Persistent Misperceptions about Nicotine among US Physicians: Results from a Randomized Survey Experiment.
Persistent Misperceptions about Nicotine among US Physicians: Results from a Randomized Survey Experiment.
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DOI：
10.3390/ijerph18147713
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发表时间：
2021-07-21
影响因子：
--
通讯作者：
Delnevo CD
中科院分区：
文献类型：
--
作者：
Bover Manderski MT;Steinberg MB;Wackowski OA;Singh B;Young WJ;Delnevo CD
我们在美国医生中进行了一项调查实验，以评估问题措辞是否会影响对尼古丁健康影响的看法。926名医生随机接受两个版本的问题矩阵之一，询问他们同意或不同意“尼古丁”（版本1）或“尼古丁本身”（版本2）直接导致出生缺陷，心血管疾病（CVD），癌症，抑郁症和慢性阻塞性肺病（COPD）的程度。我们评估了问题条件是否预测与每个陈述的强烈一致和/或一致，并评估了每个结果的人口统计学相关性，同时调整问题版本。接受第二版的医生不太可能“强烈同意”尼古丁直接导致出生缺陷（患病率比（PR）0.84，95% CI 0.72-0.98），CVD（PR 0.89，95% CI 0.84-0.95）、癌症（PR 0.81，95% CI 0.75-0.87）和COPD（PR 0.78，95% CI 0.72-0.84）。女性更有可能“强烈同意”尼古丁直接导致出生缺陷和癌症，家庭医生最有可能“强烈同意”尼古丁直接导致CVD，癌症和COPD。在测量医生对尼古丁的信念时，问题措辞很重要;然而，即使考虑了问题版本，对尼古丁直接健康影响的误解也很常见，并因性别和专业而异。
We conducted a survey experiment among US physicians to evaluate whether question wording impacted perceptions about the health effects of nicotine. 926 physicians were randomized to receive one of two versions of a question matrix that asked about the “extent to which they agree or disagree that ‘nicotine’ (Version 1) or ‘nicotine, on its own,’ (Version 2) directly contributes to” birth defects, cardiovascular disease (CVD), cancer, depression, and chronic obstructive pulmonary disease (COPD). We evaluated whether question condition predicted strong agreement and/or agreement with each statement, and assessed demographic correlates of each outcome while adjusting for question version. Physicians who received Version 2 were less likely to “strongly agree” that nicotine directly caused birth defects (Prevalence Ratio (PR) 0.84, 95% CI 0.72–0.98), CVD (PR 0.89, 95% CI 0.84–0.95), cancer (PR 0.81, 95% CI 0.75–0.87), and COPD (PR 0.78, 95% CI 0.72–0.84). Females were more likely to “strongly agree” that nicotine directly contributes to birth defects and cancer, and family physicians were most likely to “strongly agree” that nicotine directly contributes to CVD, cancer, and COPD. Question wording is important when measuring physicians’ beliefs about nicotine; however, even after accounting for question version, misperceptions about the direct health effects of nicotine were common and varied by sex and specialty.
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影响因子：
4.7
作者：
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