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Smoking Cessation Products & Services: A Market Analysis

(November 2000)

 

Table of Contents

                                                                                                                                              Page

 

Introduction: Report Scope, Sources, Methodology

* Discussion of study scope, evolution of the market, mkt. Segments defined,

availability of information/statistics, list of government & private sector sources

used.                                                                                                                                           1-7

 

Overview of Major Findings

* Discussion of healthcare and others costs of smoking. Description and definition

of the mkt., its nature and segments. Summary of smoker demographics, major quit methods used and success rates. Regulatory trends. Status report of employer smoking cessation programs, involvement via non-profit/commercial organizations. Overview of role of the major commercial and non-profit smoking cessation providers. Market size, growth, forecasts from 1993-2004. Summaries/$ values of nicotine patches, gum, nasal sprays, inhalers, pharmacotherapy markets. Highlights of all chapters.                         8-33

 

Physical & Psychological Motivations To Quit: Success Rates

* Discussion of components of the quitting process/steps, causes for relapse, psychological factors, why behavior modification combined with other methods boosts quit rates, typical success rates by type method-results of meta-analyses and recent research, ranking of quit rates by type, withdrawal symptoms, weight gain.               34-39

 

The Demographics of Smoking: Who, How Many?                                                            40-55

* Summary & discussion of national smoking prevalence among the population,

   related healthcare costs, smoking rates by males/females/race – 1997.

* The cost to American employers: productivity, medical costs, other.

* Per capital consumption of cigarettes.

* Percent of population that are smokers, by: sex, age, race, education, income

* Discussion of trends in adolescent smoking rates.

* Results of Prevention Magazine’s Prevention Index.

* Public attitudes toward smokers.

 

Tables:

- Risk behavior trends: risk behaviors that worsened: 1991-97, smoking vs. others

- Cigarette consumption in the U.S., 1900-1999 (no. of cigarettes, per capita)

- Current cigarette smoking in persons age 18+, by sex, 1965-1997

- Number of adults who were current smokers, by sex, race, age: 1965-1997

- Percentage of adults who were current smokers, by sex, race, age: 1965-1997

 

 

 

 

Tables, continued…                                                                                                                  Page

 

- Age adjusted prevalence (%) of current smokers, by sex, race, education: 1974-1995

- Percentage of young adults who were current, former, or never smokers, by sex, race,

     education: 1965-1995

- Current cigarette smoking prevalence (%) among adults aged 18+, by state: 1984-1998

- Total U.S. cigarette advertising & promotional spending: 1975-1997

 

Federal, State & Local Anti-Smoking Regulatory Environment

* Discussion of effects of 1964 Surgeon General’s Report, failure to meet goals

of Healthy People 2000, new targets for Healthy People 2010, role of FDA to oversee

the tobacco industry, 1998 tobacco industry settlement with states-key provisions, current approach by government toward tobacco control (educational, regulatory, economic interventions).                                                                                                                   56-64

 

The Major Anti-Smoking Organizations

Profiles/descriptions of some major anti-smoking groups (address, strategies, goals):

 

- Action on Smoking and Health (ASH)

- Foundation for a Smokefree America

- INFACT

- STAT (Stop Teenage Addiction to Tobacco)

- The American Legacy Foundation

 

Corporate Smoking Cessation Efforts & Programs: A Status Report                   65-74

* Overview, discussion of environmental tobacco smoke.

* Economic consequences of smoking: absenteeism, lost productivity, building

   maintenance, medical costs, etc.

* Corporate smoking restrictions: dramatic rise in company restrictions since 1987,

   methods used by corporations and usage of outside “vendors” (for-profit, non-profit),

   role of EAP programs.

* Government’s activities at state/federal levels.

* Major findings of 1992 National Survey of Worksite Health Promotion Activities:

   discussion of this landmark report by the ODPHP, its value.

Tables:

* Percent of private worksites (50 employees or more), by year of initial health promotion activities – 1992.

* Percent of private worksites (50 empl. or more), who use outside companies to provide health promotion services, by size – 1992.

* Percent of private worksites (50 empl. or more), that have a smoking policy and offer info. or activities concerning smoking, by size – 1992.

* Prevention and health promotion in HMOs, by % of  enrollees, by type activity – 1992 (smoking cessation vs. 13 other activities/programs).* Percent of worksites offering health promo. Info. or activities, by subject – 1985 & 1992.

 

           Page

Commercial Smoking Cessation Programs

In-depth profiles of the major commercial programs: address, activities, major

customers served, estimated 1999 revenue/people served, cost of their programs,

history and evolution of the firm since early 1990s).                                                       75-82

 

* Addiction Management Systems

* Smoke Stoppers

* SmokEnders International

* Smokeless

 

Non-Profit Organization Smoking Cessation Programs                                          83-91

In-depth profiles of the major non-profit programs: address, activities, major

customers served, estimated revenue/people served, cost of their programs, history

and evolution of the firm since early 1990s).

 

* American Cancer Society

* American Lung Association

* American Heart Association

* General Conference of 7th Day Adventists

 

The Role of MDs and Pharmacists in Smoking Cessation                                     92-96

* Discussion of why MD involvement is so important, updated Public Health

   Service/Government clinical practice guidelines regarding patient interventions,

   obstacles to greater MD involvement.

* Physician involvement: Doctors Ought to Care (DOC), its role/goals.

* Medications used for smoking control: discussion of drugs used or in testing stage

   (Buspar, Clonidine, Prozac, Nortriptyline, Zyban, nicotine patches).

* Role of pharmacists: why they are among most trusted by consumers, major groups.

 

Role of The Internet in Smoking Cessation                                                           97-101

* Overview and history of the internet as a tool for information dissemination and

   counseling, creation of SCARC (Smoking Control Advocacy Resource Center) and its  

   activities.

* Discussion/names of major Web-based smoking cessation sites: WebMD, Mediconsult,

   Dr.koop.com, Medscape, About.com, effect of computer-tailored self-help on quit rates.

* Prominent smoking cessation websites/organizations of the Web (DOC, Nicotine

   Anonymous, Americans for Non-Smokers Rights, QuitNet, others).

* Profiles/activities of: Nicotine Anonymous, QuitNet.

 

 

 

 

 

 

 

           Page

 

Market Size, Growth and Segments                                                                     102-24

* Summary & overview of the market: major developments of past 5-7 years, down-

    sizing and restructuring of the major commercial smoking cessation providers.

* Definition/list of the major market segments (1. nicotine replacement therapy products:

   gum, patches, nasal sprays, inhalers, 2. commercial cessation programs, 3. non-profit

   cessation programs,  4. medications).

* Estimated number of users of each product/method: 1993 & 1999.

* U.S. $ market potential estimates: trends and mkt. Changes/growth since 1993, Rx to

   OTC conversions of nicotine patches, major trends.

 

Tables:

- Estimated $ value of smoking cessation market: 1992-2000.

- Estimated $ value of market, by product/service segment: 1992, 1998, 1999, 2000, 2004F

 

The Nicotine Replacement Therapy Market

(nicotine patches, nicotine gum, nasal sprays, inhalers)

 

* Overview of consolidation in the drug industry, pending merger of Glaxo Wellcome

    and SmithKline Beecham and effect on smoking cessation products mkt.

* Concept of nicotine replacement therapy; discussion.

 

The Nicotine Patch Market: history and nature of the product,
4 brands currently of the market (Nicotrol, Nicoderm, Prostep, Habitrol),
discussion of: administration (how used, dosages, duration), side effects, efficacy
(quit rates, results of meta-analyses), market developments, conversion of
3 brands from Rx to OTC status, name/address of the brands' manufacturers. 113

The Nicotine Gum Market: History & nature of the product (Nicorette),
1998 & 1999 sales, user cost per day, administration, efficacy/quit rates,
side effects/complications, usage in combination with
counseling, name/address of the brands' manufacturer.       116

 

The Nicotine Nasal Spray Market: history & nature of the products, cost per day, side effects,
efficacy/quit rates, name/address of the brands' manufacturer.                          120

 

The Nicotine Inhaler Market: history & nature of the products, cost per day, side effects,
efficacy/quit rates, name/address of the brands’ manufacturer.                                          122

 

Table:

- Meta-Analysis of efficacy of various nicotine replacement
therapy products

 

 

 

 

                                                                                                                                              Page

 

The Pharmacotherapy (drugs) Market

* Zyban: history & nature of the product, 1998-1999 sales, cost per day for users,

   side effects, efficacy/quit rates, name/address of the brands’ manufacturer.

* Clonidine: history & nature of the product, side effects, efficacy/quit rates, 

   name/address of the brands’ manufacturer.

* Nortriptyline: history & nature of the product, side effects, efficacy/quit rates,

   name/address of the brands’ manufacturer.                                                          125-130

 

Reference Directory of Industry Sources

* Names/address/phones/websites of the leading commercial and non-profit smoking
cessation program providers, government agencies, consultants, health promotion organizations.                                                                                                                131-133