Tobacco harm perceptions and use among sexual and gender minorities: findings from a national sample of young adults in the United States

Ganz, Ollie; Johnson, Amanda L.; Cohn, Amy M.; Rath, Jessica M.; Horn, Kimberly; Vallone, Donna; Villanti, Andrea C.

doi:10.1016/j.addbeh.2018.01.032

Cited by 35 publications

(26 citation statements)

References 26 publications

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“…Participants reported perceived relative harm of the condition-specific ECIG condition with the following item: “Compared to regular-strength non-menthol cigarettes, how harmful do you think this product is?” [37] (1 = a lot less harmful, 2 = a little less harmful, 3 = about the same, 4 = a little more harmful, 5 = a lot more harmful, 6=don’t know). The perceived addiction of a condition-specific ECIG was assessed by the following item: “What do you think the likelihood of addiction is when using this product?” [37] (1 = not at all, 2 = slightly, 3 = moderately, 4 = very much, 5 = extremely, 6 = don’t know). Responses of “don’t know” were excluded from analysis.…”

Section: Methodsmentioning

confidence: 99%

Influence of Electronic Cigarette Characteristics on Susceptibility, Perceptions, and Abuse Liability Indices among Combustible Tobacco Cigarette Smokers and Non-Smokers

Hoetger

Bono

Nicksic

et al. 2019

IJERPH

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This study assessed how electronic cigarette (ECIG) characteristics amenable to regulation—namely nicotine content, flavor, and modified risk messages—impact ECIG use susceptibility, harm/addiction perceptions, and abuse liability indices among combustible tobacco cigarette (CTC) smokers and non-smokers. CTC smokers and non-smokers varying in ECIG use recruited via Amazon Mechanical Turk (MTurk) completed an online survey in 2016 (analytic n = 706). Participants were randomly assigned to one of eight conditions differing in ECIG characteristics: nicotine content (no, low, high), flavor (menthol, tobacco, fruit), or modified risk message (reduced harm, reduced carcinogen exposure). Regressions assessed ECIG susceptibility, harm/addiction perceptions, and abuse liability indices (purchase task measures of breakpoint/intensity) within each regulatory domain (nicotine content, flavor, message) and their interactions with CTC/ECIG status. Differential effects on ECIG susceptibility, harm/addiction perceptions, and abuse liability indices were observed by regulatory domain with many effects moderated by CTC/ECIG status. ECIG nicotine content and flavor conditions were the most influential across outcomes. Greater nicotine content, tobacco-flavored and reduced carcinogen exposure ECIGs were more highly preferred by CTC smokers with some differing preferences for non-users. Findings reinforce consideration of discrete ECIG preferences across tobacco use status to improve regulatory efficacy.

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Section: Methodsmentioning

confidence: 99%

Influence of Electronic Cigarette Characteristics on Susceptibility, Perceptions, and Abuse Liability Indices among Combustible Tobacco Cigarette Smokers and Non-Smokers

Hoetger

Bono

Nicksic

et al. 2019

IJERPH

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“…Data Availability Statement: All analyses were performed in the Inter-university Consortium for Political and Social Research's Virtual Data Enclave (VDE) using the PATH Restricted Use Files [55]. Details on how to access these data are found here: https://www.icpsr.umich.edu/web/NAHDAP/ studies/36231, accessed 15 January-15 March 2021.…”

Section: Informed Consent Statement: Not Applicablementioning

confidence: 99%

“…Understanding how racial and ethnic minoritized groups and LGBTQ+ people perceive LNC cigarettes and ANDS is important for assessing how the nicotine-focused framework may benefit all populations, including whether the proposed framework may exacerbate existing smoking-related health disparities. Although a few prior LNC and/or ANDS risk perception studies have reported outcomes for people identifying as Black or African American [ 31 , 32 , 55 ], to our knowledge, this topic has been understudied among people identifying as American Indian or Alaskan Native, Asian, Hispanic, Native Hawaiian or Pacific Islander or more than one race. Further, data concerning risk perceptions among LGBTQ+ populations are also limited: one prior study examining risk perceptions among LGBTQ+ populations was restricted to young adults [ 55 ], while another included older people identifying as LGB but did not explicitly examine perceptions among people identifying as transgender [ 56 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although a few prior LNC and/or ANDS risk perception studies have reported outcomes for people identifying as Black or African American [ 31 , 32 , 55 ], to our knowledge, this topic has been understudied among people identifying as American Indian or Alaskan Native, Asian, Hispanic, Native Hawaiian or Pacific Islander or more than one race. Further, data concerning risk perceptions among LGBTQ+ populations are also limited: one prior study examining risk perceptions among LGBTQ+ populations was restricted to young adults [ 55 ], while another included older people identifying as LGB but did not explicitly examine perceptions among people identifying as transgender [ 56 ]. As a result, there are notable gaps in the risk perception literature concerning subgroups within the LGBTQ+ population, with a particular dearth of estimates from nationally representative data sources.…”

Section: Introductionmentioning

confidence: 99%

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Risk Perceptions of Low Nicotine Cigarettes and Alternative Nicotine Products across Priority Smoking Populations

Denlinger-Apte

Pacek

Ross

et al. 2021

IJERPH

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Background: As the U.S. Food and Drug Administration considers a low nicotine product standard for cigarettes, it is important to examine how people who smoke, especially individuals from priority populations disproportionately affected by smoking, perceive low nicotine content (LNC) cigarettes and their relative risk perceptions of alternative nicotine delivery system (ANDS) products, including e-cigarettes and snus, and medicinal nicotine. Methods: Data are from Wave 4 (2016–2017) of the adult Population Assessment of Tobacco Use and Health (PATH) Study. We examined respondents’ absolute risk perceptions about nicotine, LNC cigarettes, ANDS products and medicinal nicotine; their relative risk perceptions of LNC cigarettes and ANDS products compared to conventional cigarettes; and their relative risk perceptions of medicinal nicotine compared to ANDS products. Results: The majority of respondents across priority smoking populations indicated snus, e-cigarettes, and LNC cigarettes were ‘about the same’ level of harmfulness or addictiveness as conventional cigarettes. The majority of respondents indicated e-cigarettes to be ‘about the same’ harmfulness as medicinal nicotine. Conclusions: Our study indicates that adults who smoke cigarettes generally have misperceptions about the harms of nicotine and the relative risks of ANDS products and such misperceptions exist regardless of their racial/ethnic identity, sexual orientation, and gender identity.

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“…In comparison, gay and bisexual men were equally receptive to tobacco marketing compared with heterosexual men 18. In addition, newer forms of tobacco products, including electronic cigarettes (e-cigarettes), flavoured cigars and smokeless tobacco, are marketed online and through social media and are increasingly popular among young adult sexual minorities 24–33. Similarly, the tobacco industry has a long history of targeted marketing of tobacco products, including menthol cigarettes at black, Hispanic and low-income communities.…”

Section: Introductionmentioning

confidence: 99%

Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity

et al. 2019

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ObjectiveThis study examined sexual orientation differences in encoded exposure to tobacco product ads and intersections with race and ethnicity.MethodsWe analysed data from young adults (18–24) from the US Population Assessment of Tobacco and Health Study in 2013 and 2014 (N=9110). First, we compared encoded exposure to cigarette, electronic cigarette (e-cigarette), cigar and smokeless tobacco ads between sexual minorities (lesbian/gay, bisexual and something else) versus heterosexual young adults. We then analysed encoded ad exposure across sexual orientation, racial and ethnic subgroups. Analyses controlled for demographic and tobacco use variables.ResultsBisexual women had significantly higher prevalence of encoded exposure to cigarette and cigar ads compared with heterosexual women, and significantly higher prevalence of encoded e-cigarette ad exposure compared with both heterosexual and lesbian/gay women. There were no significant differences in encoded ad exposure between lesbian versus heterosexual women and between gay or bisexual men versus heterosexual men. Compared with heterosexual white counterparts, increased encoded ad exposures were reported by heterosexual black women (cigarette and cigar ads), black heterosexual men (cigar ads) and bisexual black women (cigarette and cigar ads). Compared with heterosexual non- Hispanic counterparts, increased encoded ad exposures were reported by bisexual Hispanic women (cigarette, e-cigarette and cigar ads) and heterosexual Hispanic men (cigarettes and cigar ads).ConclusionSexual minority women of colour and black heterosexual women and men have increased encoded exposure to certain forms of tobacco ads. Further research is needed to address the impact of tobacco ads among multiple minority individuals based on sex, sexual orientation, race and ethnicity.

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Tobacco harm perceptions and use among sexual and gender minorities: findings from a national sample of young adults in the United States

Cited by 35 publications

References 26 publications

Influence of Electronic Cigarette Characteristics on Susceptibility, Perceptions, and Abuse Liability Indices among Combustible Tobacco Cigarette Smokers and Non-Smokers

Influence of Electronic Cigarette Characteristics on Susceptibility, Perceptions, and Abuse Liability Indices among Combustible Tobacco Cigarette Smokers and Non-Smokers

Risk Perceptions of Low Nicotine Cigarettes and Alternative Nicotine Products across Priority Smoking Populations

Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity

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