Aims: Switching from smoking to using nicotine replacement therapy (NRT), electronic cigarettes (e‑cigarettes) or heated tobacco products can reduce tobacco-related health risks. However, not all smokers in Great Britain have tried these products, which is a missed opportunity for harm reduction. This study aims to identify and describe smokers who have never tried alternative nicotine products.
Methods: Study analysed cross-sectional survey data of smokers ( n =1777) from a representative adult sample from Great Britain. The online survey was run in March 2019. The proportion of smokers who had never used alternative nicotine products was measured. A multivariate logistic regression assessed the association between never using alternative nicotine products and smokers’ sociodemographic and smoking characteristics and motivation to stop smoking.
Results: One in four smokers (27.8%, 95% CI: 25.8%–29.9%) had never tried NRT, e-cigarettes or heated tobacco products. These smokers were more commonly from Black and Minority than White ethnic groups (AOR=1.55; 95% CI: 1.02–2.31), were more likely to smoke up to 10 versus more cigarettes per day (AOR=1.52; 95% CI: 1.14–2.03) and reported low versus moderate or high motivation to stop smoking (AOR=1.79; 95% CI: 1.20–2.74).
Conclusion: Light smokers, those unmotivated to stop and smokers from Black and Minority ethnic groups are less likely to have ever tried alternative nicotine products. Different approaches are needed to facilitate harm reduction and smoking cessation among these groups of smokers.
This preprint is available for download as a PDF.
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On 14 Jul, 2020
On 05 Jun, 2020
Received 04 Jun, 2020
On 28 May, 2020
Invitations sent on 25 May, 2020
On 22 May, 2020
On 21 May, 2020
On 21 May, 2020
Posted 10 Mar, 2020
On 21 Apr, 2020
Received 20 Apr, 2020
Received 16 Apr, 2020
On 08 Apr, 2020
On 03 Apr, 2020
Invitations sent on 31 Mar, 2020
On 04 Mar, 2020
On 03 Mar, 2020
On 03 Mar, 2020
On 02 Mar, 2020
On 14 Jul, 2020
On 05 Jun, 2020
Received 04 Jun, 2020
On 28 May, 2020
Invitations sent on 25 May, 2020
On 22 May, 2020
On 21 May, 2020
On 21 May, 2020
Posted 10 Mar, 2020
On 21 Apr, 2020
Received 20 Apr, 2020
Received 16 Apr, 2020
On 08 Apr, 2020
On 03 Apr, 2020
Invitations sent on 31 Mar, 2020
On 04 Mar, 2020
On 03 Mar, 2020
On 03 Mar, 2020
On 02 Mar, 2020
Aims: Switching from smoking to using nicotine replacement therapy (NRT), electronic cigarettes (e‑cigarettes) or heated tobacco products can reduce tobacco-related health risks. However, not all smokers in Great Britain have tried these products, which is a missed opportunity for harm reduction. This study aims to identify and describe smokers who have never tried alternative nicotine products.
Methods: Study analysed cross-sectional survey data of smokers ( n =1777) from a representative adult sample from Great Britain. The online survey was run in March 2019. The proportion of smokers who had never used alternative nicotine products was measured. A multivariate logistic regression assessed the association between never using alternative nicotine products and smokers’ sociodemographic and smoking characteristics and motivation to stop smoking.
Results: One in four smokers (27.8%, 95% CI: 25.8%–29.9%) had never tried NRT, e-cigarettes or heated tobacco products. These smokers were more commonly from Black and Minority than White ethnic groups (AOR=1.55; 95% CI: 1.02–2.31), were more likely to smoke up to 10 versus more cigarettes per day (AOR=1.52; 95% CI: 1.14–2.03) and reported low versus moderate or high motivation to stop smoking (AOR=1.79; 95% CI: 1.20–2.74).
Conclusion: Light smokers, those unmotivated to stop and smokers from Black and Minority ethnic groups are less likely to have ever tried alternative nicotine products. Different approaches are needed to facilitate harm reduction and smoking cessation among these groups of smokers.
This preprint is available for download as a PDF.
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