Publications by authors named "Yuxian Cui"
Background: Given the substantial expansion of the US cannabis market and the impact of cannabis advertising exposure on use, cannabis marketing surveillance is needed to inform regulations and protect consumers.
Methods: Using 2020-2021 Vivvix advertising data from 4 US cannabis companies (Cresco, Mindy's, MedMen, and Uncle Ike's), we examined (1) general advertising characteristics (eg, number of unique ads and ad occurrences, ad expenditures, market, and media channel); and (2) ad content (ie, headlines and imagery) and placement (ie, source themes, eg, specific websites and magazines), overall and by company.
Results: There were 399 unique ads and 1171 occurrences, totaling $488,617 in expenditures.
Objective: Given the changes in trends of cannabis use (e.g., product types), this study examined latent classes of young adult use and associations with use-related outcomes.
View Article and Find Full Text PDFGiven the diverse sources of cannabis messaging and potential differential effects, this study examined pro- and anti-cannabis messaging exposure overall and via specific channels in relation to cannabis-related perceptions (social acceptability and harm) and behaviors (use status, intentions and frequency; past-year quit attempts). Multivariable regression analyses of 2023 survey data from 4031 US young adults (Mage = 26.29, 59.
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- IQOS is a heated tobacco product promoted as a safer alternative to traditional cigarettes and has received FDA approval for its reduced exposure claims.
- A study of 84 interviews revealed varied perceptions about IQOS's advertising claims, with many participants interpreting claims of reduced exposure and risk differently and questioning the credibility of the studies backing those claims.
- The findings suggest a need for regulators and researchers to closely monitor how harm reduction messages are conveyed to prevent misunderstandings among consumers.
Objectives: This study assessed differences in cannabis retailer practices by neighborhood sociodemographics, which can inform disparity-relevant interventions.
Methods: Multilevel multivariable logistic regressions examined retailers' census tract demographics (percent <21 years-old; non-Hispanic White, Black, or other race, Hispanic; median household income [MHHI]) in relation to 2022 audit data regarding marketing (youth-oriented signs, health-claims, exterior ads, price specials, membership programs, delivery/pick-up) and regulatory compliance (pregnancy and health-risk warning signage, exterior minimum-age signage) among 150 randomly-selected retailers in 5 US cities/states (Denver, Colorado; Seattle, Washington; Portland, Oregon; Las Vegas, Nevada; Los Angeles, California).
Results: 20.
Introduction: E-cigarette and heated tobacco product (HTP) marketing often leverages digital media and points-of-sale (POS) and advertises risk reduction, including in Armenia and Georgia where male cigarette use rates are high.
Methods: Using 2022 survey data from Armenian and Georgian adults (n=1468, mean age=42.92 years, 51.
Article Synopsis
- - The study aimed to understand how young adults in the US perceive and use derived psychoactive cannabis products (DPCPs), analyzing 2023 survey data from over 4,000 participants aged 18-34, half of whom reported past-month cannabis use.
- - Results showed that awareness and usage of DPCPs were significantly higher among regular cannabis users compared to nonusers, with many learning about DPCPs from friends and believing they undergo safety testing.
- - The findings highlight a need for better education on the risks of DPCPs and the importance of regulating their marketing and distribution to address consumer misconceptions and potential safety issues.
Introduction: Armenia's and Georgia's high rates of smoking and secondhand smoke and recent implementation of smoke-free laws provide a timely opportunity to examine factors that increase compliance, like social enforcement and support for governmental enforcement.
Methods: Using 2022 data from 1468 Armenian and Georgian adults (mean age=42.92 years, 48.
Article Synopsis
- Philip Morris International's IQOS, the top heated tobacco product globally, has a higher usage rate among Arabs compared to Jews in Israel, prompting a study to analyze marketing strategies and regulatory compliance in both communities.
- The research integrated data from surveys and audits of IQOS retailers in different neighborhoods, comparing marketing practices post the implementation of a points-of-sale display ban in January 2020.
- Findings revealed that while most marketing strategies were similar, Arab neighborhood retailers had higher rates of being invited to promotional events and reported more direct communication with Philip Morris representatives; audits also suggested that these Arab points-of-sale showed better compliance with the display ban regulations.
Article Synopsis
- Philip Morris International's IQOS, a popular heated tobacco product, was analyzed in the context of its presence in Israel, revealing higher usage among the Arab population compared to Jews.
- The study reviewed articles from January to October 2020, finding that media targeting Arab and Ultra-orthodox Jewish communities portrayed PMI and IQOS more positively than articles aimed at the general public.
- Specifically, Arab media focused on IQOS' retail locations and social benefits, suggesting a need for monitoring and regulating media content, particularly for minority audiences.
Objectives: Limited cannabis retail surveillance has been conducted, particularly assessing retailer practices in relation to consumer sociodemographic factors or use-related outcomes. This study examined young adults': exposure to promotions, health claims, warnings, and age restrictions at cannabis retailers; demographic correlates of retail exposures; and retail exposures in relation to use-related outcomes.
Study Design: This study used the cross-sectional quantitative analysis.
Article Synopsis
- Tobacco companies, particularly those selling IQOS in Israel, showed low compliance with display bans, but adhered more closely to plain packaging and advertisement restrictions.
- After the implementation of these regulations, there was a notable rise in internal advertisements for IQOS, many of which avoided explicit brand naming but used generic signs instead.
- The study suggests that while some regulations are effective, there is a need for more detailed legislation and enforcement strategies to ensure compliance and prevent marketing circumvention.
Introduction: Understanding who includes e-cigarettes and heated tobacco products (HTPs) in smoke-free home or car rules could inform public health interventions, particularly in countries with high smoking prevalence and recently implemented national smoke-free laws, like Armenia and Georgia.
Methods: In 2022, we conducted a cross-sectional survey among 1468 adults in 28 Armenian and Georgian communities (mean age=42.92 years; 51.
Objectives: Given the evolving cannabis marketplace (e.g., products, marketing strategies), this study examined online cannabis marketing practices over time.
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- * Findings showed that non-users found HTPs less appealing, while current users (mostly also cigarette or e-cigarette users) reported greater appeal, particularly among those who use both cigarettes and e-cigarettes.
- * Perceptions varied on the benefits of IQOS over traditional cigarettes and e-cigarettes, with research indicating that marketing targets young people and those seeking alternatives, highlighting the need for ongoing regulation and monitoring.
Article Synopsis
- This study explores how different sources, such as media and social connections, impact awareness and usage of heated tobacco products (HTPs) among adults in the US and Israel.
- The research found that exposure to advertisements and non-advertising content through digital platforms and social settings significantly influences both current use and intentions to use HTPs.
- Results indicate that greater interaction with media and having acquaintances who use HTPs are linked to increased awareness, usage, and intentions to use these products; no major differences were noted between the two countries.
Introduction: Addressing cigarette and e-cigarette use in China is key to reducing the global tobacco epidemic. Marketing exposure is one causal factor for adolescent smoking and e-cigarette use. Currently, China restricts cigarette and e-cigarette ads in public places and online; however, there may not be full policy compliance.
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- The study explores how various interpersonal and intrapersonal factors impact young adults' use of cigarettes, e-cigarettes, and cannabis over time.
- It analyzes data from over 3,000 participants to identify predictors of substance use, such as depressive symptoms, personality traits, and parental substance use.
- Findings suggest that interventions should focus on high-risk groups and consider individual differences to effectively address substance use behaviors.
Article Synopsis
- Heated tobacco products (HTPs), like IQOS, are seen as stylish alternatives to traditional cigarettes and e-cigarettes, but their reception among new users needs more exploration.
- A study analyzed data from 1914 adults in the U.S. and Israel to understand how people perceive HTPs compared to other smoking products and how these perceptions influence their willingness to try HTPs.
- Results showed that positive views on HTPs' design and health benefits make individuals more likely to try them and recommend them to friends who smoke, highlighting the importance of monitoring public perceptions of these products.
Article Synopsis
- Philip Morris International's IQOS product, which dominates the heated tobacco market, shows a higher usage rate among Arabs than Jews in Israel, prompting a study on its marketing strategies and regulatory compliance in different neighborhoods.
- The study conducted surveys and audits in Arab and Jewish areas of five Israeli cities, focusing on retail compliance with recent marketing restrictions (like point-of-sale display bans) after these regulations were enacted in January 2020.
- Results revealed that while many marketing strategies were similar across both communities, Arab neighborhood retailers were more involved in promotional activities and were better at complying with display ban requirements, although less compliant with plain packaging rules.
Article Synopsis
- The study investigates how different marketing strategies for e-cigarettes affect adult exposure and use, focusing on the US and Israel using data from 2021 with 2222 participants.
- Findings reveal that 20.3% of adults reported using e-cigarettes in the past month, with significant correlations between advertisement exposure in digital and traditional media as well as social media and increased e-cigarette use.
- Interestingly, some advertising types were associated with lower perceptions of e-cigarette addictiveness and harm, while retail setting advertisements linked to reduced e-cigarette use overall.
Background: Health warning labels (HWLs) are evidence-based tobacco control strategies; however, their application to e-cigarettes and related impacts (e.g. on perceived risk), including across countries with different regulations, are understudied.
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- Health warning labels (HWLs) on heated tobacco products (HTPs) were studied to see how they affect tobacco users' intentions to use HTPs and their perceptions of risk, with a survey sample of 424 US and Israeli adults.
- Among those who saw the HWLs, 27.7% felt more concerned about HTP use, while 22.6% felt reassured, but nearly half reported no effect; certain demographics, like female participants and those who used other tobacco products, were more likely to express concern.
- The study found that increased concern and feelings of reassurance about HTPs were positively linked to intentions to use these products, though there were no significant
Objective: As the U.S. cannabis market expands, surveillance of retailer practices, especially product health claims and risks, is crucial to protect consumers.
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- The study analyzed tobacco product use among adults in the US and Israel using 2021 data, focusing on seven types of products and consumer values like innovation and conscientiousness.
- Latent class analysis identified distinct usage profiles in both countries, revealing variations in preferences and demographics among users.
- Findings indicated that higher innovation correlated with non-cigarette product use in the US, while lower conscientiousness linked to specific product segments in Israel, suggesting tobacco consumption patterns reflect different consumer values and marketing strategies.