Mark D Miller, Maria Valenti, Ted Schettler, Brian Tencza
A Multimedia E-Book-A Story of Health: Filling a Gap in Environmental Health Literacy for Health Professionals
Environmental health perspectives
many cigarette smokers want quit switching noncombustible products reduce disease risk misperceptions nicotine causes cancer might impact relative harm perceptions noncombustible products considering switching identifying smokers likely hold misperception associated beliefs inform content priority audiences corrective messaging bivariable log binomial models run sample 9013 adult established smokers wave 3 population assessment tobacco health post hoc testing identified groups beliefs associated significantly higherthanaverage prevalence misperception 612 smokers believe nicotine causes cancer dont know nonhispanic black pr 209 hispanic pr 173 smokers well making 10000 year pr 136 significantly higherthanaverage prevalence misperception smokers recently used ends smokeless tobacco significantly lowerthanaverage prevalence misperception pr 070 063 respectively prevalence nicotine misperceptions significantly higherthanaverage among recognized ten smokingcaused diseases pr 134 believed additivefree cigarettes harmful regular cigarettes pr 171 report subjective norms supporting noncombustible use pr 105 high perceived threat tobacco may overgeneralized nicotine high prevalence misperception among nonhispanic black lowincome smokers concerning considering existing health disparities messaging attempt correct misperception nicotine causes cancer inferential reasoning message exposure assess accuracy relative harm perceptions current study supports need corrective messaging address misperception nicotine causes cancer identifying nicotine misperceptions associated higher harm perceptions tobacco suggests may unintended consequences high perceived harm tobacco need addressed nicotine misperceptions significantly prevalent among already higher risk tobacco caused diseases care taken ensure equity message dissemination