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
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-cigare...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
European Publishing
2019-08-01
|
Series: | Tobacco Induced Diseases |
Subjects: | |
Online Access: | http://www.journalssystem.com/tid/Positive-perceptions-towards-electronic-cigarettes-relative-to-combustible-cigarettes,110697,0,2.html |
id |
doaj-8a68088e4d4e4849abc0a46e09159960 |
---|---|
record_format |
Article |
spelling |
doaj-8a68088e4d4e4849abc0a46e091599602020-11-24T22:20:28ZengEuropean PublishingTobacco Induced Diseases1617-96252019-08-0117August10.18332/tid/110697110697Positive 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 KongYongda S. Wu0Man Ping Wang1Sai Yin Ho2Yee Tak Cheung3Antonio Kwong4Vienna Lai5Tai Hing Lam6School of Nursing, The University of Hong Kong, Pokfulam, Hong KongSchool of Nursing, The University of Hong Kong, Pokfulam, Hong KongSchool of Public Health, The University of Hong Kong, Pokfulam, Hong KongSchool of Nursing, The University of Hong Kong, Pokfulam, Hong KongHong Kong Council on Smoking and Health, Wan Chai, Hong KongHong Kong Council on Smoking and Health, Wan Chai, Hong KongSchool of Public Health, The University of Hong Kong, Pokfulam, Hong KongIntroduction 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.http://www.journalssystem.com/tid/Positive-perceptions-towards-electronic-cigarettes-relative-to-combustible-cigarettes,110697,0,2.htmlelectronic cigarettestobacco endgamepolicysmoking renormalization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yongda S. Wu Man Ping Wang Sai Yin Ho Yee Tak Cheung Antonio Kwong Vienna Lai Tai Hing Lam |
spellingShingle |
Yongda S. Wu Man Ping Wang Sai Yin Ho Yee Tak Cheung Antonio Kwong Vienna Lai Tai Hing Lam 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 Tobacco Induced Diseases electronic cigarettes tobacco endgame policy smoking renormalization |
author_facet |
Yongda S. Wu Man Ping Wang Sai Yin Ho Yee Tak Cheung Antonio Kwong Vienna Lai Tai Hing Lam |
author_sort |
Yongda S. Wu |
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 |
title_short |
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_full |
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_fullStr |
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_full_unstemmed |
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_sort |
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 |
publisher |
European Publishing |
series |
Tobacco Induced Diseases |
issn |
1617-9625 |
publishDate |
2019-08-01 |
description |
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. |
topic |
electronic cigarettes tobacco endgame policy smoking renormalization |
url |
http://www.journalssystem.com/tid/Positive-perceptions-towards-electronic-cigarettes-relative-to-combustible-cigarettes,110697,0,2.html |
work_keys_str_mv |
AT yongdaswu positiveperceptionsofelectroniccigarettesrelativetocombustiblecigarettesareassociatedwithweakersupportforendgamepoliciesoncombustiblecigarettesapopulationbasedcrosssectionalstudyinhongkong AT manpingwang positiveperceptionsofelectroniccigarettesrelativetocombustiblecigarettesareassociatedwithweakersupportforendgamepoliciesoncombustiblecigarettesapopulationbasedcrosssectionalstudyinhongkong AT saiyinho positiveperceptionsofelectroniccigarettesrelativetocombustiblecigarettesareassociatedwithweakersupportforendgamepoliciesoncombustiblecigarettesapopulationbasedcrosssectionalstudyinhongkong AT yeetakcheung positiveperceptionsofelectroniccigarettesrelativetocombustiblecigarettesareassociatedwithweakersupportforendgamepoliciesoncombustiblecigarettesapopulationbasedcrosssectionalstudyinhongkong AT antoniokwong positiveperceptionsofelectroniccigarettesrelativetocombustiblecigarettesareassociatedwithweakersupportforendgamepoliciesoncombustiblecigarettesapopulationbasedcrosssectionalstudyinhongkong AT viennalai positiveperceptionsofelectroniccigarettesrelativetocombustiblecigarettesareassociatedwithweakersupportforendgamepoliciesoncombustiblecigarettesapopulationbasedcrosssectionalstudyinhongkong AT taihinglam positiveperceptionsofelectroniccigarettesrelativetocombustiblecigarettesareassociatedwithweakersupportforendgamepoliciesoncombustiblecigarettesapopulationbasedcrosssectionalstudyinhongkong |
_version_ |
1725775156929888256 |