American Heart Association Tobacco Regulation and Addiction Center (A-TRAC), Dallas, TX, USA; Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
American Heart Association Tobacco Regulation and Addiction Center (A-TRAC), Dallas, TX, USA; Department of Communication, University of Louisville, Louisville, KY, USA.
Addict Behav. 2019 Apr;91:156-163. doi: 10.1016/j.addbeh.2018.10.044. Epub 2018 Oct 30.
Use of electronic nicotine delivery systems (ENDS) has increased markedly. We examined how current ENDS users differ in perceptions of tobacco and ENDS-related health risks as a function of cigarette smoking status.
We classified 1329 current ENDS users completing a national online survey based on cigarette smoking status, and employed linear and logistic regression to assess group differences in perceptions of tobacco-related health risks.
The sample consisted of 38% Current Cigarette Smokers, 40% Former Cigarette Smokers, and 22% Non-Smokers. Our targeted recruitment strategy yielded a balance of key descriptive variables across participants. Significant differences were observed in race, employment and marital status across cigarette smoking status, but not in gender, education, income, or sexual orientation. Participants reported considerable perceived knowledge about health risks associated with tobacco use, but less regarding ENDS use. Current Smokers rated ENDS use as riskier than Non-Smokers, and considered cigarette use less risky for both users and bystanders. Current Smokers were more likely to perceive cardiovascular diseases, diabetes and cancer as the health risks associated with ENDS use. Former Smokers were more likely to perceive such risks with traditional tobacco use. Further, regardless of smoking status, perceived knowledge about the health risks of tobacco or ENDS use was positively associated with perceived likelihood of high risks of cardiovascular diseases and cancer.
Among current ENDS users, there were significant differences in perceived health risks based on cigarette smoking history. Improved health messaging can be achieved when cigarette smoking status is taken into account.
电子尼古丁传送系统（ENDS）的使用显著增加。我们研究了当前的 ENDS 用户在对烟草和与 ENDS 相关的健康风险的看法上有何不同，这取决于吸烟状况。
我们根据吸烟状况对完成全国性在线调查的 1329 名当前 ENDS 用户进行分类，并采用线性和逻辑回归来评估对烟草相关健康风险的看法方面的群体差异。
样本包括 38%的当前吸烟者、40%的前吸烟者和 22%的不吸烟者。我们有针对性的招募策略使参与者在关键描述变量上保持平衡。在吸烟状况方面，种族、就业和婚姻状况存在显著差异，但性别、教育、收入或性取向没有差异。参与者报告说，他们对与烟草使用相关的健康风险有相当的认识，但对 ENDS 使用的风险认识较少。当前吸烟者认为 ENDS 使用比非吸烟者更具风险，并且认为吸烟者和旁观者使用香烟的风险都较小。当前吸烟者更有可能将心血管疾病、糖尿病和癌症视为与 ENDS 使用相关的健康风险。前吸烟者更有可能将这些风险与传统烟草使用联系起来。此外，无论吸烟状况如何，对烟草或 ENDS 使用健康风险的认知与对心血管疾病和癌症高风险的认知呈正相关。
在当前的 ENDS 用户中，根据吸烟史，对健康风险的看法存在显著差异。当考虑吸烟状况时，可以实现更好的健康信息传递。
