ArticleBMC public health2018
Affect, risk perception, and the use of cigarettes and e-cigarettes: a population study of U.S. adults.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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.
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.
Who cites it
32 citing papers in PubMed.
- Feeling Hopeful Motivates Change: Emotional Responses to Messages Communicating Comparative Risk of Electronic Cigarettes and Combusted Cigarettes.Health education & behavior : the official publication of the Society for Public Health Education · 2019Trial
- Do youth e-cigarette users perceive smoking as attractive? The dynamics of demographics and contextual factors.International journal of public health · 2026Article
- Declines in cigarette smoking among US adolescents and young adults: indications of independence from e-cigarette vaping surge.Tobacco control · 2025Article
- Electronic Cigarette Perception in Baltimore High Schools.Open journal of psychology · 2025Article
- Exploring Interrelationships Among Numeracy, Cancer Risk Perceptions, and Tobacco Product Use.Tobacco use insights · 2025Article
- The role of IQOS risk perceptions on cigarette smoking behaviours: results from a prospective pilot study.Tobacco control · 2024Article
- Awareness and use of nicotine pouches in a nationwide sample of adults in Poland.Tobacco induced diseases · 2024Article
- Geographical location, cigarette risk perceptions, and current smoking among older US adults.Tobacco induced diseases · 2024Article
- Electronic nicotine delivery systems: prevalence and perception of risk/harm in individuals with mental illness.Singapore medical journal · 2024Article
- Differences in demographics and behaviors across two web-based survey platforms: Observations from a study of risk perceptions of heated tobacco products (HTPs).Preventive medicine reports · 2023Article
- When Cigarette Smoking Meets COVID-19: How the Two Types of Threat and Efficacy Perceptions Interactively Predict Danger Control and Fear Control Processes.International journal of environmental research and public health · 2023Article
- Association between e-cigarette use behaviors and perceived harmfulness of e-cigarettes and anxiety/depression symptoms among Black/African American Adults.Preventive medicine reports · 2023Article
- Youth and Young Adult-targeted E-cigarette Warnings and Advertising Messages: An Experiment with Young Adults in the US.Journal of health communication · 2022Article
- Ethnicity and the mechanisms of point-of-sale e-cigarette marketing's influence on behavior: A longitudinal study.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Article
- Characteristics Associated with Monitoring and Treatment of Chronic Hepatitis B in a Large Cohort of Australian Adults.Digestive diseases and sciences · 2022Article
- Perceptions of E-cigarettes among adults in treatment for opioid use disorder.Drug and alcohol dependence reports · 2022Article
- Addicted to smoking or addicted to nicotine? A focus group study on perceptions of nicotine and addiction among US adult current smokers, former smokers, non-smokers and dual users of cigarettes and e-cigarettes.Addiction (Abingdon, England) · 2022Article
- Association between perceived health risks of e-cigarettes and actual e-cigarette use, based on cigarette smoking status and sexual and gender minority status among U.S. adults.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2022Article
- A thematic analysis of smokers' and non-smokers' accounts of E-cigarettes.Journal of health psychology · 2022Article
- Predicting cigarette use initiation and dependence in adolescence using an affect-driven exploration model.Frontiers in psychology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundTobacco companies argue that the decision to smoke is made by well-informed rational adults who have considered all the risks and benefits of smoking. Yet in promoting their products, the tobacco industry frequently relies on affect, portraying their products as part of a desirable lifestyle. Research examining the roles of affect and perceived risks in smoking has been scant and non-existent for novel tobacco products, such as electronic cigarettes (e-cigarettes).
methodsWe examined the relationship between affect, perceived risk, and current use for cigarettes and e-cigarettes in 2015 in a nationally representative sample of 5398 U.S. adults who were aware of e-cigarettes.
resultsParticipants held various affective associations with tobacco products, and affect towards cigarettes was more negative than affect towards e-cigarettes. Using structural equation modeling (SEM), affect towards cigarettes and e-cigarettes was associated with cigarette smoking and e-cigarette use respectively, and these associations were both direct and partially mediated by risk perceptions towards smoking and e-cigarette use. More positive affect towards cigarettes or e-cigarettes was associated with lower perceived risks, which in turn was associated with higher odds of being a current cigarette or e-cigarette user.
conclusionsIn developing models explaining tobacco use behavior, or in creating public communication campaigns aimed at curbing tobacco use, it is useful to focus not only on the reason based predictors, such as perceptions of risks and benefits, but also on affective predictors. Educational efforts aimed at further smoking reductions should highlight and reinforce negative images and associations with cigarettes.
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What OpenQuestion holds
Registered trials
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.