Harm Reduction Studies

Tobacco Control 2.0: A Modern Approach to a Decades-Old Problem

Date Added:
October 21, 2024

No one entity is solely responsible for protecting consumers from the harms of combustible products. To further reduce mortality and disease, public health advocacy groups, tobacco/nicotine product manufacturers, and regulatory bodies must work together.

Do Tobacco Companies Have an Incentive to Promote “Harm Reduction” Products?: The Role of Competition

Date Added:
October 20, 2024

While cigarette companies will back alternatives to combusted tobacco when threatened by competition, the prospects for their lasting conversion to NCNDPs will depend on the extent of such competition, which will be influenced by government regulation of tobacco products. Regulations that limit competition from independent firms while also protecting cigarette company profits risk slowing or even reversing recent declines in smoking, especially among youth and young adults. Regulations that reduce the appeal and addictiveness of combusted tobacco products, such as higher cigarette taxes or a reduced nicotine standard, will encourage smokers to quit and/or switch to less harmful non-combusted forms of tobacco. The regulation of non-combustible nicotine delivery products and cigarettes should be proportionate to their relative risks, so that smokers have incentives to switch from combustibles to safer alternatives, and cigarette companies have incentives to promote safer products.

Developing a Vape Shop-Based Smoking Cessation Intervention: A Delphi Study

Date Added:
October 19, 2024

There was broad consensus on how to deliver a vape shop-based smoking cessation intervention, providing a strong basis for future intervention development and implementation. Challenges around misuse of the service and misperceptions about vaping would need to be addressed for such an intervention to be feasible and effective. Many smokers who make a quit attempt using e-cigarettes purchase their vaping products in vape shops. Delivering vape-shop-based smoking cessation interventions could help to maximize the effectiveness of e-cigarettes for quitting smoking.

Older age is associated with greater misperception of the relative health risk of e-cigarettes and cigarettes among US adults who smoke

Date Added:
October 19, 2024

Adults aged ≥55 are more likely to have misperceptions about the absolute and relative risks of tobacco products, which may contribute to continued smoking. Health communications targeting this age group could modify beliefs about the perceived harms of tobacco products.

Do respiratory physicians not care about people who smoke?

Date Added:
October 17, 2024

In this opinion article we discuss clinicians’ views of vaping and consider the implications that harm misperceptions may have for public health. To promote good health, reduce harm and prevent early death, we should support vaping as a means of smoking cessation for adults as an urgent public health priority. In our concern for children, let us not forget the health of adults.

Harm perceptions across vaping product features: An on-linecross-sectional survey of adults who smoke and/or vape in theUnited Kingdom

Date Added:
October 16, 2024

Vaping perceptions among adults who continue to smoke are the most important to address, because inaccurate perceptions could deter switching to vaping and also increase the risk of relapse once quit. Findings highlight the need for evidence-based interventions that educate adults who smoke regarding vaping and nicotine. The most important messages remain that using regulated, legal e-cigarettes is substantially less harmful than smoking, and that it is not the nicotine that kills people who smoke.

Australia and New Zealand: A Natural Experiment in Vaping Policy

Date Added:
October 16, 2024

This analysis supports New Zealand’s harm reduction-oriented, consumer-based approach to vaping. The most striking benefit has been the accelerated decline in smoking rates, with predictable improvements to public health to follow. While New Zealand is now on track to achieve its smoke-free target in 2025, modeling suggests that Australia will miss its own smoke-free goal by a wide margin.

E-cigarettes and harm reduction - executive summary

Date Added:
October 16, 2024

This report looks again at the part e-cigarettes can play in preventing death, disability and inequalities from tobacco use. It examines the role of nicotine and the spectrum of nicotine-containing products, trends in tobacco use and vaping, the effectiveness of e-cigarettes to treat tobacco addiction, and the differences in health effects of vaping in people who smoke, vape or do neither. For those who currently smoke, the report reviews how e-cigarettes can be used to support more people to make quit attempts while discouraging young people and never-smokers from taking up e-cigarette use. The role of the tobacco industry in encouraging ‘new entrants’ (a term used by the industry to describe never-smokers) to the nicotine market while continuing to sell lethal tobacco products is also examined. Finally, the report considers the ethical dilemmas presented by e-cigarettes, such as managing risk messaging of uncertain long-term safety data, use in never-smokers, balancing the regulatory environment, industry interference, and the environmental impact.

No Smoke Less Harm - 2024

Date Added:
October 16, 2024

A new landmark report - ‘No Smoke, Less Harm’ - proves that nicotine use does NOT lead to tobacco-related disease. The study shows that Sweden has dramatically lower rates of tobacco-related deaths and health issues than other European nations - despite similar levels of nicotine intake. In Sweden, one in four adults use nicotine daily, the same as across Europe. However, the Scandinavian country reports a massive 41 per cent lower incidence of lung cancer and fewer than HALF the tobacco-related deaths of 24 out of 26 of its European peers. This stark contrast is attributed to the widespread adoption of smoke-free nicotine products such as snus, nicotine pouches and vapes.

The Compassion Club: A New Proposal for Transformation of Tobacco Retail

Date Added:
October 14, 2024

Specialty Vape shops One major assumption in the current tobacco industry is the distribution of tobacco products through a system of commercial for-profit retail. However, other models of distribution that do not rely on this mechanism exist. There has been little discussion about the possibility that this promising model could be applied to help transform the tobacco industry. Many independent vape stores already demonstrate aspects of the compassion club model that could be used to support a transition.