| Abstrak/Abstract |
The popularity of electronic nicotine delivery systems (ENDS), also known as e-cigarette, has been
growing rapidly in the past years. Therefore, it is also important to explore how e-cigarette users perceive
its harm and addiction risk. The aim of this study is to review and determine perceived harm and
addictiveness of e-cigarette among e-cigarette users. We conducted a systematic review for published
articles in English that had reported about perceived harm and addictiveness of e-cigarette published
during year 2008 to 2018. Relevant studies were located through an extensive search from three
electronic databases (PubMed, Science Direct, and Cochrane Database of Systematic Reviews) and Google
Scholar on October 2018. Key terms used were “perceived harm”, “perceived risk”, “harm and
addictiveness”, “belief”, “electronic cigarette”, “e-cigarette”, and “vaping”. A result of 88 studies were
retrieved and reviewed. After further inspection of references from the collected studies, only 5 selected
studies met all inclusion criteria. The final studies consisted of three cross-sectional studies, one
longitudinal, and one prospective study. E-cigarette were perceived harmless and less addictive than
cigarettes among its users with many predictors associated, including sex, age, race, education,
advertisement and health belief for smoking cessation. Compared to non-users, e-cigarette users were
significantly less likely to worry about the health risks, either its harm or addictiveness. E-cigarette was
perceived harmless and less addictive than tobacco cigarettes. Further study about e-cigarette profile is
particularly important to design public health mess |
