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Worldviews and trust of sources for health information on electronic nicotine delivery systems: Effects on risk perceptions and use.


Abstract

Public health agencies, the news media, and the tobacco/vapor industry have issued contradictory statements about the health effects of electronic nicotine delivery systems (ENDS). We investigated the levels of trust that consumers place in different information sources and how trust is associated with cultural worldviews, risk perceptions, ENDS use, and sociodemographic characteristics using a nationally representative sample of 6051 U.S. adults in 2015. Seventeen percent of adults were uncertain about their trust for one or more potential sources. Among the rest, the Centers for Disease Control and Prevention (CDC), health experts, and the Food & Drug Administration (FDA) elicited the highest levels of trust. In contrast, tobacco and vapor manufacturers, vape shop employees, and, to a lesser extent, the news media were distrusted. Adults who had higher incomes and more education or espoused egalitarian and communitarian worldviews expressed more trust in health sources and the FDA, whereas those identifying as non-Hispanic Black or multiracial reported less trust. Current smokers, those who identified as non-Hispanic Black or other race, had lower incomes, and espoused hierarchy and individualism worldviews expressed less distrust toward the tobacco and vapor industry. Greater trust (or less distrust) toward the tobacco and vapor industry and an individualism worldview were associated with perceptions of lower risk of premature death from daily ENDS use, greater uncertainty about those risks, and greater odds of using ENDS. Public health and the FDA should consider consumer trust and worldviews in the design and regulation of public education campaigns regarding the potential health risks and benefits of ENDS.

Link to Journal

Worldviews and trust of sources for health information on electronic nicotine delivery systems: Effects on risk perceptions and use.


Author(s)

Lead Author: Scott Weaver
TitlePublisher
Changing Perceptions of Harm of E-Cigarettes Among U.S. Adults, 2012–2015American Journal of Preventive Medicine
Little Cigars and Cigarillos: Users, Perceptions, and Reasons for Use.Tobacco Regulatory Science
Use of Electronic Nicotine Delivery Systems among Adults with Mental Health Conditions, 2015.International Journal of Environmental Research and Public Health
Changing Perceptions of Harm of E-Cigarettes Among US Adults, 2012–2015.American Journal of Preventive Medicine
Prevalence and harm perceptions of hookah smoking among U.S. adults, 2014-2015.Addictive Behavior
Flavored e-cigarette use: Characterizing youth, young adult, and adult users.Preventative Medicine
Type of E-cigarette Device Used Among Adolescents and Young Adults: Findings from a pooled analysis of 8 studies of 2,166 vapers. 2017 (in press)Nicotine & Tobacco Research
Prevalence and Factors Associated with Smokeless Tobacco Use, 2014-2016.American Journal of Health Behavior
Use of Nicotine in Electronic Nicotine and Non-Nicotine Delivery Systems by US Adults, 2015.Public Health Reports
Establishing consensus on survey measures for electronic nicotine and non-nicotine delivery system use: Current challenges and considerations for researchers.Addictive Behaviors
Establishing Consensus Survey Measures for ENDS Use: Current Challenges and Considerations for ResearchersAddictive Behaviors
The Potential That Electronic Nicotine Delivery Systems Can be a Disruptive Technology: Results From a National SurveyNicotine & Tobacco Research
Type of E-Cigarette Device Used Among Adolescents and Young Adults: Findings From a Pooled Analysis of Eight Studies of 2166 Vapers.Nicotine & Tobacco Research
Development and psychometric validation of a novel measure of sensory expectancies associated with e-cigarette useAddictive Behaviors
Author: Paul Slovic
TitlePublisher
Changing Perceptions of Harm of E-Cigarettes Among U.S. Adults, 2012–2015American Journal of Preventive Medicine
Changing Perceptions of Harm of E-Cigarettes Among US Adults, 2012–2015.American Journal of Preventive Medicine
Regretting Ever Starting to Smoke: Results from a 2014 National Survey.International Journal of Environmental Research and Public Health
Author: Michael Eriksen
TitlePublisher
Changing Perceptions of Harm of E-Cigarettes Among U.S. Adults, 2012–2015American Journal of Preventive Medicine
Opinions about electronic cigarette use in smoke-free areas among U.S. Adults, 2012.Nicotine & Tobacco Research
Little Cigars and Cigarillos: Users, Perceptions, and Reasons for Use.Tobacco Regulatory Science
Use of Electronic Nicotine Delivery Systems among Adults with Mental Health Conditions, 2015.International Journal of Environmental Research and Public Health
Changing Perceptions of Harm of E-Cigarettes Among US Adults, 2012–2015.American Journal of Preventive Medicine
Electronic cigarette use among current smokers: A pilot qualitative study.Health Behavior and Policy Review
Risk Perceptions of Little Cigar and Cigarillo Smoking Among Adult Current Cigarette Smokers.Nicotine & Tobacco Research
Prevalence and harm perceptions of hookah smoking among U.S. adults, 2014-2015.Addictive Behavior
Flavored e-cigarette use: Characterizing youth, young adult, and adult users.Preventative Medicine
Regretting Ever Starting to Smoke: Results from a 2014 National Survey.International Journal of Environmental Research and Public Health
Prevalence and Factors Associated with Smokeless Tobacco Use, 2014-2016.American Journal of Health Behavior
Use of Nicotine in Electronic Nicotine and Non-Nicotine Delivery Systems by US Adults, 2015.Public Health Reports
The Potential That Electronic Nicotine Delivery Systems Can be a Disruptive Technology: Results From a National SurveyNicotine & Tobacco Research
Addiction, Cessation, & Harm Reduction: Primary Care Provider Knowledge & Perceptions of Electronic Nicotine Delivery SystemOsteopathic Family Physician
Flavors and Risk: Perceptions of Flavors in Little Cigars and Cigarillos Among U.S. Adults, 2015.Nicotine & Tobacco Research
Author: Amelia Jazwa
TitlePublisher
Not Available
Author: Richard Rothenberg
TitlePublisher
Not Available

Worldviews and trust of sources for health information on electronic nicotine delivery systems: Effects on risk perceptions and use.


Award Type: P50

PubMed Citation: SSM Popul Health. 2017 Dec; 3: 787–794. Published online 2017 Sep 29. doi: 10.1016/j.ssmph.2017.09.003

Journal: SSM-Population Health

Publication Link: https://www.sciencedirect.com/science/article/pii/S2352827317301040