Young Adults' Perceptions About Established and Emerging Tobacco Products: Results From Eight Focus Groups

Wray, Ricardo J.; Jupka, Keri; Berman, Susan; Zellin, Stacie; Vijaykumar, Santosh

doi:10.1093/ntr/ntr168

Cited by 51 publications

(49 citation statements)

References 16 publications

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“…Our study was consistent with others in finding that smokers’ believe switching from smoking to SLT represents trading in some risks for others,24 31 that they mistakenly believe SLT users have a higher risk of oral cancer than smokers,18 39 and that SLT risk perceptions are impacted by SLT's mode of delivery, that is, its prolonged direct contact with the mouth 18 24 32 33. Another qualitative study also found that this direct contact with the mouth made smokers feel like they would have less control over their nicotine and toxin exposure with SLT versus cigarettes, which they perceived they could better control by varying their inhalation levels and by exhaling and ‘blowing out’ toxins 24.…”

Section: Discussionsupporting

confidence: 90%

Interviews with smokers about smokeless tobacco products, risk messages and news articles: Table 1

2015

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Section: Discussionsupporting

confidence: 90%

Interviews with smokers about smokeless tobacco products, risk messages and news articles: Table 1

2015

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“…A few recent studies have used qualitative methods to better understand consumer perceptions of a variety of tobacco products (Choi, Fabian, Mottey, Corbett, & Forster, 2012; Sami et al, 2012; Wray, Jupka, Berman, Zellin, & Vijaykumar, 2012). Qualitative methods such as focus groups and interviews are especially useful for examining reasons and cognitive processes underlying individual perceptions (Kreuger, 1988).…”

Section: Introductionmentioning

confidence: 99%

“…Despite knowledge of health risks associated with cigarettes, smokers in the study were not motivated to quit or interested in reducing harm by switching to ST (Sami et al, 2012). Meanwhile, findings from focus groups with young adults reveal that there is some confusion and disagreement about the relative risks of tobacco products (Choi et al, 2012; Wray et al, 2012). Some young adults viewed novel ST products such as snus and dissolvable tobacco as equally or more harmful as cigarettes; others perceived these products as less harmful than cigarettes because they are smokeless.…”

Section: Introductionmentioning

confidence: 99%

Risk Perceptions of Smokeless Tobacco Among Adolescent and Adult Users and Nonusers

Liu

Nemeth

Klein

et al. 2015

Journal of Health Communication

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The recent growth in smokeless tobacco (ST) consumption has raised questions about consumer risk perceptions of ST products, especially in high-risk vulnerable populations. This qualitative study examined risk perceptions of ST among adolescent and adult users and non-users in Ohio Appalachia. Focus groups and interviews were held with adolescents (n=53; mean age of 17 years) and adults (n=63; mean age of 34 years) from four Ohio Appalachian counties. Participants were asked about their perceptions of ST-related health risks, ST safety, and the relative safety of ST compared to cigarettes. Transcriptions were coded independently by two individuals. Overall, participants were knowledgeable about health problems from ST use (e.g., oral cancers, periodontal disease). Nearly all participants stated that ST use is not safe; however, there was disagreement about its relative safety. Some perceived all tobacco products as equally harmful; others believed that ST is safer than cigarettes for either the user or those around the user. Disagreements about ST relative safety may reflect mixed public health messages concerning the safety of ST. Comprehensive consumer messages about the relative safety of ST compared to cigarettes are needed. Messages should address the effect of ST on the health of the user as well as those exposed to the user.

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“…9 Importantly, users report that cigar products are appealing for reasons such as affordability and palatability, and these factors also predict their use. [10][11][12] The appeal of cigars may also be enhanced by users' belief that they are less lethal than cigarettes. Tobacco users have noted that the media warns only of the dangers of cigarette smoking.…”

Section: Introductionmentioning

confidence: 99%

Acute Effects of “Hyping” a Black&Mild Cigarillo

Blank

Cobb

Eissenberg

et al. 2015

NICTOB

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Introduction: Cigars remain a widely used tobacco product among adolescent and adult populations. The appeal of a certain type of cigar, the cigarillo, may be enhanced by users' beliefs that their harm potential can be reduced by removing the inner tobacco liner before use (a.k.a. "hyping"). The purpose of this within-subject study was to compare the acute effects of smoking an original cigarillo, a modified ("hyped") cigarillo, and an unlit cigarillo. Methods: Twenty smokers (19 males, 1 female; 19 non-Hispanic blacks, 1 Hispanic "other") of at least 7 Black&Mild (B&M) cigarillos/week and at most 5 cigarettes/day completed the study. All participants reported hyping their cigarillos at least occasionally. Primary outcomes, assessed over two, 30-minute smoking bouts, included plasma nicotine, expired air carbon monoxide (CO) concentration, subjective ratings (product effects, nicotine abstinence symptoms), and puff topography. Results: Mean plasma nicotine concentration increased significantly within (pre-to post-bouts), but not between, original and modified B&M conditions. Mean CO concentration was significantly lower for modified, relative to original, B&M smoking at all post-administration timepoints. Both smoked conditions significantly increased ratings of positive product effects (satisfaction, pleasant) and decreased abstinence symptom magnitude; however, ratings generally did not differ between these conditions. Overall, topography outcomes did not differ between modified and original B&M smoking. Conclusions: Results are consistent with a previous report in that "hyping" may decrease users' CO, but not nicotine, exposure. While these data collectively suggest reduced exposure to CO acutely with engagement in "hyping, " longer-term assessments are needed to determine the impact on individual and public health.

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Young Adults' Perceptions About Established and Emerging Tobacco Products: Results From Eight Focus Groups

Cited by 51 publications

References 16 publications

Interviews with smokers about smokeless tobacco products, risk messages and news articles: Table 1

Interviews with smokers about smokeless tobacco products, risk messages and news articles: Table 1

Risk Perceptions of Smokeless Tobacco Among Adolescent and Adult Users and Nonusers

Acute Effects of “Hyping” a Black&Mild Cigarillo

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