ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2022
Exposure to Negative News Stories About Vaping, and Harm Perceptions of Vaping, Among Youth in England, Canada, and the United States Before and After the Outbreak of E-cigarette or Vaping-Associated Lung Injury ('EVALI').
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to change vaping harm perceptions and associations between harm perceptions and vaping and smoking behaviours: A systematic review.Addiction (Abingdon, England) · 2026Pooled it
- Evaluating the impact of vaping facts films on vaping harm perceptions among young adults in the UK: A randomized on-line experiment.Addiction (Abingdon, England) · 2025Trial
- Harm perceptions of smoking versus vaping cannabis and correlates: national surveys of youth and young adults in England, Canada, and the United States.Addictive behaviors · 2026Article
- Changes in harm perceptions of e-cigarettes compared with cigarettes following the announcement of the disposable vape ban in Great Britain.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Exploring the Underlying Beliefs Shaping Perceptions of E-cigarette Harm Among a Convenience Sample of Adults in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- The New 'Cool'? A Qualitative Study of E-Cigarette Perceptions and Experience Among Irish Adolescents.Tobacco use insights · 2026Article
- Evaluating the use and perceptions of cannabis and vaping post-cannabis legalisation in people with cystic fibrosis and CFTR-related disorder: survey results from a large Canadian adult cystic fibrosis clinic.BMJ open respiratory research · 2025Article
- Changing patterns of cigarette and ENDS transitions in the USA: a multistate transition analysis of adults in the PATH Study in 2017-2019 vs 2019-2021.Tobacco control · 2025Article
- Changing patterns of nicotine product use and nicotine dependence among United States high-school students: The National Youth Tobacco Survey, 2014-2023.Addiction (Abingdon, England) · 2025Article
- 'Stopping the start': support for proposed tobacco control policies - a population-based survey in Great Britain 2021-2023.Tobacco control · 2025Article
- Use of 'Elf Bar' among youth and young adults who currently vape in England: cross-sectional associations with demographics, dependence indicators and reasons for use.Addiction (Abingdon, England) · 2025Article
- Harm perceptions across vaping product features: An on-line cross-sectional survey of adults who smoke and/or vape in the United Kingdom.Addiction (Abingdon, England) · 2025Article
- The Impact of Exposure to Food and Drug Administration E-cigarette Authorization Messages on Product Perceptions and Interest-An Experiment With Adults Who Smoke and Youth.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Are People More Likely to Vape or Smoke Indoors? A Population Survey of Adults in England.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Changes over time in reasons for quitting vaping among treatment-seeking young people from 2019 to 2022.Addictive behaviors reports · 2024Article
- Awareness and Perceptions of US Food and Drug Administration's JUUL Marketing Denial Order: A National Study of US Adolescents.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Trends in Harm Perceptions of E-Cigarettes vs Cigarettes Among Adults Who Smoke in England, 2014-2023.JAMA network open · 2024Article
- Noticing education campaigns or public health messages about vaping among youth in the United States, Canada and England from 2018 to 2022.Health education research · 2024Article
- Patterns of Daily Cigarette and E-cigarette Use among United States Youth and Young Adults: Insights from the Truth Longitudinal Cohort between 2018 and 2019.Preventive medicine reports · 2023Article
- Changing patterns of cigarette and ENDS transitions in the USA: a multistate transition analysis of adults in the PATH Study in 2017-2019 vs 2019-2021.medRxiv : the preprint server for health sciences · 2023Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
introductionLittle is known about the international impact of E-cigarette or Vaping-Associated Lung Injury ('EVALI') on youth perceptions of vaping harms.
methodsRepeat cross-sectional online surveys of youth aged 16-19 years in England, Canada, and the United States before (2017, 2018), during (2019 August/September), and after (2020 February/March, 2020 August) the 'EVALI' outbreak (N = 63380). Logistic regressions assessed trends, country differences, and associations between exposure to negative news stories about vaping and vaping harm perceptions.
resultsExposure to negative news stories increased between 2017 and February-March 2020 in England (12.6% to 34.2%), Canada (16.7% to 56.9%), and the United States (18.0% to 64.6%), accelerating during (2019) and immediately after (February-March 2020) the outbreak (p < .001) before returning to 2019 levels by August 2020. Similarly, the accurate perception that vaping is less harmful than smoking declined between 2017 and February-March 2020 in England (77.3% to 62.2%), Canada (66.3% to 43.3%), and the United States (61.3% to 34.0%), again accelerating during and immediately after the outbreak (p < .001). The perception that vaping takes less than a year to harm users' health and worry that vaping will damage health also doubled over this period (p ≤ .001). Time trends were most pronounced in the United States. Exposure to negative news stories predicted the perception that vaping takes less than a year to harm health (Adjusted Odds Ratio = 1.55, 1.48-1.61) and worry that vaping will damage health (Adjusted Odds Ratio = 1.32, 1.18-1.48).
conclusionsBetween 2017 and February-March 2020, youth exposure to negative news stories, and perceptions of vaping harms, increased, and increases were exacerbated during and immediately after 'EVALI'. Effects were seen in all countries but were most pronounced in the United States. IMPLICATIONS: This is the first study examining changes in exposure to news stories about vaping, and perceptions of vaping harms, among youth in England, Canada, and the United States before, during, and after 'EVALI'. Between 2017 and February-March 2020, youth exposure to negative news stories, and perceptions of vaping harms, increased, and increases were exacerbated during and immediately after 'EVALI'. By August 2020, exposure to negative news stories returned to 2019 levels, while perceptions of harm were sustained. Exposure to negative news stories also predicted two of the three harm perception measures. Overall, findings suggest that 'EVALI' may have exacerbated youth's perceptions of vaping harms internationally.
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