What question did this study set out to answer?

This research aims to explore how the severity of substance use problems affects perceptions of harm related to vaping compared to traditional smoking.

April 24, 2026Addiction

Longitudinal associations between substance use problem severity and relative harm perceptions of e‐cigarettes compared with cigarettes: Results from the United States Population Assessment of Tobacco and Health study (2013–2023)

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This research aims to explore how the severity of substance use problems affects perceptions of harm related to vaping compared to traditional smoking.
Analyzed longitudinal data from the Population Assessment of Tobacco and Health study from 2013 to 2023
Compared harm perceptions of e-cigarettes to cigarettes among smokers with varying substance use problem severity
Observed transitions in perceptions among smokers who had never vaped
Individuals with high substance use severity viewed vaping as less harmful than smoking
Transitioning to accurate harm perceptions was linked to increased likelihood of initiating vaping
Perceptions shifted notably among smokers who had not previously vaped

Implication

Longitudinal analysis reveals that higher substance use severity influences harm perceptions of e-cigarettes versus cigarettes.

Abstract

People who smoke and have high substance use problem severity appear to perceive vaping as less harmful than cigarette smoking. Notably, among those who smoke but have never vaped, transitioning from inaccurate to accurate perceptions was associated with vaping initiation.

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Cite This Study

Erinoso et al. (2026) studied this question.

synapsesocial.com/papers/69eb0ac4553a5433e34b4c86 https://doi.org/10.1111/add.70426

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Implication

Longitudinal analysis reveals that higher substance use severity influences harm perceptions of e-cigarettes versus cigarettes.

Longitudinal associations between substance use problem severity and relative harm perceptions of e‐cigarettes compared with cigarettes: Results from the United States Population Assessment of Tobacco and Health study (2013–2023)

Key Points

Implication

Abstract

Discussion

Cite This Study

Longitudinal associations between substance use problem severity and relative harm perceptions of e‐cigarettes compared with cigarettes: Results from the United States Population Assessment of Tobacco and Health study (2013–2023)

Key Points

Implication

Abstract

Discussion

Cite This Study

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