associations Between Noticing Nicotine Vaping Product health Warning Labels, harm Perceptions, and Use among adult Vapers, Current and Former Smokers. Findings From the 2018 ITC Four Country Smoking and Vaping Survey.

Introduction:
This text provides an analysis of a study examining the associations between noticing nicotine vaping product (NVP) warnings, perceptions of NVPs, and intentions to use NVPs. The study uses data from the 2018 International Tobacco Control (ITC) Four Country Smoking and Vaping Survey in England, australia, Canada, and the USa.

Key Points:

* The study found that noticing NVP warnings was higher among NVP users (18.8%) than nonusers (2.1%).
* Noticing warnings was associated with perceiving nicotine to pose little or no harm to health among NVP users, but there was no association among nonusers.
* There was little evidence of an association between noticing warnings and perceptions of NVP harm relative to smoking among NVP users and non-users.
* Noticing warnings was associated with perceiving NVPs as less addictive than cigarettes among nonusers but not NVP users.
* among exclusive smokers, noticing warnings was associated with intending to start using NVPs.
* among NVP users, there was little evidence of an association between noticing warnings and intentions to continue using/stopping NVPs.
* The associations between noticing warnings, perception measures, and intentions to use NVPs did not differ significantly between England and the other countries.

Main Message:
The study suggests that noticing NVP warnings may not influence NVP risk perceptions or deter NVP use among adult smokers and vapers. however, noticing warnings was associated with increased intentions to start using NVPs among exclusive smokers. Therefore, further research is needed to investigate the impact of warnings on youth and adults who have never smoked or vaped. The study also highlights the need for longitudinal research to evaluate the impact of NVP warnings on subsequent NVP use and the effects of different types of NVP warnings as more countries introduce these measures.

Taylor E, aleyan S, East K, et al. associations Between Noticing Nicotine Vaping Product health Warning Labels, harm Perceptions, and Use among adult Vapers, Current and Former Smokers. Findings From the 2018 ITC Four Country Smoking and Vaping Survey. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2022;24(7):1020-1027. doi:10.1093/ntr/ntab256