TY - JOUR
T1 - Prospective associations between nicotine beliefs and tobacco-related susceptibility, curiosity, and use in U.S. adults
AU - Villanti, Andrea C.
AU - Naud, Shelly
AU - West, Julia C.
AU - Pearson, Jennifer L.
AU - Wackowski, Olivia A.
AU - Hair, Elizabeth
AU - Niaura, Raymond S.
AU - Rath, Jessica M.
N1 - Funding Information:
Research reported in this publication was supported by the National Cancer Institute of the National Institutes of Health under Award Number R03CA212694 . ACV and JCW were also supported by the National Institute of General Medical Sciences of the National Institutes of Health under Award Number P20GM103644 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding Information:
RSN receives funding from the FDA Center for Tobacco Products via contractual mechanisms with Westat and the NIH. Within the past three years, he has served as a paid consultant to the Government of Canada and has received an honorarium for a virtual meeting from Pfizer. The authors have no other conflicts to disclose. No financial disclosures were reported by the authors of this paper.
Publisher Copyright:
© 2020
PY - 2020/11
Y1 - 2020/11
N2 - Low harm perceptions of tobacco products have been associated with use of those products in youth and adults, but this relationship has not been assessed for nicotine beliefs. This study used data from a national sample of adults aged 18–40 in Wave 9 (Spring 2016) of the Truth Initiative Young Adult Cohort Study to examine correlations and prospective associations between the latent classes of nicotine beliefs and susceptibility, curiosity, and use of tobacco products in 3122 adults who also completed Wave 10 (Fall 2016). At Wave 9, four latent classes of beliefs characterized the role of nicotine in the health risks of smoking: Class 1, large role, 51%; Class 2, large role/don't know, 9.4%; Class 3, small role in health, 32.5%; and Class 4, none/small role in cancer, 7.5%. Latent classes of nicotine beliefs were highly correlated with susceptibility and curiosity to use cigarettes, e-cigarettes, and hookah, as well as past 30-day use of a range of tobacco products at Wave 9 among never users. Classes 3 and 4 had the highest prevalence of past 30-day tobacco use; never users in these classes reported the greatest susceptibility to try cigarettes, hookah, and e-cigarettes at Wave 9. Class 4 had higher odds of increased e-cigarettes use at follow-up compared to Class 1. There were few prospective associations between nicotine beliefs latent class, susceptibility, and curiosity at Wave 10. Nicotine beliefs are associated with tobacco-related outcomes and, if assessed, may provide novel information to guide tobacco prevention and intervention efforts.
AB - Low harm perceptions of tobacco products have been associated with use of those products in youth and adults, but this relationship has not been assessed for nicotine beliefs. This study used data from a national sample of adults aged 18–40 in Wave 9 (Spring 2016) of the Truth Initiative Young Adult Cohort Study to examine correlations and prospective associations between the latent classes of nicotine beliefs and susceptibility, curiosity, and use of tobacco products in 3122 adults who also completed Wave 10 (Fall 2016). At Wave 9, four latent classes of beliefs characterized the role of nicotine in the health risks of smoking: Class 1, large role, 51%; Class 2, large role/don't know, 9.4%; Class 3, small role in health, 32.5%; and Class 4, none/small role in cancer, 7.5%. Latent classes of nicotine beliefs were highly correlated with susceptibility and curiosity to use cigarettes, e-cigarettes, and hookah, as well as past 30-day use of a range of tobacco products at Wave 9 among never users. Classes 3 and 4 had the highest prevalence of past 30-day tobacco use; never users in these classes reported the greatest susceptibility to try cigarettes, hookah, and e-cigarettes at Wave 9. Class 4 had higher odds of increased e-cigarettes use at follow-up compared to Class 1. There were few prospective associations between nicotine beliefs latent class, susceptibility, and curiosity at Wave 10. Nicotine beliefs are associated with tobacco-related outcomes and, if assessed, may provide novel information to guide tobacco prevention and intervention efforts.
KW - Adults
KW - Harm perceptions
KW - Nicotine
KW - Reduced nicotine content
KW - Smoking
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U2 - 10.1016/j.ypmed.2020.106285
DO - 10.1016/j.ypmed.2020.106285
M3 - Article
C2 - 33068605
AN - SCOPUS:85092773560
VL - 140
JO - Preventive Medicine
JF - Preventive Medicine
SN - 0091-7435
M1 - 106285
ER -