Conditional Risk Assessment of Adolescents' Electronic Cigarette Perceptions

Chaffee, Benjamin W.; Gansky, Stuart A.; Halpern‐Felsher, Bonnie; Couch, Elizabeth T.; Essex, Gwen; Walsh, Margaret M.

doi:10.5993/ajhb.39.3.14

Cited by 55 publications

(72 citation statements)

References 30 publications

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“…4,6,9 For example, our findings are consistent with those of Ambrose et al 4 who found that ever use of e-cigarettes was significantly associated with perceiving e-cigarettes as less harmful than cigarettes among middle and high school students nationwide. Amrock et al 6 also investigated the comparative harm of e-cigarettes to cigarettes, and found that both ever users and current users of e-cigarettes reported that e-cigarettes were less harmful than cigarettes.…”

Section: Discussionsupporting

confidence: 91%

“…Amrock et al 6 also investigated the comparative harm of e-cigarettes to cigarettes, and found that both ever users and current users of e-cigarettes reported that e-cigarettes were less harmful than cigarettes. Chaffee et al 9 examined perceived risks and benefits of e-cigarettes in a sample of high school boys and found that increasing perceived risk was associated with lower prevalence of ever use of e-cigarettes. Our study extends these findings further, as it is specific to the absolute harm and addictiveness associated with e-cigarettes – not compared to other product use, like cigarettes.…”

Section: Discussionmentioning

confidence: 99%

“…4–9 Young populations are important to study for various reasons. First, there is emerging evidence that e-cigarette companies are using marketing strategies that appeal to youth.…”

mentioning

confidence: 99%

“…To date, only a few published studies exist on the topic. 4,6,9,19 For conventional cigarettes, however, there is consensus that perceptions of harmfulness affect smoking behaviors; as perceived harm decreases, conventional smoking behaviors increase. 20 The Theory of Planned Behavior lays the foundation for this association, positing that one’s perceptions predict changes in behavior.…”

mentioning

confidence: 99%

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Flavorings and Perceived Harm and Addictiveness of E-cigarettes among Youth

Cooper¹,

Harrell²,

Pérez³

et al. 2016

tobacco reg sci

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Objectives Given the increasing trend in use of electronic cigarettes (“e-cigarettes”) among youth, it is crucial to understand how these products are perceived and how these perceptions are associated with their decision whether or not to use them. Methods This is a cross-sectional analysis of data from a rapid response surveillance system of 6th, 8th and 10th grade students’ tobacco use behaviors (sample [n] = 3704 from a population of students [N] = 434,601). We used weighted logistic regression models to investigate the relationship between perceptions of harm and addictiveness and e-cigarette use, including the use of flavored and non-flavored e-cigarettes. Results Compared to youth who did not use e-cigarettes, ever and current e-cigarette users had higher odds of reporting that e-cigarettes were “not at all harmful” to health and “not at all addictive.” Ever and current e-cigarette users had higher odds of reporting that flavored e-cigarettes were “less harmful” than non-flavored e-cigarettes, compared to youth who did not use e-cigarettes. Conclusions These findings warrant attention given that nicotine is an addictive substance whose effects on the adolescent brain are potentially negative. Youth e-cigarette users perceived lower harm from flavored e-cigarettes, which is worrisome given emerging research documenting harmful constituents in certain e-cigarette flavorings.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

“…4–9 Young populations are important to study for various reasons. First, there is emerging evidence that e-cigarette companies are using marketing strategies that appeal to youth.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Flavorings and Perceived Harm and Addictiveness of E-cigarettes among Youth

Cooper¹,

Harrell²,

Pérez³

et al. 2016

tobacco reg sci

View full text Add to dashboard Cite

show abstract

“…There also exists a strong observable relationship between perceptions of tobacco-related risks and benefits and adolescents’ initiation and continued tobacco use [13–16]. Adolescents with smoking experiences have higher perceptions of benefits and lower perceptions of risks compared to adolescents who have never smoked [4].…”

mentioning

confidence: 99%

Adolescents' Perceptions of Health Risks, Social Risks, and Benefits Differ Across Tobacco Products

Roditis

Delucchi

Cash

et al. 2016

Journal of Adolescent Health

Self Cite

118

113

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Objective This study assesses perceptions of overall harm, short-term health and social risks, long-term health risks, and benefits associated with various tobacco products including conventional cigarettes, e-cigarettes, cigars, chew, and hookah. This study also assesses whether and how perceptions differ by age, gender, race/ethnicity, and previous experience with tobacco. Methods A total of 722 high school students completed an online survey, answering questions about their use and perceptions of a variety of tobacco products. Differences in perceptions across products were assessed using a generalized estimation equation with an exchangeable correlation structure. Results Adolescents rated the various tobacco products as conferring significantly different levels of risks and benefits. Generally, adolescents rated cigarettes as most risky, followed by cigars and chew, with hookah and e-cigarettes rated as least risky. Adolescents rated hookah followed by cigarettes and e-cigarettes as most likely to make them look cool or fit in and cigars and chew as least likely to confer these benefits. There were interaction effects by age and use, with older adolescents and those with tobacco experience holding lower perceptions of risk. There were no significant interaction effects by race/ethnicity or gender. Conclusion Given the significant differences in adolescents’ perceptions of risks and benefits of using different tobacco products and research showing the predictive relationship between perceptions and behavior, there is a need for comprehensive messaging that discusses risks of all tobacco products, particularly hookah and e-cigarettes. There is also a need to address perceived benefits of tobacco products, especially hookah and e-cigarettes.

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Electronic Cigarette Advertising Impacts Adversely on Smoking Behaviour Within a London Student Cohort: A Cross-Sectional Structured Survey

Ratneswaran

Steier

Reed

et al. 2019

Lung

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IntroductionIn contrast to tobacco smoking, electronic cigarette (“vaping”) advertisement had been approved in the United Kingdom (UK) in January 2013. Currently, there are an estimated 3.2 million UK e-cigarette users. The impact of e-cigarette advertisement on tobacco use has not been studied in detail. We hypothesised that e-cigarette advertisement impacts on conventional smoking behaviour.MethodsA cross-sectional structured survey assessed the impact of e-cigarette advertising on the perceived social acceptability of cigarette and e-cigarette smoking and on using either cigarettes or e-cigarettes (on a scale of 1 to 5/‘not at all’ to ‘a lot’). The survey was administered between January to March 2015 to London university students, before and after viewing 5 UK adverts including a TV commercial.ResultsData were collected from 106 participants (22 ± 2 years, 66% male), comprising cigarette smokers (32%), non-smokers (54%) and ex-smokers (14%). This included vapers (16%), non-vapers (77%) and ex-vapers (7%). After viewing the adverts, smokers (2.6 ± 1.0 vs. 3.8 ± 1.1, p = 0.001) and non-smokers (3.2 ± 0.7 vs. 3.7 ± 0.8, p = 0.007) felt smoking was more socially acceptable, compared to before viewing them. Participants were more likely to try both e-cigarettes (1.90 ± 1.03 to 3.09 ± 1.11, p < 0.001) and conventional cigarettes (1.73 ± 0.83 to 2.27 ± 1.13, p < 0.001) after viewing the adverts compared to before. Vapers were less likely to smoke both an e-cigarette, and a conventional cigarette after viewing the adverts.ConclusionE-cigarette advertising encourages both e-cigarette and conventional cigarette use in young smokers and non-smokers. The adverts increase the social acceptability of smoking without regarding the importance of public health campaigns that champion smoking cessation.Electronic supplementary materialThe online version of this article (10.1007/s00408-019-00262-z) contains supplementary material, which is available to authorized users.

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Conditional Risk Assessment of Adolescents' Electronic Cigarette Perceptions

Cited by 55 publications

References 30 publications

Flavorings and Perceived Harm and Addictiveness of E-cigarettes among Youth

Flavorings and Perceived Harm and Addictiveness of E-cigarettes among Youth

Adolescents' Perceptions of Health Risks, Social Risks, and Benefits Differ Across Tobacco Products

Electronic Cigarette Advertising Impacts Adversely on Smoking Behaviour Within a London Student Cohort: A Cross-Sectional Structured Survey

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