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Harm perception of nicotine products in college freshmen

Authors: Stephanie Y. Smith a;  Barbara Curbow b; Frances A. Stillman c
Affiliations:   a The Robert Wood Johnson Foundation and Princeton University, Princeton, NJ
  b University of Florida, Gainesville, FL
  c Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

Abstract

This study examined the association of sociodemographic characteristics and smoking behaviors (i.e., cigarette, cigar, and water-pipe) with nicotine product harm perception in college freshmen. Students were asked to compare the perceived harmfulness of 11 nicotine-delivering products with that of a regular cigarette. Data were from a cross-sectional Internet survey conducted during the spring 2004 semester at a private university (N = 411).

Binomial logistic regression was used to determine the association between sociodemographic and behavioral factors with nicotine product harm perception. A statistically significant association was found between nicotine product harm perception and sex, race, income, citizenship, and smoking behavior (p</=.05).

Regarding the three medicinal nicotine replacement therapies, 19.6% of respondents incorrectly perceived the nicotine patch to be as harmful as or more harmful than a regular cigarette; corresponding values were 24.1% for nicotine gum and 52.9% for nicotine inhaler.

Respondents incorrectly perceived the following smoked tobacco products to be less harmful than regular cigarettes: ultra-light cigarettes (40.4%), water-pipe (37%), light cigarettes (35.2%), cigarillos (17.4%), and cigars (16.9%).

Regarding smokeless nicotine products, 89.3% of respondents incorrectly perceived dip and chew to be as harmful as or more harmful than regular cigarettes; corresponding values were 36.2% for nicotine lollipops and 35.2% for nicotine water.

Our findings reveal misperceptions about nicotine product harmfulness and underscore the importance of developing a science base to inform policies and educate consumers about these products.

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More on this subject:

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The Untold Story of - How & Why Philip Morris is Pushing for FDA Regulation

Statement of Senator Edward M. Kennedy on: The Need For FDA Regulation of Tobacco Products

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