NAQC Newsroom: Research

Perceived Harm of Heated Tobacco Products, E-cigarettes, and Nicotine Replacement Therapy Compared w

Thursday, June 16, 2022  
Posted by: Natalia Gromov
Pénzes M, Joó T, Urbán R.
Perceived Harm of Heated Tobacco Products, E-cigarettes, and Nicotine Replacement Therapy Compared with Conventional Cigarettes among Ever and Current Heated Tobacco Users.
Addict Behav Rep. 2022;15:100432. Published 2022 May 16. doi:10.1016/j.abrep.2022.100432

Aims. There is limited knowledge on how ever and current heated tobacco product (HTP) users perceive the relative harm of various nicotine-containing products. The aim of this study was to explore relative harm perceptions of HTPs, e-cigarettes, and nicotine replacement therapy (NRT) relative to conventional cigarettes (CCs) among ever versus current HTP users, and exclusive (who use only a HTP) versus dual/poly-users (concurrent users of HTP and CCs and/or e-cigarettes).
Methods. Data came from 1423 ever or current Hungarian adult HTP users who participated in a cross-sectional web-based survey in 2020. Unadjusted and adjusted logistic regression analyses were performed to explore the associations between relative harm perceptions, HTP use patterns, past tobacco use, HTP dependence, and socio-demographic variables.
Results. 81.2% of the sample was current HTP users, of them 78.4% were exclusive HTP users. Compared to CCs, 86.2% of the sample perceived HTP to be less harmful, with current and exclusive HTP users endorsing more this belief, followed by NRT (79.8%), and e-cigarettes (45.2%). In general, neither socio-demographic variables nor past tobacco use, HTP use pattern, and HTP dependence were related to perceived harmfulness across the tested products. However, there was a specific pattern for each tested product with a set of explanatory variables.
Conclusions. Ever/current HTP users presented misperceptions about the harms of HTPs, e-cigarettes, and NRT. They underestimated the potential health benefits of NRT and had distorted harm perceptions about HTPs and e-cigarettes. Public education about the relative harms of different nicotine and tobacco products is urgently needed.