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Lil Solid: a more affordable option for heated tobacco products in Guatemala
  1. Jose Monzon1,2,
  2. Sophia Mus1,
  3. Gustavo Davila1,
  4. Joaquin Barnoya1,
  5. Minji Kim3,
  6. James Thrasher4
  1. 1Departamento de Investigacion, Unidad de Cirugia Cardiovascular de Guatemala, Guatemala, Guatemala
  2. 2Health Sciences School, Rafael Landivar University, Guatemala City, Guatemala, Guatemala
  3. 3Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina, USA
  4. 4Health Promotion, Education, and Behavior, University of South Carolina, Arnold School of Public Health, Columbia, South Carolina, USA
  1. Correspondence to Dr Joaquin Barnoya, Departamento de Investigacion, Unidad de Cirugia Cardiovascular de Guatemala, Guatemala 01011, Guatemala; jbarnoya{at}post.harvard.edu

https://doi.org/10.1136/tc-2023-057954

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    Heated tobacco product (HTP) availability and use have increased worldwide.1 HTPs heat a special tobacco stick to produce an aerosol that the consumer inhales. Most large transnational tobacco companies now market HTPs, often as a harm reduction option.1 2 Since 2014, the HTP market has grown from 15 million to nearly 125 billion sticks sold worldwide in 2021.3 HTPs are now available in 71 countries, 30 of which are low and middle-income countries (LMICs). Phillip Morris International’s (PMI’s) IQOS has dominated the global HTP market.1

    According to PMI, by March 2017, HTPs had high adoption rates and stated that demand continued to outstrip supply.4 Research has raised concerns that HTPs are marketed as a high-tech aspirational product that …

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    Footnotes

    • Twitter @mishoo8, @JoaquinBarnoya

    • Contributors All authors contributed in the initial planning and conceptualisation of this manuscript. JB did the initial fieldwork and collecting the information. JCM drafted the first version of the manuscript and SM, JB, GD, MK and JT helped revise the manuscript and edit its content.

    • Funding This work was supported by: the National Institutes of Health (NIH) Federal Award number 3R01TW010652-4S1.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.