To the Editor.—
Benowitz et al1 find statistically significant decreases in exposure to smoke products when switching to ultralow-tar cigarettes, but not when switching to low-tar cigarettes. In light of the between-groups differences in baseline scores, a direct test of interaction2 would be preferable to the less conservative separate tests of significance for groups 1 and 2. Were changes in exposure from usual- and high-tar compared with ultralow-tar cigarettes significantly greater than the comparable changes for the low-tar group?
Benowitz et al note that ventilated-filter cigarettes are susceptible to a special technique of compensatory smoking, namely, the blocking of filter vents with fingers or lips.3 They leave the impression, however (p245), that they have taken into consideration the issue of hole blocking and find that smokers are still unable to compensate fully with ultralow-tar cigarettes.
Unfortunately, the authors report no direct or indirect assessments4 of whether
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