Evidence map›Paper›PMID 33982143›Full record

ArticlePsychopharmacology2021

Reactions to reduced nicotine content cigarettes in a sample of young adult, low-frequency smokers.

Maggie M Sweitzer, Lauren R Pacek, Rachel V Kozink, Erin Locey, Scott H Kollins, Eric C Donny, F Joseph McClernon

Open access · greenAbstract read
In one paragraph

Article in Psychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 1 country.

Maggie M SweitzerDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Rd., Suite 300, Durham, NC, 27705, USA. maggie.sweitzer@duke.edu.
Lauren R PacekDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Rd., Suite 300, Durham, NC, 27705, USA.
Rachel V KozinkDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Rd., Suite 300, Durham, NC, 27705, USA.
Erin LoceyDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Rd., Suite 300, Durham, NC, 27705, USA.
Scott H KollinsDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Rd., Suite 300, Durham, NC, 27705, USA.
Eric C DonnyDepartment of Physiology and Pharmacology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
F Joseph McClernonDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, 2608 Erwin Rd., Suite 300, Durham, NC, 27705, USA.
Duke University · USWake Forest University · US

Funding

Reactions to Reduced Nicotine Cigarettes in Young Adult Low-Frequency Smokers-SupplementR01DA042532 · NIDA · DUKE UNIVERSITY · PI MCCLERNON, FRANCIS JOSEPH · 2016 to 2018
$1.5M
Mobile health interventions for varenicline adherence among HIV-positive smokersK01DA043413 · NIDA · DUKE UNIVERSITY · PI PACEK, LAUREN RENEE · 2017 to 2021
$860k
Targeting reward dysfunction as a mechanism to improve smoking cessationK23DA039294 · NIDA · DUKE UNIVERSITY · PI SWEITZER, MAGGIE M · 2016 to 2020
$817k
NIDA NIH HHS DA039294NIDA NIH HHS DA042532NIDA NIH HHS DA043413NIDA NIH HHS K01 DA043413NIDA NIH HHS K23 DA039294NIDA NIH HHS R01 DA042532
6 · The paper itself

Abstract

rationaleReducing nicotine content in cigarettes to ≤ 2.4 mg per g of tobacco [mg/g] reduces smoking behavior and toxicant exposure among adult daily smokers. However, cigarettes with similar nicotine content could support continued experimentation and smoking progression among young adults who smoke infrequently.

objectivesThis study evaluated the threshold for nicotine in cigarettes that produces reactions associated with smoking progression in a sample of young adults who smoke infrequently.

methodsYoung adults (n = 87, 18-25 years, 49% female) using tobacco products ≤ 15 days per month completed three counterbalanced, double-blinded sessions, each measuring positive and negative subjective reactions to fixed doses of smoke from investigational cigarettes containing one of three different nicotine contents: normal (NNC; 15.8 mg/g); very low (VLNC; 0.4 mg/g); and intermediate (INC; 2.4 mg/g). In a final session, participants chose one of the cigarettes to self-administer.

resultsPost-cigarette breath carbon monoxide was greater for VLNC than for NNC (p < 0.001). Positive reactions were greater for NNC than INC (p < 0.001) and for INC than VLNC (p = 0.001). Negative reactions were greater for NNC than INC and VLNC (both p < 0.001); INC and VLNC did not differ. Cigarette choices did not differ from an even distribution (43% NNC, 25% INC, 32% VLNC), but choice for NNC or INC was associated with higher ratio of positive to negative reactions during the NNC and INC fixed dose sessions, respectively (p < 0.001).

conclusionsReducing nicotine content will likely lower the abuse liability of cigarettes for most young, low-frequency smokers. Additional work is needed to determine if compensatory smoking may lead to increased toxicant exposure, and if a subset of individuals choosing lower nicotine cigarettes may continue to smoke regardless of nicotine content.

Indexed as

Electronic Nicotine Delivery SystemsSmoking CessationTobacco ProductsChild, PreschoolFemaleHumansInfantMaleNicotinePregnancySmokersYoung AdultNicotineNicotinePolicyPreventionReductionTobaccoVulnerability

Identifiers

PMID33982143
PMCPMC8376766
OpenAlexW3161857502

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.