Tob Control 16:e7 doi:10.1136/tc.2006.019638
  • Research paper
    • Electronic pages

“I always thought they were all pure tobacco”: American smokers’ perceptions of “natural” cigarettes and tobacco industry advertising strategies

  1. Patricia A McDaniel,
  2. Ruth E Malone
  1. Department of Social and Behavioural Sciences, School of Nursing, University of California, San Francisco, California, USA
  1. Dr P A McDaniel, Department of Social and Behavioural Sciences, School of Nursing, University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA; patricia.mcdaniel{at}
  • Received 12 December 2006
  • Accepted 22 March 2007


Objective: To examine how the US tobacco industry markets cigarettes as “natural” and American smokers’ views of the “naturalness” (or unnaturalness) of cigarettes.

Methods: Internal tobacco industry documents, the Pollay 20th Century Tobacco Ad Collection, and newspaper sources were reviewed, themes and strategies were categorised, and the findings were summarised.

Results: Cigarette advertisements have used the term “natural” since at least 1910, but it was not until the 1950s that “natural” referred to a core element of brand identity, used to describe specific product attributes (filter, menthol, tobacco leaf). The term “additive-free”, introduced in the 1980s, is now commonly used to define natural cigarettes. Tobacco company market research, available from 1970 to 1998, consistently revealed that within focus group sessions, smokers initially had difficulty interpreting the term “natural” in relation to cigarettes; however, after discussion of cigarette ingredients, smokers viewed “natural” cigarettes as healthier. Tobacco companies regarded the implied health benefits of natural cigarettes as their key selling point, but hesitated to market them because doing so might raise doubts about the composition of their highly profitable “regular” brands.

Conclusion: Although our findings support the idea advanced by some tobacco control advocates that informing smokers of conventional cigarettes’ chemical ingredients could promote cessation, they also suggest that such a measure could increase the ubiquity and popularity of “natural” cigarettes. A more effective approach may be to “denaturalise” smoking.


  • Funding: This research was supported by grants CA120138 and CA095989 from the National Cancer Institute and by American Legacy Foundation fellowship funding.

  • Competing interests: PAM and REM served as consultants to the US Department of Justice in the federal lawsuit against tobacco manufacturers, which resulted in a ban on the use of cigarette descriptors. REM also owns one share each of Altria and Reynolds American stock for research and advocacy purposes.

  • Abbreviations:
    American Tobacco Company
    Brown and Williamson
    Philip Morris
    RJ Reynolds
    Santa Fe Natural Tobacco Company

Free sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of Tobacco Control.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

This insightful video is produced by Cancer Research UK

Navigate This Article