• Christine D Czoli and David Hammond.
• School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
• J Adolesc Health. 2014 Jan 1;54(1):33-9.

PurposeThe current study examined youth perceptions of appeal and harm of cigarette packaging with "natural" tobacco descriptors and references to filtration, as well as contraband tobacco in generic packaging.MethodsIn a between-group experiment, 7,647 youth were randomized to view a pair of cigarette packages and rate perceptions of appeal and relative risk.ResultsThe findings indicate that packages with "natural" descriptors were rated as significantly more appealing and less harmful. Packages with filter references were rated as significantly less harmful, whereas contraband cigarettes were rated as significantly less appealing than leading brands.ConclusionsThe findings suggest that cigarette packaging can enhance the appeal of cigarettes and may promote false beliefs about the reduced harm of brands. The lower appeal of contraband cigarettes suggests that other factors, such as reduced price and ease of access, likely account for contraband use among youth.Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

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