Evidence map›Paper›PMID 23481906›Full record

Trial reportTobacco control2014

Public education about the relative harm of tobacco products: an intervention for tobacco control professionals.

Lois Biener, Amy L Nyman, Irina Stepanov, Dorothy Hatsukami

Abstract readClinical Trial
In one paragraph

Trial report in Tobacco control, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Can the Public Be Educated About Constituents in Smokeless Tobacco? A Three-Wave Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Trial
  4. Assessing Constituent Levels in Smokeless Tobacco Products: A New Approach to Engaging and Educating the Public.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2015
    Trial
  5. Review
  6. Article
  7. Review
  8. Article
  9. Truth Telling about Tobacco and Nicotine.International journal of environmental research and public health · 2019
    Article
  10. Article
  11. Article
  12. The Effect of Tobacco Control Policies on US Smokeless Tobacco Use: A Structured Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. "My First Thought was Croutons": Perceptions of Cigarettes and Cigarette Smoke Constituents Among Adult Smokers and Nonsmokers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Article
  19. A Proposed Collaboration Against Big Tobacco: Common Ground Between the Vaping and Public Health Community in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Lois BienerCenter for Survey Research, University of Massachusetts Boston, Boston, Massachusetts, USA.
Amy L NymanCenter for Survey Research, University of Massachusetts Boston, Boston, Massachusetts, USA.
Irina StepanovMasonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, USA.
Dorothy HatsukamiTobacco Research Programs, University of Minnesota, Minneapolis, Minnesota, USA.
University of Massachusetts Boston · USUniversity of Minnesota · USUniversity of Minnesota Medical Center · US

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Jeffrey S. Miller · 1998 to 2026
$100.4M
Novel Determinants and Measures of Smokeless Tobacco UseR01CA141531 · NCI · UNIVERSITY OF MINNESOTA · PI HATSUKAMI, DOROTHY K · 2009 to 2014
$2.8M
NCI NIH HHS P30 CA077598NCI NIH HHS R01 CA141531PHS HHS HHSN26120100438PPHS HHS HHSN261201100513P
6 · The paper itself

Abstract

backgroundIn the USA, new regulations require the collection of information on tobacco constituents by brand and variety and publication of this information in a way not likely to be misconstrued by consumers. Understanding of such information becomes increasingly important as new tobacco products are marketed and modifications are made to reduce the toxicity of some products. This pilot study assessed the current knowledge of tobacco control professionals regarding the relative harmfulness of several tobacco products, and evaluated an online educational intervention aimed at improving understanding of variations in nicotine and tobacco-specific N-nitrosamines (TSNAs).

methodsFifty-two tobacco control professionals participated in an online intervention which presented and discussed the results of constituent analyses of Camel Snus and Marlboro Snus compared to several conventional smokeless tobacco products. Comparisons with cigarettes were also discussed. Pre- and post-intervention questions assessed understanding of the concepts.

resultsPre-intervention responses demonstrated that 31% did not know that cigarettes are more harmful than smokeless tobacco, 67% did not know that smokeless products higher in nicotine are likely to be more effective substitutes for cigarettes, 52% did not know TSNAs are the major carcinogens in tobacco and 81% did not know new snus products tend to be lower in TSNAs than conventional spit tobacco. After intervention participation, knowledge increased on all points except one where pretest results were 100% correct.

conclusionsPublic education campaigns are urgently needed for tobacco control professionals and consumers to increase awareness and understanding of the continuum of risk among tobacco products.

Indexed as

Education, ProfessionalHealth Knowledge, Attitudes, PracticeSmoking CessationTobacco ProductsTobacco, SmokelessAwarenessCarcinogensComprehensionHumansNicotineNitrosaminesSurveys and QuestionnairesTobacco UseCarcinogensNicotineNitrosaminesCarcinogensHarm ReductionNicotineNon-cigarette tobacco products

Identifiers

PMID23481906
PMCPMC4119095
OpenAlexW2135559720

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.