ENDS Public Health: Difference between revisions

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=Perception - safety vs harm - effects on use=

=== 2023: [https://pubmed.ncbi.nlm.nih.gov/37191964/ US Physicians' Self-reported Discussions About Tobacco-Free Nicotine Pouches During Clinical Encounters With Patients in 2021.] ===

* This survey asked US physicians whether patients have asked them about nicotine pouches, and some characteristics about those conversations:

** Results: Of 745 participating physicians, 63 (9.7%) reported being asked by patients about tobacco-free nicotine pouches… Fifty respondents described patient discussions about nicotine pouches, which clustered into 3 themes: discouraging use of pouches (20 [40.0%]), learning about nicotine pouches from patients or neutral communication (19 [38.0%]), and communicating to patients that they were open to pouch use for cessation or harm reduction (11 [22.0%]).

* These numbers are remarkably similar to risk perceptions overall in the US if you map the physician response categories onto different risk perception categories: the largest group incorrectly thinks that noncombustible nicotine products are harmful and should be discouraged, followed by a large minority who doesn’t know one way or another, and only ~20% viewing noncombustible nicotine products as ''less'' risky. In other words, doctors are just as confused and misinformed about nicotine as most of the rest of us.

** ''Discussion: Previous guidance on e-cigarettes may be helpful to inform physicians’ approach to nicotine pouches—in a discussion of cigarette substitutes, clinicians should urge patients to quit or reduce combustible tobacco use, and while the effects of long-term nicotine pouch use remain unknown, such products are likely less harmful than combustible tobacco.''

* Hrywna M, Bover-Manderski MT, Wackowski OA, Steinberg MB, Delnevo CD. JAMA Netw Open. 2023 May 1;6(5):e2313583. doi: 10.1001/jamanetworkopen.2023.13583. PMID: 37191964 Free PMC article.

===2020: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501702/ Perception of the relative harm of electronic cigarettes compared to cigarettes amongst US adults from 2013 to 2016: analysis of the Population Assessment of Tobacco and Health (PATH) study data]===

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 =Perception - safety vs harm - effects on use=
+=== 2023: [https://pubmed.ncbi.nlm.nih.gov/37191964/ US Physicians' Self-reported Discussions About Tobacco-Free Nicotine Pouches During Clinical Encounters With Patients in 2021.] ===
+* This survey asked US physicians whether patients have asked them about nicotine pouches, and some characteristics about those conversations:
+** Results: Of 745 participating physicians, 63 (9.7%) reported being asked by patients about tobacco-free nicotine pouches… Fifty respondents described patient discussions about nicotine pouches, which clustered into 3 themes: discouraging use of pouches (20 [40.0%]), learning about nicotine pouches from patients or neutral communication (19 [38.0%]), and communicating to patients that they were open to pouch use for cessation or harm reduction (11 [22.0%]).
+* These numbers are remarkably similar to risk perceptions overall in the US if you map the physician response categories onto different risk perception categories: the largest group incorrectly thinks that noncombustible nicotine products are harmful and should be discouraged, followed by a large minority who doesn’t know one way or another, and only ~20% viewing noncombustible nicotine products as ''less'' risky. In other words, doctors are just as confused and misinformed about nicotine as most of the rest of us.
+** ''Discussion: Previous guidance on e-cigarettes may be helpful to inform physicians’ approach to nicotine pouches—in a discussion of cigarette substitutes, clinicians should urge patients to quit or reduce combustible tobacco use, and while the effects of long-term nicotine pouch use remain unknown, such products are likely less harmful than combustible tobacco.''
+* Hrywna M, Bover-Manderski MT, Wackowski OA, Steinberg MB, Delnevo CD. JAMA Netw Open. 2023 May 1;6(5):e2313583. doi: 10.1001/jamanetworkopen.2023.13583. PMID: 37191964 Free PMC article.
 ===2020: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501702/ Perception of the relative harm of electronic cigarettes compared to cigarettes amongst US adults from 2013 to 2016: analysis of the Population Assessment of Tobacco and Health (PATH) study data]===