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E-cigarette awareness, use, and harm perceptions in US adults

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  • Pearson, J.L.
  • Richardson, A.
  • Niaura, R.S.
  • Vallone, D.M.
  • Abrams, D.B.

Abstract

Objectives. We estimated e-cigarette (electronic nicotine delivery system) awareness, use, and harm perceptions among US adults. Methods. We drew data from 2 surveys conducted in 2010: a national online study (n = 2649) and the Legacy Longitudinal Smoker Cohort (n = 3658). We used multivariable models to examine e-cigarette awareness, use, and harm perceptions. Results. In the online survey, 40.2% (95% confidence interval [CI] = 37.3, 43.1) had heard of e-cigarettes, with awareness highest among current smokers. Utilization was higher among current smokers (11.4%; 95% CI = 9.3, 14.0) than in the total population (3.4%; 95% CI = 2.6, 4.2), with 2.0% (95% CI = 1.0, 3.8) of former smokers and 0.8% (95% CI = 0.35, 1.7) of never-smokers ever using e-cigarettes. In both surveys, non-Hispanic Whites, current smokers, young adults, and those with at least a high-school diploma were most likely to perceive e-cigarettes as less harmful than regular cigarettes. Conclusions. Awareness of e-cigarettes is high, and use among current and former smokers is evident. We recommend product regulation and careful surveillance to monitor public health impact and emerging utilization patterns, and to ascertain why, how, and under what conditions e-cigarettes are being used.

Suggested Citation

  • Pearson, J.L. & Richardson, A. & Niaura, R.S. & Vallone, D.M. & Abrams, D.B., 2012. "E-cigarette awareness, use, and harm perceptions in US adults," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 1758-1766.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300526_8
    DOI: 10.2105/AJPH.2011.300526
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    1. Arturo Durazo & Marlena Hartman-Filson & Holly Elser & Natalie M. Alizaga & Maya Vijayaraghavan, 2021. "E-Cigarette Use among Current Smokers Experiencing Homelessness," IJERPH, MDPI, vol. 18(7), pages 1-11, April.
    2. Jessica K. Pepper & Kurt M. Ribisl & Sherry L. Emery & Noel T. Brewer, 2014. "Reasons for Starting and Stopping Electronic Cigarette Use," IJERPH, MDPI, vol. 11(10), pages 1-17, October.
    3. Shannon Gravely & Geoffrey T. Fong & K. Michael Cummings & Mi Yan & Anne C. K. Quah & Ron Borland & Hua-Hie Yong & Sara C. Hitchman & Ann McNeill & David Hammond & James F. Thrasher & Marc C. Willemse, 2014. "Awareness, Trial, and Current Use of Electronic Cigarettes in 10 Countries: Findings from the ITC Project," IJERPH, MDPI, vol. 11(11), pages 1-14, November.
    4. Meng Wang & Jian-Wei Wang & Shuang-Shuang Cao & Hui-Qin Wang & Ru-Ying Hu, 2016. "Cigarette Smoking and Electronic Cigarettes Use: A Meta-Analysis," IJERPH, MDPI, vol. 13(1), pages 1-16, January.
    5. Rahi Abouk & Scott Adams & Bo Feng & Johanna Catherine Maclean & Michael F. Pesko, 2023. "The effect of e‐cigarette taxes on pre‐pregnancy and prenatal smoking," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(4), pages 908-940, September.
    6. Michael Briganti & Cristine D. Delnevo & Leanne Brown & Shirin E. Hastings & Michael B. Steinberg, 2019. "Bibliometric Analysis of Electronic Cigarette Publications: 2003–2018," IJERPH, MDPI, vol. 16(3), pages 1-10, January.
    7. Bell, Kirsten & Keane, Helen, 2014. "All gates lead to smoking: The ‘gateway theory’, e-cigarettes and the remaking of nicotine," Social Science & Medicine, Elsevier, vol. 119(C), pages 45-52.
    8. Andy S. L. Tan & Susan Mello & Ashley Sanders‐Jackson & Cabral A. Bigman, 2017. "Knowledge about Chemicals in e‐Cigarette Secondhand Vapor and Perceived Harms of Exposure among a National Sample of U.S. Adults," Risk Analysis, John Wiley & Sons, vol. 37(6), pages 1170-1180, June.
    9. Eboneé N. Butler & Marissa G. Hall & May S. Chen & Jessica K. Pepper & Hart Blanton & Noel T. Brewer, 2020. "The Prototypes of Tobacco Users Scale (POTUS) for Cigarette Smoking and E-Cigarette Use: Development and Validation," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    10. Jennifer C. Morgan & Joseph N. Cappella, 2021. "Harm Perceptions and Beliefs about Potential Modified Risk Tobacco Products," IJERPH, MDPI, vol. 18(2), pages 1-18, January.
    11. Kim A. G. J. Romijnders & Liesbeth Van Osch & Hein De Vries & Reinskje Talhout, 2018. "Perceptions and Reasons Regarding E-Cigarette Use among Users and Non-Users: A Narrative Literature Review," IJERPH, MDPI, vol. 15(6), pages 1-19, June.
    12. Man Ping Wang & William Ho Cheung Li & Nan Jiang & Lai Yan Chu & Antonio Kwong & Vienna Lai & Tai Hing Lam, 2015. "E-Cigarette Awareness, Perceptions and Use among Community-Recruited Smokers in Hong Kong," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-9, October.
    13. Lei Wang & Yongcheng Zhan & Qiudan Li & Daniel D. Zeng & Scott J. Leischow & Janet Okamoto, 2015. "An Examination of Electronic Cigarette Content on Social Media: Analysis of E-Cigarette Flavor Content on Reddit," IJERPH, MDPI, vol. 12(11), pages 1-20, November.
    14. Ying Xu & Yanfang Guo & Kaiqian Liu & Zheng Liu & Xiaobo Wang, 2016. "E-Cigarette Awareness, Use, and Harm Perception among Adults: A Meta-Analysis of Observational Studies," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-18, November.
    15. Konstantinos E. Farsalinos & I. Gene Gillman & Matt S. Melvin & Amelia R. Paolantonio & Wendy J. Gardow & Kathy E. Humphries & Sherri E. Brown & Konstantinos Poulas & Vassilis Voudris, 2015. "Nicotine Levels and Presence of Selected Tobacco-Derived Toxins in Tobacco Flavoured Electronic Cigarette Refill Liquids," IJERPH, MDPI, vol. 12(4), pages 1-14, March.
    16. Elise M. Stevens & Emily T. Hébert & Alayna P. Tackett & Eleanor L. S. Leavens & Theodore L. Wagener, 2020. "Harm Perceptions of the JUUL E-Cigarette in a Sample of Ever Users," IJERPH, MDPI, vol. 17(13), pages 1-9, July.
    17. Nurul Husna Akhmar & Hanum Hassan & Norhasyikin Rozali & Siti Intan Diyana Ishak & Alia Ashrani Azmi, 2017. "Electronic Cigarettes as a Smoking Cessation or as a Gateway to Start Smoking?," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 7(6), pages 761-768, June.
    18. Vincent Varlet & Konstantinos Farsalinos & Marc Augsburger & Aurélien Thomas & Jean-François Etter, 2015. "Toxicity Assessment of Refill Liquids for Electronic Cigarettes," IJERPH, MDPI, vol. 12(5), pages 1-20, April.
    19. Jingfen Zhu & Fanghui Shi & Gang Xu & Na Li & Jiahui Li & Yaping He & Jinming Yu, 2019. "Conventional Cigarette and E-Cigarette Smoking among School Personnel in Shanghai, China: Prevalence and Determinants," IJERPH, MDPI, vol. 16(17), pages 1-13, September.
    20. Biljana Kilibarda & Viktor Mravcik & Marcus Sebastian Martens, 2016. "E-cigarette use among Serbian adults: prevalence and user characteristics," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 167-175, March.
    21. Yitian Feng & Fan Wang & Abu S. Abdullah & Xiaoyan Wang & Jing Wang & Pinpin Zheng, 2019. "Beliefs, Attitudes, and Confidence to Deliver Electronic Cigarette Counseling among 1023 Chinese Physicians in 2018," IJERPH, MDPI, vol. 16(17), pages 1-11, August.
    22. Youngs Chang & Sanghyun Cho & Ikhan Kim & Young-Ho Khang, 2019. "Socioeconomic Inequalities in e-Cigarette Use in Korea: Comparison with Inequalities in Conventional Cigarette Use Using Two National Surveys," IJERPH, MDPI, vol. 16(22), pages 1-15, November.

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