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IJERPH
Volume 17
Issue 13
10.3390/ijerph17134755
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Article

Harm Perceptions of the JUUL E-Cigarette in a Sample of Ever Users

by
Elise M. Stevens
1,*,
Emily T. Hébert
2,
Alayna P. Tackett
2,
Eleanor L. S. Leavens
3 and
Theodore L. Wagener
4,5
1
Harvard T.H. Chan School of Public Health, Dana-Farber Cancer Institute, Harvard University, Boston, MA 02115, USA
2
Oklahoma Tobacco Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
3
Department of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, USA
4
Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, USA
5
Department of Internal Medicine, The Ohio State University, Columbus, OH 43210, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(13), 4755; https://doi.org/10.3390/ijerph17134755
Received: 21 May 2020 / Revised: 22 June 2020 / Accepted: 25 June 2020 / Published: 2 July 2020
(This article belongs to the Special Issue Perceptions of Tobacco and Nicotine Products)
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Abstract

Background: Monitoring trends and perceptions of new nicotine salt-based electronic cigarettes (ECs), like JUUL, is important to identify associations with product experimentation and use. Understanding harm perceptions of these new devices will inform prevention and intervention efforts. The current study assesses perceptions of the absolute harmfulness of JUUL use in addition to comparing it to other tobacco products. Methods: Participants (N = 839, 52% male) reporting ever use of JUUL were recruited from Amazon’s Mechanical Turk from January to March 2018. Respondents completed questionnaire items assessing demographics, co-use of non-JUUL products, JUUL use status (i.e., daily users (10.8%), non-daily users (29.4%), and triers (59.9%)), and JUUL and other tobacco products absolute harm perceptions. Results: Overall, participants rated JUUL as significantly less harmful than all other tobacco products (p < 0.001), except other ECs. Daily JUUL users rated JUUL as less harmful compared to non-daily JUUL users and JUUL triers (p < 0.05). JUUL was rated as more harmful by women compared to men (p < 0.05). Conclusions: Increased frequency of JUUL use was associated with decreased harm perceptions. JUUL was associated with reduced perceptions of absolute harm compared to most other tobacco products, except other ECs. Public health practitioners should develop public health interventions that increase harm perceptions of ECs. View Full-Text
Keywords: JUUL; electronic cigarettes; tobacco products; harm perceptions JUUL; electronic cigarettes; tobacco products; harm perceptions
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MDPI and ACS Style

Stevens, E.M.; Hébert, E.T.; Tackett, A.P.; Leavens, E.L.S.; Wagener, T.L. Harm Perceptions of the JUUL E-Cigarette in a Sample of Ever Users. Int. J. Environ. Res. Public Health 2020, 17, 4755. https://doi.org/10.3390/ijerph17134755

AMA Style

Stevens EM, Hébert ET, Tackett AP, Leavens ELS, Wagener TL. Harm Perceptions of the JUUL E-Cigarette in a Sample of Ever Users. International Journal of Environmental Research and Public Health. 2020; 17(13):4755. https://doi.org/10.3390/ijerph17134755

Chicago/Turabian Style

Stevens, Elise M., Emily T. Hébert, Alayna P. Tackett, Eleanor L.S. Leavens, and Theodore L. Wagener. 2020. "Harm Perceptions of the JUUL E-Cigarette in a Sample of Ever Users" International Journal of Environmental Research and Public Health 17, no. 13: 4755. https://doi.org/10.3390/ijerph17134755

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