As there are many conflicting sources of e-cigarette information, research is needed to determine the impact of these sources on e-cigarette attitudes to inform future communication campaigns. Source credibility is important in shaping attitudes toward other health topics; however, no study has examined its role in influencing e-cigarette attitudes. Data from the 2015 Health Information National Trends Survey-FDA (HINTS-FDA) were utilized to assess differences in trust in different sources by e-cigarette user status and to investigate the associations between trust in sources and e-cigarette attitudes (n = 3,738). Differences in trust in sources were examined using weighted linear regression. Associations between trust in sources of e-cigarette health effects and attitudes toward e-cigarettes were assessed using weighted logistic regression. Overall, e-cigarette ever users reported significantly lower trust in governmental agencies as compared to never users. Trust in e-cigarette companies was negatively associated with perceived addictiveness of e-cigarettes (AOR = 0.76, 95% CI = 0.58, 1.00), while trust in doctors/pharmacists/healthcare providers was negatively associated with harm perceptions of e-cigarettes relative to conventional cigarettes (AOR = 0.72, 95% CI = 0.55, 0.95). Trust in tobacco companies and trust in e-cigarette companies were negatively associated with absolute perceived harm of e-cigarettes (AOR = 0.70, 95% CI = 0.51, 0.95; AOR = 0.60, 95% CI = 0.46, 0.79, respectively). Results from this study indicate that the associations between trust in sources of e-cigarette health effects and e-cigarette attitudes differ both by source and specific attitude assessed. Ultimately, future campaigns should incorporate messaging to discredit industry sources of information and utilize non-governmental sources to effectively influence e-cigarette attitudes.

译文

由于存在许多相互矛盾的电子烟信息来源,因此需要进行研究以确定这些来源对电子烟态度的影响,以为未来的交流活动提供信息。来源可信度对于塑造对其他健康主题的态度很重要; 但是,没有研究检查其在影响电子烟态度中的作用。来自2015健康信息国家趋势调查-FDA (HINTS-FDA) 的数据被用来评估电子烟用户状况对不同来源信任的差异,并调查来源信任与电子烟态度之间的关联 (n = 3,738)。使用加权线性回归检查来源信任的差异。使用加权逻辑回归评估了对电子烟健康影响来源的信任与对电子烟的态度之间的关联。总体而言,与从未使用过的电子烟用户相比,曾经使用过的电子烟用户对政府机构的信任度明显降低。对电子烟公司的信任与电子烟的感知成瘾性负相关 (AOR = 0.76,95% CI = 0.58,1.00),而对医生/药剂师/医疗保健提供者的信任与电子烟相对于传统香烟的危害感知负相关 (AOR = 0.72,95% CI = 0.55,0.95)。对烟草公司的信任和对电子烟公司的信任与电子烟的绝对感知危害呈负相关 (AOR = 0.70,95% CI = 0.51,0.95; AOR = 0.60,95% CI = 0.46,0.79)。这项研究的结果表明,对电子烟健康影响来源的信任与电子烟态度之间的关联因来源和评估的特定态度而异。最终,未来的运动应纳入信息传递,以抹黑行业的信息来源,并利用非政府来源有效地影响电子烟的态度。

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