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. 2019 Nov 20;2(11):e1915680. doi: 10.1001/jamanetworkopen.2019.15680

Table. Perceived Harm of ENDS Relative to Combustible Cigarettes Among US Adults in 2017 and 2018.

Smoking Status Respondents, % (95% CI)a P Valueb
2017 2018
Overall respondents, No.c 5357 5445
Much less harmful 4.7 (4.0-5.4) 3.8 (3.2-4.5) <.001
Less harmful 29.3 (27.8-30.7) 25.8 (24.4-27.2)
About the same level 36.4 (34.9-38.0) 43.0 (41.5-44.6)
More harmful 2.4 (2.0-2.9) 4.4 (3.9-5.1)
Much more harmful 1.9 (1.5-2.5) 3.7 (3.1-4.4)
Do not know 25.3 (24.0-26.7) 19.3 (18.0-20.5)
Never smokers, No. 2653 2801
Much less harmful 3.6 (2.8-4.6) 2.3 (1.7-3.0) <.001
Less harmful 31.3 (29.3-33.4) 27.7 (25.9-29.7)
About the same level 37.4 (35.3-39.6) 44.7 (42.6-46.8)
More harmful 1.9 (1.3-2.6) 4.8 (4.0-5.8)
Much more harmful 2.5 (1.9-3.3) 3.7 (2.9-4.6)
Do not know 23.4 (21.6-25.3) 16.8 (15.3-18.4)
Former smokers, No. 1533 1505
Much less harmful 4.9 (3.8-6.4) 5.2 (3.9-6.9) <.001
Less harmful 27.5 (25.1-30.1) 23.0 (20.6-25.5)
About the same level 35.9 (33.1-38.8) 41.5 (38.6-44.3)
More harmful 2.7 (2.0-3.7) 3.3 (2.5-4.4)
Much more harmful 1.0 (0.5-1.9) 3.5 (2.5-4.8)
Do not know 27.9 (25.4-30.6) 23.6 (21.2-26.3)
Current smokers, No. 1171 1139
Much less harmful 8.0 (6.2-10.4) 7.1 (5.3-9.4) .001
Less harmful 25.5 (22.4-28.8) 23.5 (20.6-26.7)
About the same level 33.9 (30.5-37.4) 39.3 (35.7-43.1)
More harmful 3.7 (2.6-5.2) 5.2 (3.8-7.0)
Much more harmful 1.8 (1.1-2.9) 4.4 (3.1-6.4)
Do not know 27.1 (23.9-30.5) 20.5 (17.7-23.6)
Current ENDS users, No. 411 460
Much less harmful 24.0 (19.3-29.3) 19.4 (15.3-24.3) .35
Less harmful 37.7 (32.0-43.7) 39.3 (33.9-44.9)
About the same level 20.0 (15.7-25.0) 26.1 (21.4-31.5)
More harmful 4.2 (2.1-8.0) 3.6 (2.0-6.6)
Much more harmful 1.2 (0.6-2.4) 1.6 (0.7-3.8)
Do not know 13.1 (9.4-17.9) 9.9 (7.2-13.6)
Dual cigarettes and ENDS users, No.d 245 228
Much less harmful 18.9 (13.6-25.7) 19.5 (13.9-26.6) .87
Less harmful 32.3 (25.1-40.4) 34.5 (27.2-42.7)
About the same level 30.1 (23.2-38.1) 32.7 (24.9-41.5)
More harmful 4.1 (1.9-8.5) 2.5 (1.0-6.2)
Much more harmful 2.1 (0.9-4.5) 1.2 (0.3-4.4)
Do not know 12.5 (7.8-19.5) 9.6 (6.1-14.8)

Abbreviation: ENDS, electronic nicotine delivery systems.

a

All percentages are weighted.

b

Based on χ2 tests of association.

c

Total of never, former, and current smokers.

d

Not combined with current ENDS users or any smoker group.