We sought to review qualitative evidence on how smokers in different socioeconomic groups engage with non-combustible nicotine products (NCNP), including electronic cigarettes and nicotine replacement therapies, in order to provide insight into how these products might impact on smoking inequalities. The review only identified studies exploring the attitudes of socioeconomically disadvantaged smokers towards NCNP for harm reduction or cessation purposes (i.e. we did not identify any relevant studies of more advantaged socioeconomic groups). Using a lines-of-argument meta-ethnographic approach, we identified a predominantly pessimistic attitude to NCNP for harm reduction or cessation of smoking due to: wider circumstances of socio-economic disadvantage; lack of a perceived advantage of alternative products over smoking; and a perceived lack of information about relative harms of NCNP compared to smoking. Optimistic findings, although fewer, suggested the potential of NCNP being taken up among smokers experiencing socioeconomic disadvantage. Overall, our review highlights the importance of considering the social, cultural and economic circumstances that influence experiences of smoking and of alternative product use.
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Posted 20 May, 2020
On 29 May, 2020
Received 15 May, 2020
On 12 May, 2020
Received 12 May, 2020
On 11 May, 2020
Invitations sent on 11 May, 2020
On 11 May, 2020
On 10 May, 2020
On 06 Aug, 2019
On 05 Mar, 2020
Received 25 Feb, 2020
On 16 Feb, 2020
Received 04 Jan, 2020
On 19 Dec, 2019
Invitations sent on 13 Oct, 2019
On 06 Aug, 2019
On 28 Jul, 2019
On 27 Jul, 2019
On 24 Jul, 2019
Posted 20 May, 2020
On 29 May, 2020
Received 15 May, 2020
On 12 May, 2020
Received 12 May, 2020
On 11 May, 2020
Invitations sent on 11 May, 2020
On 11 May, 2020
On 10 May, 2020
On 06 Aug, 2019
On 05 Mar, 2020
Received 25 Feb, 2020
On 16 Feb, 2020
Received 04 Jan, 2020
On 19 Dec, 2019
Invitations sent on 13 Oct, 2019
On 06 Aug, 2019
On 28 Jul, 2019
On 27 Jul, 2019
On 24 Jul, 2019
We sought to review qualitative evidence on how smokers in different socioeconomic groups engage with non-combustible nicotine products (NCNP), including electronic cigarettes and nicotine replacement therapies, in order to provide insight into how these products might impact on smoking inequalities. The review only identified studies exploring the attitudes of socioeconomically disadvantaged smokers towards NCNP for harm reduction or cessation purposes (i.e. we did not identify any relevant studies of more advantaged socioeconomic groups). Using a lines-of-argument meta-ethnographic approach, we identified a predominantly pessimistic attitude to NCNP for harm reduction or cessation of smoking due to: wider circumstances of socio-economic disadvantage; lack of a perceived advantage of alternative products over smoking; and a perceived lack of information about relative harms of NCNP compared to smoking. Optimistic findings, although fewer, suggested the potential of NCNP being taken up among smokers experiencing socioeconomic disadvantage. Overall, our review highlights the importance of considering the social, cultural and economic circumstances that influence experiences of smoking and of alternative product use.
Figure 1
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