Trends in beliefs about the harmfulness and use of stop-smoking medications and smokeless tobacco products among cigarettes smokers: Findings from the ITC four-country survey
2011

Trends in Smokers' Beliefs About Stop-Smoking Medications and Smokeless Tobacco

Sample size: 21207 publication Evidence: moderate

Author Information

Author(s): Ron Borland, Jae Cooper, Ann McNeill, Richard O'Connor, K Michael Cummings

Primary Institution: VicHealth Center for Tobacco Control, The Cancer Council Victoria

Hypothesis

Are smokers misinformed about the harmfulness of nicotine and smokeless tobacco products?

Conclusion

Many smokers continue to be misinformed about the relative safety of nicotine and alternatives to smoked tobacco, especially in the US and Canada.

Supporting Evidence

  • Knowledge about the harmfulness of nicotine and alternatives to smoked tobacco remains low among smokers.
  • UK smokers showed a small but significant improvement in knowledge over time.
  • In Canada and the US, only about one in six smokers believed some smokeless tobacco products could be less harmful than cigarettes.

Takeaway

Smokers often don't know that some nicotine products are safer than cigarettes, and this can make it harder for them to quit smoking.

Methodology

Data were collected from seven waves of the ITC-4 country study conducted between 2002 and 2009 with adult smokers from Canada, the US, the UK, and Australia.

Potential Biases

Potential bias due to self-reported data and the exclusion of non-cigarette tobacco users.

Limitations

The study only included cigarette smokers, excluding users of other tobacco products.

Participant Demographics

Participants were adult smokers from Canada, the US, the UK, and Australia, with a mix of socioeconomic statuses.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI not specified

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1477-7517-8-21

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