Evidence map›Paper›PMID 30300799›Full record

ArticleDrug and alcohol dependence2018

Harm perceptions of electronic cigarettes and nicotine: A nationally representative cross-sectional survey of young people in Great Britain.

Katherine East, Leonie S Brose, Ann McNeill, Hazel Cheeseman, Deborah Arnott, Sara C Hitchman

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Factors Associated With Victorian Adolescents' Harm Perceptions and Attitudes About e-Cigarettes.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Perceived Harm of Vaping Relative to Smoking and Associations With Subsequent Smoking and Vaping Behaviors Among Young Adults: Evidence From a UK Cohort Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Impact of E-liquid Packaging on Vaping Product Perceptions Among Youth in England, Canada, and the United States: A Randomized Online Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  18. Article
  19. Article
  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

6 authors.

Katherine EastNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, Denmark Hill, SE5 8BB, London, UK; UK Centre for Tobacco and Alcohol Studies, University of Nottingham, NG5 1PB, Nottingham, UK. Electronic address: katherine.east@kcl.ac.uk.
Leonie S BroseNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, Denmark Hill, SE5 8BB, London, UK; UK Centre for Tobacco and Alcohol Studies, University of Nottingham, NG5 1PB, Nottingham, UK. Electronic address: leonie.brose@kcl.ac.uk.
Ann McNeillNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, Denmark Hill, SE5 8BB, London, UK; UK Centre for Tobacco and Alcohol Studies, University of Nottingham, NG5 1PB, Nottingham, UK. Electronic address: ann.mcneill@kcl.ac.uk.
Hazel CheesemanAction on Smoking and Health UK, 6th floor, Suites 59-63, New House, 67-68 Hatton Garden, EC1N 8JY, London, UK. Electronic address: hazel.cheeseman@ash.org.uk.
Deborah ArnottAction on Smoking and Health UK, 6th floor, Suites 59-63, New House, 67-68 Hatton Garden, EC1N 8JY, London, UK. Electronic address: deborah.arnott@ash.org.uk.
Sara C HitchmanNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, Denmark Hill, SE5 8BB, London, UK; UK Centre for Tobacco and Alcohol Studies, University of Nottingham, NG5 1PB, Nottingham, UK. Electronic address: sara.hitchman@kcl.ac.uk.

Funding

British Heart FoundationCancer Research UK C52999/A19748Department of HealthMedical Research Council MR/K023195/1
6 · The paper itself

Abstract

backgroundE-cigarettes often contain nicotine without the most harmful constituents of tobacco smoke.

aimsThis study aims to assess prevalence and correlates of accurately perceiving e-cigarettes as less harmful than cigarettes and that none or a small amount of the harm from smoking comes from nicotine.

methodsCross-sectional survey of 2,103 11-18-year-olds in Great Britain in 2016. Prevalence of e-cigarette and nicotine harm perceptions were calculated. Logistic regressions assessed associations between accurate e-cigarette and nicotine harm perceptions and smoking, e-cigarette use, gender, age, region, social grade, family smoking, family e-cigarette use, smoking friends, public approval of smoking, and public approval of e-cigarettes. Associations between accurate e-cigarette and nicotine harm perceptions were also assessed.

resultsMost (63.4%) accurate e-cigarette harm perceptions were higher among those aged 16+ (OR = 1.89 [95%CI = 1.45-2.47]), 14-15 (OR = 1.29 [1.00-1.65]), who tried/used an e-cigarette sometimes (OR = 1.51 [1.03-2.21]), with family e-cigarette use (OR = 2.11 [1.46-3.04]), who perceived public disapproval of smoking (OR = 2.11 [1.18-3.77]) and approval of e-cigarettes (OR = 2.44 [1.73-3.45]), and with accurate nicotine harm perceptions (OR = 2.05 [1.28-3.28]). Accurate nicotine harm perceptions were higher among those aged 16+ (OR = 2.60 [1.62-4.16]), from North England (OR = 1.87 [1.02-3.43]) and Wales/Scotland (OR = 2.61 [1.35-5.03]) vs. London, with family smoking (OR = 1.59 [1.05-2.42]), and with accurate e-cigarette harm perceptions (OR = 2.12 [1.32-3.41]).

conclusionsMany young people have inaccurate harm perceptions of e-cigarettes and nicotine. Accurate e-cigarette and nicotine harm perceptions were associated with one another. E-cigarette use was associated with accurate e-cigarette but not nicotine harm perceptions; smoking was not associated with either.

Indexed as

Electronic Nicotine Delivery SystemsPerceptionSurveys and QuestionnairesAdolescentChildCross-Sectional StudiesEnglandFemaleHumansMaleNicotineScotlandTobacco ProductsUnited KingdomVapingWalesNicotineElectronic cigaretteHarm perceptionNicotineSmokingTobaccoYouth

Identifiers

PMID30300799
PMCPMC6204576

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.