Evidence map›Paper›PMID 28735272›Full record

Trial reportTobacco control2018

Perceived nicotine content of reduced nicotine content cigarettes is a correlate of perceived health risks.

Lauren R Pacek, F Joseph McClernon, Rachel L Denlinger-Apte, Melissa Mercincavage, Andrew A Strasser, Sarah S Dermody, Ryan Vandrey, Tracy T Smith, Natalie Nardone, Dorothy K Hatsukami and 3 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Tobacco control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Nicotine Reduction in Cigarettes: Literature Review and Gap Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Educating the Public on the Health Risks of Very Low Nicotine Content Cigarettes: Results From a US-Based Convenience Sample.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Trial
  7. Effects on Smoking Behavior of Switching Menthol Smokers to Non-menthol Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Trial
  8. Article
  9. Assessing Tobacco Harm Perceptions Among Transgender and Nonbinary Adults: Results From a Community Informed State-Wide Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  10. Article
  11. Young Adults' Attention to Reduced Exposure Claims in IQOS Advertising and Associations With Product Perceptions and Use Intentions.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  12. Article
  13. Reactions to Messages About a Nicotine Reduction Policy: A Focus Group Study Among People Who Use Little Cigars and Cigarillos.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Misperceptions of Nicotine and Nicotine Reduction: The Importance of Public Education to Maximize the Benefits of a Nicotine Reduction Standard.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Article
  20. Interest in Illicit Purchase of Cigarettes Under a Very Low Nicotine Content Product Standard.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    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

13 authors at 8 institutions in 2 countries.

Lauren R PacekDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, USA.
F Joseph McClernonDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, USA.
Rachel L Denlinger-ApteDepartment of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, USA.
Melissa MercincavageDepartment of Psychiatry, University of Pennsylvania, Philadelphia, USA.
Andrew A StrasserDepartment of Psychiatry, University of Pennsylvania, Philadelphia, USA.
Sarah S DermodyCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Ryan VandreyDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, USA.
Tracy T SmithUniversity of Pittsburgh Cancer Center, Pittsburgh, USA.
Natalie NardoneDepartment of Medicine, University of California San Francisco, San Francisco, USA.
Dorothy K HatsukamiDepartment of Psychiatry, University of Minnesota, Minneapolis, USA.
Joseph S KoopmeinersDivision of Biostatistics, School of Public Health,University of Minnesota, Minneapolis, USA.
Rachel V KozinkDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, USA.
Eric C DonnyDepartment of Psychology, University of Pittsburgh, Pittsburgh, USA.
Duke University · USUniversity of Minnesota · USUniversity of Pennsylvania · USUniversity of Pittsburgh · USBrown University · USCentre for Addiction and Mental Health · CAJohns Hopkins University · USUniversity of California, San Francisco · US

Funding

VERY LOW NICOTINE CIGARETTES IN SMOKERS WITH SCHIZOPHRENIAU54DA031659 · NIDA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LE, CHAP T. · 2011 to 2022
$64.7M
Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
Ruth L. Kirschstein National Research Service Award (NRSA)- T32T32AI007392 · NIAID · DUKE UNIVERSITY · PI Amy Lynn Corneli, Guido Ferrari · 1990 to 2026
$9.8M
Infectious Disease Training-Pathogenesis/Host ResponseT32AI007329 · NIAID · TUFTS MEDICAL CENTER · PI HU, LINDEN T · 1988 to 2018
$4.1M
NCATS NIH HHS UL1 TR002494NIAID NIH HHS T32 AI007329NIAID NIH HHS T32 AI007392NIDA NIH HHS U54 DA031659NIEHS NIH HHS P30 ES013508
6 · The paper itself

Abstract

backgroundReducing cigarette nicotine content may reduce smoking. Studies suggest that smokers believe that nicotine plays a role in smoking-related morbidity. This may lead smokers to assume that reduced nicotine means reduced risk, and attenuate potential positive effects on smoking behaviour.

methodsData came from a multisite randomised trial in which smokers were assigned to use cigarettes varying in nicotine content for 6 weeks. We evaluated associations between perceived and actual nicotine content with perceived health risks using linear regression, and associations between perceived nicotine content and perceived health risks with smoking outcomes using linear and logistic regression.

findingsPerceived-not actual-nicotine content was associated with perceived health risks; compared with those perceiving very low nicotine, individuals who perceived low (

conclusionsAlthough the perception of reduced nicotine is associated with a reduction in perceived harm, it may not attenuate the anticipated beneficial effects on smoking behaviour. These findings have implications for potential product standards targeting nicotine and highlight the need to clarify the persistent harms of reduced nicotine combusted tobacco products.

Indexed as

Health Knowledge, Attitudes, PracticeAdultCigarette SmokingDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedNicotineYoung AdultNicotineHarm ReductionNicotinePublic policy

Identifiers

PMID28735272
PMCPMC6134393
OpenAlexW2738010207

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.