Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory study

Abstract Background No study has assessed the impact of flavor capsule cigarettes (FCCs) on smoking cessation. Thus, the purpose of this exploratory study was to assess (1) the sociodemographic and smoking-related characteristics associated with using FCCs, and (2) the preliminary impact of FCCs on...

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Main Authors: Rosibel Rodríguez-Bolaños, Paula Ramírez-Palacios, Katia Gallegos-Carrillo, Arlette Chávez-Iñiguez, Daimarelys Lara, Deborah J. Ossip, Ana Paula Cupertino, Francisco Cartujano-Barrera
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Health, Population and Nutrition
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Online Access:https://doi.org/10.1186/s41043-025-00752-2
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author Rosibel Rodríguez-Bolaños
Paula Ramírez-Palacios
Katia Gallegos-Carrillo
Arlette Chávez-Iñiguez
Daimarelys Lara
Deborah J. Ossip
Ana Paula Cupertino
Francisco Cartujano-Barrera
author_facet Rosibel Rodríguez-Bolaños
Paula Ramírez-Palacios
Katia Gallegos-Carrillo
Arlette Chávez-Iñiguez
Daimarelys Lara
Deborah J. Ossip
Ana Paula Cupertino
Francisco Cartujano-Barrera
author_sort Rosibel Rodríguez-Bolaños
collection DOAJ
description Abstract Background No study has assessed the impact of flavor capsule cigarettes (FCCs) on smoking cessation. Thus, the purpose of this exploratory study was to assess (1) the sociodemographic and smoking-related characteristics associated with using FCCs, and (2) the preliminary impact of FCCs on smoking cessation. Methods This study is a secondary data analysis of a single-arm study with 100 individuals living in Mexico who smoked and received a smoking cessation mHealth intervention and pharmacotherapy support. The primary outcomes were self-reported and biochemically verified 7-day smoking abstinence at Month 3. Results Just over one-third of participants (36%) used FCCs, with a preference for one capsule and menthol/mint flavor. Compared to participants who smoked non-FCCs, participants who smoked FCCs were (1) younger, (2) more likely to be women, and (3) more likely to smoke less than 10 cigarettes per day (CPD; all p’s < 0.05). After controlling for all significant associations, age younger than 50 years old (AOR = 3.26, 95% CI 1.25–8.51) and being a woman (AOR = 3.62, 95% CI 1.41–9.35) were positively and independently associated with smoking FCCs. Treating those lost to follow-up as participants who continued smoking, 41.7% (15/36) of participants who smoked FCCs self-reported smoking abstinence at month 3 compared to 42.2% (27/64) of participants who smoked non-FCCs (p = 0.96). Furthermore, 33.3% (12/36) of participants who smoked FCCs were biochemically verified abstinent at Month 3 compared to 18.8% (12/64) of participants who smoked non-FCCs (p = 0.10). Conclusions Younger age and being a woman were associated with using FCCs. Self-reported smoking abstinence at Month 3 was comparable between participants who smoke FCCs and non-FCCs. However, biochemically verified abstinent at Month 3 was higher among participants who smoke FCCs compared to participants who smoke non-FCCs, although the difference was not statistically significant. Prospective and adequately powered comparisons must be made between individuals who smoke FCCs and non-FCCs to effectively assess differences in smoking abstinence, and the reasons for these differences.
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spelling doaj-art-f7655a9af179405f8a95041ac67dd1392025-02-02T12:30:02ZengBMCJournal of Health, Population and Nutrition2072-13152025-01-014411510.1186/s41043-025-00752-2Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory studyRosibel Rodríguez-Bolaños0Paula Ramírez-Palacios1Katia Gallegos-Carrillo2Arlette Chávez-Iñiguez3Daimarelys Lara4Deborah J. Ossip5Ana Paula Cupertino6Francisco Cartujano-Barrera7Department of Reproductive Health, National Institute of Public HealthCenter for Evaluation and Surveys Research, National Institute of Public HealthEpidemiological and Health Services Research Unit, Mexican Social Security InstituteDepartment of Surgery, University of Rochester Medical CenterDepartment of Public Health Sciences, University of Rochester Medical Center, Saunders Research Building Crittenden BlvdDepartment of Public Health Sciences, University of Rochester Medical Center, Saunders Research Building Crittenden BlvdDepartment of Surgery, University of Rochester Medical CenterDepartment of Public Health Sciences, University of Rochester Medical Center, Saunders Research Building Crittenden BlvdAbstract Background No study has assessed the impact of flavor capsule cigarettes (FCCs) on smoking cessation. Thus, the purpose of this exploratory study was to assess (1) the sociodemographic and smoking-related characteristics associated with using FCCs, and (2) the preliminary impact of FCCs on smoking cessation. Methods This study is a secondary data analysis of a single-arm study with 100 individuals living in Mexico who smoked and received a smoking cessation mHealth intervention and pharmacotherapy support. The primary outcomes were self-reported and biochemically verified 7-day smoking abstinence at Month 3. Results Just over one-third of participants (36%) used FCCs, with a preference for one capsule and menthol/mint flavor. Compared to participants who smoked non-FCCs, participants who smoked FCCs were (1) younger, (2) more likely to be women, and (3) more likely to smoke less than 10 cigarettes per day (CPD; all p’s < 0.05). After controlling for all significant associations, age younger than 50 years old (AOR = 3.26, 95% CI 1.25–8.51) and being a woman (AOR = 3.62, 95% CI 1.41–9.35) were positively and independently associated with smoking FCCs. Treating those lost to follow-up as participants who continued smoking, 41.7% (15/36) of participants who smoked FCCs self-reported smoking abstinence at month 3 compared to 42.2% (27/64) of participants who smoked non-FCCs (p = 0.96). Furthermore, 33.3% (12/36) of participants who smoked FCCs were biochemically verified abstinent at Month 3 compared to 18.8% (12/64) of participants who smoked non-FCCs (p = 0.10). Conclusions Younger age and being a woman were associated with using FCCs. Self-reported smoking abstinence at Month 3 was comparable between participants who smoke FCCs and non-FCCs. However, biochemically verified abstinent at Month 3 was higher among participants who smoke FCCs compared to participants who smoke non-FCCs, although the difference was not statistically significant. Prospective and adequately powered comparisons must be made between individuals who smoke FCCs and non-FCCs to effectively assess differences in smoking abstinence, and the reasons for these differences.https://doi.org/10.1186/s41043-025-00752-2SmokingSmoking cessationFlavor capsule cigarettes
spellingShingle Rosibel Rodríguez-Bolaños
Paula Ramírez-Palacios
Katia Gallegos-Carrillo
Arlette Chávez-Iñiguez
Daimarelys Lara
Deborah J. Ossip
Ana Paula Cupertino
Francisco Cartujano-Barrera
Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory study
Journal of Health, Population and Nutrition
Smoking
Smoking cessation
Flavor capsule cigarettes
title Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory study
title_full Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory study
title_fullStr Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory study
title_full_unstemmed Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory study
title_short Use of flavor capsule cigarettes and their preliminary impact on smoking cessation in Mexico: an exploratory study
title_sort use of flavor capsule cigarettes and their preliminary impact on smoking cessation in mexico an exploratory study
topic Smoking
Smoking cessation
Flavor capsule cigarettes
url https://doi.org/10.1186/s41043-025-00752-2
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