzen, I. (1991). The theory of planned behavior. Organizational behavior and human decision processes, 50(2), 179-211. https://bit. ly/3IZ9iqX.
  • Ali, M., Gray, T. R., Martinez, D. J., Curry, L. E., & Horn, K. A. (2016). Risk profiles of youth single, dual, and poly tobacco users. Nicotine & Tobacco Research, 18(7), 1614-1621. https://doi.org/10.1093/ntr/ntw028.
  • Bandura, A. (1999). Social cognitive theory of personality. En Journal of Biological Chemistry. Guilford Publications. https://doi.org/10.1016/s0021-9258(19)40792-8
  • Barnett, T. E., Tomar, S. L., Lorenzo, F. E., Forrest, J. R., Porter, L., & Gurka, M. J. (2017). Hookah use among Florida high school students, 2011–2014. American journal of preventive medicine, 52(2), 220-223. https://doi.org/10.1016/j.amepre.2016.10.027
  • Barrington-Trimis, J. L., Urman, R., Berhane, K., Unger, J. B., Cruz, T. B., Pentz, M. A., ... & McConnell, R. (2016). E-cigarettes and future cigarette use. Pediatrics, 138(1). https://doi.org/10.1542/peds.2016-0379
  • Bero, L. A. (2005). Tobacco industry manipulation of research. Public health reports, 120(2), 200. https://doi:10.1177/003335490512000215
  • Brown, A. K., Nagelhout, G. E., van den Putte, B., Willemsen, M. C., Mons, U., Guignard, R., & Thompson, M. E. (2015). Trends and socioeconomic differences in roll-your-own tobacco use: findings from the ITC Europe Surveys. Tobacco control, 24(Suppl 3), iii11-iii16. http://dx.doi.org/10.1136/tobaccocontrol-2014-051986
  • Budney, A. J., Sargent, J. D., & Lee, D. C. (2015). Vaping cannabis (marijuana): parallel concerns to ecigs?. Addiction, 110(11), 1699-1704. https://doi.org/10.1111/add.13036
  • Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J., & Walker, N. (2013). Electronic cigarettes for smoking cessation: a randomised controlled trial. The Lancet, 382(9905), 1629-1637. https://doi.org/10.1016/S0140-6736(13)61842-5
  • Calduch, T. C., Jiménez, C. H., San Segundo, M. T. C., Valle, M. Y., & Carlos-Roca, A. P. (2012). Tabaco de liar: una prioridad de salud pública y consumo. Gaceta Sanitaria, 26(3), 267-269. https://doi.org/10.1016/j.gaceta.2011.09.010.
  • CDC. Brote de lesión pulmonar asociada con el uso de productos de cigarrillos electrónicos o vapeo.https://www.cdc.gov/tobacco/ basic_information/e-cigarettes/spanish/enfermedad-pulmonar-grave/index. html. Updated 20202020.
  • Chaffee, B. W., Watkins, S. L., & Glantz, S. A. (2018). Electronic cigarette use and progression from experimentation to established smoking. Pediatrics, 141(4). https://doi.org/10.1542/peds.2017-3594.
  • Choi, K., & Forster, J. L. (2014). Beliefs and experimentation with electronic cigarettes: a prospective analysis among young adults. American journal of preventive medicine, 46(2), 175-178. https://doi.org/10.1016/j.amepre.2013.10.007
  • Coleman, B. N., Apelberg, B. J., Ambrose, B. K., Green, K. M., Choiniere, C. J., Bunnell, R., & King, B. A. (2015). Association between electronic cigarette use and openness to cigarette smoking among US young adults. Nicotine & Tobacco Research, 17(2), 212-218. https://doi.org/10.1093/ntr/ntu211.
  • Consejo Económico y Social de Aragón (2021). Informe sobre la situación económica y social de Aragón: Panorama social. Consejo Económico y Social de Aragón.
  • Czégény, Z., Nagy, G., Babinszki, B., Bajtel, Á., Sebestyén, Z., Kiss, T., ... & Csupor, D. (2021). CBD, a precursor of THC in e-cigarettes. Scientific Reports, 11(1), 8951. https://doi.org/10.1038/s41598-021-88389-z
  • DiClemente, C. C., Prochaska, J. O., & Brandenburg, N. (1985). Decisional balance measure for assessing and predicting smoking status. Journal of Personality and Social Psychology, 48(5), 1279-1289.
  • El-Toukhy, S., Baig, S. A., Jeong, M., Byron, M. J., Ribisl, K. M., & Brewer, N. T. (2018). Impact of modified risk tobacco product claims on beliefs of US adults and adolescents. Tobacco control, 27(Suppl 1), s62-s69. http://dx.doi.org/10.1136/tobaccocontrol-2018-054315
  • Epstein, J. L., Coates, L., Clark, K., Sandres, M. y Simon, B. (1997). School, Family and Community Partnerships. Your handbook for action. Corwin Press, Inc. https://www.govinfo.gov/content/pkg/ERIC-ED467082/pdf/ERIC-ED467082.pdf
  • Fedele, D. A., Barnett, T. E., Dekevich, D., Gibson-Young, L. M., Martinasek, M., & Jagger, M. A. (2016). Prevalence of and beliefs about electronic cigarettes and hookah among high school students with asthma. Annals of Epidemiology, 26(12), 865-869. https://doi.org/10.1016/j.annepidem.2016.10.004
  • Gallarza, M. G., & Gil, I. (2006). Desarrollo de una escala multidimensional para medir el valor percibido de una experiencia de servicio. Revista española de investigación de marketing, 10(2), 25-59.
  • Goniewicz, M. L., Kuma, T., Gawron, M., Knysak, J., & Kosmider, L. (2012). Nicotine levels in electronic cigarettes. Nicotine & Tobacco Research, 15(1), 158-166. https://doi.org/10.1093/ntr/nts103
  • Cabanach, R. G., Cervantes, R. F., Doniz, L. G., & Rodríguez, C. F. (2010). Estresores académicos percibidos por estudiantes universitarios de ciencias de la salud. Fisioterapia, 32(4), 151-158. https://doi.org/10.1016/j.ft.2010.01.005
  • González-Roz, A., Secades-Villa, R., & Weidberg, S. (2017). Evaluación de los niveles de dependencia de la nicotina en usuarios de cigarrillos electrónicos Evaluating nicotine dependence levels in e-cigarette users. Adicciones, 29(2), 136-8. https://doi.org/10.20882/adicciones.29.2
  • Gordon, R., & French, J. (2015). Strategic social marketing. Strategic Social Marketing, 1-448. http://digital.casalini.it/9781473927674
  • Gostin, L. O., & Glasner, A. Y. (2014). E-cigarettes, vaping, and youth. Jama, 312(6), 595-596. https://doi:10.1001/jama.2014.7883
  • Grana, R. A., & Ling, P. M. (2014). “Smoking revolution”: a content analysis of electronic cigarette retail websites. American journal of preventive medicine, 46(4), 395-403. https://doi.org/10.1016/j.amepre.2013.12.010
  • Griffiths, M. A., Harmon, T. R., & Gilly, M. C. (2011). Hubble bubble trouble: the need for education about and regulation of hookah smoking. Journal of Public Policy & Marketing, 30(1), 119-132. https://doi.org/10.1509/jppm.30.1.119
  • Hair, E. C., Bennett, M., Sheen, E., Cantrell, J., Briggs, J., Fenn, Z., ... & Vallone, D. (2018). Examining perceptions about IQOS heated tobacco product: consumer studies in Japan and Switzerland. Tobacco control, 27(Suppl 1), s70-s73. http://dx.doi.org/10.1136/tobaccocontrol-2018-054322
  • Hamilton, H. A., Ferrence, R., Boak, A., Schwartz, R., Mann, R. E., O’Connor, S., & Adlaf, E. M. (2014). Ever use of nicotine and nonnicotine electronic cigarettes among high school students in Ontario, Canada. Nicotine & Tobacco Research, 17(10), 1212-1218. https://doi.org/10.1093/ntr/ntu234
  • Hammal, F., Wild, T. C., & Finegan, B. A. (2016a). Knowledge about the waterpipe (hookah), a qualitative assessment among community workers in a major urban center in Canada. Journal of community health, 41, 689-696. https://doi.org/10.1007/s10900-015-0143-9
  • Hammal, F., Wild, T. C., Nykiforuk, C., Abdullahi, K., Mussie, D., & Finegan, B. A. (2016b). Waterpipe (hookah) smoking among youth and women in Canada is new, not traditional. Nicotine &Tobacco Research, 18(5), 757-762. https://doi.org/10.1093/ntr/ntv152
  • Hartmann-Boyce, J., McRobbie, H., Butler, A. R., Lindson, N., Bullen, C., Begh, R., ... & Hajek, P. (2021). Electronic cigarettes for smoking cessation. Cochrane database of systematic reviews, (9). https://doi.org/10.1002/14651858.CD010216.pub6
  • Hastings, G.,& Domegan, C. (2017). Social marketing: Rebels with a cause. Routledge. Instituto Aragonés de Estadística (2011). Definiciones de indicadores demográficos. Recuperado del Instituto Aragonés de Estadística. https://bonansa.aragon.es/iaest/met_el/Metodologia%20Indicadores%20Demograficos.pdf
  • Isorna Folgar, M., Cruz Amorós, E. D. L., & Villanueva Blasco, V. J. (2020). La violencia tabáquica: papel de los medios audiovisuales, influencers y las think tanks. Rev. esp. drogodepend, 101-110.
  • Kvale, S. (2011). Las entrevistas en investigación cualitativa. Madrid: Ediciones Morata.
  • Kalkhoran, S., & Glantz, S. A. (2016). E-cigarettes and smoking cessation in real-world and clinical settings: a systematic review and meta-analysis. The Lancet Respiratory Medicine, 4(2), 116-128. https://doi.org/10.1016/S2213-2600(15)00521-4
  • Karasek Jr, R. A. (1979). Job demands, job decision latitude, and mental strain: Implications for job redesign. Administrative science quarterly, 285-308.
  • Kirscht, J. P. (1998). The health belief model and predictions of health actions (pp. 27-41). Springer US.. https://doi.org/10.1007/978-1-4899-0833-9_2
  • Kristjansson, A. L., Allegrante, J. P., & Sigfusdottir, I. D. (2018). Perceived parental reactions to substance use among adolescent vapers compared with tobacco smokers and non-users in Iceland. Public health, 164, 115-117. https://doi.org/10.1016/j.puhe.2018.08.005
  • Kulik, M. C., Lisha, N. E., & Glantz, S. A. (2018). E-cigarettes associated with depressed smoking cessation: a cross-sectional study of 28 European Union countries. American journal of preventive medicine, 54(4), 603-609. https://doi.org/10.1016/j.amepre.2017.12.017
  • Lee, A., Lee, K. S., & Park, H. (2019). Association of the use of a heated tobacco product with perceived stress, physical activity, and internet use in Korean adolescents: A 2018 national survey. survey. International Journal of Environmental Research and Public Health, 16(6), 965. https://doi.org/10.3390/ijerph16060965
  • Lee, Y. O., Pepper, J. K., MacMonegle, A. J., Nonnemaker, J. M., Duke, J. C., & Porter, L. (2018). Examining youth dual and polytobacco use with e-cigarettes. International journal of environmental research and public health, 15(4), 699. https://doi.org/10.3390/ijerph15040699
  • Leventhal, A. M., Stone, M. D., Andrabi, N., Barrington-Trimis, J., Strong, D. R., Sussman, S., & Audrain-McGovern, J. (2016). Association of e-cigarette vaping and progression to heavier patterns of cigarette smoking. Jama, 316(18), 1918-1920. https://doi:10.1001/jama.2016.14649
  • Leventhal, A. M., Strong, D. R., Kirkpatrick, M. G., Unger, J. B., Sussman, S., Riggs, N. R., ... & Audrain-McGovern, J. (2015). Association of electronic cigarette use with initiation of combustibletobacco product smoking in early adolescence. Jama, 314(7), 700-707. https://doi:10.1001/jama.2015.8950
  • Lidón Moyano, C., Díez-Izquierdo, A., & Martínez Sánchez, J. M. (2020). Humo de tercera mano y otros retos del control del tabaquismo en población pediátrica. In Anales de Pediatría. Elsevier. https://doi.org/10.1016/j.anpedi.2020.05.005
  • Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. sage.
  • Liquete Arauzo, L. E. O. N. O. R., Pérez Ruiz, E., Marugán de Miguelsanz, J. M., Rodríguez Molinero, L., de Cegama, U. L., Gutiérrez, U., ... & Izquierdo Elizo, A. (2017). Riesgo percibido sobre el consumo ocasional de tabaco tradicional y electrónico en adolescentes. Pediatría Atención Primaria, 19(74), 127-136.
  • Lobo, A., Pérez-Echeverría, M. J., & Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological medicine, 16(1), 135-140. https://doi.org/10.1017/S0033291700002579
  • Lucherini, M., Rooke, C., & Amos, A. (2018). E‐cigarettes, vaping and performativity in the context of tobacco denormalisation. Sociology of health & illness, 40(6), 1037-1052. https://doi.org/10.1111/1467-9566.12741
  • Martínez, R. A. (2000). Partenariado familia-centro escolar a través de la metodología de investigación-acción. En A. M. Fontaine, (Ed.). Parcería familia-escola e desenvolvimiento da crianca. (pp. 303-319). Oporto, Universidade do Porto
  • Maziak, W., Taleb, Z. B., Bahelah, R., Islam, F., Jaber, R., Auf, R., & Salloum, R. G. (2015). The global epidemiology of waterpipe smoking. Tobacco control, 24(Suppl 1), i3-i12. http://dx.doi.org/10.1136/tobaccocontrol-2014-051903
  • McDaniel, P. A., & Malone, R. E. (2007). “I always thought they were all pure tobacco”: American smokers’ perceptions of “natural” cigarettes and tobacco industry advertising strategies. Tobacco control, 16(6), e7-e7. http://dx.doi.org/10.1136/tc.2006.019638
  • McKelvey, K., Popova, L., Kim, M., Chaffee, B. W., Vijayaraghavan, M., Ling, P., & Halpern-Felsher, B. (2018). Heated tobacco products likely appeal to adolescents and young adults. Tobacco Control, 27(Suppl 1), s41-s47. http://dx.doi.org/10.1136/tobaccocontrol-2018-054596
  • Meehan-Atrash, J., & Rahman, I. (2021). Cannabis vaping: existing and emerging modalities, chemistry, and pulmonary toxicology. Chemical research in toxicology, 34(10), 2169-2179. https://doi.org/10.1021/acs.chemrestox.1c00290
  • Ministerio de Sanidad, ed. Observatorio español de las drogas y las adicciones (2021). Informe 2021. alcohol, tabaco y drogas ilegales en España. Delegación del Gobierno para el Plan Nacional sobre Drogas.
  • Ministerio de Sanidad, Servicios Sociales e Igualdad (MSSSI) (2014). Informe sobre los cigarrillos electrónicos: Situación actual, evidencia disponible y regulación.
  • Montero‐Simó, M. J., Polo‐Peña, A. I., Araque‐Padilla, R., & Rey‐Pino, J. M. (2018). Alternatives for Targeting Women in Anti‐Smoking Campaigns: Insights from a Smoking Perceived Value Perspective. Journal of Consumer Affairs, 52(2), 480-494. https://doi.org/10.1111/joca.12169
  • Morean, M. E., Kong, G., Cavallo, D. A., Camenga, D. R., & Krishnan-Sarin, S. (2016). Nicotine concentration of e-cigarettes used by adolescents. Drug and alcohol dependence, 167, 224-227. https://doi.org/10.1016/j.drugalcdep.2016.06.031
  • Nyman, A. L., Weaver, S. R., Popova, L., Pechacek, T. F., Huang, J., Ashley, D. L., & Eriksen, M. P. (2018). Awareness and use of heated tobacco products among US adults, 2016–2017. Tobacco control, 27(Suppl 1), s55-s61. http://dx.doi.org/10.1136/tobaccocontrol-2018-054323
  • O'Connor, R. J., McNeill, A., Borland, R., Hammond, D., King, B., Boudreau, C., & Cummings, K. M. (2007). Smokers' beliefs about the relative safety of other tobacco products: findings from the ITC collaboration. Nicotine & Tobacco Research, 9(10), 1033-1042. https://doi.org/10.1080/14622200701591583
  • Osca, J. R., Garcia, R. C., & Garcia, P. G. (2014). El cigarrillo electrónico: la utopía del cigarrillo seguro. Atención Primaria, 46(2), 53. https://doi:10.1016/j.aprim.2013.12.002
  • Peruga, A., Rodríguez Lozano, F., López, M. J., Córdoba García, R., Nerín, I., Sureda, X., & Fernández, E. (2022). Los productos de tabaco calentado: nuevo reto en el control del tabaco. Gaceta Sanitaria, 36, 57-59. https://doi.org/10.1016/j.gaceta.2020.12.033
  • Philip Morris International Management, S A. Philip Morris international (2017). IQOS .
  • Philip Morris International Management, S A. Philip Morris international (2017). Our findings to date.
  • Pokhrel, P., Fagan, P., Kehl, L., & Herzog, T. A. (2015). Receptivity to e-cigarette marketing, harm perceptions, and e-cigarette use. American journal of health behavior, 39(1), 121-131. https://doi.org/10.5993/AJHB.39.1.13
  • Prentice-Dunn, S., & Rogers, R. W. (1986). Protection motivation theory and preventive health: Beyond the health belief model. Health education research, 1(3), 153-161. https://doi.org/10.1093/her/1.3.153
  • Primack, B. A., Soneji, S., Stoolmiller, M., Fine, M. J., & Sargent, J. D. (2015). Progression to traditional cigarette smoking after electronic cigarette use among US adolescents and young adults. JAMA pediatrics, 169(11), 1018-1023. https://doi:10.1001/jamapediatrics.2015.1742
  • Ramji, R., Arnetz, J., Nilsson, M., Jamil, H., Norström, F., Maziak, W., ... & Arnetz, B. (2015). Determinants of waterpipe use amongst adolescents in Northern Sweden: a survey of use pattern, risk perception, and environmental factors. BMC research notes, 8(1), 1-10. https://doi.org/10.1186/s13104-015-1413-4
  • Sandín, B. (2008). El estrés psicosocial: conceptos y consecuencias clínicas (2a edición). Editorial Klinik.
  • Soneji, S., Barrington-Trimis, J. L., Wills, T. A., Leventhal, A. M., Unger, J. B., Gibson, L. A., ... & Sargent, J. D. (2017). Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and meta-analysis. JAMA pediatrics, 171(8), 788-797. https://doi:10.1001/jamapediatrics.2017.1488
  • Tan, C. E., Kyriss, T., & Glantz, S. A. (2013). Tobacco company efforts to influence the food and drug administration-commissioned Institute of Medicine report Clearing the Smoke: an analysis of documents released through litigation. PLoS medicine, 10(5), e1001450. https://doi.org/10.1371/journal.pmed.1001450.
  • Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International journal for quality in health care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
  • Toro-Nozal, Ma., Izquierdo-Carrasco, M., Arpio-Santacruz, J, et al. (2016). Informe del comité científico de la agencia española de consumo, seguridad alimentaria y nutrición (AECOSAN) sobre la seguridad de uso de los cigarrillos electrónicos. Informe del Comité Científico de la Agencia Española de Consumo, Seguridad Alimentaria y Nutrición (AECOSAN) sobre la seguridad de uso de los cigarrillos electrónicos. https://zaguan.unizar.es/record/70632/files/texto_completo.pdf.
  • Van der Eijk, Y., Teo, K. W., Tan, G. P. P., & Chua, W. M. (2023). Tobacco industry strategies for flavour capsule cigarettes: analysis of patents and internal industry documents. Tobacco Control, 32(e1), e53-e61. http://dx.doi.org/10.1136/tobaccocontrol-2021-056792
  • Viudes de Velasco, A. (2010). Possibilities and limitations of fiscal policies as health instruments: taxes on harmful consumption. SESPAS Report 2010. Gaceta Sanitaria, 24, 85-89. https://doi:10.1016/j.gaceta.2010.03.013
  • Wagoner, K. G., Cornacchione, J., Wiseman, K. D., Teal, R., Moracco, K. E., & Sutfin, E. L. (2016). E-cigarettes, hookah pens and vapes: adolescent and young adult perceptions of electronic nicotine delivery systems. Nicotine & Tobacco Research, 18(10), 2006-2012. https://doi.org/10.1093/ntr/ntw095
  • World Health Organization. Tobacco (2021). https://www.who.int/news-room/fact-sheets/detail/tobacco
  • European Monitoring Centre for Drugs and Drug Addiction (2020). ESPAD report 2019 results from theEuropean school survey project on alcohol and other drugs. EMCDDA.https://www.emcdda.europa.eu/publications/joint-publications/espad-report-2019_en
  • World Health organization (2021). WHO report on the global tobacco epidemic 2021: Addressing new and emerging products.
  • Wray, R. J., Jupka, K., Berman, S., Zellin, S., & Vijaykumar, S. (2012). Young adults’ perceptions about established and emerging tobacco products: results from eight focus groups. Nicotine & Tobacco Research, 14(2), 184-190. https://doi.org/10.1093/ntr/ntr168
  • Zeithaml, V. A. (1988). Consumer perceptions of price, quality, and value: a means-end model and synthesis of evidence. Journal of marketing, 52(3), 2-22. https://doi.org/10.1177/002224298805200302
Data source: Dialnet