Nicotine - Older Adults (50+): Difference between revisions

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=Misperceptions=

===2023: [https://tobaccocontrol.bmj.com/content/33/e2/e266.long Older age is associated with greater misperception of the relative health risk of e-cigarettes and cigarettes among US adults who smoke]===

*Adults aged ≥55 are more likely to have misperceptions about the absolute and relative risks of tobacco products, which may contribute to continued smoking. Health communications targeting this age group could modify beliefs about the perceived harms of tobacco products.

**Citation: Rubenstein D, Denlinger-Apte RL, Cornacchione Ross J, Carroll DM, McClernon FJ. Older age is associated with greater misperception of the relative health risk of e-cigarettes and cigarettes among US adults who smoke. Tob Control. 2024 Nov 10;33(e2):e266-e269. doi: 10.1136/tc-2023-057943. PMID: 37137702; PMCID: PMC10622327.

***Acknowledgement: Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health (award number TL1 TR002555). This work was also funded by the National Institute on Minority Health and Health Disparities (K01MD014795; DMC).

===2010: [https://thorax.bmj.com/content/66/4/353 Smokers commonly misperceive that nicotine is a major carcinogen: National survey data]===

*These findings are concerning since misperceptions about nicotine may result in underutilisation of NRT. Therefore, we aimed to assess these views in New Zealand (NZ) smokers, with the context being a country in which NRT is provided in a heavily subsidised form and widely distributed via the national quitline service.

*When asked if ‘the nicotine in cigarettes is the chemical that causes most of the cancer?’, most smokers in wave 1 (52.6%) said that it was true, 36.7% said it was false (the correct answer) and 10.7% could not say. The proportion answering ‘true’ was fairly similar in wave 2 at 52.1%. In a multivariate model (that adjusted for demographics, socioeconomic position, mental health and smoking-related beliefs and behaviours), certain groups of smokers were significantly more likely to believe that nicotine was carcinogenic. These included older smokers (≥50 vs <35 years); Māori smokers (vs European/other, adjusted OR (aOR)=1.77, 95% CI 1.22 to 2.58); and Asian smokers (vs European/other, aOR=3.25, 95% CI 1.35 to 7.83).

**Citation: Wilson N, Peace J, Edwards R, et alSmokers commonly misperceive that nicotine is a major carcinogen: National survey dataThorax 2011;66:353-354.

***Acknowledgement: This study was funded by the Health Research Council of New Zealand (grant 06/453).

=Smoking and Smoking Cessation=

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*Understanding how these age-related differences impact smoking-related outcomes (eg, tobacco withdrawal, acute effects of smoking, treatment efficacy) is limited because research examining older smokers is lacking. In a systematic review of tobacco withdrawal symptoms, the mean (SD) age of participants across 15 studies, chosen for their scientific rigor, was 37.8 (8.1) years.

*[https://sci-hub.st/10.1001/jama.2011.1221 PDF Full Paper]

**Citation: Kleykamp, B. A., & Heishman, S. J. (2011). The Older Smoker. JAMA, 306(8). doi:10.1001/jama.2011.1221

=Smokeless Products=

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+=Misperceptions=
+===2023: [https://tobaccocontrol.bmj.com/content/33/e2/e266.long Older age is associated with greater misperception of the relative health risk of e-cigarettes and cigarettes among US adults who smoke]===
+*Adults aged ≥55 are more likely to have misperceptions about the absolute and relative risks of tobacco products, which may contribute to continued smoking. Health communications targeting this age group could modify beliefs about the perceived harms of tobacco products.
+**Citation: Rubenstein D, Denlinger-Apte RL, Cornacchione Ross J, Carroll DM, McClernon FJ. Older age is associated with greater misperception of the relative health risk of e-cigarettes and cigarettes among US adults who smoke. Tob Control. 2024 Nov 10;33(e2):e266-e269. doi: 10.1136/tc-2023-057943. PMID: 37137702; PMCID: PMC10622327.
+***Acknowledgement:  Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health (award number TL1 TR002555). This work was also funded by the National Institute on Minority Health and Health Disparities (K01MD014795; DMC).
+===2010: [https://thorax.bmj.com/content/66/4/353 Smokers commonly misperceive that nicotine is a major carcinogen: National survey data]===
+*These findings are concerning since misperceptions about nicotine may result in underutilisation of NRT. Therefore, we aimed to assess these views in New Zealand (NZ) smokers, with the context being a country in which NRT is provided in a heavily subsidised form and widely distributed via the national quitline service.
+*When asked if ‘the nicotine in cigarettes is the chemical that causes most of the cancer?’, most smokers in wave 1 (52.6%) said that it was true, 36.7% said it was false (the correct answer) and 10.7% could not say. The proportion answering ‘true’ was fairly similar in wave 2 at 52.1%. In a multivariate model (that adjusted for demographics, socioeconomic position, mental health and smoking-related beliefs and behaviours), certain groups of smokers were significantly more likely to believe that nicotine was carcinogenic. These included older smokers (≥50 vs <35 years); Māori smokers (vs European/other, adjusted OR (aOR)=1.77, 95% CI 1.22 to 2.58); and Asian smokers (vs European/other, aOR=3.25, 95% CI 1.35 to 7.83).
+**Citation: Wilson N, Peace J, Edwards R, et alSmokers commonly misperceive that nicotine is a major carcinogen: National survey dataThorax 2011;66:353-354.
+***Acknowledgement: This study was funded by the Health Research Council of New Zealand (grant 06/453).
 =Smoking and Smoking Cessation=
@@ Line 26: / Line 39: @@
 *Understanding how these age-related differences impact smoking-related outcomes (eg, tobacco withdrawal, acute effects of smoking, treatment efficacy) is limited because research examining older smokers is lacking. In a systematic review of tobacco withdrawal symptoms, the mean (SD) age of participants across 15 studies, chosen for their scientific rigor, was 37.8 (8.1) years.
 *[https://sci-hub.st/10.1001/jama.2011.1221 PDF Full Paper]
 **Citation: Kleykamp, B. A., & Heishman, S. J. (2011). The Older Smoker. JAMA, 306(8). doi:10.1001/jama.2011.1221
 =Smokeless Products=