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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
Title | 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 |
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Authors | |
Keywords | electronic cigarettes tobacco endgame policy smoking renormalization |
Issue Date | 2019 |
Publisher | BioMed Central Ltd. The Journal's web site is located at http://isptid.globalink.org/journal/index.html |
Citation | Tobacco Induced Diseases, 2019, v. 17, article no. 61 How to Cite? |
Abstract | Introduction:
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 Identifier | http://hdl.handle.net/10722/278554 |
ISSN | 2023 Impact Factor: 2.2 2023 SCImago Journal Rankings: 0.780 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Wu, YS | - |
dc.contributor.author | Wang, MP | - |
dc.contributor.author | Ho, SY | - |
dc.contributor.author | Cheung, YT | - |
dc.contributor.author | Kwong, A | - |
dc.contributor.author | Lai, V | - |
dc.contributor.author | Lam, TH | - |
dc.date.accessioned | 2019-10-21T02:09:41Z | - |
dc.date.available | 2019-10-21T02:09:41Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Tobacco Induced Diseases, 2019, v. 17, article no. 61 | - |
dc.identifier.issn | 1617-9625 | - |
dc.identifier.uri | http://hdl.handle.net/10722/278554 | - |
dc.description.abstract | Introduction: 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.language | eng | - |
dc.publisher | BioMed Central Ltd. The Journal's web site is located at http://isptid.globalink.org/journal/index.html | - |
dc.relation.ispartof | Tobacco Induced Diseases | - |
dc.rights | Tobacco Induced Diseases. Copyright © BioMed Central Ltd. | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | electronic cigarettes | - |
dc.subject | tobacco endgame | - |
dc.subject | policy | - |
dc.subject | smoking renormalization | - |
dc.title | 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 | - |
dc.type | Article | - |
dc.identifier.email | Wang, MP: mpwang@hku.hk | - |
dc.identifier.email | Ho, SY: syho@hku.hk | - |
dc.identifier.email | Cheung, YT: takderek@hku.hk | - |
dc.identifier.email | Lam, TH: hrmrlth@hkucc.hku.hk | - |
dc.identifier.authority | Wang, MP=rp01863 | - |
dc.identifier.authority | Ho, SY=rp00427 | - |
dc.identifier.authority | Cheung, YT=rp02262 | - |
dc.identifier.authority | Lam, TH=rp00326 | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.18332/tid/110697 | - |
dc.identifier.pmid | 31582950 | - |
dc.identifier.pmcid | PMC6770616 | - |
dc.identifier.scopus | eid_2-s2.0-85076248682 | - |
dc.identifier.hkuros | 307195 | - |
dc.identifier.volume | 17 | - |
dc.identifier.spage | article no. 61 | - |
dc.identifier.epage | article no. 61 | - |
dc.identifier.isi | WOS:000491277700005 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1617-9625 | - |