Harm Perception of Electronic Nicotine Delivery System Versus Regular Cigarettes in Singapore: Findings from a Nationwide Study.

Background: Singapore has strict regulations for electronic nicotine delivery system (ENDS). Hence, its residents may have different risk perceptions of ENDS compared to countries with more liberal measures. This study examined the prevalence of perceived risk of harm for ENDS versus cigarettes, the...

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Publicado en:International Journal of Behavioral Medicine Vol. 33; no. 3; pp. 383 - 391
Autores principales: Koh, Yen Sin, Sambasivam, Rajeswari, AshaRani, P.V, Abdin, Edimansyah, Bernard, Tan Chin Wee, Shafie, Saleha, Ma, Stefan, Chow, Wai Leng, Chong, Siow Ann, van der Eijk, Yvette, Subramaniam, Mythily
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
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      place: New York, New York
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        atl: Harm Perception of Electronic Nicotine Delivery System Versus Regular Cigarettes in Singapore: Findings from a Nationwide Study.
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          Koh, Yen Sin
          Sambasivam, Rajeswari
          AshaRani, P.V
          Abdin, Edimansyah
          Bernard, Tan Chin Wee
          Shafie, Saleha
          Ma, Stefan
          Chow, Wai Leng
          Chong, Siow Ann
          van der Eijk, Yvette
          Subramaniam, Mythily
        affil: https://ror.org/04c07bj87 Institute of Mental Health, Singapore, Singapore
      sug:
        subj:
          Smoking Epidemiology
          Tobacco Products Adverse Effects
          Electronic Cigarettes Adverse Effects
          Nicotine Adverse Effects
          Risk Taking Behavior Evaluation
          Mental Health
          Sociodemographic Factors
          Human
          Funding Source
          Singapore
          Male
          Female
          Cross Sectional Studies
          Descriptive Statistics
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Vaping
          Age Factors
          Sex Factors
          Ex-Smokers
          Depression
          Questionnaires
          Male
          Female
      ab: Background: Singapore has strict regulations for electronic nicotine delivery system (ENDS). Hence, its residents may have different risk perceptions of ENDS compared to countries with more liberal measures. This study examined the prevalence of perceived risk of harm for ENDS versus cigarettes, their correlates, and the moderating effect of smoking status on significant associations in Singapore. Method: This cross-sectional study utilized data from the Health and Lifestyle survey. The outcome was perceived risk of harm for ENDS versus regular cigarettes, categorized into "less harmful" and "about the same level of harm/more harmful." The correlates of interest were sociodemographic characteristics, depressive symptoms, anxiety symptoms, and smoking status. Correlates were examined using multivariable logistic regression. The moderating effect of smoking status was examined using interaction terms. Results: A total of 6508 participants completed the question on perceived harm. Approximately 10.4% of them perceived ENDS to be less harmful than regular cigarettes. Moreover, 15.0% of never-smokers, 16.6% of former smokers, and 9.2% of ever-smokers reported that ENDS was less harmful than regular cigarettes. The following groups were more likely to perceive ENDS as less harmful than regular cigarettes: younger individuals, males, former smokers, current smokers, and those with higher depressive symptoms. Smoking status moderated the association between age group and perceived risk of harm. Conclusion: The harm perception of ENDS versus regular cigarettes is lower than in other countries. Future studies can examine the mediating role of harm perception of ENDS versus regular cigarettes on the association between depression and ENDS usage.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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