Perceived risk of electronic cigarettes compared with combustible cigarettes: direct versus indirect questioning.

Perceived risk of electronic cigarettes compared with combustible cigarettes: direct versus indirect questioning.
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DOI:
10.1136/tobaccocontrol-2019-055404
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发表时间:
2020-06-16
期刊:
影响因子:
5.2
通讯作者:
Popova L
Popova L
中科院分区:
医学2区
文献类型:
--
作者:
Churchill V;Nyman AL;Weaver SR;Yang B;Huang J;Popova L

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烟草公司声称,很大一部分人认为潜在的改良风险烟草产品与香烟一样有害或更有害,并认为需要使用改良风险声明来纠正误解。然而,他们引用的研究主要使用一种特定的比较风险测量方法。我们分析了美国成年吸烟者和非吸烟者的代表性样本,以研究报告电子烟危害小于普通香烟的比例是否因比较风险问题的呈现方式而有所不同。我们分析了2017年烟草产品和风险认知调查的数据。香烟和电子烟的比较风险以两种方式测量:直接(单个问题)和间接(通过测量两个问题的感知风险,然后相互减去分数)。当被要求直接比较电子烟和香烟的危害时(单一问题),33.9%的参与者认为电子烟的危害小于香烟,36.4%的参与者认为电子烟的危害相同,4.3%的人认为电子烟的危害更大,25.3%的人说“我不知道”。当被间接询问(单独的问题)时,42.1%的人认为电子烟的危害比香烟小,23.8%的人认为它们的危害相同,7.1%的人认为电子烟的危害更大,27.1%的人不知道。我们的研究提供的证据表明,在评估公众对新型烟草产品危害的看法时,需要使用直接和间接风险问题。
Tobacco companies claim that a large proportion of the population perceives potential modified risk tobacco products as equally or more harmful than cigarettes, and argue misperceptions need to be corrected using modified risk claims. However, the studies they cite predominantly use one specific measurement of comparative risk. We analysed a representative sample of US adult smokers and non-smokers to examine whether the proportion who report e-cigarettes as less harmful than regular cigarettes differs depending on how the comparative risk questions were presented. We analysed data from the 2017 Tobacco Products and Risk Perceptions Survey. Comparative risk of cigarettes and e-cigarettes was measured in two ways: direct (single question) and indirect (by measuring perceived risk of both in separate questions and then subtracting the scores from each other). When asked to compare harms of e-cigarettes and cigarettes directly (single question), 33.9% of participants identified e-cigarettes as less harmful than cigarettes, 36.4% reported equal harm, 4.3% said e-cigarettes were more harmful and 25.3% said ‘I don’t know’. When asked indirectly (separate questions), 42.1% identified e-cigarettes as less harmful than cigarettes, 23.8% said they were of equal harm, 7.1% perceived e-cigarettes to be more harmful and 27.1% did not know. Our study offers evidence to suggest the need to use both direct and indirect risk questions when assessing the public’s perceptions of harms associated with novel tobacco products.
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