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18.12 Public perceptions of the risks and benefits of e-cigarettes
Foreword

Relevant news and research: Public perceptions of the risks and benefits of e-cigarettes

Jun, J., Zain, A., Kim, M. and Thrasher, J. (2025). Message Valence, Industry Influence, and Stakeholder Narratives in Global Conversations on Tobacco Harm Reduction: Content Analysis. J Med Internet Res, e77676. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41183321


Mali, S., Chiodze, V. and Jersmann, H. (2025). Clearing the fog: Australian medical students and the e-cigarette knowledge void - a cross-sectional survey. BMC Med Educ, 1, 1612. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41250059


Manoharan, S. and Mc Goldrick, N. (2025). Attitudes, behaviours, and perceptions of E-cigarettes among students at the University of Dundee. Community Dent Health, 265539X251400501. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41287944


Milne, S., Ogbeifun, H., Frei, C. R. and Evoy, K. E. (2025). Comparing vape use and perceptions among pharmacy and non-pharmacy students from two universities in the US and UK. J Prev Med Hyg, 2, E179-E186. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41235042


Pashmchi, M., Assari, S., Ghazal, N., Nassiri Tayebi, R., Neghabi, A., Ranjbar, M. H., Kheiri, S., Pourmohebbi, A., Mollaei, M., Rouhi, D., Servat, M., Ataei, A., Ashrafpoury, S., Yavari, A., Jafari, M. B. and AghaeiMeybodi, F. (2025). Knowledge, attitude, practice and policy support of college students toward electronic cigarette use: a nationwide multicentric study in Iran. BMC Public Health. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41275223


Sarayuthpitak, J., Tapat, C. and Treesopanakorn, K. (2025). Thai Teachers' Knowledge, Attitude, and Awareness of E-Cigarette Use among Youth: A Sex-Based Comparative Analysis. Asian Pac J Cancer Prev, 11, 4165-4170. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41312944


Silva-Gallardo, C., Astudillo, G., Concha, F., Rocha-Jimenez, T. and Castillo-Carniglia, A. (2025). Playful consumption, serious concerns: navigating risks and normalization in Chile's e-cigarette unregulated market. BMC Public Health, 1, 3679. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41174548


Vasooja, D., Peters, K., Wasan, D., Najafi, E., Warnapala, M., Baker, Y. and Martinez-Jimenez, M. (2025). GPs' perspectives on assessing adolescent vaping among individuals without prior smoking history: a qualitative study within primary care. BJGP Open. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41253488


Villagran, C. A., Dias, F. T., Lima, A. J. S., Matos, C. G. L., Traebert, J. and Cremona-Parma, G. O. (2025). Prevalence, perceptions, and beliefs of university students about electronic cigarettes. Rev Assoc Med Bras (1992), 10, e20251056. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41172480


Virgili, F., Del Parco, F., La Regina, D. P., Mancino, E., Petrarca, L., Conti, M. G., Bonci, E., Nenna, R. and Midulla, F. (2025). Prevalence, risk perception, and motivations behind E-cigarettes and heated tobacco use: a cross-sectional study in Italian adolescents. Ital J Pediatr, 1, 303. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41250072


Weiger, C. V., Diaz, D., Bover Manderski, M. T. and Wackowski, O. A. (2025). Exploring the Underlying Beliefs Shaping Perceptions of E-Cigarette Harm Among a Convenience Sample of Adults in the United States. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41206645


Zadeh, P. M., Barsha, R. A. A., Egboluche, C., Sheikhattari, P. and Assari, S. (2025). Electronic Cigarette Perception in Baltimore High Schools. Open J Psychol, 1, 64-78. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41221435


Jackson, S. E., Cheeseman, H., East, K. and Brown, J. (2025). Vaping misperceptions must be challenged. BMJ, r2117. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41073082


Mercincavage, M., Barnwell, P. V., Kennedy, M., Ganz, O., Delnevo, C. D. and Steinberg, M. B. (2025). Trends in patient tobacco use behaviors as reported by tobacco treatment providers: Findings from a repeated crosssectional survey. Tob Prev Cessat. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41142369


Rabayaa, M., Ghanim, M., Alqub, M., Hanani, A., Abuawad, M., Rahhal, B., Qadous, S., Barahmeh, M., Al-Lahham, S., Dwikat, M., Alkhaldi, S., Salamah, W., Jarrar, S. and Amer, J. (2025). Assessment of the prevalence, knowledge, and perceptions of e-cigarette use among the Palestinian community: a cross-sectional study. Sci Rep, 1, 36229. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41102351


Sharma, S., Crotty Alexander, L., Meister, M., Ross, C., Hess, J., Ray, K., Noel, A., Shannahan, J. and Wright, C. (2025). A review of popular vaping misconceptions: redefining ENDS safety and usage risks. Inhal Toxicol, 1-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41090979


Silva, I., Dos Santos, J. A., Silveira, B. B., Di Carvalho Melo, L., Castro, V. T., Ferreira, E. B., Guerra, E. N. S. and Reis, P. (2025). Mapping the use of, perception, and knowledge about e-cigarettes among dental students: a cross-sectional study. BMC Public Health, 1, 3441. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41068795


Al Ghafri, T., Siyabi, R. A., Said, R. A., Afifi, N., Harthi, M. A. and Harthi, A. A. (2025). Perceptions of Secondary School Faculty about Vaping Behaviour in Secondary School Students: A qualitative analysis in Muscat, Oman. Sultan Qaboos Univ Med J, 1, 746-755. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40979609


Chehab, M., Abdu, Y., Alkubaisi, N. J., Al Mulla, A. and Bougmiza, M. I. (2025). Insights Into Electronic-Cigarette Perspectives: Smokers' Knowledge Attitudes and Practices at Hamad Medical Corporation, 2020. Subst Abuse Rehabil, 223-237. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40909435


Dvali, L., Cui, Y., Gumbaridze, L., Baramidze, L., Kiladze, N., Sturua, L. and Berg, C. J. (2025). Awareness, perceptions, and use of e-cigarettes among medical university students in Tbilisi, Georgia. J Subst Use. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40989174


McKeganey, N., Grier, D. and Barnard, G. (2025). The Message that E-Cigarettes Are Less Harmful than Combustible Cigarettes is Not Getting through. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40972876


Milella, M. S., Sansone, A., Basili, S., Ferketich, A. K., La Torre, G., Battaglia, G. and Grassi, M. C. (2025). Popularity of heated-tobacco products and e-cigarettes among medical school students in Rome, Italy: factors associated with use and attitudes towards quitting. Clin Ter, 5, 601-608. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40996008


Alasmari, A. M., Alzahrani, A. A., Philip, K. E. J., Alshehri, Z., Alghamdi, S. M., Alsulayyim, A. S., Almaghrabi, M. A., Alahmadi, F. H., Hawsawi, A. M. and Alasmari, M. M. (2025). Usage patterns, knowledge, and attitudes of healthcare providers regarding e-cigarettes: A cross-sectional study in Saudi Arabia. Tob Induc Dis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40851755


Bedoya-Ruiz, L. A., Gomez-Marentes, M. V., Muegues-Salas, A. A., Ruiz Lurduy, R. A. and Jerez-Sierra, K. J. (2025). Status of tobacco and electronic nicotine delivery systems use among health science students in low- and middle-income countries: A scoping review. Can J Respir Ther, 206-217. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40851657


Li, C. X., Wang, P. C., Feliu, A., Laverty, A. A., Martinez, C. and Filippidis, F. T. (2025). Perceptions of e-cigarettes and heated tobacco products among never users of nicotine in the European Union. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40795943


Magalhaes, M., Manderski, M. T. B., Jeong, M., Young, W. J., Steinberg, M. B. and Eyal, N. (2025). U.S. Physicians' Views on E-Cigarette Risks and Benefits to Adults Who Smoke Versus Young People Who Do Not Smoke. AJPM Focus, 5, 100363. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40756595


Beard, C. Z., Ragbir, A. J., Rice, T. L., Thomas, M. M. and Naidu, R. S. (2025). E-cigarette use and knowledge of its effect on oral health among health sciences students in Trinidad and Tobago. Front Oral Health, 1547246. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40661826


Christen, S. E., Scanniello, E., Hammann, F., Meyer-Massetti, C., Auer, R., Etter, J. F. and Liakoni, E. (2025). Knowledge and perceptions of nicotine, smoking cessation and electronic nicotine delivery systems among physicians and pharmacists in a Swiss hospital group. Tob Induc Dis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40709317


East, K., Simonavicius, E., Taylor, E. V., Brose, L., Robson, D. and McNeill, A. (2025). Interventions to change vaping harm perceptions and associations between harm perceptions and vaping and smoking behaviours: A systematic review. Addiction. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40708371


Freeman, B., Egger, S., Rose, S., Brooks, A., Madigan, C. and Dessaix, A. (2025). Vaping and young people: Assessing early impacts of Australia's comprehensive approach to vaping product control. Generation Vape. Available from:


Khan, M. H., Khan, M. I., Israr, S., Haseeb, A., Ariya, F., Khan, M. I. and Amir, M. (2025). Knowledge and Attitude of the General Population Toward E-cigarette Use in Khyber Pakhtunkhwa: A Cross-Sectional Study. Cureus, 6, e85704. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40642703


Okeke, N. H., Obi, N. P. and Nnebue, C. C. (2025). Knowledge and risk perception of e-cigarettes and hookah among young adults in Anambra State, Nigeria. BMC Public Health, 1, 2544. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40713586


Velasco-Pardo, M., Candal-Pedreira, C., Garcia, G., Perez-Rios, M., Mourino, N., Varela-Lema, L., Ruano-Ravina, A. and Rey-Brandariz, J. (2025). Reasons why dual users of e-cigarette and conventional tobacco initiate or maintain dual use. A systematic review. Adicciones, 2, 101-112. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40654145


Xu, L., Shi, J., Cao, Y., Meng, Y., Xiao, L. and Liu, X. (2025). E-Cigarette Use Behavior and Influencing Factors Among People Aged 15 Years and Above - Beijing Municipality, China, 2016-2023. China CDC Wkly, 22, 760-765. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40621200


Souza de Castro, M. A., Machado, G. F., Zamboni, M. M., Normando, P. and Conte, M. B. (2025). Prevalence and knowledge of medical students about the risks of E-cigarette use. IJTLD Open, 6, 377-379. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40530377


Gursoy, E. and Vatansever, M. (2025). Analysis of physicians' statements on electronic cigarettes in YouTube videos in Turkiye: a thematic content analysis. BMC Public Health, 1, 1844. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40389893


Koh, Y. S., Sambasivam, R., AshaRani, P. V., Abdin, E., Bernard, T. C. W., Shafie, S., Ma, S., Chow, W. L., Chong, S. A., van der Eijk, Y. and Subramaniam, M. (2025). Harm Perception of Electronic Nicotine Delivery System Versus Regular Cigarettes in Singapore: Findings from a Nationwide Study. Int J Behav Med. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40327165


Fisher, J. M., Boyd, L. D. and Vineyard, J. (2025). Cannabis User Perceptions: General and Oral Health Benefits and Harms of Vaping Versus Smoking. Subst Use Misuse, 8, 1157-1163. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40241273


Khateeb, S., Alsuqaie, D., Sobahi, S., Muminah, D., Alyafi, L. and Alotbi, T. (2025). Knowledge and awareness of the health effects of electronic cigarette among college students. J Med Life, 3, 235-245. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40291943


Obeidat, S. R., Malkawi, Z. A., Khabour, O. F. and AlSa'di, A. G. (2025). Prevalence, Knowledge, Attitudes, and Perceptions About E-Cigarette Smoking Among Students in the Dental Fields in Jordan. Int J Dent, 6521183. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40170985


Thomas, S., McCarthy, S., Pitt, H., Freeman, B., Arnot, G. and Daube, M. (2025). They are targeted as fun and better for you than smoking': Australian parents' opinions about the normalisation of vaping for children and young people. Perspect Public Health, 1.75791E+16. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40166950


McGill, B., Rose, S., Egger, S., Brooks, A., Dessaix, A. and Freeman, B. (2025). Assessing the impacts of Australia's new vape laws on parents and teachers: early positive indicators. Generation Vape. Available from: https://www.cancercouncil.com.au/wp-content/uploads/2025/03/Assessing-the-impacts-of-Australias-vape-laws-on-parents-and-teachers-short-report-March-2025.pdf


Selamoglu, M., Malamardi, S., Erbas, B., Wilson, H., Brown, J. and Barton, C. (2025). Australian general practitioners' knowledge, attitudes and prescribing intentions for e-cigarettes as a smoking cessation aid: a nationwide baseline and 12-month follow up survey. Harm Reduct J, 1, 35. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40102812


Shabani, D. B., Dula, L. J., Dalipi, Z. S., Krasniqi, M. S. and Meto, A. (2025). Knowledge and Perceptions of Dentists Regarding E-Cigarettes: Implications for Oral Health and Public Awareness and Education. Dent J (Basel), 3. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40136747


Al Zayat, M. N., Melchior, M., van der Waerden, J., Mahdjoub, S., Ibanez, G. and El-Khoury, F. (2025). Factors influencing perceptions of electronic cigarette and nicotine replacement therapy use among French smokers experiencing socioeconomic disadvantage: A latent class analysis. Addict Behav, 108290. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39978139


Alkhonain, I. M., Alqahtani, M., Alnamlah, L. A. and Kofi, M. (2025). Misconceptions About E-cigarettes Among Healthcare Workers at Primary Health Care Centers in Riyadh, Saudi Arabia. Cureus, 1, e77051. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39917161


Caponnetto, P., Contursi, V., Fedele, F., Lugoboni, F. and Novo, S. (2025). Delphi consensus methodology to gauge expert perspectives on smoking prevention, cessation and harm reduction in Italy. Front Psychiatry, 1349265. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39958155


Iqbal, S., Patwardhan, S., Sivarajan Froelicher, E., Asmat, K. and Barolia, R. (2025). Literacy among tobacco users and healthcare professionals about tobacco harm reduction strategies: a scoping review protocol. Front Public Health, 1518069. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39935879


Jongenelis, M. I., Saraswat, N., Yap, T. and Li, R. (2025). Oral health practitioners' knowledge, perceptions, and practices relating to e-cigarettes. J Dent, 105640. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39978747


Le, D., Saba, M., Bhurawala, H., Rahman, M. A., Shah, S. and Saini, B. (2025). Pharmacists' Perspectives on Nicotine Vaping Products (NVPs) for Smoking Cessation in Australia: A Qualitative Analysis. Pharmacy (Basel), 1. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39998009


Liu, L. and Wang, X. (2025). Is electronic cigarette more "healthy" than conventional cigarette? Perceptions, experiences, and social norm constructions among Chinese young adult vapers. J Ethn Subst Abuse, Jan-22. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39916557


van der Eijk, Y., Kwok, W. Y. and Tan, G. P. P. (2025). How do clinicians address vaping in an illegal context? A qualitative Singapore study. Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39915094


Asthma and Respiratory Foundation NZ (2025). $500k vape kit deal �reeks of tobacco tactics�. . Available from: https://www.asthmafoundation.org.nz/news-events/500k-vape-kit-deal-reeks-of-tobacco-tactics


Caouette, J. D., Epstein, M., Halvorson, M. A., Danzo, S., Kuklinski, M. R. and Oesterle, S. (2025). Co-occurring Change in Electronic Nicotine Delivery System (ENDS) and Cigarette Harm Perceptions and Use in Young Adults. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39820354


Freeman, B., Egger, S., Brooks, A. and Dessaix, A. (2025). Assessing the impacts of Australia's new vape laws on adolescents: early indicators of success. Generation Vape. Available from: https://www.cancercouncil.com.au/wp-content/uploads/2025/01/Assessing-the-impacts-of-Australias-vape-laws-on-adolescents-early-indicators-of-success-short-report-JAN-2025.pdf


General Practitioners Aotearoa (2025). Opposition to Government funding of certain smoking cessation products. . Available from: https://gpaotearoa.co.nz/news/opposition-to-government-funding-of-certain-smoking-cessation-products/


Kajan, L., Puljak, L., Matic, I., Marendic, M., Zoranic, S., Ivanisevic, K., Majstorovic, D., Puharic, Z., Skitarelic, N., Neuberg, M., Barac, I., Cukljek, S. and Civljak, M. (2025). Usage, knowledge and attitudes towards electronic cigarettes use among nursing students in Croatia: a cross-sectional study. BMC Nurs, 1, 64. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39833859


Selamoglu, M., Onal, A. E., Erbas, B., Karabey, S., Oren, M. M., Ucar, M. T. and Barton, C. (2024). Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study. Addict Sci Clin Pract, 1, 99. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39736756


Tran, T. P. T., Tran, T. T. H., Phan, T. H., Hoang, V. M. and Popova, L. (2024). Perceived harm of e-cigarettes relative to conventional cigarettes: Comparison among different measures in the US and Vietnam. Addict Behav, 108230. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39721345


Earlier news and research

For news items and research on this topic earlier than 2025, click here.

Intro
Chapter 2