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Letter to the Editor Tobacco Prevention & Cessation
1
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Tobacco products: Law applies also to social media
Christopher Heidt1, Katrin Schaller1
Dear Editor,
Advertising for tobacco products is banned in many places in Germany, according
to the Tobacco Products Act1. The law applies to conventional tobacco products as
well as to nicotine and non-nicotine e-cigarettes, and to heated tobacco products
(HTPs). It also applies to social media. As globally acting networks, several social
media platforms have a voluntary self-regulation for products that are harmful
to health, such as tobacco. But those regulations do not work in reality2. The
Project ‘Media Monitoring: Advertising for Tobacco, Related Products and Alcohol
on Social Media’, conducted by the German Cancer Research Center (DKFZ),
shows that advertising for e-cigarettes and HTPs is still present on social media in
Germany3. The tobacco industry is continuing its established advertising strategies
for their new products in social media, creating an image of seemingly less harmful,
trendy lifestyle products4. For example (Figure 1), British American Tobacco
(BAT) advertises its Glo HTPs on Instagram with images of groups of young and
fashion-conscious consumers enjoying a happy get-together, thus appealing to
young people’s sense of togetherness and belonging. The tobacco sticks, which are
covered by the Tobacco Products Act, are not visible in the BAT images. Instead,
only the electronic devices used to heat the tobacco sticks are shown. BAT also
involves Music Stars in its campaigns, using their popularity to reach a young
target group. Philip Morris does things in a similar way. The tobacco company
advertises the IQOS HTPs on Facebook and Instagram, sometimes even showing
the tobacco sticks. In addition to the company, retailers are promoting IQOS on
social media. In the media monitoring project, we collected 89 posts from retailers
promoting IQOS between February and September 2023. Promotional items such
as the packaging of the heating device (n=23; 26% of retailers posts for IQOS), the
heating device (n=23; 26% of retailers posts for IQOS), display stands (n=6; 7%
of retailers posts for IQOS) and other promotional items (n=25; 28% of retailers
AFFILIATION
1 Ofce for Cancer Prevention
and WHO Collaborating Centre
for Tobacco Control, German
Cancer Research Center,
Heidelberg, Germany
CORRESPONDENCE TO
Christopher Heidt. Ofce of
Cancer Prevention and WHO
Collaborating Centre for Tobacco
Control, German Cancer Research
Center, Heidelberg, Germany
Email: c.heidt@dkfz-heidelberg.
de
ORCID iD: https://orcid.org/0009-
0008-5137-0091
KEYWORDS
prevention, advocacy, social
media, tobacco products,
advertising
Received: 9 September 2024
Revised: 12 March 2025
Accepted: 15 March 2025
Tob. Prev. Cessation 2025;11(March):18 https://doi.org/10.18332/tpc/202934
Figure 1. Manufactures and retailers promote HTPs on Instagram and Facebook
in Germany: (from left to right) young peer group with heating devices; the
heating devices with tobacco sticks (post asks, ‘We ask you: How do you make
your IQOS device unique?’); influencer on promotional event; point-of-sale display
stand
Letter to the Editor Tobacco Prevention & Cessation
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Tob. Prev. Cessation 2025;11(March):18
https://doi.org/10.18332/tpc/202934
posts for IQOS) can be seen in the images posted.
Retailers also promote the tobacco sticks (n=12; 13%
of retailers posts for IQOS).
Advertising on social media has a huge potential
to reach many young people. A national survey in
2023 concludes that nearly 60% of the German-
speaking population aged 14–19 years uses
Instagram every day, and about 10% Facebook5.
Tobacco advertising increases the likelihood of
adolescents to start smoking6 and increases overall
tobacco consumption7. The available studies suggest
that e-cigarette advertising increases the desire to
try the products8-10. As neither HTPs nor e-cigarettes
are harmless lifestyle products, young people
have to be protected from advertising for these
products11,12. The German government is therefore
urged to tighten the rules on the marketing and
sponsorship of tobacco and nicotine, as recommended
by the WHO Framework Convention on Tobacco
Control (FCTC)13,14. Several health and civil society
organizations started a campaign committed to
ensure that children and adolescents grow up in an
environment that enables them to develop their
personality free from alcohol and nicotine, and to
make decisions that are not influenced by commercial
interests15. The results of the media monitoring
project are valuable data for advocacy for improved
advertising bans and enforcement of legislation.
REFERENCES
1. Bundesministerium der Justiz. Gesetz über Tabakerzeugnisse
und verwandte Erzeugnisse. Accessed March 15, 2025.
https://www.gesetze-im-internet.de/tabakerzg/
2. World Health Organization. WHO study group on tobacco
product regulation: report on the scientific basis of tobacco
product regulation: ninth report of a WHO study group.
August 23, 2023. Accessed March 15, 2025. https://www.
who.int/publications/i/item/9789240079410
3. Heidt C, Wüllner A, Seiler J, Ouédraogo N, Schaller K.
Advertising of tobacco and related products on social
media in Germany. Tob Prev Cessat. 2024;10:10.18332/
tpc/195499. doi:10.18332/tpc/195499
4. World Health Organization. Heated tobacco products:
summary of research and evidence of health impacts.
WHO; 2023. Accessed March 15, 2025. https://www.who.
int/publications/i/item/9789240042490
5. Koch W. Ergebnisse der ARD/ZDF-Onlinestudie 2023:
Soziale Medien werden 30 Minuten am Tag genutzt –
Instagram ist die Plattform Nummer eins. Media Perspektiven;
2023. Accessed March 15, 2025. https://www.ard-
media.de/media-perspektiven/publikationsarchiv/2023/
detailseite-2023/ard-zdf-onlinestudie-2023-soziale-medien-
werden-30-minuten-am-tag-genutzt-instagram-ist-die-
plattform-nummer-eins-2-1-1-1
6. Lovato C, Linn G, Stead LF, Best A. Impact of tobacco
advertising and promotion on increasing adolescent
smoking behaviours. Cochrane Database Syst Rev.
2003;(4):CD003439. doi:10.1002/14651858.CD003439
7. Davis RM, Gilpin EA, Loken B et al. NCI Tobacco Control
Monograph Series. 19 The Role of the Media in Promoting
and Reducing Tobacco Use. National Cancer Institute;
2008. Accessed March 15, 2025. https://cancercontrol.
cancer.gov/sites/default/files/2020-08/m19_complete.pdf
8. Schaller K, Kahnert S, Graen L, Mons U, Ouédraogo
N. Tabakatlas Deutschland 2020. Deutsches
Krebsforschungszentrum; 2020. Accessed March 15,
2025. https://www.dkfz.de/fileadmin/user_upload/
Krebspraevention/Download/pdf/Buecher_und_
Berichte/2020_Tabakatlas-Deutschland-2020.pdf
9. Deutsches Krebsforschungszentrum. Werbung verführt
zum Rauchen – umfassendes Tabakwerbeverbot ist
überfällig. Aus der Wissenschaft – für die Politik.
Deutsches Krebsforschungszentrum; 2020. Accessed
March 15, 2025. https://www.dkfz.de/fileadmin/user_
upload/Krebspraevention/Download/pdf/AdWfdP/
AdWfdP_2020_Werbung-verfuehrt-zum-Rauchen.pdf
10. Collins L, Glasser AM, Abudayyeh H, Pearson JL, Villanti
AC. E-Cigarette Marketing and Communication: How
E-Cigarette Companies Market E-Cigarettes and the Public
Engages with E-cigarette Information. Nicotine Tob Res.
2019;21(1):14-24. doi:10.1093/ntr/ntx284
11. World Health Organization. Electronic nicotine
and non-nicotine delivery systems: a brief. WHO.
September 30, 2020. Accessed March 15, 2025. https://
www.who.int/europe/publications/i/item/WHO-
EURO-2020-4572-44335-62638
12. World Health Organization. Heated tobacco products: a
brief. WHO. September 30, 2020. Accessed March 15,
2025. https://www.who.int/europe/publications/i/item/
WHO-EURO-2020-4571-44334-62636
13. WHO Framework Convention on Tobacco Control. FCTC/
COP/10/7 Progress Report on Technical Matters Related
to Articles 9 and 10 of the WHO FCTC (Regulation of
Contents and Disclosure of Tobacco Products, Including
Waterpipe, Smokeless Tobacco, and Heated Tobacco
Products). WHO; 2023. Accessed March 15, 2025. https://
fctc.who.int/resources/publications/i/item/fctc-cop-10-7-
progress-report-on-technical-matters-related-to-articles-
9-and-10-of-the-who-fctc-(regulation-of-contents-and-
disclosure-of-tobacco-products-including-waterpipe-
smokeless-tobacco-and-heated-tobacco-products
14. WHO Framework Convention on Tobacco Control.
FCTC/COP/10/8 Tobacco advertising, promotion and
sponsorship: depiction of tobacco in entertainment media.
May 19, 2023. Accessed March 15, 2025. https://fctc.who.
int/resources/publications/i/item/fctc-cop-10-8-tobacco-
Letter to the Editor Tobacco Prevention & Cessation
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Tob. Prev. Cessation 2025;11(March):18
https://doi.org/10.18332/tpc/202934
advertising-promotion-and-sponsorship-depiction-of-
tobacco-in-entertainment-media
15. Kinder ohne Alkohol und Nikotin. Initiative für den
Schutz von Kindern und Jugendlichen vor Alkohol- und
Nikotin-Marketing. Kinder;2024. Accessed March 15,
2025. https://kinder-ohne-alkohol-und-nikotin.de/
CONFLICTS OF INTEREST
The authors have completed and submitted the ICMJE Form for Disclosure
of Potential Conicts of Interest and none was reported.
FUNDING
This research was funded by the German Ministry of Health (BMG) and the
Baden-Württemberg Cancer Association.
ETHICAL APPROVAL AND INFORMED CONSENT
Ethical approval and informed consent were not required for this study.
DATA AVAILABILITY
The data are available on request from the authors.
PROVENANCE AND PEER REVIEW
Not commissioned; internally peer reviewed.
DISCLAIMER
The views and opinions expressed in this article are those of the authors.
Article
Full-text available
Introduction: Given the lack of regulation on marketing of electronic cigarettes (e-cigarettes) in the U.S. and the increasing exchange of e-cigarette-related information online, it is critical to understand how e-cigarette companies market e-cigarettes and how the public engages with e-cigarette information. Methods: Results are from a systematic review of peer-reviewed literature on e-cigarettes via a PubMed search through June 1, 2017. Search terms included: "e-cigarette*" OR "electronic cigarette" OR "electronic cigarettes" OR "electronic nicotine delivery" OR "vape" OR "vaping." Experimental studies, quasi-experimental studies, observational studies, qualitative studies, and mixed methods studies providing empirical findings on e-cigarette marketing and communication (i.e., non-marketing communication in the public) were included. Results: One hundred twenty-four publications on e-cigarette marketing and communication were identified. They covered topics including e-cigarette advertisement claims/promotions and exposure/receptivity, the effect of e-cigarette advertisements on e-cigarette and cigarette use, public engagement with e-cigarette information, and the public's portrayal of e-cigarettes. Studies show increases in e-cigarette marketing expenditures and online engagement through social media over time, that e-cigarettes are often framed as an alternative to combustible cigarettes, and that e-cigarette advertisement exposure may be associated with e-cigarette trial in adolescents and young adults. Discussion: Few studies examine the effects of e-cigarette marketing on perceptions and e-cigarette and cigarette use. Evidence suggests that exposure to e-cigarette advertisements affects perceptions and trial of e-cigarettes, but there is no evidence that exposure affects cigarette use. No studies examined how exposure to e-cigarette communication, particularly misleading or inaccurate information, impacts e-cigarette and tobacco use behaviors. Implications: The present article provides a comprehensive review of e-cigarette marketing and how the public engages with e-cigarette information. Studies suggest an association between exposure to e-cigarette marketing and lower harm perceptions of e-cigarettes, intention to use e-cigarettes, and e-cigarette trial, highlighting the need to for advertising regulations that support public health goals. Findings from this review also present the methodological limitations of the existing research (primarily due to cross-sectional and correlational analyses) and underscore the need for timely, rigorous research to provide an accurate understanding of e-cigarette marketing and communication and its impact on e-cigarette and tobacco product use.
Article
The tobacco industry denies that their marketing is targeted at young nonsmokers, but it seems more probable that tobacco advertising and promotion influences the attitudes of nonsmoking adolescents, and makes them more likely to try smoking. To assess the effects of tobacco advertising and promotion on nonsmoking adolescents' future smoking behaviour. We searched the Cochrane Tobacco Group specialized register, the Cochrane Central Register of Controlled Trials, MEDLINE, the Cochrane Library, Sociological Abstracts, PsycLIT, ERIC, WorldCat, Dissertation Abstracts, ABI Inform and Current Contents to August 2002. We selected longitudinal studies that assessed individuals' smoking behaviour and exposure to advertising, receptivity or attitudes to tobacco advertising, or brand awareness at baseline, and assessed smoking behaviour at follow-ups. Participants were adolescents aged 18 or younger who were not regular smokers at baseline. Studies were prescreened for relevance by one reviewer. Two reviewers independently assessed relevant studies for inclusion. Data were extracted by one reviewer and checked by a second. Nine longitudinal studies that followed up a total of over 12,000 baseline nonsmokers met inclusion criteria. The studies measured exposure or receptivity to advertising and promotion in a variety of ways, including having a favourite advertisement or an index of receptivity based on awareness of advertising and ownership of a promotional item. One study measured the number of tobacco advertisements in magazines read by participants. All studies assessed smoking behaviour change in participants who reported not smoking at baseline. In all studies the nonsmoking adolescents who were more aware of tobacco advertising or receptive to it, were more likely to have experimented with cigarettes or become smokers at follow-up. There was variation in the strength of association, and the degree to which potential confounders were controlled for. Longitudinal studies consistently suggest that exposure to tobacco advertising and promotion is associated with the likelihood that adolescents will start to smoke. Based on the strength of this association, the consistency of findings across numerous observational studies, temporality of exposure and smoking behaviours observed, as well as the theoretical plausibility regarding the impact of advertising, we conclude that tobacco advertising and promotion increases the likelihood that adolescents will start to smoke.
Ergebnisse der ARD/ZDF-Onlinestudie 2023: Soziale Medien werden 30 Minuten am Tag genutzt - Instagram ist die Plattform Nummer eins
  • W Koch
Aus der Wissenschaft -für die Politik. Deutsches Krebsforschungszentrum; 2020
  • Deutsches Krebsforschungszentrum
Deutsches Krebsforschungszentrum. Werbung verführt zum Rauchen -umfassendes Tabakwerbeverbot ist überfällig. Aus der Wissenschaft -für die Politik. Deutsches Krebsforschungszentrum; 2020. Accessed March 15, 2025. https://www.dkfz.de/fileadmin/user_ upload/Krebspraevention/Download/pdf/AdWfdP/ AdWfdP_2020_Werbung-verfuehrt-zum-Rauchen.pdf
Gesetz über Tabakerzeugnisse und verwandte Erzeugnisse
  • Justiz Bundesministerium Der
Bundesministerium der Justiz. Gesetz über Tabakerzeugnisse und verwandte Erzeugnisse. Accessed March 15, 2025. https://www.gesetze-im-internet.de/tabakerzg/
Deutsches Krebsforschungszentrum; 2020
  • K Schaller
  • S Kahnert
  • L Graen
  • U Mons
  • N Ouédraogo
  • Tabakatlas Deutschland
Schaller K, Kahnert S, Graen L, Mons U, Ouédraogo N. Tabakatlas Deutschland 2020. Deutsches Krebsforschungszentrum; 2020. Accessed March 15, 2025. https://www.dkfz.de/fileadmin/user_upload/ Krebspraevention/Download/pdf/Buecher_und_ Berichte/2020_Tabakatlas-Deutschland-2020.pdf