Harm Reduction Studies

Vaping among adults in England who have never regularly smoked: a population-based study, 2016–24

Date Added:
October 5, 2024

Study published in The Lancet Public Health looks at vaping trends in adults who have never regularly smoked. Some people have genes and circumstances leading them to like nicotine products. Traditionally, they ended up smoking, but some are now discovering vaping without becoming smokers first. If vaping did not exist, they would be smoking. The study authors point this out. To understand the likely consequences of an increase in regular vaping among never-regular-smokers, it is important to consider the counterfactual: what would these people have done in the absence of vaping?

Support for banning sale of smoked tobacco products among adults who smoke: findings from the International Tobacco Control Four Country Smoking and Vaping Surveys (2018–2022)

Date Added:
October 5, 2024

Opposition to banning smoked tobacco predominates among people who smoke, but less with a cessation assistance scenario than one encouraging nicotine substitution. Wanting to quit a lot was the strongest indicator of support.

Trends in Harm Perceptions of E-Cigarettes vs Cigarettes Among Adults Who Smoke in England, 2014-2023

Date Added:
September 28, 2024

These findings provide evidence of substantial misperceptions about the harms of vaping compared with smoking and underscore the need to clearly communicate the risks so that adults who smoke can make informed choices about the nicotine products they use. The risks of vaping are much lower than the risks of smoking and this isn’t being clearly communicated to people. “This misperception is a health risk in and of itself, as it may discourage smokers from substantially reducing their harm by switching to e-cigarettes. It may also encourage some young people who use e-cigarettes to take up smoking for the first time, if they believe the harms are comparable.

Secondhand Nicotine Absorption From E-Cigarette Vapor vs Tobacco Smoke in Children

Date Added:
September 26, 2024

This cross-sectional study of 1777 US children aged 3 to 11 years found that, compared with children exposed to secondhand smoke only, nicotine absorption was 83.6% lower in those exposed to secondhand vapor only and 96.7% lower in those exposed to neither. In this cross-sectional study of US children, nicotine absorption was much lower in children who were exposed to secondhand vapor vs secondhand smoke, but higher than in those exposed to neither. These findings suggest that switching from smoking to vaping indoors may substantially reduce, but not eliminate, children’s secondhand exposure to nicotine and other noxious substances.

Perceived relative harm of using e-cigarettes predicts future product switching among US adult cigarette and e-cigarette dual users

Date Added:
July 12, 2024

US adult dual users of e-cigarettes and cigarettes who perceive e-cigarettes as less harmful than cigarettes appear to be more likely to switch to exclusive e-cigarette use, more likely to remain dual users and less likely to switch to exclusive cigarette use 1 year later than dual users with other perceptions of e-cigarette harm.

Relative Harm Perceptions of E-Cigarettes Versus Cigarettes, U.S. Adults, 2018–2020

Date Added:
July 12, 2024

Perceptions of E-cigarettes as more harmful than cigarettes increased sharply between 2019 and 2020. Increases in tobacco product use were potentially guided by product-specific relative harm perceptions because changes occurred primarily in individuals who perceived their preferred product as relatively less harmful, suggesting the need for accurate messaging of relative and absolute product risks

Balancing Consideration of the Risks and Benefits of E-Cigarettes

Date Added:
July 11, 2024

A review of the health risks of e-cigarette use, the likelihood that vaping increases smoking cessation, concerns about youth vaping, and the need to balance valid concerns about risks to youths with the potential benefits of increasing adult smoking cessation.

The Vilification of Vaping

Date Added:
July 11, 2024

Harm reduction is the keystone. To this end, and to ensure that the downward trend in cigarette sales continues, policymakers need to enact measures that will simultaneously limit access to teens and induce smokers to switch to vaping products.

Comparison of smoking prevalence in Canada before and after nicotine vaping product access using the SimSmoke model

Date Added:
July 5, 2024

Smoking prevalence in Canada, especially among younger adults, declined more rapidly once NVPs became readily available. The emergence of NVPs into the Canadian marketplace has not slowed the decline in smoking. NVP-related 2012–2020 smoking reductions yielded 100,000 smoking-attributable deaths averted from 2012 to 2060.