![]() Why are we telling you this? Because every year, we quiz thousands of city-dwellers around the world for our Time Out Index survey. Street life is what makes the places we live feel alive. If parks are the lungs of the city, streets are its veins, carrying urbanites around each day like stressed-but-happy little blood cells. Seriously, streets are where most of us spend our lives – hanging out, eating, drinking, working, sleeping and occasionally pulling some embarrassing dance moves. The Food and Drug Administration should expand the current prohibition against the characterising flavours in cigarettes to include cigar products.Street life: it’s the only life we know. 29 With the growing trend toward marijuana legalisation and rising marijuana use, the promotion of cigar flavours to capture this expanding market is a major concern for tobacco control. 28 The cigar industry has long used flavours as a strategy to successfully expand their market share, 29 target specific populations at risk (eg, youth, 30 African-Americans, 31) and capture cigarette smokers who have quit. Unlike cigarettes, cigars and cigarillos can still be sold in flavours in the USA. This misleading strategy may lead consumers to believe that these products contain marijuana. 25– 27 These practices are not exclusive of the larger brands nearly every large convenience store brand has at least one flavour that can be considered a subtle reference to marijuana use (eg, Wild Rush flavour by Swisher Sweets). 24 Cigarillo line extensions featuring marijuana flavour references is an emerging trend, with current promotion of Good Times Kush cigarillos, K-Series Royal Blunts cigarillos (including OGK, Purple Haze), OG Kush, White Chiba, and High Indo Show cigarillos. 21– 23Ĭigarillo sales increased by 25% from $800 million in 2010 to over $1 billion in 2014 ( figure 2). 17– 20 Furthermore, many blunt smokers identify themselves neither as tobacco smokers nor marijuana users, which may lead to underestimates of use prevalence for both substances. 13 Emerging evidence has indicated that up to 90% of marijuana users are concurrent tobacco smokers, 14– 16 and that a reverse gateway mechanism also exists where marijuana use precedes tobacco smoking and can lead to nicotine dependence. The phenomenon of ‘blunt chasing’ (smoking cigarillos immediately after smoking a blunt) has been identified as expanding the cigarillo market among blunt smokers and contributing to nicotine dependence. 12 The use of blunts is one mechanism by which these effects are perpetuated. 10, 11 Tobacco and marijuana use may support and reinforce use of each other as both substances are typically smoked. 7– 9 However, more recent evidence has found the pathway process to be more complex. 5 Since introduction of the ‘gateway hypothesis’ by Kandel 6 40 years ago, the notion that cigarette smoking forms a gateway to marijuana use has been extensively studied. Marijuana use has increased over time among US youth, with 23.4% of youth currently using marijuana, which is higher than the tobacco use rate (15.7%) among this population. Recently, there has been an increased scientific interest in the relationship between tobacco and marijuana use, in particular the direction of uptake pathways. In fact, Cali Green and Pineapple Express-flavoured Splitarillos were promoted at the High Times Cannabis Cup and Chalice California marijuana trade shows ( figure 1). 4 This is particularly concerning since tobacco companies may use marijuana flavours to promote tobacco uptake among marijuana users. By promoting these flavours, the company is explicitly embracing the growing trend of tobacco and marijuana co-use in the form of blunts (a blunt is a hollowed-out cigar or cigarillo filled with marijuana). Purple, loud, Cali Green and Pineapple Express are slang terms for marijuana or marijuana strains 3 and K2 refers to a synthetic cannabinoid (see online supplementary appendix 1). 1, 2 In Summer 2014, the company introduced the Cali Green and Pineapple Express Splitarillos flavours ( figure 1). Since March 2015, Trendsettah has introduced new Splitarillos flavours or TrendBlendz, including Purple K and Loud. Source: Bottom row: Promotion of Cali Green and Pineapple Express Splitarillos at the 2014 High Times Cannabis Cup (left) and the 2014 Chalice California (right). Top row: Use of promotional vehicals to distribute giveaways and market Splitarillos in urban neighborhoods (left) Promotion of Loud, PurpleK, 18K Splitarillos flavour (right).
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