Adult perceptions of the relative harm of tobacco products and subsequent tobacco product use: Longitudinal findings from waves 1 and 2 of the population assessment of tobacco and health (PATH) study

被引:55
作者
Elton-Marshall, Tara [1 ,2 ,3 ,4 ]
Driezen, Pete [5 ]
Fong, Geoffrey T. [5 ,6 ,7 ]
Cummings, K. Michael [8 ]
Persoskie, Alexander [9 ]
Wackowski, Olivia [10 ]
Choi, Kelvin [11 ]
Kaufman, Annette [12 ]
Strong, David [13 ,14 ]
Gravely, Shannon [5 ]
Taylor, Kristie [15 ]
Kwan, Jonathan [9 ]
Bansal-Travers, Maansi [16 ]
Travers, Mark [16 ]
Hyland, Andrew [16 ]
机构
[1] Ctr Addict & Mental Hlth, Inst Mental Hlth Policy Res, London, ON, Canada
[2] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[3] Western Univ, Schulich Sch Med & Dent, Dept Epidemiol & Biostat, London, ON, Canada
[4] Ontario Tobacco Res Unit, Toronto, ON, Canada
[5] Univ Waterloo, Dept Psychol, Waterloo, ON, Canada
[6] Univ Waterloo, Sch Publ Hlth & Hlth Syst, Waterloo, ON, Canada
[7] Ontario Inst Canc Res, Toronto, ON, Canada
[8] Med Univ South Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[9] US FDA, Ctr Tobacco Prod, Silver Spring, MD USA
[10] Rutgers Sch Publ Hlth, Ctr Tobacco Studies, Piscataway, NJ USA
[11] Natl Inst Minor Hlth & Hlth Dispar, Div Intramural Res, Bethesda, MD USA
[12] NCI, Tobacco Control Res Branch, Behav Res Program, Div Canc Control & Populat Sci,NIH, Rockville, MD USA
[13] Univ Calif San Diego, Canc Prevent Program, Moores Canc Ctr, San Diego, CA 92103 USA
[14] Univ Calif San Diego, Dept Family Med & Publ Hlth, San Diego, CA 92103 USA
[15] Westat Corp, Rockville, MD USA
[16] Roswell Park Canc Inst, Div Canc Prevent & Populat Sci, Dept Hlth Behav, Buffalo, NY 14263 USA
基金
美国国家卫生研究院;
关键词
Harm perceptions; Tobacco products; E-cigarettes; HIGH-SCHOOL-STUDENTS; UNITED-STATES; E-CIGARETTES; SMOKERS; RISK; PREVALENCE; AWARENESS; NICOTINE; MESSAGES; VALIDITY;
D O I
10.1016/j.addbeh.2020.106337
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objectives: To examine: (1) How perceptions of harm for seven non-cigarette tobacco products predict subsequent use; (2) How change in use is associated with changes in perceptions of product harm; (3) Whether sociodemographic variables moderate the association between perceptions and use. Methods: Data are from the adult sample (18 + ) of the Population Assessment of Tobacco and Health (PATH) Study, a nationally representative longitudinal cohort survey conducted September 2013-December 2014 (Wave 1 (W1) n = 32,320) and October 2014-October 2015 (Wave 2 (W2) n = 28,362). Results: Wave 1 users and non-users of e-cigarettes, filtered cigars, cigarillos, and pipes, who perceived these products as less harmful had greater odds of using the product at W2. For the other products, there was an interaction between W1 perceived harm and W1 use status in predicting W2 product use. At W2, a smaller percentage of U.S. adults rated e-cigarettes as less harmful than cigarettes compared to W1 (41.2% W1, 29.0% W2). Believing non-cigarette products to be less harmful than cigarettes was more strongly associated with subsequent product use in the oldest age group (55 + years) while weaker effects were observed in the youngest age group (18-24 years). This moderating effect of age was significant for e-cigarettes, hookah, traditional cigars, and cigarillos. Conclusions: Strategies to prevent initiation and promote cessation of these products may benefit from understanding and addressing perceptions of these products.
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页数:7
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