Drake Cara, Starcevich Katherine, Wackowski Olivia, Gratale Stefanie K, Ganz Ollie, Ohman-Strickland Pamela, Pearson Jennifer L
Department of Health Behavior, Policy, and Administration Sciences, School of Public Health, University of Nevada, Reno, Reno, NV, USA.
Division of Epidemiology and Biostatistics, School of Public Health, University of Nevada, Reno, Reno, NV, USA.
Nicotine Tob Res. 2025 Jul 22;27(8):1467-1472. doi: 10.1093/ntr/ntae289.
This study describes the prevalence and correlates of beliefs that "organic" and "additive-free" tobacco products are less harmful than conventional tobacco products among US adults, stratified by smoking status and preference for Natural American Spirit (NAS), a brand that uses "organic" and historically used "additive-free."
We analyzed Population Assessment of Tobacco and Health Study Wave 6 data (n = 29 516) for adults aged 18+ years and generated weighted prevalence estimates. We used weighted logistic regressions to model the odds of believing organic/additive-free tobacco products are "less harmful" versus "about the same" or "more harmful."
Overall, 10.0% of adults, 15.3% of adults who smoke cigarettes, and 34.0% of adults who smoke NAS believed "organic" tobacco products were less harmful, with similar findings for "additive-free." Belief that "organic" products were less harmful was greater among people who were ages 18-34 (adjusted odds ratio [aOR]: 1.6; 95% confidence interval [CI]: 1.4, 1.9) or 35-54 (aOR: 1.4; 95% CI: 1.1, 1.6), were Black (aOR: 1.3; 95% CI: 1.2, 1.5), currently smoke (aOR: 2.0; 95% CI: 1.7, 2.3), or formerly smoke (aOR: 1.4; 95% CI: 1.2, 1.6). Belief that "additive-free" products were less harmful was greater among males (aOR: 1.3; 95% CI: 1.1, 1.4) and people aged 18-34 (aOR: 1.3; 95% CI: 1.1, 1.5), who currently smoke (aOR: 2.0; 95% CI: 1.7, 2.4) or who formerly smoke (aOR: 1.7; 95% CI: 1.4, 2.0).
Many adults who smoke, particularly those who smoke NAS, believe organic and additive-free tobacco products are less harmful than regular cigarettes.
In light of recent changes in the tobacco marketing environment, this study provides an update on harm perceptions from "organic" and "additive-free" cigarette product descriptors. Results indicate that many US adults continue to believe that "organic" and "additive-free" tobacco products are less harmful tobacco products. These beliefs may continue to mislead people, as they are more prevalent among young people, people who identify as Black, males, people who smoke cigarettes, and those who smoke NAS cigarettes.
本研究描述了美国成年人中认为“有机”和“无添加剂”烟草产品比传统烟草产品危害更小的观念的流行情况及其相关因素，并按吸烟状况和对天然美国精神（NAS）香烟的偏好进行分层。NAS是一个使用“有机”且历史上曾使用“无添加剂”的品牌。
我们分析了烟草与健康人口评估研究第6轮的数据（n = 29516），样本为18岁及以上成年人，并生成加权患病率估计值。我们使用加权逻辑回归模型来分析认为有机/无添加剂烟草产品“危害更小”与“危害相当”或“危害更大”的概率。
总体而言，10.0%的成年人、15.3%的吸烟者以及34.0%的NAS吸烟者认为“有机”烟草产品危害更小，“无添加剂”产品的情况类似。认为“有机”产品危害更小的情况在18 - 34岁（调整优势比[aOR]：1.6；95%置信区间[CI]：1.4，1.9）或35 - 54岁（aOR：1.4；95% CI：1.1，1.6）的人群、黑人（aOR：1.3；95% CI：1.2，1.5）、当前吸烟者（aOR：2.0；95% CI：1.7，2.3）或曾经吸烟者（aOR：1.4；95% CI：1.2，1.6）中更为常见。认为“无添加剂”产品危害更小的情况在男性（aOR：1.3；95% CI：1.1，1.4）、18 - 34岁的人群、当前吸烟者（aOR：2.0；95% CI：1.7，2.4）或曾经吸烟者（aOR：1.7；95% CI：1.4，2.0）中更为常见。
许多吸烟者，尤其是那些吸NAS香烟的人，认为有机和无添加剂烟草产品比普通香烟危害更小。
鉴于烟草营销环境最近的变化，本研究提供了关于“有机”和“无添加剂”香烟产品描述所带来的危害认知的最新情况。结果表明，许多美国成年人仍然认为“有机”和“无添加剂”烟草产品是危害较小的烟草产品。这些观念可能会继续误导人们，因为它们在年轻人、自认是黑人的人、男性、吸烟者以及吸NAS香烟的人群中更为普遍。
