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Survey of smokers' reasons for not switching to safer sources of nicotine and their willingness to do so in the future

Karyn K Heavner email, Zale Rosenberg email and Carl V Phillips email

School of Public Health, University of Alberta, 8215 112 St Suite 215, Edmonton, AB, T6G 2L9, Canada

author email corresponding author email

Harm Reduction Journal 2009, 6:14doi:10.1186/1477-7517-6-14

Published: 2 July 2009

Abstract

Despite the well-known risks of smoking, policy, social pressure, and accessible cessation programs, tens of millions of North American adults continue smoking rather than quitting or switching to less harmful non-combustion nicotine products. We surveyed people smoking in public in Edmonton, Canada (n = 242, year = 2007) to investigate smokers' reasons for resisting switching to low-risk nicotine sources. 43% had used low-risk products (mostly pharmaceutical nicotine). 75% indicated willingness to consider switching to low-risk products. Smokers cited similar reasons for not switching to smokeless tobacco and pharmaceutical nicotine, largely based on misinformation. Accurate risk information may lead many to try low-risk nicotine products.


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