Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.

Most Americans recognize that smoking causes serious diseases, yet many Americans continue to smoke. One possible explanation for this paradox is that perhaps Americans do not accurately perceive the extent to which smoking increases the probability of adverse health outcomes. This paper examines th...

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Main Authors: Jon A Krosnick, Neil Malhotra, Cecilia Hyunjung Mo, Eduardo F Bruera, LinChiat Chang, Josh Pasek, Randall K Thomas
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182063&type=printable
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author Jon A Krosnick
Neil Malhotra
Cecilia Hyunjung Mo
Eduardo F Bruera
LinChiat Chang
Josh Pasek
Randall K Thomas
author_facet Jon A Krosnick
Neil Malhotra
Cecilia Hyunjung Mo
Eduardo F Bruera
LinChiat Chang
Josh Pasek
Randall K Thomas
author_sort Jon A Krosnick
collection DOAJ
description Most Americans recognize that smoking causes serious diseases, yet many Americans continue to smoke. One possible explanation for this paradox is that perhaps Americans do not accurately perceive the extent to which smoking increases the probability of adverse health outcomes. This paper examines the accuracy of Americans' perceptions of the absolute risk, attributable risk, and relative risk of lung cancer, and assesses which of these beliefs drive Americans' smoking behavior. Using data from three national surveys, statistical analyses were performed by comparing means, medians, and distributions, and by employing Generalized Additive Models. Perceptions of relative risk were associated as expected with smoking onset and smoking cessation, whereas perceptions of absolute risk and attributable risk were not. Additionally, the relation of relative risk with smoking status was stronger among people who held their risk perceptions with more certainty. Most current smokers, former smokers, and never-smokers considerably underestimated the relative risk of smoking. If, as this paper suggests, people naturally think about the health consequences of smoking in terms of relative risk, smoking rates might be reduced if public understanding of the relative risks of smoking were more accurate and people held those beliefs with more confidence.
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spelling doaj-art-5622d0ee97844f48ae48ac6bab1106082025-08-20T02:04:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01128e018206310.1371/journal.pone.0182063Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.Jon A KrosnickNeil MalhotraCecilia Hyunjung MoEduardo F BrueraLinChiat ChangJosh PasekRandall K ThomasMost Americans recognize that smoking causes serious diseases, yet many Americans continue to smoke. One possible explanation for this paradox is that perhaps Americans do not accurately perceive the extent to which smoking increases the probability of adverse health outcomes. This paper examines the accuracy of Americans' perceptions of the absolute risk, attributable risk, and relative risk of lung cancer, and assesses which of these beliefs drive Americans' smoking behavior. Using data from three national surveys, statistical analyses were performed by comparing means, medians, and distributions, and by employing Generalized Additive Models. Perceptions of relative risk were associated as expected with smoking onset and smoking cessation, whereas perceptions of absolute risk and attributable risk were not. Additionally, the relation of relative risk with smoking status was stronger among people who held their risk perceptions with more certainty. Most current smokers, former smokers, and never-smokers considerably underestimated the relative risk of smoking. If, as this paper suggests, people naturally think about the health consequences of smoking in terms of relative risk, smoking rates might be reduced if public understanding of the relative risks of smoking were more accurate and people held those beliefs with more confidence.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182063&type=printable
spellingShingle Jon A Krosnick
Neil Malhotra
Cecilia Hyunjung Mo
Eduardo F Bruera
LinChiat Chang
Josh Pasek
Randall K Thomas
Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.
PLoS ONE
title Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.
title_full Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.
title_fullStr Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.
title_full_unstemmed Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.
title_short Perceptions of health risks of cigarette smoking: A new measure reveals widespread misunderstanding.
title_sort perceptions of health risks of cigarette smoking a new measure reveals widespread misunderstanding
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182063&type=printable
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