Heated Tobacco Products: Awareness, Beliefs, Use and Susceptibility among US Adult Current Tobacco Users, 2021

Lindsey S. Sparrock (), Lilianna Phan, Julia Chen-Sankey, Kiana Hacker, Aniruddh Ajith, Bambi Jewett and Kelvin Choi
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Lindsey S. Sparrock: Department of Neuroscience, American University, Washington, DC 20016, USA
Lilianna Phan: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA
Julia Chen-Sankey: Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ 08901, USA
Kiana Hacker: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA
Aniruddh Ajith: School of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA
Bambi Jewett: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA
Kelvin Choi: Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD 20892, USA

IJERPH, 2023, vol. 20, issue 3, 1-11

Abstract: Limited data exist on the awareness, beliefs, and use of heated tobacco products (HTPs). Data from 1583 U.S. adult (age ≥ 21 years) current tobacco users were collected in 2021. Participants self-reported HTP awareness, beliefs, use, and susceptibility, as well as current tobacco product use and sociodemographics. We used weighted logistic and multinomial regression models to explore their associations. Overall, 23.6% were aware of, 8.9% had ever used, and 3.0% currently used HTPs. Younger individuals (vs. 61+ years), those with annual income $50,000+ (vs. <$50,000), and those currently using electronic vaping products (vs. non-users) were more likely to be aware of, to have ever used, and to currently be using HTPs ( p < 0.05). Black individuals (vs. White) were more likely to report ever and current HTP use ( p < 0.05). Current cigarette smoking was not associated with HTP awareness and use ( p > 0.05). Holding favorable HTP beliefs was associated with susceptibility to and more advanced HTP use statuses ( p < 0.05). Sociodemographics associated with HTP use may reflect HTP marketing strategies. The lack of association with cigarette smoking suggests HTPs may be unlikely cigarette substitutes. Addressing favorable HTP-related beliefs may prevent dual use.

Keywords: heated tobacco products; awareness; perceptions; tobacco use (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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