ArticleAddictive behaviors2026
Latent profile analysis reveals diverse perceptions of tobacco product risks among youth.
Article in Addictive behaviors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesWe examined how youth differentiate the harms of four commonly used tobacco products.
methodsUsing monthly online repeated cross-sectional surveys among N = 1,858 New England youth (13-17) from April 2021 to August 2022, we conducted a latent profile analysis to identify classes of perceived harm across e-cigarettes, cigarettes, smokeless tobacco, and cigars/cigarillos/little cigars and multinomial logistic regression to model the odds of belonging to each class, including time, sociodemographic factors, tobacco advertising exposure, and tobacco product use.
resultsWe identified four classes: low harm across all products (Class 1, 8.5%), all products as equally somewhat harmful (Class 2, 40.0%), all products as very harmful (Class 3, 46.6%), and cigarettes as most harmful (Class 4, 4.9%, comparison class). Older youth had lower odds of perceiving low harm across all products. Past-30-day e-cigarette use was associated with higher odds of perceiving low harm across all products (RRR: 2.54, CI: 1.21-5.35) and lower odds for perceiving all products as very harmful (RRR: 0.20, CI: 0.10-0.40). Ever cigarette use was associated with higher odds of perceiving low harm across all products (RRR: 3.40, CI: 1.61-8.61). Past-30-day cigarette use was associated with higher odds of perceiving low harm across all products (RRR: 4.07, CI: 1.26-13.19) and lower odds of perceiving all products as equally somewhat harmful (RRR: 0.23, CI: 0.07-0.79). Past-30-day cigar use was associated with lower odds of perceiving all products as equally somewhat harmful (RRR: 0.23, CI: 0.07-0.79). There were geographic differences in harm perceptions. DISCUSSION: Findings can inform youth education on the relative risks of tobacco products.
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