Measuring cigarette smoking risk perceptions Review


Authors: Kaufman, A. R.; Twesten, J. E.; Suls, J.; McCaul, K. D.; Ostroff, J. S.; Ferrer, R. A.; Brewer, N. T.; Cameron, L. D.; Halpern-Felsher, B.; Hay, J. L.; Park, E. R.; Peters, E.; Strong, D. R.; Waters, E. A.; Weinstein, N. D.; Windschitl, P. D.; Klein, W. M. P.
Review Title: Measuring cigarette smoking risk perceptions
Abstract: Risk perception is an important construct in many health behavior theories. Smoking risk perceptions are thoughts and feelings about the harms associated with cigarette smoking. Wide variation in the terminology, definition, and assessment of this construct makes it difficult to draw conclusions about the associations of risk perceptions with smoking behaviors. To understand optimal methods of assessing adults' cigarette smoking risk perceptions (among both smokers and nonsmokers), we reviewed best practices from the tobacco control literature, and where gaps were identified, we looked more broadly to the research on risk perceptions in other health domains. Based on this review, we suggest assessments of risk perceptions (1) about multiple smoking-related health harms, (2) about harms over a specific timeframe, and (3) for the person affected by the harm. For the measurement of perceived likelihood in particular (ie, the perceived chance of harm from smoking based largely on deliberative thought), we suggest including (4) unconditional and conditional items (stipulating smoking behavior) and (5) absolute and comparative items and including (6) comparisons to specific populations through (7) direct and indirect assessments. We also suggest including (8) experiential (ostensibly automatic, somatic perceptions of vulnerability to a harm) and affective (emotional reactions to a potential harm) risk perception items. We also offer suggestions for (9) response options and (10) the assessment of risk perception at multiple time points. Researchers can use this resource to inform the selection, use, and future development of smoking risk perception measures.
Keywords: accuracy; behavior; predictors; components; information; perceived risk; absolute; dont know responses; health-risks; smokers beliefs
Journal Title: Nicotine & Tobacco Research
Volume: 22
Issue: 11
ISSN: 1462-2203
Publisher: Oxford University Press  
Date Published: 2020-11-01
Start Page: 1937
End Page: 1945
Language: English
ACCESSION: WOS:000606064100002
DOI: 10.1093/ntr/ntz213
PROVIDER: wos
PMCID: PMC7755137
PUBMED: 31883013
Notes: Review -- Source: Wos
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  1. Jamie S Ostroff
    344 Ostroff
  2. Jennifer L Hay
    264 Hay