ENDS Public Health: Difference between revisions

(→‎Continuum of Risk: Added study re: high blood pressure)
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=Dependence (Addiction, Abuse) vs Harm / Harm Reduction - Ecigs and Nicotine=
=Dependence (Addiction, Abuse) vs Harm / Harm Reduction - Ecigs and Nicotine=
=== 2023: [https://pubmed.ncbi.nlm.nih.gov/37195899/ Individual and conjoint factors associated with beliefs about the harmfulness of nicotine replacement therapies relative to combustible cigarettes among people who smoke: Findings from the 2020 ITC Four Country Smoking and Vaping Survey.] ===
* An analysis of risk perceptions of NRT vs cigarettes among adults (18+) in ITC data:
* Results: Percentages believing that NRTs are much less harmful than CCs were 29.7% (95% CI:26.2-33.5%) in Australia, 27.4% (95% CI=25.1-29.8%) in England, 26.4% (95% CI=24.4-28.4%) in Canada and 21.7% (95% CI=19.2-24.3%) in the US.
* Another data point confirming the abysmal risk perceptions around nicotine products. Since these data were from 2020, it’s likely that things have gotten even worse since then. As the analysis goes on to show, different variations on nicotine misperceptions are correlated with each other:
** Across all countries, believing nicotine is not at all/slightly harmful to health (aOR=1.53-2.27), endorsing nicotine vaping products as less harmful than CCs (much less harmful: aOR=7.24-14.27; somewhat less harmful: aOR=1.97-3.23), and possessing higher knowledge of smoking harms (aOR=1.23-1.88) were individual factors associated with increased odds of believing NRTs are much less harmful than CCs.
* Echoing comments from the E-Cig Summit last week, this calls for some much-needed communication from government health agencies around authorized nicotine products to better inform adults who smoke about less-harmful alternatives.


=== 2023: [https://pubmed.ncbi.nlm.nih.gov/37094934/ 2013-2017: a multistate Markov transition analysis] ===
=== 2023: [https://pubmed.ncbi.nlm.nih.gov/37094934/ 2013-2017: a multistate Markov transition analysis] ===