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Related Experiment Video

Updated: Jul 26, 2026

Automated Measurement of Pulmonary Emphysema and Small Airway Remodeling in Cigarette Smoke-exposed Mice
10:37

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Published on: January 16, 2015

Smokers' unrealistic optimism about their risk.

N D Weinstein1, S E Marcus, R P Moser

  • 1Department of Human Ecology, Rutgers University, Cook Office Building, 55 Dudley Road, New Brunswick, NJ 08901-8520, USA. neilw@aesop.rutgers.edu

Tobacco Control
|March 1, 2005
PubMed
Summary

Smokers underestimate their risk of lung cancer and other smoking-related illnesses. This suggests smoking is not a fully informed choice, as individuals misperceive the potential harm.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Risk Perception

Background:

  • Previous research on smokers' risk perception yielded inconsistent findings.
  • Unrealistic optimism regarding tobacco-related illness risk has been observed in some studies but not others.

Purpose of the Study:

  • To investigate smokers' perceptions of their risk for tobacco-related illnesses.
  • To address measurement issues in prior studies and explore new assessment questions.

Main Methods:

  • A national US telephone survey of 6,369 individuals, including 1,245 current smokers.
  • Smokers were asked about their personal risk versus the average smoker's risk for key questions.

Main Results:

  • Smokers underestimated their relative risk compared to non-smokers.
  • Contrary to some prior surveys, smokers perceived their lung cancer risk as lower than the average smoker.
  • Perceived risk for lung cancer and general cancer showed minimal increase with daily cigarette consumption; some smokers believed exercise negates smoking effects.

Conclusions:

  • Smokers demonstrate a significant underestimation of lung cancer risk relative to both smokers and non-smokers.
  • Misunderstandings regarding smoking risks are prevalent, indicating that smoking decisions may not be made with complete awareness of potential harm.