Journal
PREVENTIVE MEDICINE
Volume 123, Issue -, Pages 185-191Publisher
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ypmed.2019.03.017
Keywords
Tobacco harm perceptions; Tobacco addiction perception; Youth tobacco prevention
Funding
- National Institute on Drug Abuse, National Institutes of Health
- Center for Tobacco Products, Food and Drug Administration, Department of Health and Human Services [HHSN271201100027C]
- NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES [ZIAMD000006] Funding Source: NIH RePORTER
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In the US, youth attribute higher levels of harm and addictiveness to cigarettes relative to other tobacco products. Monitoring harm perceptions across a range of tobacco products is important when forecasting risk for experimentation. This study examined data from US youth (N = 10,081) ages 12-17 from the Population Assessment of Tobacco and Health (PATH) Study who completed both Wave 1 (2013-2014) and Wave 2 (2014-2015) interviews. Analyses assessed: (1) trends in perceived harm and addictiveness of products over time, (2) whether perceived harm and addictiveness of a product at Wave 1 predicted trying that product for the first time by Wave 2, and (3) whether trying a product between Waves 1 and 2 predicted a decrease in one's perceived harm and addictiveness of that product. Levels of perceived harmfulness and addictiveness significantly increased between Wave 1 and Wave 2 for all products (chi(2) (range): 7.8-109.2; p's <= 0.02). Compared to those with high perceived harmfulness of a tobacco product at Wave 1, those with low and medium perceived harmfulness had a significantly increased probability of use of that product at Wave 2. For all products, Wave 1 youth never tobacco users who tried a product (vs. did not) at Wave 2 had a significantly higher probability of being in the low category of perceived harmfulness at Wave 2. Among US youth, there is a bidirectional relationship between harm perceptions and product use. Understanding how changes in perceptions translate to changes in tobacco use could inform efforts to prevent tobacco initiation in youth.
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