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Grant Details

Grant Number: 5R37CA222002-03 Interpret this number
Primary Investigator: Wackowski, Olivia
Organization: Rbhs-School Of Public Health
Project Title: Perceptions and Impact of Modified Risk Tobacco Product Communication Messages
Fiscal Year: 2020


Abstract

ABSTRACT Combustible cigarettes are the most deadly form of tobacco, but public misperceptions exist about the relative risk of lower harm products such as snus and e-cigarettes. As such, tobacco control professionals have advocated that smokers be better informed of these reduced risks given that this may facilitate switching to these reduced risk products from combustible cigarettes, and subsequent harm-reduction benefits (e.g., lower lung cancer risk). Tobacco companies are also beginning to apply to the FDA for permission to make reduced risk claims in their advertising, and this trend is likely to continue as the industry moves the market towards developing products with reduced risks relative to cigarettes. However, very little is known about how to communicate reduced risk (RR) tobacco messages, where they should be placed, how consumers might perceive them, and what their effects might be. Only a few studies have begun exploring the impact of RR messages presented as a benefit claim on smokeless tobacco or e-cigarette advertisements, or presented within a warning label that is required on ads. No studies have compared one approach versus the other, nor their potentially different impacts on important outcomes such as perceived message source, credibility, recall, risk perceptions, and use intentions. Similarly, little research exists on the impact of tobacco reduced risk information included in educational types of materials, such as fact sheets. In contrast to ads, health education materials may give consumers a fuller understanding of both the potential risks and risks relative to cigarettes, and could be used by health organizations or act as packaging inserts. As such, the overall goal of this study is to advance understanding of communication about reduced risk tobacco products. The specific aims are to: 1) develop tobacco reduced risk messages for short and long communication formats; 2) compare the impact of reduced risk messages presented as ad benefit claims versus within ad warning labels and 3) examine the impact of snus and e-cigarette educational fact sheets with reduced risk information. This project aims to address an important and timely research gap and produce high impact practical results that can immediately be used to guide industry regulations on tobacco risk communication and the development of tobacco educational materials that address relative tobacco product risks.



Publications

Adults who use e-cigarettes have difficulty understanding nicotine concentrations presented as mg/ml and percent nicotine.
Authors: Morean M.E. , Wackowski O.A. , Eissenberg T. , Delnevo C.D. , Krishnan-Sarin S. .
Source: Addictive behaviors, 2021 09; 120, p. 106965.
EPub date: 2021-04-27.
PMID: 34022756
Related Citations

Adolescents and Young Adults Have Difficulty Understanding Nicotine Concentration Labels on Vaping Products Presented as mg/mL and Percent Nicotine.
Authors: Morean M.E. , Wackowski O.A. , Eissenberg T. , Delnevo C.D. , Krishnan-Sarin S. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2021-08-04; 23(8), p. 1389-1397.
PMID: 33433626
Related Citations

Examining Market Trends in Smokeless Tobacco Sales in the United States: 2011-2019.
Authors: Delnevo C.D. , Hrywna M. , Miller Lo E.J. , Wackowski O.A. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2021-08-04; 23(8), p. 1420-1424.
PMID: 33241271
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Cigarette Relighting: A Series of Pilot Studies Investigating a Common Yet Understudied Smoking Behavior.
Authors: Heckman C.J. , Wackowski O.A. , Mukherjee R. , Hatsukami D.K. , Stepanov I. , Delnevo C.D. , Steinberg M.B. .
Source: International journal of environmental research and public health, 2021-06-16; 18(12), .
EPub date: 2021-06-16.
PMID: 34208528
Related Citations

'95% less harmful'? Exploring reactions to quantitative modified risk claims for snus and e-cigarettes.
Authors: Wackowski O.A. , O'Connor R.J. , Diaz D. , Rashid M. , Lewis M.J. , Greene K. .
Source: Tobacco control, 2021-03-22; , .
EPub date: 2021-03-22.
PMID: 33753549
Related Citations

Smokers' Exposure to Perceived Modified Risk Claims for E-Cigarettes, Snus, and Smokeless Tobacco in the United States.
Authors: Wackowski O.A. , O'Connor R.J. , Pearson J.L. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2021-02-16; 23(3), p. 605-608.
PMID: 32812028
Related Citations

Inferences beyond a claim: a typology of potential halo effects related to modified risk tobacco product claims.
Authors: Seidenberg A.B. , Popova L. , Ashley D.L. , Wackowski O.A. .
Source: Tobacco control, 2020-10-12; , .
EPub date: 2020-10-12.
PMID: 33046582
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From the Deeming Rule to JUUL-US News Coverage of Electronic Cigarettes, 2015-2018.
Authors: Wackowski O.A. , Sontag J.M. , Singh B. , King J. , Lewis M.J. , Steinberg M.B. , Delnevo C.D. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2020-10-08; 22(10), p. 1816-1822.
PMID: 32053188
Related Citations

Smokers' and Young Adult Non-Smokers' Perceptions and Perceived Impact of Snus and E-Cigarette Modified Risk Messages.
Authors: Wackowski O.A. , Rashid M. , Greene K.L. , Lewis M.J. , O'Connor R.J. .
Source: International journal of environmental research and public health, 2020-09-18; 17(18), .
EPub date: 2020-09-18.
PMID: 32961924
Related Citations

Comparison of a General and Conditional Measure of E-Cigarette Harm Perceptions.
Authors: Wackowski O.A. , Jeong M. .
Source: International journal of environmental research and public health, 2020-07-17; 17(14), .
EPub date: 2020-07-17.
PMID: 32708854
Related Citations

Content Analysis of Electronic Nicotine Delivery System Publications in Core Clinical Journals from 2012 to 2018.
Authors: Briganti M. , Wackowski O.A. , Delnevo C.D. , Brown L. , Hastings S.E. , Singh B. , Steinberg M.B. .
Source: International journal of environmental research and public health, 2020-03-25; 17(7), .
EPub date: 2020-03-25.
PMID: 32218306
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Baseline assessment of noticing e-cigarette health warnings among youth and young adults in the United States, Canada and England, and associations with harm perceptions, nicotine awareness and warning recall.
Authors: Sontag J.M. , Wackowski O.A. , Hammond D. .
Source: Preventive medicine reports, 2019 Dec; 16, p. 100966.
EPub date: 2019-08-06.
PMID: 31453077
Related Citations

Characteristics of storefront tobacco advertisements and differences by product type: A content analysis of retailers in New York City, USA.
Authors: Giovenco D.P. , Spillane T.E. , Wong B.A. , Wackowski O.A. .
Source: Preventive medicine, 2019 06; 123, p. 204-207.
EPub date: 2019-03-28.
PMID: 30930262
Related Citations

Youth and young adult exposure to and perceptions of news media coverage about e-cigarettes in the United States, Canada and England.
Authors: Wackowski O.A. , Sontag J.M. , Hammond D. .
Source: Preventive medicine, 2019 04; 121, p. 7-10.
EPub date: 2019-02-04.
PMID: 30731093
Related Citations

Smokers' perceptions of risks and harm from snus relative to cigarettes: A latent profile analysis study.
Authors: Wackowski O.A. , Ray A.E. , Stapleton J.L. .
Source: Addictive behaviors, 2019 04; 91, p. 171-174.
EPub date: 2018-11-14.
PMID: 30501991
Related Citations

The Impact of E-Cigarette Warnings, Warning Themes and Inclusion of Relative Harm Statements on Young Adults' E-Cigarette Perceptions and Use Intentions.
Authors: Wackowski O.A. , Sontag J.M. , Hammond D. , O'Connor R.J. , Ohman-Strickland P.A. , Strasser A.A. , Villanti A.C. , Delnevo C.D. .
Source: International journal of environmental research and public health, 2019-01-10; 16(2), .
EPub date: 2019-01-10.
PMID: 30634618
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