Evidence map›Paper›PMID 30158212›Full record

ArticleTobacco control2018

Impact of modified risk tobacco product claims on beliefs of US adults and adolescents.

Sherine El-Toukhy, Sabeeh A Baig, Michelle Jeong, M Justin Byron, Kurt M Ribisl, Noel T Brewer

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Tobacco control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
14.9field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Developing and Validating Measures of Absolute and Relative E-Cigarette Product Risk Perceptions: Single Items Can Be Surprisingly Comprehensive.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Pooled it
  2. Effects of Modified Risk Tobacco Product Claims on Consumer Responses.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
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  12. How Media Stories in Low- and Middle-Income Countries Discussed the U.S. Food and Drug Administration's Modified Risk Tobacco Product Order for IQOS.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
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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

6 authors at 2 institutions in 1 country.

Sherine El-ToukhyIntramural Research Program, National Heart, Lung, and Blood Institute, The National Institutes of Health, Bethesda, Maryland, USA.
Sabeeh A BaigDepartment of Health Behavior, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Michelle JeongDepartment of Health Behavior, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
M Justin ByronDepartment of Health Behavior, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1162-9907
Kurt M RibislDepartment of Health Behavior, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Noel T BrewerDepartment of Health Behavior, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · USNational Institutes of Health · US

Funding

Training & Education Program p294-308P50CA180907 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RIBISL, KURT M. · 2013 to 2017
$20.2M
Digital Health and Health Disparities Research LabZIAMD000011 · NIMHD · NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES · PI EL-TOUKHY, SHERINE · 2018 to 2025
$3.1M
Intramural NIH HHS Z99 MD999999NCI NIH HHS P50 CA180907
6 · The paper itself

Abstract

objectiveUnder US law, tobacco product marketing may claim lower exposure to chemicals, or lower risk of health harms, only if these claims do not mislead the public. We sought to examine the impact of such marketing claims about potential modified risk tobacco products (MRTPs).

methodsParticipants were national samples of 4797 adults and 969 adolescent US smokers and non-smokers. We provided information about a potential MRTP (heated tobacco product, electronic cigarette or snus). Experiment 1 stated that the MRTP was as harmful as cigarettes or less harmful (lower risk claim). Experiment 2 stated that the MRTP exposed users to a similar quantity of harmful chemicals as cigarettes or to fewer chemicals (lower exposure claim).

resultsClaiming lower risk led to lower perceived quantity of chemicals and lower perceived risk among adults and adolescents (all p<0.05, Experiment 1). Among adults, this claim led to higher susceptibility to using the MRTP (p<0.05). Claiming lower exposure led to lower perceived chemical quantity and lower perceived risk (all p<0.05), but had no effect on use susceptibility (Experiment 2). Participants thought that snus exposed users to more chemicals and was less safe to use than heated tobacco products or electronic cigarette MRTPs (Experiments 1 and 2). DISCUSSION: Risk and exposure claims acted similarly on MRTP beliefs. Lower exposure claims misled the public to perceive lower perceived risk even though no lower risk claim was explicitly made, which is impermissible under US law.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultAgedElectronic Nicotine Delivery SystemsFemaleHumansMaleMarketingMiddle AgedTobacco ProductsTobacco, SmokelessUnited StatesYoung Adultadvertising and promotionpackaging and labellingpublic policy

Identifiers

PMID30158212
PMCPMC6202195
OpenAlexW2888959074

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.