{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:58:22Z","timestamp":1783040302772,"version":"3.54.6"},"reference-count":30,"publisher":"BMJ","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015283","name":"Bloomberg Philanthropies","doi-asserted-by":"publisher","award":["Bloomberg Initiative to Reduce Tobacco Use"],"award-info":[{"award-number":["Bloomberg Initiative to Reduce Tobacco Use"]}],"id":[{"id":"10.13039\/100015283","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Tob Control"],"accepted":{"date-parts":[[2026,4,26]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>In Indonesia, 3% of adults and 14.4% of youth use e-cigarettes. Exposure to tobacco marketing is associated with future cigarette and e-cigarette use. This study collected e-cigarette products in Indonesia and assessed the packaging for overall features and appeals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>E-cigarette products were collected from Jakarta, Medan and Surabaya in 2022 using a systematic protocol designed to identify all unique packs for sale. Products were double coded for various features and appeals. Descriptive statistics were calculated using Stata\/BE 17.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We purchased 825 unique products: e-cigarette liquids (n=782), disposable e-cigarette devices (n=26) and disposable e-cigarette pods\/cartridges (n=17). E-cigarette packaging frequently incorporated features associated with youth appeals. Over half of the packs (57.7%, n=476) displayed at least one design or marketing element potentially attractive to youth, including bright colours, cartoons, playful fonts, slang or packaging resembling other objects. Most packs (96%, n=792) contained flavour descriptors, and 67.5% (n=557) included visual representations of flavours, with fruit and sweet\/dessert flavours being the most prevalent. 2.2% of packs (n=18) included references to Indonesian influencers, celebrities or pop culture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Indonesian e-cigarette packaging often included marketing elements that can appeal to youth. Policies such as plain and standardised packaging and banning non-tobacco flavours could reduce the appeal of e-cigarette packaging to Indonesian youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/tc-2026-060081","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:20:27Z","timestamp":1779297627000},"page":"tc-2026-060081","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Content analysis of e-cigarette packaging in Indonesia: youthful, fun and flavorful"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0405-2209","authenticated-orcid":false,"given":"Hannah E","family":"Barker","sequence":"first","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7418-1172","authenticated-orcid":false,"given":"Jennifer L","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1974-5789","authenticated-orcid":false,"given":"Reiley","family":"Hartmuller","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9718-2693","authenticated-orcid":false,"given":"Beladenta","family":"Amalia","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8140-3327","authenticated-orcid":false,"given":"Xinao","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7852-839X","authenticated-orcid":false,"given":"Raniyan","family":"Zaman","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3579-7390","authenticated-orcid":false,"given":"Joshua K","family":"Sinamo","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2821-887X","authenticated-orcid":false,"given":"Yohana Revi","family":"Imanita","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3527-8936","authenticated-orcid":false,"given":"Adhiyatma Nizar","family":"Fuaddy","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1833-6691","authenticated-orcid":false,"given":"Kevin","family":"Welding","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2140-1690","authenticated-orcid":false,"given":"Katherine Clegg","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3869-3637","authenticated-orcid":false,"given":"Joanna E","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"2026052010202131000_tc-2026-060081v1.1","doi-asserted-by":"crossref","first-page":"130","DOI":"10.5993\/AJHB.44.2.2","article-title":"High School Youth and E-cigarettes: The Influence of Modified Risk Statements and Flavors on E-cigarette Packaging","volume":"44","author":"Katz","year":"2020","journal-title":"Am J Health 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