Evidence map›Paper›PMID 30501991›Full record

ArticleAddictive behaviors2019

Smokers' perceptions of risks and harm from snus relative to cigarettes: A latent profile analysis study.

Olivia A Wackowski, Anne E Ray, Jerod L Stapleton

Abstract read
In one paragraph

Article in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Risk perception ofSSM - population health · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Smokers' Exposure to Perceived Modified Risk Claims for E-Cigarettes, Snus, and Smokeless Tobacco in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  9. Harm Perceptions and Beliefs about Potential Modified Risk Tobacco Products.International journal of environmental research and public health · 2021
    Article
  10. Article
  11. Comparison of a General and Conditional Measure of E-Cigarette Harm Perceptions.International journal of environmental research and public health · 2020
    Article
  12. Article
  13. Article
  14. Latent Classes of Nicotine Beliefs Correlate with Perceived Susceptibility and Severity of Nicotine and Tobacco Products in US young adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Article
  15. 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

3 authors at 1 institution in 1 country.

Olivia A WackowskiCenter for Tobacco Studies, Department of Social and Behavioral Health Sciences, Rutgers School of Public Health, 683 Hoes Lane West, Piscataway, NJ 08854, USA. Electronic address: wackowol@sph.rutgers.edu.
Anne E RayCenter for Tobacco Studies, Department of Social and Behavioral Health Sciences, Rutgers School of Public Health, 683 Hoes Lane West, Piscataway, NJ 08854, USA.
Jerod L StapletonRutgers Cancer Institute of New Jersey, Department of Medicine, Rutgers University, 195 Little Albany Street, New Brunswick, NJ 08901, USA.
Rutgers, The State University of New Jersey · US

Funding

Perceptions and Impact of Modified Risk Tobacco Product Communication MessagesR37CA222002 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI WACKOWSKI, OLIVIA · 2018 to 2023
$2.1M
Exploring smokers' perceptions of differing smokeless tobacco news messagesR03CA175901 · NCI · RBHS-SCHOOL OF PUBLIC HEALTH · PI WACKOWSKI, OLIVIA · 2013 to 2014
$157k
NCI NIH HHS R03 CA175901NCI NIH HHS R37 CA222002
6 · The paper itself

Abstract

introductionCertain types of smokeless tobacco (SLT) products, particularly snus, carry fewer health risks than cigarette smoking and might be able to serve as harm-reduction products for smokers. However, studies frequently find that smokers misperceive SLT and snus to be as or more harmful than smoking. This perception is often measured with a single general harm question, and research on underlying risk perceptions is limited.

methodsUsing a sample of 256 current smokers, we utilized Latent Profile Analysis to examine response profiles to items that assessed perceived risk of specific health outcomes (lung cancer, heart disease, oral cancer) from snus relative to cigarettes, along with the typical single item measure of overall harm from snus compared to cigarettes.

resultsThree smoker response profiles emerged. Almost half (44.9%) of smokers perceived snus to be as or more risky than cigarettes for all three specific health outcomes (group 1), while over one third (38.3%) had an elevated perceived risk for oral cancer only (group 2). About 17% of smokers perceived snus to have lower risks for lung cancer only (group 3). Across each profile, perceived risk was highest for oral cancer.

conclusionsIf smokers are to consider snus for harm-reduction, efforts may be needed to better inform smokers about their lower relative risks, including for particular health outcomes of interest. This study also suggests that smokers may vary in their level of need for information to correct their relative risk misperceptions.

Indexed as

Cigarette SmokingHealth Knowledge, Attitudes, PracticeSmokersTobacco ProductsTobacco, SmokelessAdultAgedFemaleHarm ReductionHeart DiseasesHumansLatent Class AnalysisLung NeoplasmsMaleMiddle AgedMouth NeoplasmsHarm perceptionsMeasurementRisk perceptionsSmokeless tobaccoSnus

Identifiers

PMID30501991
PMCPMC6358499
OpenAlexW2901253662

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.