Abstract
ObjectiveThe USA is considering a very low nicotine content (VLNC) cigarette standard. We sought to characterise the prevalence and correlates of the incorrect belief that VLNC cigarettes are less carcinogenic than current cigarettes, as this could reduce motivation to quit.MethodsParticipants were a nationally representative sample of 650 adult smokers in the USA. In 2015–2016, before the VLNC proposal became public, these smokers took part in an online survey. We used multivariate weighted analyses to calculate ORs and percentages and a χ2 test to examine the association between variables.ResultsOverall, 47.1% of smokers believed that smoking VLNC cigarettes for 30 years would be less likely to cause cancer than smoking current cigarettes. This misperception was more common among smokers who were aged above 55 (56.6%) and black (57.4%). Additionally, 23.9% of smokers reported they would be less likely to quit if the USA adopted a VLNC standard. Thinking that VLNC cigarettes would be less carcinogenic was associated with smokers reporting they would be less likely to quit (P<0.01).ConclusionsMany smokers had the misperception that smoking VLNC cigarettes is less likely to cause cancer, and some stated that they would be less likely to quit. A VLNC standard may be more effective if accompanied by a communication campaign that emphasises the continued dangers of smoking VLNC cigarettes due to the many toxic chemicals in smoke.
Funder
National Cancer Institute
Subject
Public Health, Environmental and Occupational Health,Health(social science)
Reference23 articles.
1. U.S. Food and Drug Administration. FDA announces comprehensive regulatory plan to shift trajectory of tobacco-related disease, death [FDA News Release]. 2017.
2. A nicotine-focused framework for public health;Gottlieb;N Engl J Med,2017
3. Establishing a Nicotine Threshold for Addiction -- The Implications for Tobacco Regulation
4. WHO Study Group on Tobacco Product Regulation (TobReg). Advisory note: global nicotine reduction strategy. Geneva: World Health Organization, 2015.
5. Donny EC , Walker N , Hatsukami D , et al . Reducing the nicotine content of combusted tobacco products sold in New Zealand. Tob Control 2017;26.doi:10.1136/tobaccocontrol-2016-053186