Beliefs about the harms of long-term use of nicotine replacement therapy: perceptions of smokers in England
Version of Record online: 26 JUL 2012
© 2012 The Authors, Addiction © 2012 Society for the Study of Addiction
Volume 107, Issue 11, pages 2037–2042, November 2012
How to Cite
Black, A., Beard, E., Brown, J., Fidler, J. and West, R. (2012), Beliefs about the harms of long-term use of nicotine replacement therapy: perceptions of smokers in England. Addiction, 107: 2037–2042. doi: 10.1111/j.1360-0443.2012.03955.x
- Issue online: 5 OCT 2012
- Version of Record online: 26 JUL 2012
- Accepted manuscript online: 28 MAY 2012 01:54AM EST
- Manuscript Accepted: 17 MAY 2012
- Manuscript Revised: 9 APR 2012
- Manuscript Received: 20 FEB 2012
- Harm reduction;
- long-term NRT use;
- smokers’ beliefs;
- smoking cessation
Previous research has shown that a substantial proportion of smokers believe that nicotine causes serious diseases such as cancer, possibly deterring the use of nicotine replacement therapy (NRT) for smoking cessation or smoking reduction. This study examined beliefs about the harms specifically from long-term use of NRT and associations between these and its use for smoking cessation and smoking reduction.
Design and setting
Data were collected from 1657 smokers and recent ex-smokers involved in the Smoking Toolkit Study, a series of monthly household surveys of English adults aged 16 and over.
Participants were asked if they thought the use of NRT for a year or more was harmful, and if so, to volunteer what they believed the harms to be. They were also asked if they were using NRT for smoking reduction and/or if they had used NRT in the past year during a quit attempt.
Six percent and 25% of smokers respectively, believed that the long term use of NRT was very or quit harmful to health; and a further 29% reported that they ‘didn't know’. The most commonly reported harms were addiction and lung cancer. There was no association between these beliefs and use of NRT for smoking reduction or smoking cessation.
A significant minority of smokers in England believe that the use of nicotine replacement therapy for a year or more is harmful. However, belief that long-term nicotine replacement therapy use can cause health harm does not appear to act as a deterrent to using it in a quit attempt or for smoking reduction.