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Analysis of institutional authors

Feliu, AAuthorMartinez, CAuthor

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January 15, 2026
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Advertising exposure and the appeal of emerging nicotine-containing products among people who have never used nicotine: findings from the Eurobarometer 2023

Publicated to: TOBACCO CONTROL. - 2025-09-16 (), DOI: 10.1136/tc-2025-059522

Authors:

Li CX; Wang P-C; Feliu A; Laverty AA; Martinez C; Vardavas CI; Filippidis FT
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Affiliations

CIBER Enfermedades Respiratorias CIBERES - Author
European Network Smoking & Tobacco Prevent - Author
Imperial Coll London, Sch Publ Hlth, Dept Primary Care & Publ Hlth - Author
Natl & Kapodistrian Univ Athens, Sch Med, Lab Epidemiol Hyg & Med Stat - Author
Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies - Author
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Abstract

Introduction Emerging nicotine-containing products, including heated tobacco products (HTPs) and nicotine pouches, have been growing in popularity in the European Union (EU). Advertising exposure impacts perceived product appeal and may contribute to product initiation. However, the current EU's Tobacco Products Directive lacks a consistent framework for regulating these advertisements. This study examines how exposure to HTP and nicotine pouch advertisements influences their appeal among people who have never used nicotine.Methods Data from the Special Eurobarometer 99.3 survey (May-June 2023) included 13 436 participants who have never used nicotine across 27 EU Member States. We estimated the weighted prevalence of HTP and nicotine pouch advertising exposure and perceived appeal and ran multilevel Poisson regression models adjusting for sociodemographic factors.Results 31.1% of participants reported HTP advertising exposure across the EU, with the highest levels reported in Romania (53.4%) and Slovakia (50.0%) and the lowest in Malta (13.6%). Nicotine pouch advertising exposure averaged 16.6%, peaking in Sweden (46.0%) and lowest in the Netherlands (5.0%) and Lithuania (7.7%). Product appeal remained low, with only 2.0% finding HTPs appealing and 1.3% finding nicotine pouches appealing. Exposed to HTP advertisements were 3.71 times more likely to find them appealing, while exposure to nicotine pouch advertisements increased perceived appeal of nicotine pouches by 5.78 times.Conclusion Advertising exposure was associated with higher appeal of nicotine-containing products among people who have never used nicotine. Given the risk of initiation, EU-wide advertising restrictions could protect this group and limit the impact of these products on health.
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Keywords

Advertising and promotionCigarettesImpactNon-cigarette tobacco productsPreventionPublic opinionPublic policyTobacco products

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal TOBACCO CONTROL due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2025, it was in position 4/58, thus managing to position itself as a Q1 (Primer Cuartil), in the category Substance Abuse. Notably, the journal is positioned above the 90th percentile.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2026-04-04:

  • WoS: 1
  • Scopus: 1
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 6.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 3 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
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Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Belgium; Greece; United Kingdom; United States of America.

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