Perceptions Of Harm Research Articles

How Do Consumers React to Production Waste?

Abstract Production waste, or inefficiencies in product manufacturing, is a major contributor to environmental problems. Consider production waste in garment manufacturing—which has been criticized for wasteful use of natural resources (e.g., using excessive water and fabric) and wasteful disposal of resource residuals (e.g., discarding excessive wastewater and fabric scraps). The present research examines consumer reactions to production waste and its mitigation as a function of whether it is characterized in terms of resource use versus disposal. A series of seven studies (including field and secondary data) finds that (i) consumers are less sensitive to wasteful resource use than disposal due to lower perceptions of environmental harm; (ii) likewise, consumers are less sensitive to waste mitigation targeting resource use than disposal due to lower perceptions of environmental benefit; and (iii) these waste reaction differences are attenuated when resource scarcity or long-term orientation is heightened (which increases consumer sensitivity to resource use). Together, this research sheds light on how, why, and when consumers are averse to production waste, while providing guidance regarding interventions focused on fighting production waste and promoting sustainability.

Youth Exposure and Response to the FDA Health Warning Label on Electronic Cigarettes Packaging: Policy Implications.

Youth represent a high-priority group for e-cigarette health communication. This study examined youth exposure to the Food and Drug Administration (FDA) e-cigarette warning label over 4 years and its association with change in youth harm perception and intention. We pooled data from the 2018-2021 National Youth Tobacco Survey (age 10-17; n = 67 159). Participants were divided into four groups: never users (58.5%), susceptible nonusers (16.3%), former users (12.7%), and current users (12.5%). We examined the prevalence, time-trend, correlates, and association of youth exposure to the warning with addictiveness and harm perception, intention to use e-cigarettes, and intention to quit all tobacco products. Only 24.5% of youth were exposed to the warning. Exposure increased from 14.9% in 2018 to 30.8% in 2019, then declined to 25.2% in 2021. Hispanic (adjusted odds ratio (aOR) = 0.76 [95% CI = 0.641 to 0.89]) and non-Hispanic black current users (0.53 [0.40 to 0.69]) were less likely to be exposed to the warning than white current users. Youth exposure was positively associated with a higher perception of e-cigarette addictiveness (1.12 [1.04 to 1.19]) and intention to quit all tobacco products (1.28 [1.13 to 1.46]). However, exposure was negatively associated with harm perception (0.91 [0.85 to 0.96]) and the intention to use e-cigarettes among e-cigarette nonusers (2.38 [1.99 to 2.84]). The decline in youth exposure to the warning indicates wear-out effects. Strengthening the label by using compelling designs, adding themes on e-cigarette harm to youth, periodically rotating warning content, and using culturally tailored messaging may improve its impact on youth and address racial/ethnic disparities. The FDA e-cigarette label reached only 24.5% of youth, and exposure to the warning declined to indicate wear-out effects. Exposure was significantly lower among minorities. Exposure was associated with a higher perception of e-cigarette addictiveness and intention to quit all tobacco products. Still, it did not increase harm perception or reduce intention to use e-cigarettes among nonusers. Strengthening the label by using more compelling designs, including diverse themes focusing on e-cigarette harm relevant to youth, and periodically rotating warning content may improve its impact on youth. Continued surveillance of the implementation of e-cigarette policies is needed to ensure that they equally affect youth across racial/ethnic subpopulations.

Perceived offensiveness to the self, not that to others, is a robust positive predictor of support of censoring sexual, alcoholic, and violent media content.

Harm and offense are two important notions in legal discussions on the extent to which one's freedom may be limited. Prior research on the third-person effect found that perceived media harm on others, not perceived media harm on the self, is a robust positive predictor of support of censoring socially undesirable media content (e.g., pornography). In comparison, how offensiveness perceptions predict censorship support is not clear. Drawing on moral foundations theory, we test here how perceived media offensiveness to the self compared with 1) perceived media offensiveness to others and 2) perceived media harm on others would predict censorship support. We conducted two cross-sectional survey studies in the U.S. to address this question with sexual, alcoholic, and violent media content as test cases. In Study 1 (N = 544 undergraduates), we measured perceived media offensiveness to the self, that to others, and censorship support. In Study 2 (N = 727 non-student adults), we also measured perceived media harm on the self and others. As in prior research, we found that people perceive sexual, alcoholic, and violent media content to harm other viewers more strongly than it harms themselves, and the perception of how much others are harmed predicts perceivers' censorship support. In contrast, while people also perceive the three types of media content to offend other viewers more strongly than they offend the self, the perception of how much others are offended predicts censorship support to a significantly lesser extent or does not predict this at all. Instead, the perception of how much the self is offended does. These findings add to the work on moral foundations theory that distinguishes between how the care/harm and sanctity/degradation foundations relate to moral judgments. These findings also suggest that the current theorizing of the third-person effect needs to expand to reconcile the seemingly inconsistent results on how harm and offensiveness perceptions differently relate to censorship support. The care/harm and sanctity/degradation foundations may underlie how harm and offensiveness perceptions predict censorship support. However, several "anomalous" findings need to be accounted for before moral foundations provide a comprehensive explanation of the third-person effect.

PREVALENCE AND BEHAVIOUR OF SMOKING MEDWAKH AMONG ABU DHABI-UNITED ARAB EMIRATES’ POPULATION: A CROSS-SECTIONAL STUDY

Medwakh is one of the non-cigarette products that has recently emerged as a public health problem in the United ArabEmirates. It is a narrow pipe filled with dried tobacco leaves and is mixed with herbs, spices, or at times with a bark knownas 'dhoka' (meaning 'dizzy' in Arabic). The purpose of the current study is to determine the prevalence and behaviour ofMedwakh smoking among the general population of Abu Dhabi, United Arab Emirates. For this objective, the authorsconducted a descriptive, quantitative, cross-sectional study. The three main outcomes were never smokers, currentsmokers (6 months or older) and the number of Medwakh smoked per day. Smoking behaviour, sociodemographic factorsand the attitudes of the study participants were assessed in this study. The outcomes from the regression models identifiedthe association between each outcome measure and age, gender, income, education level, marital status, smoking for ?6months, and parental and peer smoking. The prevalence of the current Medwakh intervention in Abu Dhabi was found tobe 22.5%. The average age at which the respondents started smoking was 25 years. Daily Medwakh users smoked a medianof 3.0 per day. The highest prevalence rate for Medwakh smoking was reported among men (29.9%), single individuals(24.2%), and younger age groups (18–37 years-37.5%) with bachelor's degrees (29.3%). The same outcome was also trueamong the users, who smoked for more than 6 months (41.9%) and the participants who had colleagues or parents withsmoking habit. The study also found income differences among the study participants. The awareness about damagereduction was extremely high among the Medwakh users (78.8%). No participant reported that they were denied a Medwakhpurchase on the basis of their age. Medwakh is considered as a herbal substance with no health hazard in Abu Dhabi, UnitedArab Emirates and is prevalently consumed at high rates. It has also heavily burdened the perceptions of harm. Furtherresearch into smoking behaviour is needed to determine the rest of the variables that heavily influence the smokingdecisions.

Prevalence and Factors Associated With Vaping Cannabidiol Among US Adolescents

e-Cigarette use and vaping marijuana (cannabis) are popular among US adolescents. Cannabidiol (CBD) is a compound found in the cannabis plant that has recently increased in use. To examine the prevalence of and factors associated with youths vaping CBD. This cross-sectional study included a nationally representative sample of students from middle and high schools (typical age, 11-18 years) in the US from the 2022 National Youth Tobacco Survey, conducted from January to May 2022. Demographic characteristics, harm perception of tobacco use, and vaping behaviors. The main outcomes were weighted prevalence and population estimates of ever and current (past 30-day) vaping of CBD overall and by e-cigarette use status. Multivariable logistic regression analyses were conducted to estimate the association of currently vaping CBD with demographic factors and e-cigarette and tobacco use behaviors stratified by current e-cigarette use status. The study included 28 291 participants (51.1% male; mean [SD] age, 14.5 [2.0] years). Among 2448 current e-cigarette users, 21.3% (95% CI, 18.4%-24.1%) reported any past-month vaping of CBD and 6.3% (95% CI, 4.7%-7.8%) reported that they did not know whether they had vaped CBD. Hispanic e-cigarette users were more likely than their non-Hispanic White peers to report currently vaping CBD (adjusted odds ratio [AOR], 1.9; 95% CI, 1.3-2.8). Current e-cigarette users with higher frequency (≥20 days vs ≤5 days) and longer duration (2-3 years or >3 years vs <1 year) of use were more likely to report currently vaping CBD (frequency: AOR, 1.5 [95% CI, 1.1-1.9]; 2-3 years: AOR, 2.2 [95% CI, 1.2-3.9]; 3 years: AOR, 3.2 [95% CI, 1.7-6.1]). Among 25 091 noncurrent e-cigarette users, 1.2% (95% CI, 1.0%-1.5%) reported currently vaping CBD and 2.3% (95% CI, 2.1%-2.6%) reported that they did not know. High school students (vs middle school students; AOR, 4.2; 95% CI, 2.8-6.1) and gay or lesbian (AOR, 2.9; 95% CI, 1.6-5.4) or bisexual (AOR, 2.7; 95% CI, 1.8-4.0) (vs heterosexual) youths were more likely to report vaping CBD, while those who perceived tobacco as dangerous (vs not dangerous; AOR, 0.4; 95% CI, 0.3-0.6) had lower odds of reporting vaping CBD. In this cross-sectional study of US middle and high school students, the prevalence of youths vaping CBD was high, particularly among e-cigarette users and Hispanic and sexual minority populations. The findings suggest that evidence-based educational campaigns, interventions, and public policy changes are needed to reduce the harmful health outcomes possible with vaping CBD among developing youths.

Longitudinal relationship between relative harm perceptions, beliefs about organic and additive-free tobacco, and cigarette brand switching among Natural American Spirit, Camel and Marlboro cigarette smokers

IntroductionWhile previous research has examined misperceptions related to Natural American Spirit (NAS), a premium cigarette brand using ‘natural’-themed marketing, the longitudinal relationship between NAS-related harm beliefs and switching to NAS...

Impact of E-liquid Packaging on Vaping Product Perceptions Among Youth in England, Canada, and the United States: A Randomized Online Experiment.

Vaping is not risk-free but can help those who smoke to reduce harm to health and stop smoking. However, packaging of vaping products, including e-liquids, appeals to youth and might facilitate vaping among nicotine-naïve people. Standardized packaging of vaping products could moderate the appeal of vaping among youth. This study assessed how youth interest in trying and perceived health harms of using e-liquids are associated with branded or standardized (white or olive) e-liquid packaging with different nicotine levels displayed. A between-subject experiment with three packaging and two nicotine level conditions included youth (n = 13801) aged 16 to 19 from England, Canada, and the United States as a part of a cross-sectional online survey in August-September 2021. Participants' interest in trying and perceived harm of e-liquids were analyzed using logistic and multinomial regressions adjusted for age, sex, race or ethnicity, country, vaping, and smoking status. Compared with branded e-liquid packs, more youth reported no interest in trying e-liquids in white (aOR = 1.48, 95% CI = 1.34 to 1.64) or olive (aOR = 1.62, 95% CI: 1.47 to 1.80) standardized packs. Compared with branded e-liquid packs, more youth inaccurately perceived e-liquids in white (aOR = 1.22, 95% CI: 1.11 to 1.34) or olive (aOR = 1.29, 95% CI: 1.18 to 1.41) standardized packs as equally or more harmful than smoking. E-liquid nicotine levels displayed on packs were not associated with youth interest in trying or harm perceptions of using e-liquids. Among 16- to 19-year-old youth from England, Canada, and the United States, standardized packaging of e-liquids was associated with lower interest in trying and higher health risk perceptions. Branded packaging of vaping products appeal to youth and might prompt nicotine use among those who had never smoked. This study suggests that restricting branding elements on e-liquid packaging is associated with youth's lower interest in trying e-liquids and higher misperceptions that vaping is equally or more harmful than smoking. Standardized packaging might reduce appeal of vaping among youth, but its potential to discourage vaping for harm reduction should also be considered.

Motive Dispositions Towards Sadism in Psychopathy: A Multimethod Investigation

ABSTRACT Focusing on sadism, we investigated motive dispositions in psychopathy. In a non-clinical sample (N=101) we employed a novel, multimethod design (self-reports and Facial Electromyography [fEMG]) to assess automatic affective reactions (indexing motive dispositions) to affiliative, antagonistic, and sadistic images. Individuals low in psychopathy, resembling universal human tendencies, reacted more positively (zygomaticus) to affiliation than to antagonism and sadism. These differences fell to almost half the size at high psychopathy levels: positive reactions to affiliative and antagonistic stimuli (ambiguous perception of harm) but also to sadistic, wherein harm is contextually clear. We provide preliminary evidence for sadistic motive dispositions in psychopathy.

Evaluation of US Medical Student Bias Toward Mental Health Before and After First-Year Pre-clinical Psychiatry Education.

Much of mental health care is provided by non-psychiatric providers, and unfortunately, bias toward patients with mental health conditions leads to worsened outcomes. The authors endeavored to determine if pre-clinical medical student psychiatry education had an impact on these perceptions. All 366 first-year medical students at Indiana University were invited to participate in a survey that consisted of the Mental Illness: Clinician's Attitudes version 2 (MICA-2) and six supplemental questions, pre- and post-course. One hundred seventeen students completed both surveys. The pre- and post-course means were 36.6 and 33.6, a change of - 2.9 (paired t-test p-value < 0.001), indicating a reduction in bias. These results suggest that pre-clinical education can lead to a measurable decrease in bias in medical students early in training. Unfortunately, individual question results and free responses continue to highlight significant bias in US medical students against mental illness and the field of psychiatry. Health care educators should be aware of these biases and their potential impact on patient outcomes so that these harmful perceptions can be targeted.

Prevalence of use, perceptions of harm and addictiveness, and dependence of electronic cigarettes among adults in Kuwait: A cross-sectional study.

Electronic cigarettes (e-cigarettes) have become one of the most common forms of nicotine delivery used by youth and young adults worldwide. Given the lack of epidemiologic data in Kuwait, this study sought to estimate the prevalence of e-cigarette use, assess perceptions of harm and addictiveness of e-cigarettes, measure the level of dependence on e-cigarettes and assess factors associated with dependence level among adults. A cross-sectional study enrolled adults (n=3032, aged ≥18 years) living in Kuwait using a web-based questionnaire. Participants self-reported ever and current (past 30-day) e-cigarette use and self-completed the 10-item Penn State E-cigarette Dependence Index. Associations were evaluated using multinomial logistic regression. The prevalence of ever and current e-cigarette use was estimated to be 40.2% (1220/3032) and 29.4% (892/3032), respectively. The prevalence of current e-cigarette use was higher in males compared to females (47.6% vs 14.4%, p<0.001). Relative to cigarette smoking, 40.6% of participants reported that e-cigarettes are less harmful, and 41.8% indicated that e-cigarettes are equally addictive. Among current e-cigarette users (n=892), 84.8% were ascertained to have developed either low, medium, or high dependence. The use of pod-based devices compared to disposable devices was associated with a high dependence level (adjusted odds ratio, AOR=8.56; 95% CI: 4.52-16.22). These findings suggest that a large proportion of adults in Kuwait use e-cigarettes, and a considerable proportion of current users have developed dependence. Therefore, such results should alert public health authorities and warrant the development of evidence-based awareness campaigns, policies, and prevention measures to protect and improve the health of people.

Perceptions of Job Hazards and Requests for Accommodation Among Pregnant Women in a Large Urban Hospital System.

Many pregnant women remain uninformed about job accommodation options or have not been empowered to ask their employers. A cross-sectional survey of a sample base of pregnant women from late first through third trimester was conducted. Associations between job perception variables, work characteristics, race/ethnicity, and income were assessed using binary logistic regression. Workers in service/support occupations were twice as likely as those in management to perceive need for job duty change and to request job accommodation. Perception of needed job change was higher when jobs had high physical demands and low substantive complexity. We found positive relationships between highly physical work, perception of harm, and need for job change in pregnancy. Further research could explore worker/employer characteristics explaining why these perceptions did not translate into requesting and receiving job accommodation during pregnancy.

Smoking cessation attempts and successes among Nunavimmiut

ObjectivesThe smoking rate in Canada has declined in past decades, yet smoking rates remain high in Nunavik (northern Québec), where an estimated 80% of adult respondents smoke. We investigated sociodemographic factors, smoking behaviours, harm perception, and social support as determinants of smoking cessation attempts and successes among Nunavimmiut.MethodsPast year smoking frequency, quantity smoked, and cessation attempts and aids were documented in a sample of 1326 Nunavimmiut aged 16 and over in the Qanuilirpitaa? 2017 survey. Sociodemographic indicators, social support, cessation aids, and smoking harm perception were investigated as potential determinants. All factors were modeled by logistic regressions and adjusted for age and sex.ResultsThirty-nine percent of smokers tried to quit smoking in the preceding year, and 6% of those were successful. Older Nunavimmiut (aOR = 0.84 [0.78, 0.90]) and those smoking 20 + cigarettes/day (aOR = 0.94 [0.90, 0.98]) were less likely to attempt to quit. Ungava coast residents (aOR = 1.87 [1.36, 2.57]), separated/widowed/divorced individuals (aOR = 2.43 [1.09, 5.38]), and occasional smokers (aOR = 2.77 [1.61, 4.76]) compared to those living on the Hudson coast, single individuals, and daily smokers, respectively, were more likely to report cessation attempts. Most used no particular cessation aid (58%), 28% relied on family/self-help/support programs, and 26% used medication. Women were more likely to rely on spirituality/traditional methods (aOR = 1.92 [1.00, 3.71]) and less likely to rely on electronic cigarettes (aOR = 0.33 [0.13, 0.84]), as were older participants (aOR = 0.67 [0.49, 0.94]). Those with more years of schooling were more likely to rely on electronic cigarettes (aOR = 1.47 [1.06, 2.02]). These estimates are prone to biases due to the relatively low participation rate in the survey (37%).ConclusionDespite many attempts reported by participants, regional partners of this study underlined that successful smoking cessation remains a challenge for many Nunavimmiut. Key differences were identified in approaches and determinants of smoking cessation attempts, but most smokers did not use cessation aids. These results are in line with the experience of the Inuit partners of this study and can inform targeted public health interventions to support the many Nunavimmiut trying to quit smoking, notably increasing accessibility and acceptability of cessation aids. Inuit partners of this study highlighted the importance for interventions and communication efforts to reflect Nunavik’s context.

Absolute and relative e-cigarette harm perceptions among young adult lesbian and bisexual women and nonbinary people assigned female at birth

PurposeYoung adult lesbian and bisexual women report considerable e-cigarette disparities, which may be attributed to low harm perceptions. No studies have assessed differences in e-cigarette harm perceptions in this group, nor which factors might be intervention targets to influence harm perceptions. Materials and methodsWe investigated differences in and modifiable correlates of e-cigarette harm perceptions among young adult lesbian and bisexual women and non-binary people assigned female at birth. Young adult women and non-binary people assigned female at birth, aged 18–30 years old, and who self-identified as lesbian or bisexual (N = 471) reported absolute and relative harm perceptions of e-cigarettes to health in an online survey. We modeled associations between harm perceptions and individual, interpersonal, and contextual factors. ResultsBisexual (vs. lesbian) participants perceived higher absolute harm of e-cigarettes (Mean (M) = 7.61 vs M = 7.09, p = .03). Participants rated e-cigarettes as slightly less harmful than cigarettes, and there was no statistically significant difference by sexual orientation (Bisexual: M = 4.84 vs Lesbian: M = 4.36). In multivariable models, bisexual (vs. lesbian) participants and Hispanic/Latinx and Other race (vs. non-Hispanic White) participants reported higher absolute and relative e-cigarette harm perceptions. Greater sexual identify affirmation and greater perceived stress were associated with higher absolute and relative e-cigarette harm perceptions. ConclusionsE-cigarette harm perceptions vary vis-à-vis individual-level factors. Self-identification as bisexual or minoritized race/ethnicity, greater sexual identity affirmation, and greater perceived stress was associated with increased harm perceptions. Understanding variations may inform targeted health communications to reduce e-cigarette use disparities.

억제이론의 명과 암

This study was conducted to critically examine the effectiveness of deterrence theory. Deterrence theory, which assumes a criminal's rational thinking, argues that if the benefit of the crime exceeds the cost, crime will be a normal and rational choice for everyone. Accordingly, deterrence theory predicts that recidivism and first-time crimes are prevented only when punishment is set above the benefit of crime or social harm. However, an individual's perception of criminal damage or social harm is considered one of the sufficient conditions for fear of crime. The more positively one evaluates the level of physical and mental damage caused by crime, the greater the fear of crime. If the severity of punishment reflects the social harm of the crime, it was judged that the severity would stimulate the fear of crime. The tool to prevent actual crimes rather produces a wide range of crime victims. In order to verify the assumption of the researcher, multiple regression analysis was conducted using data collected from 815 adult men and women. As a result of the analysis, the certainty of punishment had a positive(+) effect on fear of crime, while the severity of punishment had a negative(-) effect on it, confirming the side effects of severity. Based on the results, this study proposed a check on the trend of severe punishment and a critical review of criminology theory.

Australians' perceptions about health risks associated with climate change: Exploring the role of media in a comprehensive climate change risk perception model

We advance a recent comprehensive model of climate change risk perceptions by investigating the role of media in shaping individuals’ health risk perceptions. Results from a national survey in Australia (n = 1023) show that perceived health risks associated with climate change are related but distinct from perceived harm to self and society as measured in previous risk perception studies. Moreover, the full model explains 47% variance in health risks and 74% in perceived harm; While experiential processes (21%) account for about half of the variance in health risks, cognitive factors explain the largest share of variance in perceived harm (32%). Media processes explain a 10% variance in health risks and a 14% variance in perceived harm. News interest and media exposure to extreme weather events are significant to understand public health risks and harm perceptions, even after accounting for several other socio-demographic, cognitive, experiential, and socio-cultural factors. Findings support a conditional media effects model. Media can, directly and indirectly, affect public health risk perceptions by providing vicarious experience opportunities and information that Australians are looking for in the media about climate change.

Smokers' support for the ban on sale of slim cigarettes in six European countries: findings from the EUREST-PLUS ITC Europe Surveys.

Background: Efforts to regulate tobacco products and reduce consumption in the European Union (EU) include the European Tobacco Products Directive (TPD), which went into force in May 2016. Despite the initial discussion to include a ban on sale of slim cigarettes, it was excluded in the final TPD. The main goal of this study was to examine support for a ban on slim cigarettes among smokers in six European Countries. Methods: Data from the 2018 (Wave 2) International Tobacco Control Policy Evaluation Project 6 European Country (ITC 6E) EUREST-PLUS project survey, a cross sectional study of adult smokers (n=5592) from Germany, Greece, Hungary, Poland, Romania, and Spain, was analysed. Descriptive statistics were used to estimate support for a ban on slim cigarettes by sociodemographic characteristics and smoking behaviors. Logistic regression analysis was used to examine factors associated with support for a ban on slim cigarettes and perceptions of harm. Results: Support for a ban on slims varied across countries, with highest support in Romania (33.8%), and lowest in Greece (18.0%). Female smokers (OR=0.78; 95%CI=0.67-0.91, daily smokers (OR=0.68; 95%CI=0.47-0.97), menthol smokers (OR=0.55; 95%CI=0.36-0.86), and smokers who did not have plans to quit within next six months (OR=0.45; 95%CI=0.36-0.56) had significantly lower odds of supporting a ban on slim cigarettes. Overall, 21% of smokers perceived slim cigarettes as less harmful than regular cigarettes. Conclusions: Support for a ban of slim cigarettes was relatively low among smokers, while misperceptions that slim cigarettes are less harmful is high, particularly among countries where slim cigarette use is more prevalent. Findings support a ban on slim cigarettes to reduce misperceptions around slim cigarettes being less harmful.

"Better Than Any DARE Program": Qualitative Analysis of Adolescent Reactions to EVALI Television Storylines.

Introduction. Research suggests that awareness of e-cigarette, or vaping, product-use associated lung injury (EVALI) among adolescents is associated with increased harm perception of e-cigarettes. The depiction of EVALI on three primetime medical dramas offers an opportunity to examine the use of these storylines for tobacco prevention education. Methods. We conducted four focus groups with seventh- and eighth-grade students at an urban middle school. Participants viewed three clips of scenes followed by a facilitated discussion as to the influence of the clips on knowledge and perceptions of e-cigarettes and the use of clips for tobacco prevention education. Two research assistants double-coded notes from the focus groups using a qualitative content analysis approach. Results. Our final sample included 78 adolescents; we obtained self-reported demographic information for 75. The majority of participants were 13 to 14 years of age (82.7%) and identified as cisgender female (52.0%) and Black (52.0%). No participants had knowledge of EVALI prior to viewing the clips. Comments made both during and after watching suggest the clips may have reinforced knowledge and perceptions of harm; participants stated that the clips could be a useful intervention tool. Viewing the clips also generated unprompted discussion about flavored products, tobacco advertising, other television programs, and marijuana. Conclusions. Clips featuring the depiction of EVALI on medical dramas may be an effective tool for raising awareness of e-cigarette use-related harms. These results offer a promising first step for future collaborative research between public health, adolescents, and schools to develop tobacco prevention education utilizing these clips.

Short report: Factors contributing to young people’s susceptibility to e-cigarettes in four countries

BackgroundIdentifying young people who are susceptible to e-cigarettes is important for developing interventions designed to discourage uptake. Current evidence in a broader range of national contexts is needed given recent surges in youth e-cigarette use in many countries and the constantly evolving nature of vaping products and the promotional strategies used by the industry to increase their appeal. MethodsA cross-sectional online survey was administered to around 1000 15–30 year olds in each of four countries: Australia, China, India, and the United Kingdom (total n = 4007). The survey assessed demographic characteristics, e-cigarette and tobacco use, exposure to e-cigarette advertising, and number of friends and family members who vape. Those who had never used e-cigarettes (n = 1589) were assessed for susceptibility (curiosity about e-cigarettes, intentions to use in the next 12 months, and likely use if offered by a friend). Mixed effects logistic regression analysis was used to identify factors associated with susceptibility to e-cigarette use. ResultsSusceptibility to e-cigarette use was apparent among 54% of respondents from Australia, 61% from India, 62% from the UK, and 82% from China. Factors positively associated with susceptibility were tobacco use, exposure to advertising, higher income, and having friends and family members who vape. Factors negatively associated with susceptibility were perceptions of harmfulness and education. ConclusionThe results indicate the need across a diverse range of countries for interventions designed to address substantial proportions of young people who are likely to be susceptible to e-cigarette use.

Association of Vaping Identity and e-Cigarette Perceptions among Young Adults Who Vape

Background: In the U.S., 9.3% of young adults currently vape. However, little is known about how vaping identity (i.e., internalizing vaping as an important part of oneself) can influence young adults’ e-cigarette perceptions. The purpose of this study was to examine the association between vaping identity and e-cigarette perceptions among young adults. Methods: Young adults who vape (N = 252, Mage = 24.7) were recruited to participate in an online survey assessing a trusted source of health information, e-cigarette harm perceptions, and intentions to abstain from vaping. We estimated associations between vaping identity on outcomes and the interaction of vaping identity and combustible cigarette use on outcomes. Results: Participants with higher vaping identity reported lower trust in government health agencies and a doctor, and higher trust in the tobacco industry and e-cigarette industry (ps < 0.05). Those with higher vaping identity also reported lower e-cigarette harm perceptions and intentions to abstain from vaping (ps < 0.05). Conclusions: Findings show that higher vaping identity is associated with greater trust in the tobacco industry, lower trust in health experts, lower e-cigarette harm perceptions, and lower intentions to abstain from using e-cigarettes. This suggests that efforts to reduce vaping among young adults may need to leverage messages that reduce the credibility of the tobacco industry and prevent nonsmoking young adults from developing a vaping identity.

Differential perceptions of and reactions to incivil and intolerant user comments

Abstract Building on recent research that challenges the notion that norm violations in online discussions are inherently detrimental, this study relies on a distinction between incivil and intolerant user comments and investigates how online users perceive and react to these distinct forms of antinormative discourse online. Conducting a preregistered factorial survey experiment with a nationally representative sample of n = 964 German online users, we presented participants with manipulated user comments that included statements associated with incivil (profanity; attacks toward arguments) and intolerant discourse (offensive stereotyping; violent threats). The results show that intolerant statements consistently lead to higher perceptions of offensiveness and harm to society as well as an increased intention to delete the comment containing the statement, whereas incivil statements do not. An exploratory multiverse analysis further suggests that these effects remain robust across a variety of analytical decisions.