Population prevalence and predictors of self-reported exposure to court-ordered, tobacco-related corrective statements

2019 ◽  
pp. tobaccocontrol-2019-055095 ◽  
Author(s):  
Kelly D Blake ◽  
Gordon Willis ◽  
Annette Kaufman
Keyword(s):  
Smoking Status ◽  
Adult Population ◽  
Federal Court ◽  
The Past ◽  
Population Prevalence ◽  
Nationally Representative ◽  
Never Smokers ◽  
Media Channels ◽  
National Trends ◽  
Cigarette Design

ObjectiveTo describe the population prevalence and predictors of self-reported exposure to court-ordered tobacco-related corrective statements in 2017–2018, when they were first implemented in newspapers and on television.MethodsNationally representative data from the 2018 Health Information National Trends Survey were used (n=3504). Frequencies and weighted proportions were calculated for seeing any corrective statement and for each of the five court-ordered corrective statements. Weighted, multivariable logistic regression was used to examine sociodemographic and smoking status predictors of reported exposure to any corrective statement.ResultsIn 2018, an estimated 40.6% of US adults had seen messages in newspapers or on television in the past 6 months stating that a federal court has ordered tobacco companies to make statements about the dangers of smoking cigarettes. Reported exposure to topic-specific statements ranged from 11.4% (manipulation of cigarette design) to 34.7% (health effects). Those with a high school education were significantly less likely than those with a college degree to report seeing the statements (OR=0.69, CI 0.50 to 0.95) and current smokers were significantly more likely than never smokers to report seeing them (OR=1.68, CI 1.12 to 2.53).ConclusionsIn the first 6 months of corrective statement implementation, an estimated 40.6% of US adults reported at least one exposure to any corrective statement, and current smokers were more likely than never smokers to report exposure. Traditional media channels can be effective for tobacco-related message dissemination; however, they may fail to reach more than half of the adult population without additional targeted communication efforts.

scholarly journals Widespread Belief That Organic and Additive-Free Tobacco Products are Less Harmful Than Regular Tobacco Products: Results From the 2017 US Health Information National Trends Survey

2019 ◽  
Vol 21 (7) ◽  
pp. 970-973 ◽  
Author(s):  
Jennifer L Pearson ◽  
Meghan Moran ◽  
Cristine D Delnevo ◽  
Andrea C Villanti ◽  
M Jane Lewis
Keyword(s):  
Health Information ◽  
Smoking Status ◽  
Tobacco Product ◽  
Tobacco Products ◽  
Logistic Regression Models ◽  
The Us ◽  
Widespread Belief ◽  
Nationally Representative ◽  
Never Smokers ◽  
National Trends

Abstract Significance US smokers of Natural American Spirit, a brand marketed as “organic” and “additive-free,” are more likely than other cigarette smokers to believe that their brand might be less harmful than other brands. This article (1) describes the prevalence of belief that “organic” and “additive-free” tobacco is less harmful than regular tobacco products in the US population and (2) describes the sociodemographic characteristics of adults who believe tobacco products with these descriptors are less harmful. Methods Data were drawn from the 2017 Health Information National Trends Survey (HINTS), a nationally representative survey of US adults. Logistic regression models were used to examine correlates of the belief that “organic” or “additive-free” tobacco products are less harmful than regular tobacco products. Results Overall, 26.7% of US adults and 45.3% of adult smokers believe that “organic” tobacco products are less harmful than regular tobacco products. Similarly, 35.2% of US adults and 47.1% of smokers believe that “additive-free” tobacco products are less harmful. When examining gender, age, education, race/ethnicity, sexual orientation, and smoking status, only age (adjusted odds ratio [aOR] ~0.98, 95% confidence interval [CI]: 0.97, 0.99 for both outcomes) and smoking status (current vs. never smokers, aOR ~1.78, 95% CI 1.03, 3.07 for both outcomes) were correlates of believing that “organic” or “additive-free” tobacco is less harmful than regular tobacco products. Conclusions Belief that “organic” and “additive-free” tobacco products are less harmful than other products is widespread. Younger adults and current smokers are most likely to be misinformed by “organic” or “additive-free” tobacco product descriptors. Implications Belief that “organic” and “additive-free” tobacco products are less harmful than other products is widespread among US adults and most prevalent among smokers. Removal of terms that incorrectly imply reduced harm may correct current and future consumers’ misperceptions about the brand.

It Is About Trust: Trust in Sources of Tobacco Health Information, Perceptions of Harm, and Use of E-Cigarettes

2019 ◽  
Vol 22 (5) ◽  
pp. 822-826 ◽  
Author(s):  
Héctor E Alcalá ◽  
Sandhya V Shimoga
Keyword(s):  
Health Information ◽  
Religious Organizations ◽  
Lower Odds ◽  
Logistic Regression Models ◽  
Information Research ◽  
Nationally Representative ◽  
Never Smokers ◽  
National Trends ◽  
Health Field ◽  
Different Sources

Abstract Introduction Recent research has highlighted disparities in people who perceive as trustworthy sources of e-cigarette health information. Research has yet to examine if trusting a particular source of information is associated with use of e-cigarettes or perceptions of e-cigarette harm. We use a nationally representative survey of American adults to address these gaps in knowledge. Methods This study used data from the Health Information National Trends Survey (N = 3738). Logistic regression models were used to calculate odds of ever using e-cigarettes and perceived health harm of e-cigarettes. Trust in seven different sources of e-cigarette health information served as the independent variables. Models accounted for confounders. Results Trusting religious organizations “a lot” as sources of e-cigarette health information was associated with lower odds of ever using e-cigarettes and with lower odds of perceiving e-cigarettes as less harmful than conventional cigarettes. Trusting e-cigarette companies “a lot” as sources of e-cigarette health information was associated with lower odds of viewing e-cigarettes as harmful to health. Conclusion Trusting health information about e-cigarettes from sources in the medical or public health field was not associated with lower use of e-cigarettes or viewing e-cigarettes as more harmful. Trusting health information from e-cigarette companies yielded perceptions of e-cigarette harm that are consistent with messaging provided by these companies. Implications As use of e-cigarettes continues to climb, leveraging different modes of health communication will be critical to both discourage e-cigarette use among never-smokers and, potentially, to encourage use of e-cigarettes as an option to achieve smoking cessation or reduce the harm of tobacco products. Our findings suggest that religious organizations may be helpful in communicating anti-e-cigarette messages.

Abstract P141: Association Of Obesity And Cigarette Smoking With Markers Of Inflammation And Thrombosis

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Adebamike A Oshunbade ◽  
Seth T Lirette ◽  
Arsalan Hamid ◽  
Daisuke Kamimura ◽  
Rodney Kipchumba ◽  
...  
Keyword(s):  
Cigarette Smoking ◽  
Genetic Epidemiology ◽  
Generalized Estimating Equations ◽  
Serum Amyloid A ◽  
Smoking Status ◽  
High Sensitivity ◽  
Amyloid A ◽  
The Past ◽  
Markers Of Inflammation ◽  
Never Smokers

Association of obesity and cigarette smoking with markers of inflammation and thrombosis Background: The association between obesity with inflammation and thrombosis has been understudied. The combined association of obesity and cigarette smoking with inflammation and thrombosis also has not been systematically investigated in a well characterized cohort. Methods: We investigated 2549 participants from the Genetic Epidemiology Network of Arteriopathy (GENOA) study (mean age 61±10 years, 64% women, 51% African American). Participants were classified by body mass index (BMI) as normal BMI (n=371), overweight (n= 864), or obese (n= 1314). Obese participants were further classified by self-reported smoking status as having never smoked (n= 747), smoked in the past (n= 454), and currently smoking (n= 113). We compared adjusted associations among these groups with 18 biomarkers of inflammation and 8 biomarkers of thrombosis using generalized estimating equations. Results: After adjusting for potential confounders, individuals who were obese but had never smoked had higher levels of high sensitivity CRP, serum amyloid A, TNFR1 and TNFR2, IL-6, fibrinogen, and VWF compared to participants with normal BMI that were had never smoked (all p<0.05). However, individuals with obesity currently smoking had higher levels of these biomarkers compared to those who never smokers, particularly within the domains of systemic inflammation and cytokines (Table). Compared with participants without obesity who never smoked, the odds of hsCRP >10 milligram/liter in individuals with obesity was 3.6 times for those who currently smoked, and 2.7 times for those who never smoked. Conclusions: In adjusted analyses, obesity is associated with several proinflammatory biomarkers; but when combined with cigarette smoking, this relationship becomes stronger. These findings underscore the need to recommend smoking cessation and weight loss in patients with both of these important risk factors.

scholarly journals Receipt of tobacco direct mail/email discount coupons and trajectories of cigarette smoking behaviours in a nationally representative longitudinal cohort of US adults

2018 ◽  
Vol 28 (3) ◽  
pp. 282-288 ◽  
Author(s):  
Kelvin Choi ◽  
Julia Cen Chen ◽  
Andy S L Tan ◽  
Samir Soneji ◽  
Meghan B Moran
Keyword(s):  
Smoking Status ◽  
Smoking Initiation ◽  
Direct Mail ◽  
Health Study ◽  
Demographic Correlates ◽  
Former Smokers ◽  
Nationally Representative ◽  
Never Smokers ◽  
Study Participants ◽  
Smoking Behaviours

BackgroundWe assessed whether receipt of coupons—via direct mail or e-mail—was prospectively related to trajectories of smoking behaviours.MethodsData were from a cohort of US adults (n=26 447) who participated in wave 1 (2013–2014) and wave 2 (2014–2015) of the Population Assessment of Tobacco and Health Study. Participants reported receipt of tobacco direct mail/email coupons in the past 6 months in wave 1 and their smoking status in both waves. Weighted multiple logistic regressions were used to examine demographic correlates of receiving tobacco direct mail/email coupons at wave 1 and to examine the prospective effect of receiving tobacco coupons on trajectories of smoking behaviours.FindingsAt wave 1, 10.7% of never smokers, 13.9% of experimental smokers, 37.1% of current smokers and 16.5% of former smokers reported receiving tobacco direct mail/email coupons. Lower education and higher poverty adults and non-Hispanic white current smokers were more likely to have received these coupons (p<0.05). Receiving tobacco direct mail/email coupons at wave 1 was associated with increased odds of smoking initiation among never smokers (adjusted odds ratio (AOR)=2.28, 95% CI 1.36 to 3.83), becoming established smokers among experimenters (AOR=1.62, 95% CI 1.29 to 2.04), becoming daily smokers among non-daily smokers (AOR=1.56, 95% CI 1.23 to 1.99) and smoking relapse among former smokers between waves (AOR=1.91, 95% CI 1.39 to 2.65). Receiving these coupons at wave 1 was associated with reduced odds of smoking cessation ≥6 months among current smokers (AOR=0.71, 95% CI 0.58 to 0.88).ConclusionsTobacco direct mail/email coupons encourage and sustain smoking and disproportionately affect lower socioeconomic populations.

scholarly journals Prevalence of Flavored e-Cigarette Use Among Subpopulations of Adults in the United States

2020 ◽  
Author(s):  
Adam M Leventhal ◽  
Hongying Dai
Keyword(s):  
Smoking Status ◽  
Statistical Significance ◽  
The United States ◽  
Cigarette Use ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Prevalence Estimates ◽  
Quitting Smoking ◽  
Nationally Representative ◽  
Never Smokers

Abstract Background Evidence of US adult flavored e-cigarette use prevalence stratified by age, smoking status, and purpose for vaping (ie, quitting smoking, to use when or where smoking is not allowed) can inform policies that reduce the tobacco-related cancer burden. Methods Current flavored e-cigarette use (use 1 or more nontobacco flavors) prevalence estimates were compared across subpopulation groups using 2-sided statistical significance tests in the July 2018 Current Population Survey Tobacco Use Supplement, a nationally representative cross-sectional adult survey (n = 46 759). Results Current flavored e-cigarette use was reported by 1.6% (95% confidence interval [CI] = 1.47% to 1.69%) of all respondents. Among current vapers, the percentage of those who used flavored e-cigarettes was higher for adults aged 18-24 years (89.6%), 25-34 years (86.7%), and 35-44 years (76.0%) than for adults aged 45 years and older (60.4%, Ps &lt; .001); was higher in never smokers (89.8%) than current (72.9%), long-term former (73.9%), and recent former (80.4%) smokers (Ps ≤ .009); was higher in smokers who reportedly did (78.9%) vs did not (71.1%) use e-cigarettes to vape where or when smoking is not allowed (P = .005); and did not differ between smokers who reportedly did (75.0%) vs did not (73.9%) vape to quit smoking (P = .71). Individuals who vaped to quit smoking and currently used flavored e-cigarettes constituted 0.9% (95% CI = 0.82% to 0.99%) of all adults (weighted N = 2 251 000, 95% CI = 2 046 000 to 2 476 000) and 57.2% of current flavored e-cigarette users. Conclusions Flavored e-cigarette use prevalence was low among US adults overall but common for current vapers. Flavored e-cigarette use was disproportionately prevalent among never smokers and other subpopulations that might experience harm from vaping.

scholarly journals An Examination of the Variation in Estimates of E-Cigarette Prevalence among U.S. Adults

2019 ◽  
Vol 16 (17) ◽  
pp. 3164 ◽  
Author(s):  
David T. Levy ◽  
Zhe Yuan ◽  
Yameng Li ◽  
Darren Mays ◽  
Luz Maria Sanchez-Romero
Keyword(s):  
Large Scale ◽  
Smoking Status ◽  
Cigarette Use ◽  
Online Surveys ◽  
Cigarette Smokers ◽  
Levels Of Use ◽  
Prevalence Estimates ◽  
Former Smokers ◽  
Nationally Representative ◽  
Never Smokers

Introduction: Accurate estimates of e-cigarette use are needed to gauge its impact on public health. We compared the results of online and traditional, large scale surveys and provide additional estimates from the Population Assessment of Tobacco and Health (PATH) survey, with the aim of assessing the extent of variation in prevalence estimates. Materials and Methods: We searched the peer-reviewed literature for nationally representative estimates of U.S. adult e-cigarette prevalence, and developed our own estimates from waves one, two, and three of the PATH survey. We compared estimates by age, gender, cigarette smoking status, and e-cigarette use intensity both between online and traditional surveys and among the traditional surveys. Results: For specific years, online surveys generally yielded higher adult use rates than most traditional surveys, but considerable variation was found among traditional surveys. E-cigarette prevalence was greater for less intensive than for more intensive use. Levels of use were higher among current and recent former cigarette smokers than among former smokers of longer quit duration and never smokers, and by those of younger ages. Conclusions: Considerable variation in e-cigarette use estimates was observed even for a specific year. Further study is needed to uncover the source of variation in e-cigarette prevalence measures, with a view towards developing measures that best explain regular use and transitions between the use of e-cigarettes and other tobacco products.

scholarly journals COVID-19, smoking, vaping and quitting: A representative population survey in England

2020 ◽  
Author(s):  
Harry Tattan-Birch ◽  
Olga Perski ◽  
Sarah Jackson ◽  
Lion Shahab ◽  
Robert West ◽  
...  
Keyword(s):  
Representative Sample ◽  
Bayes Factor ◽  
Smoking Status ◽  
Adult Population ◽  
Hand Washing ◽  
Sufficient Evidence ◽  
Cigarette Use ◽  
Quit Smoking ◽  
Never Smokers

AbstractAimsTo explore 1) associations between suspected SARS-CoV-2 infection, hand washing, smoking status, e-cigarette use, and nicotine replacement therapy (NRT) use and 2) whether COVID-19 has prompted smoking and vaping quit attempts, and more smoking inside the home.DesignCross-sectional household surveys of a representative sample of the population in England from April–May 2020.ParticipantsThe sample included 3,285 adults aged ≥18 years.MeasurementsParticipants who reported they definitely or think they had coronavirus were classified as having a suspected SARS-CoV-2 infection. Participants were asked how often they wash their hands after returning home, before eating, before preparing foods or before touching their face. They were also asked whether, due to COVID-19, they had i) attempted to quit smoking, ii) attempted to quit vaping, and iii) changed the amount they smoke inside the home.FindingsOdds of suspected SARS-CoV-2 infection were significantly greater among current smokers (20.9%, adjusted odds ratio [ORadj]=1.34, 95% confidence interval [CI]=1.04–1.73) and long-term (>1-year) ex-smokers (16.1%, ORadj=1.33, 95%CI=1.05–1.68) than never smokers (14.5%). Recent (<1-year) ex-smokers had non-significantly greater odds of suspected infection (22.2%, ORadj=1.50, 95%CI=0.85–2.53, Bayes factor= 0.55–1.17). Bayes factors indicated there was sufficient evidence to rule out large differences in suspected SARS-CoV-2 infection by NRT use and medium differences by e-cigarette use. With the exception of hand washing before face touching, engagement in hand washing behaviours was high (>85%) regardless of nicotine use. A minority (12.2%) of past-year smokers who made a quit attempt in the past three months were triggered by COVID-19, and approximately one-in-ten current e-cigarette users reported attempting to quit vaping because of COVID-19. Most people reported smoking the same amount inside the home.ConclusionsIn a representative sample of the adult population in England, current smokers and long-term ex-smokers had higher odds of suspected SARS-CoV-2 infection than never smokers, but there were no large differences by NRT or e-cigarette use. In general, engagement in hand washing was high regardless of nicotine or tobacco use. A minority of past-year smokers and current e-cigarette users, respectively, attempted to quit smoking/vaping due to COVID-19.

scholarly journals Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil

2020 ◽  
Vol 54 ◽  
pp. 50 ◽  
Author(s):  
Leandro F. M. Rezende ◽  
Beatriz Thome ◽  
Mariana Cabral Schveitzer ◽  
Paulo Roberto Borges de Souza-Júnior ◽  
Célia Landmann Szwarcwald
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Smoking Status ◽  
Adult Population ◽  
Chronic Respiratory Disease ◽  
Rio Grande Do Sul ◽  
Prevention Measures ◽  
General Adult Population ◽  
Race Ethnicity ◽  
Nationally Representative

OBJECTIVE: To estimate the proportion and total number of the general adult population who may be at higher risk of severe Covid-19 in Brazil. METHODS: We included 51,770 participants from a nationally representative, household-based health survey (PNS) conducted in Brazil. We estimated the proportion and number of adults (≥ 18 years) at risk of severe Covid-19 by sex, educational level, race/ethnicity, and state based on the presence of one or more of the following risk factors: age ≥ 65 years or medical diagnosis of cardiovascular disease, diabetes, hypertension, chronic respiratory disease, cancer, stroke, chronic kidney disease and moderate to severe asthma, smoking status, and obesity. RESULTS: Adults at risk of severe Covid-19 in Brazil varied from 34.0% (53 million) to 54.5% (86 million) nationwide. Less-educated adults present a 2-fold higher prevalence of risk factors compared to university graduated. We found no differences by sex and race/ethnicity. São Paulo, Rio de Janeiro, Minas Gerais, and Rio Grande do Sul were the most vulnerable states in absolute and relative terms of adults at risk. CONCLUSIONS: Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. These findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited.

A comparison of risk factors for cigarette and e-cigarette use in the United States adult population.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 1546-1546
Author(s):  
Leo Chen ◽  
Nai Wen Wang ◽  
Winson Y. Cheung
Keyword(s):  
Risk Factors ◽  
Adult Population ◽  
The United States ◽  
Public Health Agencies ◽  
Increased Risk ◽  
Health Agencies ◽  
The Us ◽  
Quitting Smoking ◽  
Nationally Representative ◽  
National Trends

1546 Background: The US CDC and public health agencies have reported alarming increases in e-cigarette (ecig) use among youth, even as cigarette (cig) use among youth decline. In this study, other risk factors for cig and ecig use are compared. Methods: This study used data from the Health Information National Trends Survey 5 Cycle 1 survey, conducted in 2017. Univariate survey-weighted logistic regression analyzed responses as a nationally representative US population. Results: Inverted trends included being 35 or older (cig: OR=1.22, p<0.01; ecig: OR=0.79, p<0.01), being a student (cig: OR=0.77, p<0.01; ecig: OR=1.24, p<0.01) or retired (cig: OR=1.09, p<0.01; ecig: OR=0.89, p<0.01) compared to being employed, and being single (cig: OR=0.92, p<0.03; ecig: OR=1.18, p<0.01). Having considered quitting smoking was not significantly associated with ecig use. Conclusions: Segments of the US adult population educated with anti-tobacco campaigns may remain at increased risk for ecig use.[Table: see text]

scholarly journals Implicit theories of smoking and association with current smoking status

2016 ◽  
Vol 23 (9) ◽  
pp. 1234-1239 ◽  
Author(s):  
Chan L Thai ◽  
Kisha I Coa ◽  
Annette R Kaufman
Keyword(s):  
Implicit Theories ◽  
Smoking Status ◽  
Smoking Behavior ◽  
Former Smokers ◽  
Nationally Representative ◽  
Incremental Belief ◽  
Using Data ◽  
Entity Belief ◽  
National Trends

Implicit theories of smoking refer to people’s beliefs about whether smoking behavior is something that is changeable (incremental belief) or fixed (entity belief). This study examines implicit theories of smoking and its association with smoking behavior in a nationally representative sample of US adults using data from the Health Information National Trends Survey. The current results show that implicit theories of smoking are associated with smoking. Among former smokers, 90 percent endorsed an incremental belief about smoking compared to 70 percent of current smokers. Our study provides initial evidence for the role of implicit theories of smoking as a psychological factor associated with smoking behavior.

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