US adults' addiction and harm beliefs about nicotine and low nicotine cigarettes

US adults' addiction and harm beliefs about nicotine and low nicotine cigarettes
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DOI:
10.1016/j.ypmed.2016.12.048
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发表时间:
2017-03-01
影响因子:
5.1
通讯作者:
Hoffman, Allison C.
Hoffman, Allison C.
中科院分区:
医学2区
文献类型:
--
作者:
O'Brien, Erin Keely;Nguyen, Anh B.;Hoffman, Allison C.

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这项研究使用具有全国代表性的健康信息全国趋势调查(HINTS-FDA 2015; N = 3738)描述了美国成年人对尼古丁和低尼古丁香烟(LNC)的看法。大约四分之三的人不确定尼古丁与癌症之间的关系,或者错误地认为尼古丁会导致癌症。非白人,受教育程度较低,年龄65岁以上,从未建立吸烟者的人最有可能不知道尼古丁不是癌症的原因。超过四分之一的人认为LNC的危害和成瘾性比普通香烟小。白人比黑人更有可能相信LNC比普通香烟危害小,从不吸烟者比戒烟者更有可能相信这一点。白人和至少有大学学位的人更有可能相信LNC比普通香烟更容易上瘾。总的来说,我们发现许多人,特别是这里确定的人口统计学亚组,对尼古丁持有不正确的信念,对LNC持有可能不准确的信念。在评估营销低尼古丁产品对公共健康的影响时,应考虑这些发现。不正确地认为尼古丁会导致癌症可能会阻止吸烟者转向更安全的含尼古丁替代品,并可能导致非吸烟者尝试低尼古丁烟草产品,认为癌症风险会降低。研究结果强调了教育公众尼古丁和LNC对健康影响的必要性,并可以帮助公共卫生从业人员确定哪些亚组应优先进行有针对性的教育工作。爱思唯尔公司出版
This research described U.S. adults' beliefs about nicotine and low nicotine cigarettes (LNCs) using the nationally-representative Health Information National Trends Survey (HINTS-FDA 2015; N = 3738). About three quarters of people either were unsure of the relationship between nicotine and cancer or incorrectly believed that nicotine causes cancer. People who were non-White, less educated, age 65+, and never established smokers were most likely to be unaware that nicotine is not a cause of cancer. More than a quarter of people held the potentially inaccurate beliefs that LNCs would be less harmful and addictive than typical cigarettes. Whites were more likely than Blacks to believe LNCs were less harmful than typical cigarettes, and never smokers were more likely to believe this than established quitters. Whites and people with at least a college degree were more likely to believe that LNCs would be less addictive than typical cigarettes. Overall, we found that many people, particularly the demographic subgroups identified here, held incorrect beliefs about nicotine and potentially inaccurate beliefs about LNCs. Findings should be considered in assessing the public health impact of marketing low nicotine products. Incorrectly believing that nicotine causes cancer could discourage smokers from switching to safer nicotine-containing alternatives, and could lead nonsmokers to experiment with low nicotine tobacco products, believing that cancer risk would be reduced. Findings underscore the need to educate the public on the health effects of nicotine and LNCs, and can help public health practitioners determine which subgroups should be prioritized in targeted educational efforts. Published by Elsevier Inc.