{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:27:35Z","timestamp":1777879655883,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Health warning labels (HWLs) are evidence-based tobacco control strategies; however, their application to e-cigarettes and related impacts (e.g. on perceived risk), including across countries with different regulations, are understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods:<\/jats:title>\n                    <jats:p>Using 2021 survey data from 927 US and Israeli adults reporting past-month tobacco use, multivariate analyses examined: (1) sociodemographics in relation to self-reported impact of e-cigarette HWLs (i.e. more concerned about e-cigarette use, reassured, no effect) among those who noticed e-cigarette HWLs (multinomial regressions); and (2) HWL impacts in relation to use intentions and perceived addictiveness and harm (linear regressions).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among those who noticed HWLs ( n\u2009=\u2009835, 90.1%), 34.1% reported HWLs resulted in greater concern about e-cigarette use, 45.5% no effect, and 20.4% reassurance. Factors associated with greater concern (vs no effect) included e-cigarette non-use (vs use; aOR\u2009=\u20091.69, 95% CI:1.22, 2.38), US (vs Israel) resident (aOR\u2009=\u20091.65, 95% CI:1.16, 2.34), age 18\u201325 (vs 36\u201345; aOR\u2009=\u20091.72, 95% CI:1.11, 2.67), and more education (aOR\u2009=\u20091.85, 95% CI:1.30, 2.63). Factors associated with being reassured (vs no effect) included use of cigarettes (aOR\u2009=\u20091.71, 95% CI:1.06, 2.75), e-cigarettes (aOR\u2009=\u20092.64, 95% CI:1.77, 3.94), and other tobacco (aOR\u2009=\u20092.11, 95% CI:1.39, 3.21), and Israeli resident (aOR\u2009=\u20092.33, 95% CI:1.47, 3.70). Not noticing HWLs (vs no effect) correlated with lower intentions (\u03b2\u2009=\u2009\u22120.44, 95% CI:\u22120.87, \u22120.01), perceived addictiveness (\u03b2\u2009=\u2009\u22120.61, 95% CI:\u22121.05, \u22120.18), and harm (\u03b2\u2009=\u2009\u22120.56, 95% CI:\u22120.95, \u22120.18); reassurance correlated with greater use intentions (\u03b2\u2009=\u20090.48, 95% CI:0.12, 0.83); and greater concern was unassociated with use intentions or perceived risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Effects of differing e-cigarette HWLs in distinct subpopulations warrant research. Despite being noticed, they may have no effect or encourage e-cigarette use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22799036231214396","type":"journal-article","created":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T07:38:57Z","timestamp":1700293137000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The impacts of electronic cigarette health warning labels on use intentions and perceptions: A cross-sectional study of US and Israeli adults who use tobacco"],"prefix":"10.1177","volume":"12","author":[{"given":"Zongshuan","family":"Duan","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hagai","family":"Levine","sequence":"additional","affiliation":[{"name":"Braun School of Public Health and Community Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and Hadassah Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yael","family":"Bar-Zeev","sequence":"additional","affiliation":[{"name":"Braun School of Public Health and Community Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and Hadassah Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuxian","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassidy R","family":"LoParco","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"},{"name":"George Washington Cancer Center, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorien C","family":"Abroms","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"},{"name":"George Washington Cancer Center, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal","family":"Khayat","sequence":"additional","affiliation":[{"name":"Braun School of Public Health and Community Medicine, Faculty of Medicine, The Hebrew University of Jerusalem and Hadassah Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8931-1961","authenticated-orcid":false,"given":"Carla J","family":"Berg","sequence":"additional","affiliation":[{"name":"Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA"},{"name":"George Washington Cancer Center, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,18]]},"reference":[{"key":"bibr1-22799036231214396","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054382"},{"key":"bibr2-22799036231214396","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0251203"},{"key":"bibr3-22799036231214396","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19159263"},{"key":"bibr4-22799036231214396","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.07.028"},{"key":"bibr5-22799036231214396","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.057369"},{"key":"bibr6-22799036231214396","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntac261"},{"key":"bibr7-22799036231214396","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.305999"},{"key":"bibr8-22799036231214396","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7218a1"},{"key":"bibr9-22799036231214396","unstructured":"Israel Ministry of Health. 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