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Heated Tobacco Products: Awareness, Beliefs, Use and Susceptibility among US Adult Current Tobacco Users, 2021

Author

Listed:
  • Lindsey S. Sparrock

    (Department of Neuroscience, American University, Washington, DC 20016, USA)

  • Lilianna Phan

    (Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA)

  • Julia Chen-Sankey

    (Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ 08901, USA
    School of Public Health, Rutgers Biomedical and Health Sciences, Piscataway, NJ 08854, USA)

  • Kiana Hacker

    (Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA)

  • Aniruddh Ajith

    (School of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA)

  • Bambi Jewett

    (Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA)

  • Kelvin Choi

    (Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA)

Abstract

Limited data exist on the awareness, beliefs, and use of heated tobacco products (HTPs). Data from 1583 U.S. adult (age ≥ 21 years) current tobacco users were collected in 2021. Participants self-reported HTP awareness, beliefs, use, and susceptibility, as well as current tobacco product use and sociodemographics. We used weighted logistic and multinomial regression models to explore their associations. Overall, 23.6% were aware of, 8.9% had ever used, and 3.0% currently used HTPs. Younger individuals (vs. 61+ years), those with annual income $50,000+ (vs. <$50,000), and those currently using electronic vaping products (vs. non-users) were more likely to be aware of, to have ever used, and to currently be using HTPs ( p < 0.05). Black individuals (vs. White) were more likely to report ever and current HTP use ( p < 0.05). Current cigarette smoking was not associated with HTP awareness and use ( p > 0.05). Holding favorable HTP beliefs was associated with susceptibility to and more advanced HTP use statuses ( p < 0.05). Sociodemographics associated with HTP use may reflect HTP marketing strategies. The lack of association with cigarette smoking suggests HTPs may be unlikely cigarette substitutes. Addressing favorable HTP-related beliefs may prevent dual use.

Suggested Citation

  • Lindsey S. Sparrock & Lilianna Phan & Julia Chen-Sankey & Kiana Hacker & Aniruddh Ajith & Bambi Jewett & Kelvin Choi, 2023. "Heated Tobacco Products: Awareness, Beliefs, Use and Susceptibility among US Adult Current Tobacco Users, 2021," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2016-:d:1043774
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    References listed on IDEAS

    as
    1. Małgorzata Znyk & Joanna Jurewicz & Dorota Kaleta, 2021. "Exposure to Heated Tobacco Products and Adverse Health Effects, a Systematic Review," IJERPH, MDPI, vol. 18(12), pages 1-18, June.
    2. Carla J. Berg & Lorien C. Abroms & Hagai Levine & Katelyn F. Romm & Amal Khayat & Christina N. Wysota & Zongshuan Duan & Yael Bar-Zeev, 2021. "IQOS Marketing in the US: The Need to Study the Impact of FDA Modified Exposure Authorization, Marketing Distribution Channels, and Potential Targeting of Consumers," IJERPH, MDPI, vol. 18(19), pages 1-10, October.
    3. Omar Andrés Bravo-Gutiérrez & Ramcés Falfán-Valencia & Alejandra Ramírez-Venegas & Raúl H. Sansores & Guadalupe Ponciano-Rodríguez & Gloria Pérez-Rubio, 2021. "Lung Damage Caused by Heated Tobacco Products and Electronic Nicotine Delivery Systems: A Systematic Review," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
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