Evidence map›Paper›PMID 34300168›Full record

Trial reportInternational journal of environmental research and public health2021

Persistent Misperceptions about Nicotine among US Physicians: Results from a Randomized Survey Experiment.

Michelle T Bover Manderski, Michael B Steinberg, Olivia A Wackowski, Binu Singh, William J Young, Cristine D Delnevo

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Impact of Survey Item Wording and Response Options on Prevalence of Beliefs About Nicotine Causing Cancer: A Randomized Survey Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Trial
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  6. Kids No Longer Smoke Cigarettes. Why Aren't We Celebrating?American journal of public health · 2024
    Article
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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 1 institution in 1 country.

Michelle T Bover ManderskiDepartment of Biostatistics & Epidemiology, Rutgers School of Public Health, Piscataway, NJ 08854, USA.ORCID 0000-0003-0000-221X
Michael B SteinbergDepartment of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA.ORCID 0000-0003-2661-2120
Olivia A WackowskiRutgers Center for Tobacco Studies, New Brunswick, NJ 08901, USA.
Binu SinghRutgers Center for Tobacco Studies, New Brunswick, NJ 08901, USA.
William J YoungRutgers Center for Tobacco Studies, New Brunswick, NJ 08901, USA.
Cristine D DelnevoRutgers Center for Tobacco Studies, New Brunswick, NJ 08901, USA.ORCID 0000-0001-9597-4307
Rutgers, The State University of New Jersey · US

Funding

Tobacco Industry Marketing CoreU54CA229973 · NCI · UNIVERSITY OF PENNSYLVANIA · PI STRASSER, ANDREW A · 2018 to 2022
$18.8M
Physicians' Perceptions, Attitudes, and Communication of E-Cigarettes (PACE)R01CA190444 · NCI · RBHS-SCHOOL OF PUBLIC HEALTH · PI DELNEVO, CRISTINE D, STEINBERG, MICHAEL B. · 2015 to 2019
$3.1M
NCI NIH HHS R01 CA190444NCI NIH HHS U54 CA229973
6 · The paper itself

Abstract

We conducted a survey experiment among US physicians to evaluate whether question wording impacted perceptions about the health effects of nicotine. 926 physicians were randomized to receive one of two versions of a question matrix that asked about the "extent to which they agree or disagree that 'nicotine' (Version 1) or 'nicotine, on its own,' (Version 2) directly contributes to" birth defects, cardiovascular disease (CVD), cancer, depression, and chronic obstructive pulmonary disease (COPD). We evaluated whether question condition predicted strong agreement and/or agreement with each statement, and assessed demographic correlates of each outcome while adjusting for question version. Physicians who received Version 2 were less likely to "strongly agree" that nicotine directly caused birth defects (Prevalence Ratio (PR) 0.84, 95% CI 0.72-0.98), CVD (PR 0.89, 95% CI 0.84-0.95), cancer (PR 0.81, 95% CI 0.75-0.87), and COPD (PR 0.78, 95% CI 0.72-0.84). Females were more likely to "strongly agree" that nicotine directly contributes to birth defects and cancer, and family physicians were most likely to "strongly agree" that nicotine directly contributes to CVD, cancer, and COPD. Question wording is important when measuring physicians' beliefs about nicotine; however, even after accounting for question version, misperceptions about the direct health effects of nicotine were common and varied by sex and specialty.

Indexed as

NicotinePulmonary Disease, Chronic ObstructiveFemaleHumansPhysicians, FamilyPrevalenceSurveys and QuestionnairesNicotinenicotineperceptionsphysicianssurvey

Identifiers

PMID34300168
PMCPMC8306881
OpenAlexW3185009806

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.