Yessenia Castro, Jose E Velasquez, Zully C Guerra, Tatiana Londoño, John R Moore, Nazanin M Heydarian
{"title":"A Spanish-language Adaptation of the Brief Wisconsin Inventory of Smoking Dependence Motives among Mexican and Mexican-American Adults Who Smoke.","authors":"Yessenia Castro, Jose E Velasquez, Zully C Guerra, Tatiana Londoño, John R Moore, Nazanin M Heydarian","doi":"10.1093/ntr/ntaf042","DOIUrl":"https://doi.org/10.1093/ntr/ntaf042","url":null,"abstract":"<p><strong>Introduction: </strong>The smoking pattern of Latino smokers differs from non-Latino white smokers such that physical dependence may not be a strong motivator for smoking among Latinos. Multidimensional measures of dependence may be more useful, but there is a lack of psychometrically sound multidimensional Spanish-language measures. This study evaluated the psychometric properties of a Spanish-language adaptation of the Brief Wisconsin Inventory of Dependence Motives (Brief WISDM) for use among Spanish-speaking Latino smokers in the U.S.</p><p><strong>Methods: </strong>287 Spanish-speaking Mexican-origin smokers in the U.S. responded to a revised set of Spanish Brief WISDM items. Confirmatory factor analyses and model trimming procedures were conducted with 144 participants randomly selected from the sample. The resulting scale was replicated with the remaining 143 participants. Tests of concurrent validity examined each subscale's ability to statistically predict relevant smoking patterns.</p><p><strong>Results: </strong>Model trimming resulted in a 19-item, six-factor scale with acceptable fit (χ2=227.03 p<.0001; RMSEA=.07, CFI=.93, TLI=0.92, SRMR=0.05). The final model retained factors Automaticity, Craving, Social/Environmental Goads, Taste, and Weight Control. Items from Affective Enhancement and Cognitive Enhancement were combined to form one factor. Concurrent validity was largely supported in both samples.</p><p><strong>Conclusions: </strong>This study helps address the need for a valid and reliable multidimensional Spanish language measure of commercial tobacco dependence.</p><p><strong>Implications: </strong>A valid measure of dependence allows for the conduct of research that could lead to novel, culturally relevant knowledge of the processes involved in smoking initiation, maintenance, cessation and relapse among an understudied population.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"E-cigarette use initiation by sexual identity change and stability among US adults.","authors":"Juhan Lee, Alyssa F Harlow","doi":"10.1093/ntr/ntaf044","DOIUrl":"https://doi.org/10.1093/ntr/ntaf044","url":null,"abstract":"<p><strong>Introduction: </strong>Incorporating sexual identity fluidity and stability into the understanding of tobacco use patterns by sexual minority populations is particularly important, but less is known about how changes and stability in sexual identity relate to e-cigarette initiation.</p><p><strong>Methods: </strong>Using three waves of the United States (US) Population Assessment of Tobacco Health (PATH) Study (Waves 4-6 [2016-2021]), we examined the association of sexual identity change and stability with e-cigarette initiation among adults who never vaped at Wave 4 (N=11,554). Changes in sexual identity were defined based on identity at Waves 4-6: (1) Consistently heterosexual; (2) Consistently Lesbian, Gay, Bisexual, or something else (LGB+); (3) Heterosexual at Wave 4 and LGB+ at Wave 6; (4) All other identity changes. The outcome was ever e-cigarette use at Wave 6.</p><p><strong>Results: </strong>Among adults who never vaped at Wave 4, N=1,022 (4.0%, weighted) initiated e-cigarettes by Wave 6. Overall, N=10,166 (93.1%) reported consistently heterosexual identities, N=513 (2.7%) consistently LGB+, N=316 (1.8%) reported heterosexual identity at Wave 4 and LGB+ identity at Wave 6, and N=298 (2.4%) reported all other identities. Among adults who never used e-cigarettes at Wave 4, those who reported heterosexual at Wave 4 and LGB+ identity at Wave 6 (vs. those who reported consistently heterosexual identity) were more likely to report e-cigarette initiation at Wave 6 (aOR=1.78, 95% CI=1.05, 3.01), after adjusting for covariates.</p><p><strong>Conclusions: </strong>This study found an increased risk of e-cigarette use initiation and continued use among US adults who changed their self-reported sexual identity from heterosexual identity to LGB+ identity.</p><p><strong>Implications: </strong>This study found an increased risk of e-cigarette use initiation and continued use among US adults who changed their self-reported sexual identity from heterosexual identity to LGB+ identity. Findings may inform the development of tailored interventions and clinical practices, capitalizing on the coming out phase as a teaching moment to communicate the potentially harmful effects of e-cigarette use among sexual minority individuals.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leah M Lambart, Lisa Sanderson Cox, Matthew S Mayo, Alexandra R Brown, Eleanor L S Leavens, Jasjit S Ahluwalia, Nicole L Nollen
{"title":"CHANGE in Cigarette, other tobacco product, and cannabis use among individuals who used or did not use CANNABIS during a smoking cessation trial.","authors":"Leah M Lambart, Lisa Sanderson Cox, Matthew S Mayo, Alexandra R Brown, Eleanor L S Leavens, Jasjit S Ahluwalia, Nicole L Nollen","doi":"10.1093/ntr/ntaf045","DOIUrl":"https://doi.org/10.1093/ntr/ntaf045","url":null,"abstract":"<p><strong>Introduction: </strong>As many as 40% of adults who smoke (AWS) use cannabis, yet little is known about how cigarette-cannabis (CIG-CAN) use impacts change in cigarette and other tobacco product (OTP) use during a quit attempt.</p><p><strong>Methods: </strong>Secondary data analysis of a smoking cessation randomized clinical trial (RCT) that enrolled 392 Black adults who wanted to quit cigarettes and were provided 18 weeks of standard or adapted pharmacotherapy. Participants self-reported cigarettes, cannabis, and OTP at W0,2,6,12,18, and 26. Longitudinal modeling of group, time, and group by time effects compared change in cigarettes, cannabis, and OTP between those who did and did not use cannabis.</p><p><strong>Results: </strong>Nearly half (47.2%,185/392) were CIG-CAN users. Cannabis types were joints (78.4%) and blunts (51.9%). Significant reduction in CPD over time (p=0.02) did not differ by group (p=0.18). OTP had significant group, group by time interaction and time effect (p<0.001), however, OTP use is small and had minimal effect on consumption. CIG-CAN increased cannabis use through week 26 (p<0.001). When CPD decreased, there was a compensatory effect on OTP (<.0001), but not cannabis (p=0.37).</p><p><strong>Conclusion: </strong>Prevalence of cannabis use was high among Black adults attempting to quit cigarette smoking in an RCT. OTP use was minimal, but CIG-CAN maintained higher OTP and increased consumption of cannabis while having similar reductions in CPD. Findings require replication in a prospectively designed study but suggest a pattern of compensation, primarily with cannabis, among CIG-CAN that may limit potential health benefit of cigarette reduction and could compromise future attempts at cessation.</p><p><strong>Implications: </strong>This study's findings suggest a large percentage of cannabis use (47%) and within those users an increase of other tobacco products. At the same time, participants reduced cigarettes per day in both those who did and did not use cannabis. These findings reinforce the need for targeted treatment of all combustible products. Clinical practice guidelines and empirically informed interventions to address CIG-CAN co-use are absent in the field and urgently needed. In addition, better assessment of CIG-CAN in clinical studies is needed to aid in understanding the health impact of co-use.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ollie Ganz, Nishi Gonsalves, Eugene M Talbot, Scott I Donaldson, Michelle Jeong, Jon-Patrick Allem
{"title":"Social Media Use and Exposure to E-Cigarette Content: A Comparison of Lesbian or Gay, Bisexual, and Questioning and Heterosexual Male and Female Young Adults in California.","authors":"Ollie Ganz, Nishi Gonsalves, Eugene M Talbot, Scott I Donaldson, Michelle Jeong, Jon-Patrick Allem","doi":"10.1093/ntr/ntaf040","DOIUrl":"https://doi.org/10.1093/ntr/ntaf040","url":null,"abstract":"<p><strong>Introduction: </strong>Given the rapidly changing media landscape and popularity of e-cigarettes among young adults who identify as lesbian or gay, bisexual, questioning, or something else (LGB+), timely data on media consumption and exposure to e-cigarette content across media channels is imperative for developing counter-messaging and public education campaigns for these individuals.</p><p><strong>Methods: </strong>Using 2023 data from young adults in California, this study examined how social media use differed for heterosexual and LGB+ young adults, by sex. Exposure to e-cigarette content across media channels was also compared between heterosexual and LGB+ young adults, by sex.</p><p><strong>Results: </strong>Findings from a non-probability representative sample of young adults in California showed that more LGB+ young adults reported using Tumblr and fewer reported using Facebook and Snapchat, compared with heterosexual young adults, among both males and females. Use of Reddit was more common among LGB+ versus heterosexual females, but there were no differences by sexual identity among males. Exposure to e-cigarette marketing was more common among LGB+ females compared with heterosexual females, but this was not the case for males. Exposure to user-generated e-cigarette content, and self-reported visits to e-cigarette websites, were more common among LGB+ females compared to heterosexual females.</p><p><strong>Conclusions: </strong>These findings highlight the importance of treating LGB+ individuals as a heterogeneous group. As such, anti-tobacco campaigns targeting LGB+ individuals that leverage social media will want to consider which platforms are most used among their target audience to increase campaign reach.</p><p><strong>Implications: </strong>This study builds upon the literature by providing timely data on how LGB+ young adults consume social media and are exposed to e-cigarette marketing. Findings have implications for tobacco education campaigns designed for LGB+ individuals that leverage social media.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Scott I Donaldson, Kathryn La Capria, Amanda DeJesus, Ollie Ganz, Jon-Patrick Allem
{"title":"Content analysis of tobacco brands' \"Tagged\" section on Instagram.","authors":"Scott I Donaldson, Kathryn La Capria, Amanda DeJesus, Ollie Ganz, Jon-Patrick Allem","doi":"10.1093/ntr/ntaf039","DOIUrl":"https://doi.org/10.1093/ntr/ntaf039","url":null,"abstract":"<p><strong>Introduction: </strong>Brands can be \"tagged\" in Instagram posts to communicate a partnership with a social media influencer. Little is known about the content of these communications in the tobacco-related literature. To address this gap, this study identified tagged posts on the official Instagram pages of tobacco brands and described the themes of such posts.</p><p><strong>Methods: </strong>Six tobacco brands with official Instagram pages were identified. Each tagged section of the brand's official Instagram page was examined to identify potential partnerships with social media influencers. Posts to the tagged section of the Instagram page were collected from November 2022 to February 2024. For each post, tobacco-related themes were coded.</p><p><strong>Results: </strong>This study identified 594 tagged posts from 222 potential social media influencers. The most common theme among tagged posts was product presence (n=430, 72.4%), followed by branding (n=421, 70.9%). Young adults were identified in 40.4% (n=240) of posts. Among users who tagged a brand account, 96.1% (n=571) of their account profiles contained URL links to commercial websites, suggesting social media influencer status.</p><p><strong>Conclusions: </strong>This study showed that the tagged section of tobacco brands' Instagram pages contained posts suggestive of paid partnerships between the brand and social media influencers. These posts often featured tobacco use and young adults. Future research should examine whether the presence of (or accessibility to) URL links to commercial websites appearing on influencers' pages increases an Instagram user's purchase intentions and tobacco use initiation.</p><p><strong>Implications: </strong>This study showed that the \"tagged\" sections of the official Instagram pages of six tobacco brands featured tobacco use, contained links to commercial websites, avoided content about addiction, and revealed that social media influencers inconsistently disclosed financial relationships with tobacco brands. In addition to enforcing and bolstering online marketing restrictions, prevention programs and interventions may focus on tobacco-related digital media literacy to help inoculate young adults against the pro-tobacco online environment.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Financial incentives for substance abstinence: a systematic review and meta-analysis.","authors":"Damon Phillips-Chantelois, Kelsey Sharrad, Shagufta Perveen, Tahlia Gammatopoulos, Nawal Usmani, Karen Szumlinski, Kristin Carson-Chahhoud","doi":"10.1093/ntr/ntaf038","DOIUrl":"https://doi.org/10.1093/ntr/ntaf038","url":null,"abstract":"<p><strong>Introduction: </strong>Substance Use Disorder (SUD) increased by 45% globally in the past 10 years, representing one of the largest increases in risk factors for disease. Financial incentives (FI) are a promising tool to promote health behavior change, including substance abstinence. We aim to address a 10-year gap in the evidence and identify key characteristics for optimal treatment.</p><p><strong>Methods: </strong>A meta-analysis of randomized controlled trials (RCTs) was undertaken per Cochrane guidelines and the PRISMA 2020 checklist. Medline, PsycINFO, and EMBASE were searched up to 11th September 2024. Included studies offered FI to substance users in exchange for substance abstinence compared to an alternative intervention control. The primary outcome extracted was substance abstinence at latest follow-up. Secondary outcomes such as cost-effectiveness, adverse events, and motivational assessments were also extracted. Risk of bias was analyzed using the RoB 1 tool.</p><p><strong>Results: </strong>Of 5,042 studies identified, 246 were shortlisted for full-text review and included 39 RCTs (N = 27,845) for meta-analysis. SUD categories spanning nicotine (n = 30, OR = 1.83; 95%CI = 1.65-2.03, p < .001), alcohol (n = 3, OR = 4.69, 95%CI = 1.59-13.86, p = .005), stimulants (n = 2, OR = 3.52; 95%CI = 0.36-34.18, p = 0.28), and polydrug (n = 2, OR = 3.11, 95%CI = 0.53-18.25, p = 0.21) were meta-analyzed for improving abstinence rates. Cannabis and opioid sub-groups could not be meta-analyzed. Overall effectiveness was significant for FI improving substance abstinence rates (OR=1.93, 95%CI=1.66-2.24, p<.001) with continued significance through 12-month or longer follow-ups (OR=1.78; 95%CI=1.50-2.12, p<.001).</p><p><strong>Conclusions: </strong>Findings from this meta-analysis suggest that FI are an effective tool for increasing substance abstinence, particularly nicotine and alcohol, however, future research is recommended for other substances such as stimulants and opioids.</p><p><strong>Implications: </strong>This systematic review and meta-analysis exploring the use of financial incentives for substance use disorders provides the first update on trends in this field since 2014 and the first meta-analysis since 2006. Notably, this review challenges the concerns of sustainability and effects on motivation which have withheld the clinical application of financial incentives for substance use disorders.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of cigarette package tar yield displays, tar warning statement, and plain packaging on low-tar cigarette misperceptions among South Koreans who smoke.","authors":"Stella Juhyun Lee","doi":"10.1093/ntr/ntaf041","DOIUrl":"https://doi.org/10.1093/ntr/ntaf041","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined whether different cigarette package features such as tar yield display, tar warning statement, and plain packaging affect beliefs about tar intake, smoothness, and safety of low-tar cigarettes among South Koreans who smoke.</p><p><strong>Methods: </strong>An online randomized between-subjects experiment was carried out (n = 500) on a panel of South Koreans who smoke. Participants were exposed to either a mock cigarette package that 1) displayed tar yield; 2) did not display tar yield; 3) showed a tar warning statement; or 4) was plain packaged. Beliefs about tar intake, smoothness, and safety were measured post-exposure. Beliefs were compared across conditions, and mediation analysis was conducted.</p><p><strong>Results: </strong>Participants exposed to the tar warning statement believed the mock cigarette would deliver lesser tar compared to those only exposed to the package that displayed tar yield. Those who viewed the cigarette package with no tar yield number were less likely to agree that the cigarette would be smoother compared to those who viewed the package with a visible tar yield number. The effect of viewing the tar warning statement on safety beliefs was fully mediated by tar intake beliefs. The effect of exposure to tar yield display on safety beliefs was fully mediated by smoothness beliefs.</p><p><strong>Conclusion: </strong>Study results indicate that the current tar warning statement could increase misperceptions. Removing tar yield numbers may reduce smoothness beliefs about low-tar cigarettes. Health communication efforts should address beliefs about tar intake and smoothness when trying to correct low-tar cigarette misperceptions about safety.</p><p><strong>Implications: </strong>Previous research has found that tar yield numbers displayed on the front of South Korean low-tar cigarette packages may mislead people to perceive lesser harm. However, studies have not yet examined whether other package elements such as the current tar warning statement or plain packaging could reduce misperceptions. Study results indicated that viewing the current tar warning statement backfires by increasing belief in lesser tar intake. Viewing tar yield numbers also led to increased perception that the cigarette will feel smoother. Plain packaging did not exert any effects on beliefs about tar intake, safety or smoothness. Findings can inform tobacco packaging policies and health communication efforts to reduce misperceptions about low-tar cigarettes.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hong Chen, Tzu Tsun Luk, Ziqiu Guo, Annie On Ni Yip, Yee Tak Derek Cheung, Sophia Siu Chee Chan, Tai Hing Lam, Man Ping Wang
{"title":"Real-World Effectiveness of Nicotine Replacement Therapy Sampling in Chinese Women of a Sex-Specific Smoking Cessation Program in Hong Kong, China.","authors":"Hong Chen, Tzu Tsun Luk, Ziqiu Guo, Annie On Ni Yip, Yee Tak Derek Cheung, Sophia Siu Chee Chan, Tai Hing Lam, Man Ping Wang","doi":"10.1093/ntr/ntaf022","DOIUrl":"https://doi.org/10.1093/ntr/ntaf022","url":null,"abstract":"<p><strong>Introduction: </strong>Nicotine replacement therapy (NRT) sampling has been shown effective in increasing smoking abstinence by trials, but the real-world effectiveness in women is unknown. We examined the effectiveness of 1-week NRT sampling combined with counseling on smoking abstinence in Chinese women.</p><p><strong>Aims and methods: </strong>A prospective study was conducted on 545 Chinese women (mean age: 37.7 years) receiving nurse-delivered smoking cessation counseling from the Women Quit program in Hong Kong from 2006 to 2023. 1-week free NRT sampling was offered to all participants. Participants were categorized based on NRT usage at 1 month: non-users (n = 255), users of < 1 week (n = 112), and 1-week users (n = 178). The primary outcome was self-reported 7-day point prevalence of abstinence (PPA) at 6 months.</p><p><strong>Results: </strong>Compared with non-users receiving counseling alone, 1-week users had higher 7-day PPA at 3- (aRR 1.66, 95% CI: 1.24 to 2.20) and 6-month (aRR 1.71, 95% CI: 1.29 to 2.25), higher 60-day (aRR 1.55, 95% CI: 1.03 to 2.33) and 150-day continuous abstinence (aRR 2.06, 95% CI: 1.33 to 3.20), and higher smoking reduction rates at 3- (aRR 1.66, 95% CI: 1.27 to 2.17) and 6-month (aRR 1.47, 95% CI: 1.07 to 2.02) follow-ups. Users of < 1 week had similar smoking abstinence and reduction rates compared with non-users (all p > .05). Higher 7-day PPA at 6 months of 1-week users was observed in lower versus higher education and income (both p for interaction < 0.05).</p><p><strong>Conclusions: </strong>The evidence presented suggests the real-world effectiveness of 1-week NRT sampling combined with counseling for increasing smoking abstinence and reduction rates in women. This implies that encouraging sampling of NRT will improve smoking cessation outcomes, particularly for women of low socioeconomic status.</p><p><strong>Implications: </strong>We found that using 1-week NRT sampling combined with counseling was associated with higher smoking abstinence and reduction rates compared with counseling alone in women receiving a quitline service. We also found that women with socioeconomic disadvantages and older age benefited more from the use of 1-week NRT sampling. These findings highlight the importance of offering and promoting the use of 1-week NRT sampling as part of smoking cessation programs for women, particularly those with lower socioeconomic status, potentially to narrow cessation disparities.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine East, Eve Taylor, Ann McNeill, Ioannis Bakolis, Amy E Taylor, Olivia M Maynard, Marcus R Munafò, Jasmine Khouja
{"title":"Perceived Harm of Vaping Relative to Smoking and Associations With Subsequent Smoking and Vaping Behaviors Among Young Adults: Evidence From a UK Cohort Study.","authors":"Katherine East, Eve Taylor, Ann McNeill, Ioannis Bakolis, Amy E Taylor, Olivia M Maynard, Marcus R Munafò, Jasmine Khouja","doi":"10.1093/ntr/ntaf018","DOIUrl":"https://doi.org/10.1093/ntr/ntaf018","url":null,"abstract":"<p><strong>Introduction: </strong>There is a lack of evidence on whether vaping harm perceptions can predict vaping and smoking behaviors among young adults in the United Kingdom. We aimed to assess whether the perceived harm of vaping relative to smoking is associated with subsequent changes in vaping and smoking behaviors in this population.</p><p><strong>Methods: </strong>Data were from the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective cohort study. Longitudinal associations were assessed between the perceived harm of vaping relative to smoking at baseline (approximately 24 years old; Nov'15-Aug'17) and the following smoking/vaping outcomes at follow-up (approximately 30 years old; May-Oct'22): (1) stopping smoking, (2) initiation of ever smoking and/or vaping, and (3) uptake of past 30-day smoking and/or vaping. Multinomial logistic regressions were used, adjusting for sociodemographic factors.</p><p><strong>Results: </strong>Among young adults who smoked but did not vape at baseline (n = 687), the perception that vaping is less harmful than smoking (vs. equally/more harmful, or don't know) was associated with stopping smoking and now vaping at follow-up (adjusted Relative Risk Ratio (aRRR)=1.69, 95%CI = 1.02 to 2.81, p = .04). Initiation of ever smoking/vaping, or uptake of past 30-day smoking/vaping, were not common during the study period and there was little evidence that these outcomes were associated with relative vaping harm perceptions at baseline.</p><p><strong>Conclusions: </strong>Among young adults who smoke, perceiving vaping as less harmful than smoking was associated with switching from smoking to vaping six years later. Few young adults who did not smoke or vape initiated these behaviors during the study period.</p><p><strong>Implications: </strong>This is the first study in England to find that young adults who smoked and who accurately perceived vaping as less harmful than smoking were more likely to switch to vaping 6 years later. This is consistent with prior studies among adults and highlights the need for interventions to improve the pervasive misperceptions about vaping that are currently observed among young adults who smoke.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Messaging and Perception in Reducing Youth Vaping.","authors":"Alina Yang","doi":"10.1093/ntr/ntaf036","DOIUrl":"https://doi.org/10.1093/ntr/ntaf036","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}