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Protocol - Compliance with Cigarette Packaging and Labeling Policies

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Description

The National Cancer Institute’s U01 study "Maximizing State & Local Policies to Restrict Tobacco Marketing at Point of Sale" uses the "U01 Point of Sale: Pack Analysis Coding Training Manual" to provide guidance on the coding process for cigarette packs purchased during store audits. Data are collected on cigarette pack identifiers or product codes, general pack characteristics, tax stamps, promotions, and counterfeit packs.

Specific Instructions

The Working Group (WG) recommends that this manual be used as a template. Investigators are advised to adapt to meet their specific research interests and needs. This template focuses on Marlboro® and Newport® cigarette packs only. The WG believes other cigarette pack brands may be included as well (e.g., Camel®, discount brands).

Prior to investigators using the below protocol, the WG recommends they will need to do the following:

  • Investigators should determine the number of cigarette packs to collect from the county or counties of interest. Investigators will need to mark each pack with the state, county, and store codes. State codes are provided in the table below (please note that Alaska and Hawaii are not included); however, if interested in states and counties not listed, investigators will need to determine those specific codes by accessing the U.S. Census Bureau’s 2010 Federal Information Processing Standards (FIPS) Codes for Counties and County Equivalent Entities at www.census.gov/geo/reference/codes/cou.html.

    State

    State Code

    County

    County Code

    Alabama

    01

    Baldwin

    003

    Alabama

    01

    St Clair

    115

    Arizona

    04

    Maricopa

    013

    Arizona

    04

    Pima

    019

    California

    06

    Alameda

    001

    California

    06

    Contra Costa

    013

    California

    06

    Los Angeles

    037

    California

    06

    Marin

    041

    California

    06

    Orange

    059

    California

    06

    Riverside

    065

    California

    06

    San Bernardino

    071

    California

    06

    San Diego

    073

    California

    06

    Santa Clara

    085

    California

    06

    Yolo

    113

    Colorado

    08

    El Paso

    041

    Colorado

    08

    Jefferson

    059

    Connecticut

    09

    Fairfield

    001

    Delaware

    10

    Sussex

    005

    Florida

    12

    Broward

    011

    Florida

    12

    Hillsborough

    057

    Florida

    12

    Indian River

    061

    Florida

    12

    Lake

    069

    Florida

    12

    Miami Dade

    086

    Florida

    12

    Orange

    095

    Georgia

    13

    Bibb

    021

    Georgia

    13

    Fulton

    121

    Georgia

    13

    Glynn

    127

    Georgia

    13

    Pike

    231

    Illinois

    17

    Cook

    031

    Illinois

    17

    Lee

    103

    Illinois

    17

    Peoria

    143

    Illinois

    17

    Sangamon

    167

    Indiana

    18

    Hendricks

    063

    Indiana

    18

    Lake

    089

    Iowa

    19

    Scott

    163

    Kansas

    20

    Lyon

    111

    Kentucky

    21

    Daviess

    059

    Louisiana

    22

    Allen

    003

    Maine

    23

    Hancock

    009

    Maryland

    24

    Montgomery

    031

    Maryland

    24

    Washington

    043

    Massachusetts

    25

    Bristol

    005

    Massachusetts

    25

    Middlesex

    017

    Michigan

    26

    Bay

    017

    Michigan

    26

    Huron

    063

    Michigan

    26

    Oakland

    125

    Michigan

    26

    St Clair

    147

    Minnesota

    27

    Washington

    163

    Mississippi

    28

    Lamar

    073

    Missouri

    29

    Boone

    019

    Missouri

    29

    St Louis City

    510

    Montana

    30

    Lewis Clark

    049

    Nebraska

    31

    Lancaster

    109

    New Jersey

    34

    Essex

    013

    New Jersey

    34

    Mercer

    021

    New Jersey

    34

    Middlesex

    023

    New Jersey

    34

    Morris

    027

    New Mexico

    35

    Chaves

    005

    New York

    36

    Dutchess

    027

    New York

    36

    New York

    061

    New York

    36

    Orange

    071

    New York

    36

    Suffolk

    103

    New York

    36

    Westchester

    119

    North Carolina

    37

    Durham

    063

    North Carolina

    37

    Mecklenburg

    119

    North Carolina

    37

    Rowan

    159

    Ohio

    39

    Licking

    089

    Ohio

    39

    Montgomery

    113

    Ohio

    39

    Portage

    133

    Oklahoma

    40

    Washington

    147

    Oregon

    41

    Deschutes

    017

    Pennsylvania

    42

    Allegheny

    003

    Pennsylvania

    42

    Bucks

    017

    Pennsylvania

    42

    Lehigh

    077

    Pennsylvania

    42

    Somerset

    111

    Rhode Island

    44

    Providence

    007

    South Carolina

    45

    Berkeley

    015

    South Carolina

    45

    Dillon

    033

    Tennessee

    47

    Gibson

    053

    Tennessee

    47

    Lauderdale

    097

    Texas

    48

    Bexar

    029

    Texas

    48

    Cameron

    061

    Texas

    48

    Denton

    121

    Texas

    48

    Harris

    201

    Texas

    48

    Hunt

    231

    Texas

    48

    Mitchell

    335

    Texas

    48

    Travis

    453

    Utah

    49

    Salt Lake

    035

    Virginia

    51

    Brunswick

    025

    Virginia

    51

    Fairfax

    059

    Virginia

    51

    Hanover

    085

    Washington

    53

    King

    033

    Washington

    53

    Okanogan

    047

    Wisconsin

    55

    Dane

    025

    Wisconsin

    55

    Dodge

    027

    Wisconsin

    55

    Milwaukee

    079

    Wyoming

    56

    Washakie

    043

  • Bag (i.e., Ziploc®) cigarette packs based on the county where they were purchased. The bag should then be labeled with the state and county. Make sure the state and county on the bag matches the state and county code on the packs. If the codes do not match, stop coding and consult with the staff person assigned to resolve such issues.
  • Before taking the packs out of the bags, it can be helpful to make note of how the packs are arranged. While the packs do not need to be reordered exactly, in some cases the way in which they are arranged is the only way they will all fit.
  • Avoid touching the tax stamps while coding. They easily flake off and crumble. If comments come up that apply to the whole county or are more general, record these thoughts and be sure to discuss them with the person assigned to resolve such issues.

Investigators should refer to the tax stamp key, found here, when asking questions 14, 21, 25, and 30.

The WG recommends that investigators provide response options for question 24 based on the counties, cities, towns, municipalities, and jurisdictions of interest.

The WG recommends that investigators provide response options for question 29 based on the tribes of interest.

In addition, the WG recommends that investigators consider clearly defining "tobacco products" by noting whether that definition includes or excludes certain types of related products based on these criteria: products that are intended for human consumption; made or derived from tobacco; typically contain nicotine, but sometimes do not; and are not Food and Drug Administration-approved tobacco-cessation products.

The Content Expert Panel suggests investigators consider nicotine as derived from any source, including both natural and synthetic, when administering this protocol.

The Content Expert Panel recommends investigators substitute people-first language (i.e. replace behavior-based labels such as "smoker" with "people who smoke") as outlined in Hefler, M. et al 2023, which may differ from the original protocol text.

Availability

Available

Protocol

Identifiers

1. Enter Coder Name:

2. Enter the ID on the pack

  • Write down the State, County and Store IDs.
  • Each pack should be labeled with a numeric code indicating the state, county and store where it was purchased. Packs are sorted into bags based on the state and county where they were purchased. Enter this information for "State." The answer choices pre-populated with the codes of the stores that were visited. Once you enter the "State," "County" will be limited to those choices that apply to the state you selected. "Store" is then limited in the same way.
  • IDs on the packs might have leading zeroes.
  • Use the list of State and County IDs in Appendix A to help you
  • If you cannot read the ID written on the pack or there is a discrepancy between the Pack State and/or County ID and the Bag State and/or County ID, stop coding and consult with the staff person assigned to resolve such issues.

3. Comments

  • Use this section to record if you had to consult about the ID or anything else of note.

Pack Characteristics

The next section focuses on general pack characteristics.

The diagram below will help you understand some terminology associated with a pack. The pack pictured is a "hard" pack.

Hard Pack

Hard Pack

Hard Pack

A "soft" pack doesn’t have a "flip-top" like a hard pack. Soft packs are easily folded or squished; they usually have exposed foil at the top sealed with a branded sticker. To distinguish between the "front" and "back" of a soft pack, pay attention to two things:

  1. 1) Surgeon General’s Warning
  2. 2) Brand name on the bottom of the pack

(SEE BELOW FOR MORE DETAIL)

Soft Pack

1) Surgeon General’s Warning-when looking at the front of the pack, the Surgeon General’s warning will be on the left miter panel.

2) Brand name on the bottom of the pack—when you lay the pack on its back (front side facing up), the brand name on the bottom will be right-side up.

4. Brand (select the appropriate brand)

[ ] Marlboro®

[ ] Newport®

[ ] Other (please specify) __________________

Answer If Brand Marlboro® Is Selected

5. Marlboro® Variety

[ ] Marlboro® Reds

[ ] Marlboro® Red Label

[ ] Marlboro® 100s

[ ] Other (please specify) __________________

Answer if Brand Newport® is Selected

6. Newport® Variety

[ ] Newport® Greens

[ ] Newport® 100s

[ ] Other (please specify) __________________

Answer if Brand Other (please specify) Is Selected

7. Other Brand Variety - Type the exact variety (ex. Camel No. 9 100’s)

8. Pack Type

[ ] Hard

[ ] Soft

  • Hard packs are made of a more durable material, have a flip top and generally keep their shape as cigarettes are removed from the pack. Soft packs are easily folded or squished; they usually have exposed foil at the top sealed with a branded sticker (See previous "Pack Characteristics" section).

Answer If Brand Newport® Is Selected

9. Does the word "Menthol" appear on the pack?

[ ] Yes

[ ] No

10. Does the pack indicate that it is duty free? (Look for language like "US Tax Exempt", "Not for Sale in the U.S.," "Made for sale outside of U.S.," or "Made for sale in [Country X].")

[ ] Yes (please write in the language on pack)

[ ] No

  • This could be on the front of the pack, a side panel, or somewhere else on the pack (e.g., tear tape)

11. Is there a health warning present on the pack?

[ ] Yes

[ ] No

  • These warnings are usually located on the left miter panel of the pack
  • The Surgeon General’s warning DOES count as a health warning
  • DO NOT include a health warning on the tear tape

12. Which health warning is present?

(If it is a Surgeon General’s warning, make sure that the text matches exactly)

[ ] a. SURGEON GENERAL’S WARNING: Smoking Causes Lung Cancer, Heart Disease, Emphysema, and May Complicate Pregnancy.

[ ] b. SURGEON GENERAL’S WARNING: Quitting Smoking Now Greatly Reduces Serious Risks to Your Health.

[ ] c. SURGEON GENERAL’S WARNING: Smoking by Pregnant Women May Result in Fetal Injury, Premature Birth, and Low Birth Weight.

[ ] d. SURGEON GENERAL’S WARNING: Cigarette Smoke Contains Carbon Monoxide.

[ ] e. Other, please copy or describe

  • Make sure the text of the warning matches EXACTLY-this includes spelling, word order, etc.
  • If it does not, select Other.

13. Comments specific to pack information?

  • This is a place to note any additional information or unusual aspects of the pack.
  • If the pack has any modified risk language, be sure to note it here (e.g. "light" "low tar"). This should be rare because modified risk language was outlawed in 2009.

Tax Stamps

The next section is about tax stamps. Tax stamps are issued by countries, states, counties, tribes and municipalities to show that a tax has been paid.

14. Tax stamp present?

[ ] Yes

[ ] No - If No Is Selected, Then Skip to Q38 Comments

  • Tax stamps are almost always found on the bottom of the pack. If a tax stamp is found elsewhere on the pack, note this in the comments section.
  • See the Tax Stamp Key for examples

15. Number of tax stamps present

[ ] 1

[ ] 2

[ ] 3

[ ] Other (please specify) __________________

  • This is the total number of stamps on the pack-you should count whole AND partial stamps regardless of if you can determine the origin of the stamp.

16. What style of stamp is present?

[ ] Encrypted Stamp

[ ] Decal Stamp (onion skin paper)

[ ] Other (please specify) __________________

  • Encrypted stamps use newer technology that makes counterfeiting more difficult. Right now only CA and MA use these stamps, but that could change in the future. Generally they are thicker, more like a sticker and less "flakey" than decal stamps.
  • Decal stamps are the most common type of tax stamp. They are applied by heat transfer to the pack and use "onion skin paper"-a thin transfer paper that can be flakey.

17. Indicate the origin of the tax stamps(s) (check all that apply)

[ ] U.S. State

[ ] U.S. Locality

[ ] Joint U.S. State-Locality

[ ] Joint U.S. Locality (e.g., County-Municipality)

[ ] U.S. Tribe

[ ] Foreign

[ ] Unidentifiable Stamp

[ ] Other (please specify, but as specific as possible)

  • Answer this question as if you had no context about where the pack was purchased. If you were to pick up this pack without any context, could you tell the origin?
  • U.S. Locality includes counties, cities, towns, municipalities, and jurisdictions

Answer If U.S. State OR Joint U.S. State-Locality Is Selected

18. Is the stamp whole or partial?

[ ] Whole

[ ] Partial

  • This question will be asked about each stamp type you select as being present on the pack.
  • A whole stamp can be completely read. It might be chipped or scratched in a few places, but overall is intact and can be read.
  • A partial stamp is chipped or scratched in a way that: (1) makes it harder to read the issuing agent’s name, (2) makes it hard to read the ID number, or (3) is missing a substantive amount (at least 1/3) of the stamp (this area does not have to be continuous, but in total about 1/3 or more of the stamp is missing).
  • A partial stamp is not necessarily illegible.

Answer If Partial Is Selected

19. How is the stamp partial? (Check all that apply)

[ ] Tax stamp origin is incomplete (i.e., state or country name)

[ ] ID number is incomplete

[ ] Substantive amount of the stamp is missing (1/3 or more)

  • Select in what way the stamp is partial. A partial stamp is chipped or scratched in a way that: (1) makes it harder to read the issuing agent’s name, (2) makes it hard to read the ID number, or (3) is missing a substantive amount (at least 1/3) of the stamp (this area does not have to be continuous, but in total about 1/3 or more of the stamp is missing).

20. Please write the U.S. state that issued the tax stamp.

21. Does the U.S. state stamp match the example in the key?

[ ] Yes

[ ] No (please describe)

  • Our tax stamp key includes a color example of each type of tax stamp that we have come across previously. You should check that the design, writing and color of the stamp on the pack matches the example in the key.
  • A note on color: Some states or localities change the color of their stamps periodically. The tax stamp colors are difficult to capture in a photo. Also some stamps are slightly transparent and take on the color of the pack underneath. You should mark "No" for this question if the color is obviously different (e.g., blue vs. yellow), but don’t get too caught up on differences in shade (bright vs. dark green). If you have questions or are unsure, stop coding and ask the staff person assigned to resolve such issues.
  • If the stamp is not on the key at all, select "No" and note this. Also write in the comments that we need to add this stamp.

Answer if U.S. Locality OR Joint U.S. Locality Is Selected

22. Is the stamp whole or partial?

[ ] Whole

[ ] Partial

  • Refer to Q18 for information

Answer if Partial Is Selected

23. How is the stamp partial? (Check all that apply)

[ ] Tax stamp origin is incomplete (i.e., state or country name)

[ ] ID number is incomplete

[ ] Substantive amount of the stamp is missing (1/3 or more)

  • Refer to Q19 for information

Answer if U.S. Locality OR Joint U.S. Locality OR Joint U.S. State-Locality Is Selected

24. Please select the U.S. locality that issued the tax stamp.

[ ] Chicago, Cook County

[ ] City of St. Louis

[ ] County of Cook

[ ] Cuyahoga, OH

[ ] Evanston, Cook County

[ ] Kansas City, MO

[ ] Madison County, AL

[ ] Mobile County, AL

[ ] New York City, NY

[ ] NVCTB, VA

[ ] Other (please specify on next page)

  • U.S. Locality includes counties, cities, towns, municipalities, and jurisdictions

25. Does the stamp match an example in the key?

[ ] Yes

[ ] No (please describe)

  • Refer to Q21 for information

If Q24 Select the locality Other Is Selected

26. Please specify the locality that issued the tax stamp.

  • Write in the locality as it appears on the stamp

Answer if U.S. Tribe Is Selected

27. Is the stamp whole or partial?

[ ] Whole

[ ] Partial

  • Refer to Q18 for information

Answer if Partial is Selected

28. How is the stamp partial? (Check all that apply)

[ ] Tax stamp origin is incomplete (i.e., state or country name)

[ ] ID number is incomplete

[ ] Substantive amount of the stamp is missing (1/3 or more)

  • Refer to Q19 for information

29. Please select the Tribe that issued the tax stamp.

[ ] Seneca (including Allegany and Cattaraugus)

[ ] Jemez

[ ] Pojoaque

[ ] Tuscarora

[ ] Poospatuck

[ ] Cherokee

[ ] Apalachee

[ ] Hurons

[ ] Unkechaug

[ ] Nevada Tribal

[ ] Oklahoma Tribal

[ ] Washington Tribal

[ ] Wisconsin Tribal

[ ] Other (please specify on next page)

30. Does the stamp match the example in the key?

[ ] Yes

[ ] No (please describe)

  • Refer to Q21 for information

If Q29 Select the tribe "Other" Is Selected

31. Please specify the U.S. Tribe that issued the tax stamp.

  • Write in the Tribe as it appears on the stamp

Answer If Foreign Is Selected

32. Is the foreign stamp whole or partial?

[ ] Whole

[ ] Partial

  • Refer to Q18 for information

Answer if Partial Is Selected

33. How is the stamp partial? (Check all that apply)

[ ] Tax stamp origin is incomplete (i.e., state or country name)

[ ] ID number is incomplete

[ ] Substantive amount of the stamp is missing (1/3 or more)

  • Refer to Q19 for information

34. Please write the country that issued the foreign tax stamp.

Answer if Unidentifiable Stamp Is Selected

35. How is the stamp unidentifiable?

[ ] Stamp is covered by another stamp

[ ] Tax stamp origin is incomplete or missing (in a way that makes it unreadable)

[ ] Other (please specify) __________________

  • If a stamp is unidentifiable indicate why you are unable to identify the stamp
  • Remember to answer this question as if you had no context about where the pack was purchased. If you were to pick up this pack without any context, could you tell the origin?

Answer If Other Stamp Is Selected

36. Is the other stamp whole or partial?

[ ] Whole

[ ] Partial

  • Refer to Q18 for information

37. How is the stamp partial? (Check all that apply)

[ ] Tax stamp origin is incomplete (i.e., state or country name)

[ ] ID number is incomplete

[ ] Substantive amount of the stamp is missing (1/3 or more)

  • Refer to Q19 for information

38. Comments specific to tax stamps?

  • Note if a stamp is found anywhere other than the bottom of the pack
  • Be sure to note if there is a new tax stamp so that we can add it to the key.

Promotions

The next section is about promotions. A promotion is a marketing technique used to enhance customers’ interest to "buy now." You might typically think of promotions as "25 cents off" or "buy 1 get 1 free," which are commonly seen on tobacco products. Tobacco companies use other kinds of promotions as well, such as "enter to win a trip" or something of that ilk. It might also just be a branded graphic glued onto the front of the pack (to look new and different), without any price or prize promotion.

39. Is there a promotion present on the pack?

[ ] Yes

[ ] No - If No Is Selected, Then Skip to Q49 Comments

  • Some packs say "For special offers Marlboro.com" on the right miter panel-DO NOT count this as a promotion

    |

40. What type of promotion is present? (Check all that apply)

[ ] Onsert

[ ] Insert (Indicated by language on pack; Do not open)

[ ] Cellophane printing (not tear strip)

[ ] Tear Strip printing

[ ] Other (please specify) __________________

Examples:

Promotions Type-Location

  • An onsert is a physically separate piece of advertising that is glued onto the pack before the pack is covered in cellophane

    |

  • An insert is a physically separate piece of advertising that is INSIDE of the pack. Do not open the pack. You would most likely be able to tell if there is an insert without opening it because the outside of the pack would say something like "coupon inside." Sometimes inserts exist but are not indicated on the outside. Do not worry about this here.

    |

  • Cellophane printing is part of the actual cellophane. This does not include printing on the tear strip.

    |

  • Tear Strip printing is a promotion printed on the tear strip.

    |

41. What is the promotion for? (Check all that apply)

[ ] Contest/Enter to win/Giveaway (non-tobacco product)

[ ] Special offer inside

[ ] Special Price (cents off)

[ ] Multi pack promotion (buy 1, get 1)

[ ] Product information (no price or prize promotion indicated)

[ ] Other tobacco product offer (e.g., $1 off Snus with cigarette purchase)

[ ] Other (please specify) __________________

Examples

Promotions Type-Incentives

  • Contest/enter to win/giveaway: The packs promotes a non-tobacco product contest or giveaway, such as money, a trip, online music, or vague "prizes."

    ||

  • Special offer inside: The pack vaguely says that there is some sort of special offer or promotion inside without listing any details.

    |

  • Special price (cents off): Words to look for include "special value," "special offer," "discount," "cents off," "reduced price," "save $," "sale price," "special promotion," or "promotional offer."

    |

  • Multi-pack promotion (e.g., buy 1, get 1): A multi-pack promotion is an offer for a discount on multiple packs. The idea is that the customer needs to buy more than one pack to get the discount. Look for words such as: "buy two get one free," "two for the price of one," "two-pack deal."

    |

  • Product information (no price prize promotion indicated): The pack has an added graphic or sticker, etc., meant to be eye-catching but without any price or prize promotion.

    |

  • Other tobacco product offer (e.g. $1 off Snus with cigarette purchase): The pack indicates that you will receive a free or discounted pack of another type of tobacco product. Only check this if the offer is for a different product than the item the promotion is on. (e.g., you bought cigarettes and the offer is for Snus). If it is for the same product this is a multi-pack promotion (see above).

    |

Answer if Q41 What is the promotion for? Contest/Enter to win/Give away Is Selected

42. What is the contest/enter to win/give away for? (check all that apply)

[ ] Music

[ ] Trip

[ ] Money

[ ] Prizes (vague)

[ ] Other (please specify) __________________

43. Does the promotion direct you to a website, phone number or somewhere else? (check all that apply)

[ ] Website

[ ] Phone number

[ ] Other (please specify) __________________

[ ] None

44. Is a promotion advertised on both sides of the pack or just one?

[ ] Front only

[ ] Back only

[ ] Front and back

  • Refer to the "Pack Characteristics" section of the manual to distinguish between the front and back of packs. Be especially careful with soft packs.
  • Tear tape promotions should be coded as front and back
  • This question is asking for information on the pack level, not about the individual types of promotions. For example, if there is an onsert on the front of the pack and cellophane printing on the back, select "Front and back." You would also select "Front and back" if the same promotion (e.g., a cellophane printing) is on both sides.

Promotions Type - Inserts

You will now open the pack. Be careful to follow the instructions in the training manual about opening packs.

Opening the Pack

Before you open the pack, note where the ID number is written.

VERY IMPORTANT: If the ID number is written on the top part of the cellophane, you must rewrite this ID number (be VERY careful to write it correctly and use a permanent marker) somewhere on the bottom half of the cellophane (which will remain on the pack) or on the pack itself. Remember to secure the bottom part of the cellophane to the pack with tape if necessary.

It is extremely important that all packs are clearly labeled with ID numbers!

To open the pack, peel off the tear tape first. This should release the top part of the cellophane and separate the tear tape from the pack. If the top part of the cellophane does not have a promotion on it, you may dispose of the top part of the cellophane. If it does have a promotion, be sure to replace the top and tape it back to the pack. The cellophane below the tear tape should stay on the pack. If it’s coming loose, use tape to secure the bottom half of the cellophane to the pack. Pay very close attention to the note above about ID numbers!

45. Is there an insert inside the pack?

[ ] Yes

[ ] No

  • Select Yes if there is an insert. This may or may not have been indicated on the outside of the pack.

46. Is the insert for a specific product? (check all that apply)

[ ] Cigarettes

[ ] Snus

[ ] Other (please specify) __________________

[ ] Insert is not for a product

  • Usually an insert is a coupon for a specific product.

47. What type of promotion does the insert offer? (check all that apply)

[ ] Contest/Enter to win/Giveaway

[ ] Special price (cents off)

[ ] Multi-pack promotion (buy 1, get 1)

[ ] Product information (no price or prize promotion indicated)

[ ] Other (please specify) __________________

  • See definitions of Promotion Types - Incentives

Answer If Contest/Enter to win/Giveaway Is Selected

48. What is the contest/enter to win/give away for? (check all that apply)

[ ] Music

[ ] Trip

[ ] Money

[ ] Prizes (vague)

[ ] Other (please specify) __________________

49. Comments specific to promotions?

  • Add any comments here.
Personnel and Training Required

None

Equipment Needs

Gloves and masks for handling tobacco products.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual Yes
Mode of Administration

Observational assessment

Lifestage

Not applicable

Participants

Not applicable

Selection Rationale

Tobacco product packaging is a key element of tobacco company marketing, and tobacco product regulations have targeted tobacco product packaging, limiting the use of various descriptors, requiring health warning labels, and more. Packs that are not compliant with these regulations either reflect industry noncompliance or illicit products.

Language

English

Standards
StandardNameIDSource
caDSR Form PhenX PX750201 - Compliance With Cigarette Packaging And Labeling Policie 6917311 caDSR Form
Derived Variables

None

Process and Review

The Tobacco Regulatory Research (TRR) Content Expert Panel (CEP) reviewed the measures in the Tobacco Regulatory Research collection in February 2024.

Guidance from the TRR CEP includes:

  • Updated General References

Back-compatible: no changes to Data Dictionary

Protocol Name from Source

Point of Sale: Pack Analysis Coding Training Manual, 2013

Source

NCI U01 Maximizing State & Local Policies to Restrict Tobacco Marketing at Point of Sale Study: Point of Sale Pack Analysis Coding Training Manual. (2013).

General References

Hefler, M., Durkin, S.J., Cohen, J.E., Henriksen, L., OConnor, R., Barnoya, J., Hill, S.E. and Malone, R.E., 2023. New policy of people-first language to replace ‘smoker’, ‘vaper’, ‘ tobacco user’ and other behaviour-based labels. Tobacco control, 32(2), pp.133-134.

Protocol ID

750201

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX750201_PackagingLabeling_Compliance_Identifier_Coder_Name
PX750201010000 Enter Coder Name: N/A
PX750201_PackagingLabeling_Compliance_Identifier_Comments
PX750201030000 Use this section to record if you had to more
consult about the ID or anything else of note. show less
N/A
PX750201_PackagingLabeling_Compliance_Identifier_PackId_County
PX750201020200 Enter the county ID on the pack N/A
PX750201_PackagingLabeling_Compliance_Identifier_PackId_State
PX750201020100 Enter the state ID on the pack N/A
PX750201_PackagingLabeling_Compliance_Identifier_PackId_Store
PX750201020300 Enter the store ID on the pack N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_Brand
PX750201040100 What brand is the cigarettes? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_Brand_Other
PX750201040200 What brand is the cigarettes? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_Comments
PX750201130000 This is a place to note any additional more
information or unusual aspects of the pack. If the pack has any modified risk language, be sure to note it here (e.g. "light" "low tar"). This should be rare because modified risk languag show less
N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_Duty_No
PX750201100100 Does the pack indicate that it is duty free? more
(Look for language like "US Tax Exempt", "Not for Sale in the U.S.," "Made for sale outside of U.S.," or "Made for sale in [Country X].") show less
N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_Duty_Yes
PX750201100200 Does the pack indicate that it is duty free? more
(Look for language like "US Tax Exempt", "Not for Sale in the U.S.," "Made for sale outside of U.S.," or "Made for sale in [Country X].") - Yes (please write show less
N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_HealthWarning
PX750201110000 Is there a health warning present on the pack? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_MarlboroVariety
PX750201050100 What type of Marlboro® Variety? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_MarlboroVariety_Other
PX750201050200 What type of MarlboroÆmore
® Variety? Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_Menthol
PX750201090000 Does the word Menthol appear on the pack? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_NewportVariety
PX750201060100 What type of Newport® Variety? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_NewportVariety_Other
PX750201060200 What type of NewportÆmore
® Variety? Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_OtherBrandVariety
PX750201070000 What type of Other Brand Variety? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_PackType
PX750201080000 What is the pack type? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_WhichWarning
PX750201120100 Which health warning is present? N/A
PX750201_PackagingLabeling_Compliance_PackCharacteristics_WhichWarning_Other
PX750201120200 Which health warning is present? Other, more
please copy or describe ________________ show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions
PX750201390000 Is there a promotion present on the pack? N/A
PX750201_PackagingLabeling_Compliance_Promotions_BothSides
PX750201440000 Is a promotion advertised on both sides of more
the pack or just one? show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Comments
PX750201490000 Add any comments here N/A
PX750201_PackagingLabeling_Compliance_Promotions_Contest
PX750201420100 What is the contest/enter to win/give away more
for? (check all that apply) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Contest_Other
PX750201420200 What is the contest/enter to win/give away more
for? (check all that apply) Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Contest_Website
PX750201430100 Does the promotion direct you to a website, more
phone number or somewhere else? (check all that apply) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Contest_WebsiteOther
PX750201430200 Does the promotion direct you to a website, more
phone number or somewhere else? (check all that apply) Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Insert
PX750201450000 Is there an insert inside the pack? N/A
PX750201_PackagingLabeling_Compliance_Promotions_Location
PX750201400100 What type of promotion is present? (Check more
all that apply) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Location_Other
PX750201400200 What type of promotion is present? (Check more
all that apply): Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Purpose
PX750201410100 What is the promotion for? (Check all that apply) N/A
PX750201_PackagingLabeling_Compliance_Promotions_Purpose
PX750201480100 What is the contest/enter to win/give away more
for? (check all that apply) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Purpose_Other
PX750201480200 What is the contest/enter to win/give away more
for? (check all that apply) Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Purpose_Other
PX750201410200 What is the promotion for? (Check all that more
apply): Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_SpecificProduct
PX750201460100 Is the insert for a specific product? (check more
all that apply) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_SpecificProduct_Other
PX750201460200 Is the insert for a specific product? (check more
all that apply) Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Type
PX750201470100 What type of promotion does the insert more
offer? (check all that apply) show less
N/A
PX750201_PackagingLabeling_Compliance_Promotions_Type_Other
PX750201470200 What type of promotion does the insert more
offer? (check all that apply) Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsForeign_Country
PX750201340000 Please write the country that issued the more
foreign tax stamp? show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsForeign_Partial
PX750201330000 How is the stamp partial N/A
PX750201_PackagingLabeling_Compliance_TaxStampsForeign_Whole
PX750201320000 Is the foreign stamp whole or partial? N/A
PX750201_PackagingLabeling_Compliance_TaxStampsLocality_Locality
PX750201240100 Please select the US locality that issued more
the tax stamp show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsLocality_Locality_Other
PX750201240200 Please select the US locality that issued more
the tax stamp: Other (please specify on next page) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsLocality_Match
PX750201250100 Does the stamp match an example in the key? N/A
PX750201_PackagingLabeling_Compliance_TaxStampsLocality_Match_No
PX750201250200 Does the stamp match an example in the key? more
No (please describe) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsLocality_Partial
PX750201230000 How is the stamp partial N/A
PX750201_PackagingLabeling_Compliance_TaxStampsLocality_Whole
PX750201220000 Is the stamp whole or partial? N/A
PX750201_PackagingLabeling_Compliance_TaxStampsOther_Partial
PX750201370000 How is the stamp partial N/A
PX750201_PackagingLabeling_Compliance_TaxStampsOther_Whole
PX750201360000 Is the other stamp whole or partial? N/A
PX750201_PackagingLabeling_Compliance_TaxStampsState_Partial
PX750201190000 How is the stamp partial N/A
PX750201_PackagingLabeling_Compliance_TaxStampsState_State
PX750201200000 Please write the US state that issued the more
tax stamp show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsState_State_Match
PX750201210100 Does the US state stamp match the example in more
the key? show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsState_State_MatchNo
PX750201210200 Does the US state stamp match the example in more
the key? No (please describe) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsState_Whole
PX750201180000 Is the stamp whole or partial? N/A
PX750201_PackagingLabeling_Compliance_TaxStampsTribal_Partial
PX750201280000 How is the stamp partial N/A
PX750201_PackagingLabeling_Compliance_TaxStampsTribe_Match
PX750201300100 Does the stamp match an example in the key? N/A
PX750201_PackagingLabeling_Compliance_TaxStampsTribe_Match_No
PX750201300200 Does the stamp match an example in the key? more
No (please describe) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsTribe_Other
PX750201310000 Please specify the U.S. Tribe that issued more
the tax stamp. show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsTribe_Tribes
PX750201290100 Please select the Tribe that issued the tax stamp N/A
PX750201_PackagingLabeling_Compliance_TaxStampsTribe_Tribes_Other
PX750201290200 Please select the Tribe that issued the tax more
stamp: Other (please specify on next page) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStampsTribe_Whole
PX750201270000 Is the stamp whole or partial? N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Comments
PX750201380000 Note if a stamp is found anywhere other than more
the bottom of the pack Be sure to note if there is a new tax stamp so that we can add it to the key. show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Number
PX750201150100 What is the number of tax stamps present? N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Number_Other
PX750201150200 What is the number of tax stamps present? more
Other (please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Origin
PX750201170100 Indicate the origin of the tax stamps(s) more
(check all that apply) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Origin_Other
PX750201170200 Indicate the origin of the tax stamps(s) more
(check all that apply): Other (please specify, but as specific as possible) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Present
PX750201140000 Is a tax stamp prseent? N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Specify
PX750201260000 Please specify the locality that issued the more
tax stamp show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Style
PX750201160100 What style of stamp is present? N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Style_Other
PX750201160200 What style of stamp is present? Other more
(please specify) show less
N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Unidentifiable
PX750201350100 How is the stamp unidentifiable N/A
PX750201_PackagingLabeling_Compliance_TaxStamps_Unidentifiable_Other
PX750201350200 How is the stamp unidentifiable? Other more
(please specify) show less
N/A
Tobacco Regulatory Research: Environment
Measure Name

Compliance with Cigarette Packaging and Labeling Policies

Release Date

August 7, 2015

Definition

This measure is used to gain an understanding of state and local government and retailer compliance with cigarette packaging and labeling policies.

Purpose

The purpose of this measure is to assess compliance with cigarette packaging and labeling policies at the state, county, and federal government and retailer level.

Keywords

Cigarette packaging policies, cigarette labeling policies, warning label, tobacco, compliance with cigarette packaging policies, compliance with cigarette labeling policies, point of sale, U01 POS, Pack Analysis Coding Training Manual, NCI U01 study, cigarette pack identifiers, tobacco product codes, general pack characteristics, tax stamps, promotions, counterfeit packs

Measure Protocols
Protocol ID Protocol Name
750201 Compliance with Cigarette Packaging and Labeling Policies
Publications

Garcia-Cazarin, M.L., Mandal, R.J., Grana, R., Wanke, K.L., Meissner, H. (2020) Host-agent-vector-environment measures for electronic cigarette research used in NIH grants. Tobacco Control. 2020 January; 29(1). doi: 10.1136/tobaccocontrol-2017-054032