A new analysis of tobacco industry documents provides evidence that cigarette companies intentionally modified their products to promote female smoking by emphasizing attributes they knew would appeal to women - stylishness and taste, as well as perceived health benefits.
According to the authors, the study presents particularly troubling implications for world health, as tobacco companies seek to increase smoking among women in developing countries. The documents, made public following the 1998 Tobacco Master Settlement Agreement, are examined in a paper in the June 2005 issue of ADDICTION, an international scientific journal.
Previous studies demonstrated that marketing strategies have contributed to the association of smoking with appealing attributes including female liberation, glamour, success and thinness. Until now, however, the role of product design in targeting cigarettes to address how and why women smoke was less well understood.
"These internal documents reveal that the tobacco industry's targeting of women goes far beyond marketing and advertising," says lead author Carrie Murray Carpenter, M.S., Research Analyst, Tobacco Control Research and Training Program, Harvard School of Public Health. Carpenter and colleagues reveal that, for more than 20 years, the industry undertook a major effort to identify gender-based differences in motivational factors, smoking patterns, and product preferences in order to promote smoking among women and girls.
The Carpenter team say the resulting products exploited mistaken health notions about the relative safety of light cigarettes; created false perceptions of social and health effects through reduced sidestream smoke, appearance and odor and improved aroma and aftertaste; matched female taste preferences through flavored, smooth and mild-tasting cigarettes; and targeted physiological and inhalation differences between women and men with greater ease of draw, increased sensory pleasure and altered tar and nicotine levels. The documents also show that cigarette makers went so far as to explore the use of appetite suppressants in cigarettes to promote smoking-mediated weight control, according to the researchers.
"Carpenter and her group reveal that cigarette designs and ingredients were manipulated to make the cigarettes more palatable to women and to complement advertising allusions of smooth, healthy, weight-controlling, stress-reducing smoke," according to an accompanying editorial in ADDICTION by Jack E. Henningfield, Ph.D. and colleagues at The Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health. "For example, so called 'light' and 'reduced tar' cigarettes were designed to undermine prevention and cessation efforts by addressing smokers' concerns about the health effects of smoking -- but not by reducing the adverse health effects." Henningfield, who serves as director of The Robert Wood Johnson Foundation's Innovators Combating Substance Abuse program at Johns Hopkins University, is Adjunct Professor of Behavioral Biology, Department of Psychiatry and Behavioral Sciences in the university's School of Medicine.
Quotes from tobacco industry documents are sprinkled throughout the paper. One, from a 1987 internal Philip Morris report, describes a rationale for designing longer, slimmer cigarettes and creating the illusion of a "healthier" product: