Impact of Brief Nicotine Messaging on Nicotine-Related Beliefs in a U.S. Sample

Villanti, Andrea C.; West, Julia C.; Mays, Darren; Donny, Eric C.; Cappella, Joseph N.; Strasser, Andrew A.

doi:10.1016/j.amepre.2019.05.015

Cited by 28 publications

(29 citation statements)

References 18 publications

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“…Pilot evidence suggests that brief nicotine corrective messages consistent with the type of messages used in health communication mass media campaigns can reduce false beliefs about nicotine. 44 Together, these studies support that public education may move consumers closer to an understanding that there is a continuum of risk across tobacco products, 45 as acknowledged by the FDA, and the fact that nicotine is “most harmful when delivered through smoke particles in combustible cigarettes.” 46 Future research is needed to test the efficacy of corrective messaging about nicotine as a product constituent in population samples, to examine whether and how latent classes of nicotine beliefs are affected by such educational efforts and to explore whether there is a consistent relationship between latent classes of nicotine beliefs and response to items on nicotine product perceptions.…”

Section: Discussionmentioning

confidence: 84%

Latent Classes of Nicotine Beliefs Correlate with Perceived Susceptibility and Severity of Nicotine and Tobacco Products in US Young Adults

Villanti

Naud

West

et al. 2019

Nicotine &Amp; Tobacco Research

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Background Pervasive misperceptions about nicotine may influence uptake of quit smoking aids and the impact of policies addressing nicotine as a tobacco product constituent. Methods Latent class analyses were conducted using four items on nicotine beliefs asked of 4037 adults aged 18–40 in wave 9 (February–March 2016) of the Truth Initiative Young Adult Cohort Study. Confirmatory factor analyses identified three factors from 12 items: nicotine susceptibility (NSUS), nicotine severity (NSEV), and tobacco severity (TSEV). Analyses assessed correlations between latent classes, sociodemographics, and nicotine/tobacco factor scores. Results A four-class model of nicotine beliefs was the best fit, with the largest class believing that nicotine plays a major part in smoking risks (class 1, n = 2070; 52%). Class 2 shared that belief but also responded “Don’t know” to addiction questions (class 2, n = 382; 11%). Fewer belonged in class 3, who reported that nicotine plays a small part in health risks (n = 1277; 30%), and class 4, who perceived nicotine as not cancer causing (n = 308; 7%). Latent class membership was correlated with sociodemographics, peer smoking, and past 30-day tobacco use. Classes 1 and 2 had similar NSUS scores and classes 3 and 4 had similar NSEV and TSEV scores. Discussion Differences in the perceptions of nicotine and tobacco-related harms can be partially explained by clustering of underlying nicotine beliefs. These classes of beliefs are correlated with sociodemographic predictors of smoking. These findings may help to identify specific beliefs or groups to be targeted by public education efforts on nicotine. Implications The current study supports that underlying nicotine beliefs are associated with perceived harms of specific nicotine and tobacco products (relative to cigarettes), with greater false beliefs about nicotine correlated with greater perceived susceptibility to nicotine addiction. Two important inferences emerge from this study: first, that education to address nicotine beliefs may also reframe perceptions of the harms of nicotine and tobacco products; and second, that this type of education may differentially impact perceptions of the harms of nicotine products (e.g., nicotine replacement therapy and e-cigarettes) and tobacco products (e.g., cigars, smokeless, and hookah).

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Section: Discussionmentioning

confidence: 84%

Latent Classes of Nicotine Beliefs Correlate with Perceived Susceptibility and Severity of Nicotine and Tobacco Products in US Young Adults

Villanti

Naud

West

et al. 2019

Nicotine &Amp; Tobacco Research

Self Cite

View full text Add to dashboard Cite

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“…After removal of duplicates and publications that did not meet the inclusion criteria, a total of 31 articles were included [7,8,24–28,34–57] (Table 3) reporting results from studies involving a total of 52 425 participants (ranging from 95–16 051). Twenty‐six of the included studies were experiments and the remaining were cross‐sectional surveys.…”

Section: Resultsmentioning

confidence: 99%

“…When combined with a nicotine fact sheet, CR messages produced higher levels of response efficacy and produced higher odds of people disagreeing with the false statement that nicotine is the main cause of smoking‐related health problems compared to the other CR messages [35]. A nicotine fact sheet alone also corrected misperceptions of nicotine and NVPs compared with control or no message conditions [37,53].…”

Section: Resultsmentioning

confidence: 99%

Does the content and source credibility of health and risk messages related to nicotine vaping products have an impact on harm perception and behavioural intentions? A systematic review

et al. 2021

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Aims To systematically review the literature on (i) whether and how various risk messages about nicotine vaping products (NVPs) alter harm perception and behavioural intentions of smokers and non‐smokers and (ii) how trust in sources of NVP risk communication affects message reception and behavioural intentions. Methods Seven electronic databases and reference lists of relevant articles were searched for articles published up to April 2020. Experimental and quasi‐experimental studies on message effects and cross‐sectional studies on source credibility were included. The Newcastle–Ottawa Scale and the Evidence Project Risk of Bias Tool were used to assess the quality of observational and intervention studies, respectively. For each outcome variable, we indicated whether there was an effect (as a ‘yes’ or ‘no’) and used effect direction plots to display information on the direction of effects. Results Nicotine addiction messages resulted in greater health and addiction risk perceptions, relative risk messages comparing the health risks of NVPs to cigarette smoking increased the perception that NVPs are less harmful than combustible cigarettes, and a nicotine fact sheet corrected misperceptions of nicotine and NVPs. Smokers’ intention to purchase, try or switch to NVPs was higher when exposed to a relative risk message and lower when exposed to nicotine addiction warnings. Trust in NVP risk information from public health agencies was associated with lower odds of; (i) NVP use and (ii) perceiving NVPs as less harmful, whereas those who trusted information from NVP companies were more likely to perceive NVPs as less harmful than combustible cigarettes. Conclusions Relative risk messages may help improve the accuracy of harm perceptions of nicotine vaping products and increase smokers’ intentions to quit smoking and/or to switch to vaping, although the literature is nascent.

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“…5 Short communication interventions can effectively correct such nicotine misperceptions. 6 It is vital that physicians understand the actual risk of nicotine given that they are critical in the prescribing and recommendation of FDAapproved NRT products. Moreover, so they can accurately communicate risk in an evolving tobacco marketplace which may include low-nicotine cigarettes, which are not safer than traditional cigarettes.…”

Section: Discussionmentioning

confidence: 99%