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Tobacco Product Harm Perceptions Among US Middle and High School Students, 2016-2020
Emily Glidden1, Nikki A Hawkins1, Ahmed Jamal1
1Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Summary
US youth perceive varying levels of harm from nondaily tobacco product use, with significant opportunities to improve education on risks associated with e-cigarettes and other products.
Area of Science:
- Public Health
- Adolescent Health
- Tobacco Control
Background:
- Nondaily use of tobacco products is common among US youth.
- Understanding youth perceptions of harm is crucial for targeted prevention strategies.
- Existing research often focuses on daily use, leaving a gap in knowledge regarding intermittent tobacco consumption.
Purpose of the Study:
- To assess US youth's perceptions of harm associated with nondaily use of various tobacco products.
- To analyze trends in harm perceptions for e-cigarettes, cigarettes, cigars, smokeless tobacco, and hookahs among adolescents.
- To identify specific tobacco products for which youth may underestimate risks when used intermittently.
Main Methods:
- Utilized data from the nationally representative, cross-sectional National Youth Tobacco Survey (2016-2020).
- Assessed youth (grades 6-12) perceptions of harm from nondaily use of e-cigarettes, cigarettes, cigars, smokeless tobacco, and hookahs.
- Employed multivariable regression to examine changes in harm perceptions over time, excluding cigars from trend analysis.
Main Results:
- In 2020, 20.1% of youth perceived 'no' or 'little' harm from nondaily e-cigarette use, followed by hookahs (17.4%), cigars (14.6%), smokeless tobacco (13.5%), and cigarettes (11.0%).
- Between 2016-2020, perceptions of 'no' or 'little' harm decreased for e-cigarettes but increased for cigarettes and smokeless tobacco.
- Harm perceptions for nondaily hookah use showed nonlinear changes during the study period.
Conclusions:
- While most youth recognize some level of harm from tobacco products, significant educational gaps persist regarding the risks of nondaily use.
- Targeted public health campaigns are needed to enhance youth awareness of the harms associated with intermittent use of e-cigarettes, hookahs, cigars, smokeless tobacco, and traditional cigarettes.
- Further research should explore the factors influencing these evolving harm perceptions among adolescents.
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