Tobacco Product Harm Perceptions and New Use

Parker, Maria A.; Villanti, Andrea C.; Quisenberry, Amanda J.; Stanton, Cassandra A.; Doogan, Nathan J.; Redner, Ryan; Gaalema, Diann E.; Kurti, Allison N.; Nighbor, Tyler D.; Roberts, Megan E.; Cepeda-Benito, Antonio; Higgins, Stephen T.

doi:10.1542/peds.2018-1505

Cited by 61 publications

(50 citation statements)

References 25 publications

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“…This decline—a true public health triumph—may be attributed to multiple tobacco control measures, including restrictions on tobacco company advertising, promotions and sponsorship, taxation of tobacco products, clean indoor air laws, banning of flavorings in cigarettes (except menthol), and decreased access of cigarettes to teenagers through the adoption of local and statewide Tobacco 21 legislation (raising the legal age of sale from 18 to 21) [8]. Indeed, in the past decades, attitudes have changed: teenagers recognize the dangers of smoking and no longer find it attractive or “cool.” By contrast, e-cigarettes, now used by over 20% of high-school students, are not viewed by adolescents as dangerous or even comparable to cigarettes [9,10,11,12,13]. USB-like e-cigarettes, and one product in particular, Juul, has captured over 75% of the market share of the e-cigarette category since its introduction in 2014–2015.…”

Section: E-cigarettes: An Epidemic and A Threat To Public Healthmentioning

confidence: 99%

Electronic Cigarettes and Youth in the United States: A Call to Action (at the Local, National and Global Levels)

Jenssen

Boykan

2019

Children

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E-cigarettes have emerged and soared in popularity in the past ten years, making them the most common tobacco product used among youth in the United States (US). In this review, we discuss what the Surgeon General has called a public health “epidemic”—the precipitous increase in youth use of e-cigarettes and the health consequences of this behavior. Further, we review tobacco control policy efforts (e.g., Tobacco 21, banning flavors, advertising restrictions, and clean indoor air laws)—efforts proven to be critical in reducing cigarette smoking and smoking-related disease and death among US children and adults—including their potential and challenges regarding managing and mitigating the emergence of e-cigarettes. Finally, we close with a discussion of the efforts of transnational tobacco companies to rebrand themselves using e-cigarettes and other new products.

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Section: E-cigarettes: An Epidemic and A Threat To Public Healthmentioning

confidence: 99%

Electronic Cigarettes and Youth in the United States: A Call to Action (at the Local, National and Global Levels)

Jenssen

Boykan

2019

Children

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“…Initiation of tobacco use can be defined broadly as new ever use,10–13 or in reference to a specific time period such as past 12-month use (P12M),11 14 past 30-day use (P30D)10 13 or frequent use (eg, 20 or more days) in the past 30 days 15 16. These increasingly narrow definitions for new use can help distinguish when new use may be a function of experimentation (ie, P12M use) or more regular use (ie, frequent use in the past 30 days).…”

Section: Introductionmentioning

confidence: 99%

Initiation of any tobacco and five tobacco products across 3 years among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

et al. 2020

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ObjectiveThis study reports weighted cross-sectional prevalence of never use of tobacco, and longitudinal past 12-month (P12M), past 30-day (P30D) and frequent P30D any tobacco or specific tobacco product initiation across three 1-year waves. Longitudinal three-wave pathways are examined to outline pathways of exclusive and polytobacco initiation, as well as pathways of new initiators of electronic nicotine delivery systems (ENDS) or cigarettes.DesignData were drawn from the first three waves (2013–2016) of the Population Assessment of Tobacco and Health Study, a nationally representative, longitudinal cohort study of US youth and adults. Respondents with data at all three waves (youth, N = 11 046; young adults, N = 6478; adults 25+, N = 17 188) were included in longitudinal analyses.ResultsAcross the three age groups, weighted cross-sectional analyses revealed never any tobacco use decreased each year from 2013 to 2016, reflecting overall increases in tobacco initiation in the population during this time. Compared with cigarettes, cigars, hookah and smokeless tobacco, ENDS had the highest proportion of P12M initiation from Wave 1 to Wave 3 (W3) for each age group. Among youth Wave 2 P30D initiators of exclusive ENDS or cigarettes, the most common W3 outcome was not using any tobacco (ENDS: 59.0% (95% CI 48.4 to 68.8); cigarettes: 40.3% (95% CI 28.7 to 53.1)).ConclusionsInitiation rates of ENDS among youth and young adults have increased the number of ever tobacco users in the US prevention strategies across the spectrum of tobacco products which can address youth initiation of tobacco products.

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“…While many countries do not allow alternative nicotine products to be marketed as less harmful than cigarettes, there are often subtle messages about the potential risk reduction if smokers switched to e-cigarettes or HTPs. Lower harm perceptions toward certain nicotine products have been reported as a predictor of future use 1 . While many studies have examined harm perceptions of e-cigarettes relative to cigarettes 2 , 3 , only a handful have evaluated HTPs relative to cigarettes 4 – 6 , and none has assessed HTPs relative to e-cigarettes.…”

Section: Introductionmentioning

confidence: 99%

Perceived relative harm of heated tobacco products (IQOS), e-cigarettes, and cigarettes among adults in Canada: Findings from the ITC Project

Sutanto¹,

Miller²,

Smith³

et al. 2020

Tob. Induc. Dis.

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cigarettes (e-cigarettes) while tobacco companies reintroduced heated tobacco products (HTPs). The most notable brand of the latter being Philip Morris International's IQOS. While many countries do not allow alternative nicotine products to be marketed as less harmful than cigarettes, there are often subtle ABSTRACT INTRODUCTION Tobacco companies have introduced heated tobacco products (HTPs), such as IQOS, which may compete with e-cigarettes among smokers interested in switching to potentially reduced-risk products. Non-smokers may also start using IQOS if they believe this product is less harmful than other nicotine products. Smokers' and non-smokers' decisions may be driven by relative harm perceptions of emerging nicotine products. We aimed to examine relative harm perceptions between IQOS, e-cigarettes, and cigarettes, among nicotine product users and non-users. METHODS We conducted a web survey with Canadian respondents (aged ≥20 years; n=268) in September-October 2018. Perceptions about relative harm between IQOS (available for sale since 2017 and subject to the same comprehensive marketing restrictions as cigarettes in Canada), e-cigarettes, and cigarettes, were assessed among non-users (n=79), exclusive smokers (n=78), exclusive e-cigarette users (n=32), and dual users (n=79). Multiple logistic regression explored the association between relative harm perceptions and nicotine-use status, adjusting for sociodemographic variables. RESULTS Over half of respondents perceived IQOS as equally or more harmful than e-cigarettes (53.7%), while almost a quarter either reported IQOS as less harmful than e-cigarettes or were uncertain (22.7% and 23.5%, respectively). Two-thirds of respondents (65.7%) perceived e-cigarettes as less harmful than cigarettes, yet only half (48.1%) perceived IQOS as less harmful than cigarettes. Both exclusive and dual e-cigarette users, but not exclusive smokers, had higher odds of perceiving IQOS as more harmful than e-cigarettes and less harmful than cigarettes compared to non-users. CONCLUSIONS Most nicotine users and non-users perceive differential health risk across IQOS, e-cigarettes, and cigarettes. Although e-cigarettes are generally viewed as less harmful than cigarettes, the perceived harm of IQOS was unclear.

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Tobacco Product Harm Perceptions and New Use

Cited by 61 publications

References 25 publications

Electronic Cigarettes and Youth in the United States: A Call to Action (at the Local, National and Global Levels)

Electronic Cigarettes and Youth in the United States: A Call to Action (at the Local, National and Global Levels)

Initiation of any tobacco and five tobacco products across 3 years among youth, young adults and adults in the USA: findings from the PATH Study Waves 1–3 (2013–2016)

Perceived relative harm of heated tobacco products (IQOS), e-cigarettes, and cigarettes among adults in Canada: Findings from the ITC Project

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