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    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
RIP Cigarette Legislation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Effect of RIP Cigarettes ,[object Object],[object Object]
Objective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massachusetts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods ,[object Object],[object Object],[object Object]
Population ,[object Object],[object Object],[object Object],[object Object]
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%
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
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
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
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
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
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
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
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
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
Conclusions ,[object Object],[object Object]
[object Object]

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

  • 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.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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.
  • 19.