{"id":1420,"date":"2019-09-28T05:04:25","date_gmt":"2019-09-28T05:04:25","guid":{"rendered":"https:\/\/blogs.bmj.com\/tc\/?p=1420"},"modified":"2019-09-28T05:04:32","modified_gmt":"2019-09-28T05:04:32","slug":"canada-government-releases-consumer-research-on-vaping-and-tobacco","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/tc\/2019\/09\/28\/canada-government-releases-consumer-research-on-vaping-and-tobacco\/","title":{"rendered":"Canada: government releases consumer research on vaping and tobacco"},"content":{"rendered":"

Cynthia Callard, Physicians for a Smoke-Free Canada<\/strong><\/p>\n

The Canadian nicotine market was transformed virtually overnight after the government of Canada legalized the sale of vaping products in May 2018.<\/p>\n

Previously, Canadians were able to buy unregulated vaping devices and liquids online or in a modest number of illegally-operating shopfronts. Their choice of device, however, was mostly limited to the clunky tank systems supplied by small manufacturers willing to sell on the grey market. Advertising for vaping products was seen only in the broadcasts and media that spilled over from the United States.<\/p>\n

After market liberalization, Canadians could buy their (not yet) regulated devices and liquids in almost every corner store. Their choice of device was expanded to include the sleek and inexpensive systems sold by large multinational manufacturers, such as JUUL, BAT, Japan Tobacco, and Imperial Brands. Pod systems selling high concentrations of nicotine salts became the norm (JUUL boasts of a 79% market share<\/a>). In many regions, advertising for vaping products has become pervasive: the cigarette power walls that were removed only a decade ago have now been replaced with vaping advertising.<\/p>\n

\"\"<\/a>
Vaping promotions at an Esso gas station near Ottawa, August 2019<\/figcaption><\/figure>\n
A balancing act of competing policy objectives<\/h5>\n

These changes to the vaping market resulted from the government\u2019s decision in 2017 to adopt a harm reduction approach<\/a> to smoking. The new law was structured to \u201cstrike a balance between protecting youth from inducement to nicotine and tobacco use, while allowing adult smokers to legally access vaping products as a less harmful alternative to tobacco<\/a>.\u201d<\/p>\n

With this decision, and the adoption of the Tobacco and Vaping Products Act<\/em><\/a>, Canadians were abruptly enrolled in a natural experiment on the impact of a liberalized nicotine market on their health behaviours. Canadians have mixed views towards novel tobacco control measures<\/a>, but many had supported greatly expanding access to vaping products.<\/p>\n

Assessing the results of this experiment has been challenged by the absence of early data on the impact on nicotine use. The health surveillance systems in place for the first 18 months did not include any indicators on vaping: Canadian Tobacco, Alcohol and Drugs Survey<\/a> had been suspended in 2017 and its replacement will not be in the field until November 2019.<\/p>\n

Assessing the impact<\/h5>\n

To address the information gap, Health Canada issued contracts totalling more than USD 1 million to polling firms and other consumer researchers, tasking them with surveying Canadians about vaping. These studies, listed below, probed for information on a wide range of behaviours and attitudes related to nicotine use \u2013 why people start, which products they use, what they think of the harms, the flavours they use, whether their friends and families approve, etc.<\/p>\n

These studies do not allow us to conclude whether the Canadian vaping experiment has resulted in a net reduction of harm from nicotine use. They do, however, give insight into the minds and motivations of users. When the surveillance system gets up and running, this consumer research can help guide policy adjustments if it appears that the harm reduction balance needs recalibrating.<\/p>\n

Had these studies been conducted by University-based researchers, the results would normally find their way into the academic press. Canadian governments do not take this approach, but instead make the findings and data tables available through the federal government\u2019s library of public opinion research<\/a>. A trove of data ready for secondary analysis? (See links to research at the end of this article)<\/p>\n

Research on traditional products too<\/h5>\n
\"\"<\/a>
Consumer research evaluated the response to warnings printed on cigarettes<\/figcaption><\/figure>\n

Health Canada\u2019s consumer research also covers traditional tobacco products. In preparation for updating tobacco package warning labels, consumer research was commissioned to test concepts and visuals. One of the studies looked at reactions to warnings printed directly on cigarettes – \u2013 an idea Health Canada floated last year.<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

Recent Health Canada consumer research:<\/strong><\/p>\n

On vaping<\/strong><\/p>\n

POR 037-18: Vaping Prevention Concepts Testing <\/a>
\n16 in-person focus groups with 13 to 18 year olds to assess response to creative concepts for youth prevention campaigns.<\/p>\n

POR: 099-17: Evaluation of Possible Labelling Elements for Vaping Products \u2013 Phase I and Phase II<\/a>
\n12 in-person focus groups with adults (18+) to develop and assess response to labelling requirements.<\/p>\n

POR 088-16: Qualitative\/Quantitative Research on E-cigarette Flavours and Risk Perception<\/a>
\n12 in-person focus groups and an on-line survey of 1509 Canadians who were between 15 and 24 years old.<\/p>\n

POR 047-17: Longitudinal Vaper Panel Survey to Measure Attitudes and Behaviours regarding Vaping Products<\/a>
\nTwo waves of on-line surveys with vapers 15 years of age or older. Wave 1 surveyed 1312 ever vapers and Wave 2 reached 1,700+ vapers to allow for both longitudinal and cross- sectional analysis.<\/p>\n

POR 083-18. Vapers Panel Survey to Measure Attitudes and Behaviours Regarding Vaping Products<\/a>
\nOn-line survey of 2,027 regular vapers (15 years of age or older).<\/p>\n

POR 067-18: Qualitative and quantitative research on perceptions of nicotine<\/a>
\n15 focus groups with Canadians aged 16 to 55, and an on-line survey of 4,190 Canadians aged 13 and older. Oversamples of youth and smokers were obtained.<\/p>\n

POR 093-18: Smokers and Recent Quitters\u2019 Awareness and Perceptions of Options to Minimize Harms from Nicotine and Tobacco Products<\/a>
\nAn on-line survey of 3,006 adult (18+) smokers and former smokers.<\/p>\n

POR 014-18:\u00a0 Testing of Relative Risk Statements for Vaping Products<\/a>
\n16 in-person focus groups with Canadians aged 15 to 24.<\/p>\n

On smoking and tobacco products<\/strong><\/p>\n

POR 126-18:\u00a0<\/a>Qualitative Testing of Revised Health Warnings for Cigarette Packages and on Cigarette\u00a0<\/a>
\n40 in-person focus groups with Canadians aged 15 and older.<\/p>\n

POR 119-18:<\/a> Smoking Behaviour Journey Map<\/a>
\nAn innovative on-line survey of 500 smokers of whom 80 submitted daily journals.<\/p>\n

POR 058-18:<\/a> Public Opinion Research on Noticeability of Health Information Messages and effectiveness of Health Warnings for Tobacco Labelling<\/a>
\nOn-line survey of 3000 Canadian smokers (aged 16 years or older).<\/p>\n","protected":false},"excerpt":{"rendered":"

Cynthia Callard, Physicians for a Smoke-Free Canada The Canadian nicotine market was transformed virtually overnight after the government of Canada legalized the sale of vaping products in May 2018. Previously, Canadians were able to buy unregulated vaping devices and liquids online or in a modest number of illegally-operating shopfronts. Their choice of device, however, was […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[337,2149,2156,2138],"tags":[],"class_list":["post-1420","post","type-post","status-publish","format-standard","hentry","category-canada","category-e-cigarettes","category-health-warnings","category-legislation-and-policy"],"yoast_head":"\nCanada: government releases consumer research on vaping and tobacco - Blog - Tobacco Control<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/tc\/2019\/09\/28\/canada-government-releases-consumer-research-on-vaping-and-tobacco\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Canada: government releases consumer research on vaping and tobacco - Blog - Tobacco Control\" \/>\n<meta property=\"og:description\" content=\"Cynthia Callard, Physicians for a Smoke-Free Canada The Canadian nicotine market was transformed virtually overnight after the government of Canada legalized the sale of vaping products in May 2018. 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