RESEARCH PAPER
Cigarette brand loyalty among smokers in six European countries: Findings from the EUREST-PLUS ITC Europe Surveys
 
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1
Catalan Institute of Oncology (ICO), Barcelona, Spain
2
Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
3
School of Medicine and Health Sciences, University of Barcelona, Catalonia, Spain
4
Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg, Germany
5
European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium
6
University of Crete (UoC), Heraklion, Greece
7
UK Centre for Tobacco and Alcohol Studies, King’s College London (KCL), London, United Kingdom
8
University of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, Iasi, Romania
9
Aer Pur Romania, Bucharest, Romania
10
Health Promotion Foundation (HPF), Warsaw, Poland
11
European Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz, Poland
12
Maria Skłodowska-Curie Institute-Oncology Center (MSCI), Warsaw, Poland
13
Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary
14
National and Kapodistrian University of Athens (UoA), Athens, Greece
15
Department of Psychology and School of Public Health and Health Systems, University of Waterloo (UW), Waterloo, Canada
16
Ontario Institute for Cancer Research, Toronto, Canada
CORRESPONDING AUTHOR
Esteve Fernández   

Tobacco Control Unit, Catalan Institute of Oncology (ICO), Av. Granvia de L'Hospitalet, 199-203, 08908 L'Hospitalet de Llobregat, Barcelona, Spain
Publish date: 2019-02-20
 
Tob. Induc. Dis. 2018;16(Suppl 2):A12
KEYWORDS
TOPICS
*EUREST-PLUS consortium members: European Network on Smoking and Tobacco Prevention (ENSP), Belgium: Constantine I. Vardavas, Andrea Glahn, Christina N. Kyriakos, Dominick Nguyen, Katerina Nikitara, Cornel Radu-Loghin, Polina Starchenko University of Crete (UoC), Greece: Aristidis Tsatsakis, Charis Girvalaki, Chryssi Igoumenaki, Sophia Papadakis, Aikaterini Papathanasaki, Manolis Tzatzarakis, Alexander I. Vardavas Kantar Public (TNS), Belgium: Nicolas Bécuwe, Lavinia Deaconu, Sophie Goudet, Christopher Hanley, Oscar Rivière Smoking or Health Hungarian Foundation (SHHF), Hungary: Tibor Demjén, Judit Kiss, Piroska A. Kovács Catalan Institut of Oncology (ICO); Bellvitge Biomedical Research Institute (IDIBELL), Spain: Esteve Fernández, Yolanda Castellano, Marcela Fu, Sarah O. Nogueira, Olena Tigova Kings College London (KCL), United Kingdom: Ann McNeill, Katherine East, Sara C. Hitchman Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Germany: Ute Mons, Sarah Kahnert National and Kapodistrian University of Athens (UoA), Greece: Yannis Tountas, Panagiotis Behrakis, Filippos T. Filippidis, Christina Gratziou, Paraskevi Katsaounou, Theodosia Peleki, Ioanna Petroulia, Chara Tzavara Aer Pur Romania, Romania: Antigona C. Trofor, Marius Eremia, Lucia Lotrean, Florin Mihaltan European Respiratory Society (ERS), Switzerland; Goethe University Frankfurt, Germany: Gernot Rohde, Tamaki Asano, Claudia Cichon, Amy Far, Céline Genton, Melanie Jessner, Linnea Hedman, Christer Janson, Ann Lindberg, Beth Maguire, Sofia Ravara, Valérie Vaccaro, Brian Ward Maastricht University, the Netherlands: Marc Willemsen, Hein de Vries, Karin Hummel, Gera E. Nagelhout Health Promotion Foundation (HPF), Poland: Witold A. Zatoński, Aleksandra Herbeć, Kinga Janik-Koncewicz, Krzysztof Przewoźniak, Mateusz Zatoński University of Waterloo (UW); Ontario Institute for Cancer Research, Canada: Geoffrey T. Fong, Thomas K. Agar, Pete Driezen, Shannon Gravely, Anne C. K. Quah, Mary E. Thompson
ABSTRACT
Introduction:
This study aims to describe the degree of smokers’ loyalty to a specific brand of tobacco products and the variables related to choosing a specific brand among smokers in six European countries.

Methods:
A cross-sectional analysis was conducted for a representative sample of adult smokers from Germany, Greece, Hungary, Poland, Romania, and Spain (approximately 1000 smokers per country). The prevalence of smokers’ having a usual brand of cigarettes smoked (factory-made or roll-yourown cigarettes), the brand of choice, the factors for choosing a specific brand and the degree of loyalty to that brand (not at all, a little, somewhat and a lot) were assessed by country, sociodemographics and smoking-related variables.

Results:
In total, 86.6% of the smokers reported having a usual brand. In three out of the six countries, one brand holds the loyalty of between 17.8% and 24.5% of the smokers that reported having a usual brand for factory-made cigarettes. Most participants reported being loyal ‘a lot’ to their brand of choice (44.4%). The reasons most reported for choosing a cigarette brand were the taste (83.2%) and the price (51.7%).

Conclusions:
Brand loyalty is high among factory-made and roll-your-own cigarette smokers in six European countries. Future research on longitudinal trends of brand loyalty to evaluate the effect of tobacco control policies in these European countries is warranted.

CONFLICTS OF INTEREST
The authors declare that they have no competing interests, financial or otherwise, related to the current work. K. Przewoźniak reports grants and personal fees from the Polish League Against Cancer, outside the submitted work. C. I. Vardavas reports that he is the Strategic Development Editor of TID and that there are no conflicts of interest with this current work. The rest of the authors have also completed and submitted an ICMJE form for disclosure of potential conflicts of interest.
 
REFERENCES (33)
1. World Health Organization. WHO report on the global tobacco epidemic, 2017: Monitoring tobacco use and prevention policies. http://apps.who.int/iris/bitst.... Published, 2017. Accessed January 13, 2018.
2. Banks E, Joshy G, Weber MF, et al. Tobacco smoking and all-cause mortality in a large Australian cohort study: findings from a mature epidemic with current low smoking prevalence. BMC Med. 2015;13(1):38. doi:10.1186/s12916-015-0281-z
3. America Cancer Society, Vital Strategies. The Tobacco Atlas. Solution: Industry Strategies. https://tobaccoatlas.org/topic.... Published, 2018. Accessed September 25, 2018.
4. Salloum RG, Goma F, Chelwa G, et al. Cigarette Price and Other Factors Associated with Brand Choice and Brand Loyalty in Zambia: Findings from the ITC Zambia Survey. Tob Control. 2015;24(3):iii33-iii40. doi:10.1136/tobaccocontrol-2014-051878
5. World Health Organization. WHO Framework Convention on Tobacco Control. http://www.who.int/fctc/en. Published, 2003. Accessed February 21, 2018.
6. The European Commission. Revision of the tobacco products directive. https://ec.europa.eu/health/to.... Published, 2014. Accessed May 24, 2018.
7. Dingle GA, Cruwys T, Frings D. Social Identities as Pathways into and out of Addiction. Front Psychol. 2015;6:1795. doi:10.3389/fpsyg.2015.01795
8. Webb H, Jones BM, McNeill K, et al. Smoke signals: The decline of brand identity predicts reduced smoking behaviour following the introduction of plain packaging. Addict Behav Reports. 2017;5:49-55. doi:10.1016/j.abrep.2017.02.003
9. Pechey R, Spiegelhalter D, Marteau TM. Impact of plain packaging of tobacco products on smoking in adults and children: an elicitation of international experts’ estimates. BMC Public Health. 2013;13(1):18. doi:10.1186/1471-2458-13-18
10. Hoek J, Gendall P, Gifford H, et al. Tobacco branding, plain packaging, pictorial warnings, and symbolic consumption. Qual Health Res. 2012;22(5):630-639. doi:10.1177/1049732311431070
11. Mussweiler T, Gabriel S, Bodenhausen GV. Shifting social identities as a strategy for deflecting threatening social comparisons. J Pers Soc Psychol. 2000;79(3):398-409. doi:10.1037/0022-3514.79.3.398
12. Fong GT, Thompson ME, Boudreau C, et al. The Conceptual Model and Methods of Wave 1 (2016) of the EUREST-PLUS ITC 6 European Countries Survey. Tob Induc Dis. 2018;16(Suppl 2:Α3). doi:10.18332/tid/99881
13. Vardavas CI, Bécuwe N, Demjén T, et al. Study Protocol of European Regulatory Science on Tobacco (EUREST-PLUS): Policy implementation to reduce lung disease. Tob Induc Dis. 2018;16(Suppl 2:A2). doi:10.18332/tid/93305
14. Heatherton TF, Kozlowski LT, Frecker RC, Rickert W, Robinson J. Measuring the heaviness of smoking: using self-reported time to the first cigarette of the day and number of cigarettes smoked per day. British Journal of Addiction. 1989;84(7):791-799. doi:10.1111/j.1360-0443.1989.tb03059.x
15. Cowie GA, Swift E, Partos T, Borland R. Quitting activity and tobacco brand switching: findings from the ITC-4 Country Survey. Aust N Z J Public Health. 2015;39(2):109-113. doi:10.1111/1753-6405.12323
16. Cowie GA, Swift E, Borland R, Chaloupka FJ, Fong GT. Cigarette brand loyalty in Australia: findings from the ITC four country survey. Tob Control. 2013;23:i73-i79. doi:10.1136/tobaccocontrol-2013-051071
17. Eurostats statistics explained. Gender pay gap statistics. http://ec.europa.eu/eurostat/s.... Published, 2018. Accessed May 29, 2018.
18. Verbrugge LM. Gender and health: an update on hypotheses and evidence. J Health Soc Behav. 1985;26(3):156-182. doi:10.2307/2136750
19. Courtenay WH. Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med. 2000;50(10):1385-1401. doi:10.1016/S0277-9536(99)00390-1
20. Trofor AC, Man MA, Marginean C, Dumitru F, Trofor L. Smoking cessation for free: outcomes of a study of three Romanian clinics. Open Med. 2016;11(1):605-610. doi:10.1515/med-2016-0098
21. Toll BA, Ling PM. The Virginia Slims identity crisis: an inside look at tobacco industry marketing to women. Tob Control. 2005;14(3):172-180. doi:10.1136/tc.2004.008953
22. Brandt AM. Recruiting women smokers: the engineering of consent. J Am Med Womens Assoc. 1996;51(1-2):63-66.
23. World Health Organization. WHO report on the global tobacco epidemic, 2017. Country profile Germany. http://www.who.int/tobacco/sur.... Published, 2017. Accessed February 26, 2018.
24. World Health Organization. WHO report on the global tobacco epidemic, 2017. Country profile Greece. http://www.who.int/tobacco/sur.... Published, 2017. Accessed February 26, 2018.
25. World Health Organization. WHO report on the global tobacco epidemic, 2017. Country profile Hungary. http://www.who.int/tobacco/sur.... Published, 2017. Accessed February 26, 2018.
26. World Health Organization. WHO report on the global tobacco epidemic, 2017. Country profile Spain. http://www.who.int/tobacco/sur.... Published, 2017. Accessed February 26, 2018.
27. Kahnert S, Demjén T, Tountas Y, et al. Extent and correlates of self-reported exposure to tobacco advertising, promotion and sponsorship in smokers: Findings from the EUREST-PLUS ITC Europe Surveys. Tob Induc Dis. 2018;16(Suppl 2:A7). doi:10.18332/tid/94828
28. Special Eurobarometer 458. Attitudes of Europeans towards tobacco and electronic cigarettes. https://ec.europa.eu/commfront.... Published, 2017. Accessed May 29, 2018.
29. Shahab L, West R, McNeill A. A comparison of exposure to carcinogens among roll-your-own and factory-made cigarette smokers. Addict Biol. 2009;14(3):315-320. doi:10.1111/j.1369-1600.2009.00157.x
30. Risks associated with smoking cigarettes with low machine-measured yields of tar and nicotine. 2001: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute; 2001. file://catalog.hathitrust.org/Record/.... Accessed July 27, 2018.
31. Brennan E, Durkin S, Coomber K, Zacher M, Scollo M, Wakefield M. Are quitting-related cognitions and behaviours predicted by proximal responses to plain packaging with larger health warnings? Findings from a national cohort study with Australian adult smokers. Tob Control. 2015;24(Suppl 2):ii33-ii41. doi:10.1136/tobaccocontrol-2014-052057
32. Wakefield M, Coomber K, Zacher M, Durkin S, Brennan E, Scollo M. Australian adult smokers’ responses to plain packaging with larger graphic health warnings 1 year after implementation: results from a national cross-sectional tracking survey. Tob Control. 2015;24(Suppl 2):ii17-ii25. doi:10.1136/tobaccocontrol-2014-052050
33. Vardavas C, Filippidis FT, Ward B, et al. Plain packaging of tobacco products in the European Union: an EU success story? Eur Respir J. 2017;50(5). doi:10.1183/13993003.01232-2017
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