Misperceptions of harm among Natural American Spirit smokers: results from wave 1 of the Population Assessment of Tobacco and Health (PATH) study (2013-2014)
Misperceptions of harm among Natural American Spirit smokers: results from wave 1 of the Population Assessment of Tobacco and Health (PATH) study (2013-2014)
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DOI：
10.1136/tobaccocontrol-2016-053265
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发表时间：
2017-03-01
期刊：
影响因子：
5.2
通讯作者：
Stanton, Cassandra A.
中科院分区：
文献类型：
--
作者：
Pearson, Jennifer L.;Johnson, Amanda;Stanton, Cassandra A.
这项研究估计了自然美国精神(NAS)品牌的吸烟者与其他吸烟者相比在香烟危害认知上的差异，并检验了NAS使用的相关性。这项研究在市场上以天然、有机和无添加剂的品牌销售。方法数据来自美国成年人(2013-2014)的具有全国代表性的研究--人口烟草与健康评估(PATH)研究的第一波。使用当前成年吸烟者(n=10565)的子集进行的加权分析估计了NAS的使用率(与所有其他品牌相比)，并检查了NAS的使用与社会人口学、烟草/物质使用、烟草危害认知、戒烟意图、戒烟尝试和心理/行为健康之间的关系。结果总体而言，2.3%的成年吸烟者(美国有92万人)报告NAS是他们经常使用的品牌。在控制了潜在的混杂因素后，近%的NAS吸烟者错误地认为他们的品牌比其他品牌的危害更小，而其他品牌的吸烟者的这一比例为8.3%(AOR 22.82)。年龄较小(18-34比35+；AOR 1.54)、经常考虑烟草危害(AOR 1.84)、过去30天饮酒(AOR 1.57)、过去30天吸食大麻(AOR 1.87)和性取向(女同性恋、男同性恋、双性恋、“其他”或“质疑”与异性恋；AOR 2.07)也与吸烟NAS的几率增加有关。结论大多数NAS吸烟者错误地认为他们的香烟比其他品牌的香烟危害小。鉴于该品牌的快速增长及其在弱势群体(如年轻人、女同性恋者、男同性恋者、双性恋者、“其他”或“质疑”成年人)中的普遍使用，有必要采取纠正信息和执法行动，以纠正对NAS香烟的危害误解。
Introduction This study estimated differences in cigarette harm perceptions among smokers of the Natural American Spirit (NAS) brand-marketed as 'natural', 'organic' and 'additive-free'-compared to other smokers, and examined correlates of NAS use.Methods Data were drawn from wave 1 of the Population Assessment of Tobacco and Health (PATH) study, a nationally representative study of US adults (2013-2014). Weighted analyses using a subset of current adult smokers (n= 10 565) estimated the prevalence of NAS use (vs all other brands) and examined associations between NAS use and sociodemographics, tobacco/substance use, tobacco harm perceptions, quit intentions, quit attempts and mental/behavioural health.Results Overall, 2.3% of adult smokers (920 000 people in the USA) reported NAS as their usual brand. Nearly 64% of NAS smokers inaccurately believed that their brand is less harmful than other brands compared to 8.3% of smokers of other brands, after controlling for potential confounders (aOR 22.82). Younger age (18-34 vs 35+; aOR 1.54), frequent thinking about tobacco harms (aOR 1.84), past 30-day alcohol use (aOR 1.57), past 30-day marijuana use (aOR 1.87) and sexual orientation (lesbian, gay, bisexual, 'other' or 'questioning' vs heterosexual; aOR 2.07) were also associated with increased odds of smoking NAS.Conclusions The majority of NAS smokers inaccurately believes that their cigarettes are less harmful than other brands. Given the brand's rapid growth and its more common use in vulnerable groups (eg, young adults, lesbian, gay, bisexual, 'other' or 'questioning' adults), corrective messaging and enforcement action are necessary to correct harm misperceptions of NAS cigarettes.