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Article: Positive perceptions of electronic cigarettes relative to combustible cigarettes are associated with weaker support for endgame policies on combustible cigarettes: A population-based cross-sectional study in Hong Kong

TitlePositive perceptions of electronic cigarettes relative to combustible cigarettes are associated with weaker support for endgame policies on combustible cigarettes: A population-based cross-sectional study in Hong Kong
Authors
Keywordselectronic cigarettes
tobacco endgame
policy
smoking renormalization
Issue Date2019
PublisherBioMed Central Ltd. The Journal's web site is located at http://isptid.globalink.org/journal/index.html
Citation
Tobacco Induced Diseases, 2019, v. 17, p. article no. 61 How to Cite?
AbstractIntroduction: Positive perceptions of electronic cigarettes (e-cigarettes) relative to combustible cigarettes (CCs) may erode support for endgame policies on CCs through smoking renormalization (increasing public acceptance of smoking). We investigated the associations between perceptions of e-cigarettes relative to CCs and support for endgame policies on CCs in Hong Kong. Methods: Adult respondents (N=2004) were surveyed using landline random digit dialing in 2015. Perceived relative harm and relative addictiveness of e-cigarettes were combined as an overall perception of e-cigarettes relative to CCs with 5 levels and we analyzed individually ‘neutral/positive/mixed/unknown’ perceptions against the ‘negative’ perception. Five individual items with dichotomous responses assessed the support for endgame policies on CCs. Support for banning the sale/use of CCs (yes/no) was also assessed. Multivariable regressions yielded adjusted odds ratios (AORs) of supporting endgame policies (individual policy items, all 5 policy items, at least 1 policy item, banning the sale/use of CCs) in relation to perceptions of e-cigarettes relative to CCs, adjusting for age, education attainment, marital status, CC smoking status and ever e-cigarette use. Results: Support for individual endgame policy items (from 51.8% to 80.0%), banning the sale (63.8%) and use (67.5%) of CCs were generally high. Few respondents perceived e-cigarettes as more harmful (16.6%) or more addictive (9.3%) than CCs. Positive perceptions of e-cigarettes (24.0%) were associated with less support for ‘ban CC sales in 10 years if there is a product providing nicotine not made from tobacco’ (AOR=0.62, 95% CI: 0.40–0.97), ‘ban CC use when it’s prevalence falls below 5%’ (AOR=0.66, 95% CI: 0.44–0.98) and ‘banning the sale of CCs’ (AOR=0.63, 95% CI: 0.42–0.94). Conclusions: Positive perceptions of e-cigarettes relative to CCs were associated with less support for endgame policies on CCs in Hong Kong. Public health actions are needed to disseminate evidence-based knowledge of e-cigarettes.
Persistent Identifierhttp://hdl.handle.net/10722/278554
ISSN
2020 Impact Factor: 2.6
2020 SCImago Journal Rankings: 0.835
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWu, YS-
dc.contributor.authorWang, MP-
dc.contributor.authorHo, SY-
dc.contributor.authorCheung, YT-
dc.contributor.authorKwong, A-
dc.contributor.authorLai, V-
dc.contributor.authorLam, TH-
dc.date.accessioned2019-10-21T02:09:41Z-
dc.date.available2019-10-21T02:09:41Z-
dc.date.issued2019-
dc.identifier.citationTobacco Induced Diseases, 2019, v. 17, p. article no. 61-
dc.identifier.issn1617-9625-
dc.identifier.urihttp://hdl.handle.net/10722/278554-
dc.description.abstractIntroduction: Positive perceptions of electronic cigarettes (e-cigarettes) relative to combustible cigarettes (CCs) may erode support for endgame policies on CCs through smoking renormalization (increasing public acceptance of smoking). We investigated the associations between perceptions of e-cigarettes relative to CCs and support for endgame policies on CCs in Hong Kong. Methods: Adult respondents (N=2004) were surveyed using landline random digit dialing in 2015. Perceived relative harm and relative addictiveness of e-cigarettes were combined as an overall perception of e-cigarettes relative to CCs with 5 levels and we analyzed individually ‘neutral/positive/mixed/unknown’ perceptions against the ‘negative’ perception. Five individual items with dichotomous responses assessed the support for endgame policies on CCs. Support for banning the sale/use of CCs (yes/no) was also assessed. Multivariable regressions yielded adjusted odds ratios (AORs) of supporting endgame policies (individual policy items, all 5 policy items, at least 1 policy item, banning the sale/use of CCs) in relation to perceptions of e-cigarettes relative to CCs, adjusting for age, education attainment, marital status, CC smoking status and ever e-cigarette use. Results: Support for individual endgame policy items (from 51.8% to 80.0%), banning the sale (63.8%) and use (67.5%) of CCs were generally high. Few respondents perceived e-cigarettes as more harmful (16.6%) or more addictive (9.3%) than CCs. Positive perceptions of e-cigarettes (24.0%) were associated with less support for ‘ban CC sales in 10 years if there is a product providing nicotine not made from tobacco’ (AOR=0.62, 95% CI: 0.40–0.97), ‘ban CC use when it’s prevalence falls below 5%’ (AOR=0.66, 95% CI: 0.44–0.98) and ‘banning the sale of CCs’ (AOR=0.63, 95% CI: 0.42–0.94). Conclusions: Positive perceptions of e-cigarettes relative to CCs were associated with less support for endgame policies on CCs in Hong Kong. Public health actions are needed to disseminate evidence-based knowledge of e-cigarettes.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://isptid.globalink.org/journal/index.html-
dc.relation.ispartofTobacco Induced Diseases-
dc.rightsTobacco Induced Diseases. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectelectronic cigarettes-
dc.subjecttobacco endgame-
dc.subjectpolicy-
dc.subjectsmoking renormalization-
dc.titlePositive perceptions of electronic cigarettes relative to combustible cigarettes are associated with weaker support for endgame policies on combustible cigarettes: A population-based cross-sectional study in Hong Kong-
dc.typeArticle-
dc.identifier.emailWang, MP: mpwang@hku.hk-
dc.identifier.emailHo, SY: syho@hku.hk-
dc.identifier.emailCheung, YT: takderek@hku.hk-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.authorityWang, MP=rp01863-
dc.identifier.authorityHo, SY=rp00427-
dc.identifier.authorityCheung, YT=rp02262-
dc.identifier.authorityLam, TH=rp00326-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.18332/tid/110697-
dc.identifier.pmid31582950-
dc.identifier.pmcidPMC6770616-
dc.identifier.scopuseid_2-s2.0-85076248682-
dc.identifier.hkuros307195-
dc.identifier.volume17-
dc.identifier.spagearticle no. 61-
dc.identifier.epagearticle no. 61-
dc.identifier.isiWOS:000491277700005-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1617-9625-

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