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Am J Public Health. 2014 Aug;104(8):1437-44. doi: 10.2105/AJPH.2013.301804. Epub 2014 Jun 12.

Prevalence, harm perceptions, and reasons for using noncombustible tobacco products among current and former smokers.

Author information

1
Amanda Richardson and Jennifer Pearson are with the Schroeder Institute for Tobacco Research and Policy Studies, Legacy, Washington, DC, and the Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Haijun Xiao, Carolyn Stalgaitis, and Donna Vallone are with the Department of Research, Legacy, Washington, DC. Donna Vallone is also with the Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health.

Abstract

OBJECTIVES:

We provided estimates of noncombustible tobacco product (electronic nicotine delivery systems [ENDS]; snus; chewing tobacco, dip, or snuff; and dissolvables) use among current and former smokers and examined harm perceptions of noncombustible tobacco products and reasons for their use.

METHODS:

We assessed awareness of, prevalence of, purchase of, harm perceptions of, and reasons for using noncombustible tobacco products among 1487 current and former smokers from 8 US designated market areas. We used adjusted logistic regression to identify correlates of noncombustible tobacco product use.

RESULTS:

Of the sample, 96% were aware of at least 1 noncombustible tobacco product, but only 33% had used and 21% had purchased one. Noncombustible tobacco product use was associated with being male, non-Hispanic White, younger, and more nicotine dependent. Respondents used noncombustible tobacco products to cut down or quit cigarettes, but only snus was associated with a higher likelihood of making a quit attempt. Users of noncombustible tobacco products, particularly ENDS, were most likely to endorse the product as less harmful than cigarettes.

CONCLUSIONS:

Smokers may use noncombustible tobacco products to cut down or quit smoking. However, noncombustible tobacco product use was not associated with a reduction in cigarettes per day or cessation.

PMID:
24922154
PMCID:
PMC4103237
DOI:
10.2105/AJPH.2013.301804
[Indexed for MEDLINE]
Free PMC Article
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