Perceptions of harmfulness of heated tobacco and nicotine vaping products compared to cigarettes, and the association of advertising exposure on harm perceptions among adults who smoke in South Korea: Cross-sectional findings from the 2020 ITC Korea Survey
Introduction Heated tobacco products (HTPs) and nicotine vaping products (NVPs) both are legal consumer products in the Republic of Korea. Little is known about perceptions of harmfulness of HTPs and NVPs relative to cigarettes in South Korea among adults who smoke, and how exposure to marketing may...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-09-01
|
| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/Perceptions-of-harmfulness-of-heated-tobacco-and-nicotine-nvaping-products-compared,170252,0,2.html |
| _version_ | 1797650339974873088 |
|---|---|
| author | Michelle R. Goulette Shannon Gravely Steve S. Xu Gang Meng Anne C.K. Quah Sungkyu Lee Sung-il Cho Yeol Kim Sujin Lim Maansi Bansal-Travers Andrew Hyland Geoffrey T. Fong Hong G. Seo |
| author_facet | Michelle R. Goulette Shannon Gravely Steve S. Xu Gang Meng Anne C.K. Quah Sungkyu Lee Sung-il Cho Yeol Kim Sujin Lim Maansi Bansal-Travers Andrew Hyland Geoffrey T. Fong Hong G. Seo |
| author_sort | Michelle R. Goulette |
| collection | DOAJ |
| description | Introduction
Heated tobacco products (HTPs) and nicotine vaping products (NVPs)
both are legal consumer products in the Republic of Korea. Little is known
about perceptions of harmfulness of HTPs and NVPs relative to cigarettes in
South Korea among adults who smoke, and how exposure to marketing may be
associated with harmfulness perceptions.
Methods
This study used data from the 2020 International Tobacco Control
(ITC) Korea Survey, and included 3713 adult (aged 19 years) cigarette smokers
who were: 1) exclusive smokers (n=1845); 2) dual HTP + cigarette consumers
(n=1130); 3) dual NVP + cigarette consumers (n=224); and 4) triple consumers
(all three products, n=514). Weighted multinomial regression models were
conducted to estimate smokers’ perceptions of harmfulness of HTPs and NVPs
compared to cigarettes, NVPs to HTPs, and self-reported exposure to HTP/NVP
advertising. Analyses compared the perceptions of harmfulness between the four
different consumer groups, and tested whether exposure to HTP/NVP advertising
was associated with perceptions of lower relative harm.
Results
Among all respondents, 27.5% believe that HTPs are less harmful than
cigarettes and 23.4% believe that NVPs are less harmful than cigarettes. Exclusive
cigarettes smokers were significantly less likely to perceive that HTPs and NVPs
are less harmful than cigarettes compared to dual HTP + cigarette consumers,
dual NVP + cigarette consumers, and triple consumers (all p<0.001). Half of
respondents perceive NVPs as equally harmful as HTPs (14.1% perceive NVPs
as more harmful than HTPs). Exposure to HTP/NVP advertising was associated
with perceiving these products as less harmful than cigarettes.
Conclusions
About one-quarter of Korean cigarette smokers perceive HTPs
and NVPs as less harmful than cigarettes. Further investigation is required to
understand how harm perceptions and HTP/NVP advertising are related to
changes in product use, such as switching between products, using multiple
products, or discontinuing all product use. |
| first_indexed | 2024-03-11T15:58:50Z |
| format | Article |
| id | doaj.art-58137c1a797e44a19a514a5e2ff1ce48 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-11T15:58:50Z |
| publishDate | 2023-09-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-58137c1a797e44a19a514a5e2ff1ce482023-10-25T08:34:46ZengEuropean PublishingTobacco Induced Diseases1617-96252023-09-0121September11210.18332/tid/170252170252Perceptions of harmfulness of heated tobacco and nicotine vaping products compared to cigarettes, and the association of advertising exposure on harm perceptions among adults who smoke in South Korea: Cross-sectional findings from the 2020 ITC Korea SurveyMichelle R. Goulette0Shannon Gravely1https://orcid.org/0000-0001-5224-9105Steve S. Xu2Gang Meng3Anne C.K. Quah4Sungkyu Lee5Sung-il Cho6Yeol Kim7Sujin Lim8Maansi Bansal-Travers9Andrew Hyland10Geoffrey T. Fong11Hong G. Seo12Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, United StatesDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaKorea Center for Tobacco Control Research and Education, Seoul, Republic of KoreaGraduate School of Public Health, Seoul National University, Seoul, Republic of KoreaGraduate School of Cancer Science and Policy, National Cancer Center, Goyang-si, Republic of KoreaNational Tobacco Control Center, Korean Health Promotion Institute, Seoul, Republic of KoreaDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, United StatesDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, United StatesDepartment of Psychology, University of Waterloo, Waterloo, CanadaGraduate School of Cancer Science and Policy, National Cancer Center, Goyang-si, Republic of KoreaIntroduction Heated tobacco products (HTPs) and nicotine vaping products (NVPs) both are legal consumer products in the Republic of Korea. Little is known about perceptions of harmfulness of HTPs and NVPs relative to cigarettes in South Korea among adults who smoke, and how exposure to marketing may be associated with harmfulness perceptions. Methods This study used data from the 2020 International Tobacco Control (ITC) Korea Survey, and included 3713 adult (aged 19 years) cigarette smokers who were: 1) exclusive smokers (n=1845); 2) dual HTP + cigarette consumers (n=1130); 3) dual NVP + cigarette consumers (n=224); and 4) triple consumers (all three products, n=514). Weighted multinomial regression models were conducted to estimate smokers’ perceptions of harmfulness of HTPs and NVPs compared to cigarettes, NVPs to HTPs, and self-reported exposure to HTP/NVP advertising. Analyses compared the perceptions of harmfulness between the four different consumer groups, and tested whether exposure to HTP/NVP advertising was associated with perceptions of lower relative harm. Results Among all respondents, 27.5% believe that HTPs are less harmful than cigarettes and 23.4% believe that NVPs are less harmful than cigarettes. Exclusive cigarettes smokers were significantly less likely to perceive that HTPs and NVPs are less harmful than cigarettes compared to dual HTP + cigarette consumers, dual NVP + cigarette consumers, and triple consumers (all p<0.001). Half of respondents perceive NVPs as equally harmful as HTPs (14.1% perceive NVPs as more harmful than HTPs). Exposure to HTP/NVP advertising was associated with perceiving these products as less harmful than cigarettes. Conclusions About one-quarter of Korean cigarette smokers perceive HTPs and NVPs as less harmful than cigarettes. Further investigation is required to understand how harm perceptions and HTP/NVP advertising are related to changes in product use, such as switching between products, using multiple products, or discontinuing all product use.http://www.tobaccoinduceddiseases.org/Perceptions-of-harmfulness-of-heated-tobacco-and-nicotine-nvaping-products-compared,170252,0,2.htmltobaccocigarettesheated tobacco productsnicotine vaping productsperceptionsharmfulness |
| spellingShingle | Michelle R. Goulette Shannon Gravely Steve S. Xu Gang Meng Anne C.K. Quah Sungkyu Lee Sung-il Cho Yeol Kim Sujin Lim Maansi Bansal-Travers Andrew Hyland Geoffrey T. Fong Hong G. Seo Perceptions of harmfulness of heated tobacco and nicotine vaping products compared to cigarettes, and the association of advertising exposure on harm perceptions among adults who smoke in South Korea: Cross-sectional findings from the 2020 ITC Korea Survey Tobacco Induced Diseases tobacco cigarettes heated tobacco products nicotine vaping products perceptions harmfulness |
| title | Perceptions of harmfulness of heated tobacco and nicotine
vaping products compared to cigarettes, and the association
of advertising exposure on harm perceptions among adults
who smoke in South Korea: Cross-sectional findings from the
2020 ITC Korea Survey |
| title_full | Perceptions of harmfulness of heated tobacco and nicotine
vaping products compared to cigarettes, and the association
of advertising exposure on harm perceptions among adults
who smoke in South Korea: Cross-sectional findings from the
2020 ITC Korea Survey |
| title_fullStr | Perceptions of harmfulness of heated tobacco and nicotine
vaping products compared to cigarettes, and the association
of advertising exposure on harm perceptions among adults
who smoke in South Korea: Cross-sectional findings from the
2020 ITC Korea Survey |
| title_full_unstemmed | Perceptions of harmfulness of heated tobacco and nicotine
vaping products compared to cigarettes, and the association
of advertising exposure on harm perceptions among adults
who smoke in South Korea: Cross-sectional findings from the
2020 ITC Korea Survey |
| title_short | Perceptions of harmfulness of heated tobacco and nicotine
vaping products compared to cigarettes, and the association
of advertising exposure on harm perceptions among adults
who smoke in South Korea: Cross-sectional findings from the
2020 ITC Korea Survey |
| title_sort | perceptions of harmfulness of heated tobacco and nicotine vaping products compared to cigarettes and the association of advertising exposure on harm perceptions among adults who smoke in south korea cross sectional findings from the 2020 itc korea survey |
| topic | tobacco cigarettes heated tobacco products nicotine vaping products perceptions harmfulness |
| url | http://www.tobaccoinduceddiseases.org/Perceptions-of-harmfulness-of-heated-tobacco-and-nicotine-nvaping-products-compared,170252,0,2.html |
| work_keys_str_mv | AT michellergoulette perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT shannongravely perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT stevesxu perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT gangmeng perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT anneckquah perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT sungkyulee perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT sungilcho perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT yeolkim perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT sujinlim perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT maansibansaltravers perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT andrewhyland perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT geoffreytfong perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey AT honggseo perceptionsofharmfulnessofheatedtobaccoandnicotinevapingproductscomparedtocigarettesandtheassociationofadvertisingexposureonharmperceptionsamongadultswhosmokeinsouthkoreacrosssectionalfindingsfromthe2020itckoreasurvey |