Evidence map›Paper›PMID 36294011›Full record

ArticleInternational journal of environmental research and public health2022

A Decision-Theoretic Public Health Framework for Heated Tobacco and Nicotine Vaping Products.

David T Levy, Christopher J Cadham, Yameng Li, Zhe Yuan, Alex C Liber, Hayoung Oh, Nargiz Travis, Mona Issabakhsh, David T Sweanor, Luz Maria Sánchez-Romero and 2 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Recent Trends in Cigarette and HTP Use in Japan: A Scoping Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Potential Implications for Tobacco Industry Transformation of the Acquisition of Swedish Match by Philip Morris International.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

David T LevyLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.ORCID 0000-0001-5280-3612
Christopher J CadhamDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0001-9531-2733
Yameng LiLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.ORCID 0000-0001-5851-8652
Zhe YuanLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.
Alex C LiberLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.
Hayoung OhLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.
Nargiz TravisLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.ORCID 0000-0001-6305-8259
Mona IssabakhshLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.
David T SweanorCentre for Health Law, Policy & Ethics, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Luz Maria Sánchez-RomeroLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USA.
Rafael MezaDepartment of Integrative Oncology, BC Cancer Institute, Vancouver, BC V5Z1L3, Canada.
K Michael CummingsDepartment of Psychiatry and Behavioral Sciences, Medical University of Charleston, Charleston, SC 29425, USA.ORCID 0000-0002-7103-7017

Funding

Research Project 3: Modeling the Impact of Tobacco Control Policies on Polytobacco Use and Associated Health DisparitiesU54CA229974 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Mendez Emilien · 2018 to 2026
$39.2M
Vaporized Nicotine Product Initiation Among Youth in the US, Canada, and England: Methods to Predict Uptake and Policy EfficacyP01CA200512 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FONG, GEOFFREY T · 2016 to 2025
$25.3M
NCI NIH HHS P01 CA200512NCI NIH HHS U54 CA229974
6 · The paper itself

Abstract

Markets for nicotine vaping products (NVPs) and heated tobacco products (HTPs) have grown as these products became positioned as harm-reduction alternatives to combusted tobacco products. Herein, we present a public health decision-theoretic framework incorporating different patterns of HTP, NVP, and cigarette use to examine their impacts on population health. Our framework demonstrates that, for individuals who would have otherwise smoked, HTP use may provide public health benefits by enabling cessation or by discouraging smoking initiation and relapse. However, the benefits are reduced if more harmful HTP use replaces less harmful NVP use. HTP use may also negatively impact public health by encouraging smoking by otherwise non-smokers or by encouraging initiation or relapse into smoking. These patterns are directly influenced by industry behavior as well as public policy towards HTPs, NVPs, and cigarettes. While substantial research has been devoted to NVPs, much less is known about HTPs. Better information is needed to more precisely define the health risks of HTPs compared to cigarettes and NVPs, the relative appeal of HTPs to consumers, and the likelihood of later transitioning to smoking or quitting all products. While our analysis provides a framework for gaining that information, it also illustrates the complexities in distinguishing key factors.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsVapingHumansNicotinePublic HealthRecurrenceNicotinedecision theorye-cigarettesENDSheated tobacco productspolicypublic health

Identifiers

PMID36294011
PMCPMC9602493

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.