title: Misplaced Trust: Racial Differences in Use of Tobacco Products and Trust in Sources of Tobacco Health Information.
abstract: BACKGROUND
  Recently, the rates of utilization of alternative tobacco products have increased. Providing health information about tobacco products from trustworthy sources may help decrease the popularity of these products. Using a nationally representative study of adults, we fill the current gap in research on racial and ethnic disparities in utilization of alternative tobacco products as well as in trust of sources of health information about tobacco products.
  
  
  OBJECTIVE
  Data came from the Health Information National Trends Survey (N = 3738), which was collected in 2015. Logistic regression models were used to calculate odds of use of seven different tobacco product (eg, hookah, e-cigarettes, etc.), trust in seven different sources of e-cigarette health information (eg, family or friends, health care providers, etc.), and trust in six different sources of tobacco health information, adjusting for control variables.
  
  
  RESULTS
  There were disparities in utilization of alternative tobacco products and in trust, in tobacco companies across racial and ethnic groups. Blacks and Asians were far more likely than whites to trust tobacco (adjusted odds ratios = 8.67 and 4.34) and e-cigarette companies (adjusted odds ratios = 6.97 and 3.13) with information about the health effects of e-cigarettes than whites.
  
  
  CONCLUSIONS
  The popularity of alternative tobacco products appears to be high and may offset recent observed decreases in cigarette use. Blacks and Asians appear to trust tobacco companies as sources of information when compared to whites.
  
  
  CONCLUSIONS
  Higher levels of trust in tobacco companies among Asians and blacks may translate to greater susceptibility to utilize tobacco products among these groups, thereby increasing disparities. There is a need for social marketing and education efforts focused on increasing awareness of adverse health effects of using alternative tobacco products as well as on the untrustworthiness of tobacco and e-cigarette companies, especially among racial and ethnic minorities.
authors.affiliation: Department of Public Health Sciences, University of Virginia,Charlottesville, VA.
authors.forename: Héctor E
authors.initials: HE
authors.lastname: Alcalá
authors.affiliation: Department of Medicine, University of California, Irvine, Irvine, CA.
authors.forename: Mienah Z
authors.initials: MZ
authors.lastname: Sharif
authors.affiliation: Department of Community Health Sciences, University of California, Los Angeles,Los Angeles, CA.
authors.forename: Brittany N
authors.initials: BN
authors.lastname: Morey
mesh_terms: D000328:Adult; D054626:Consumer Health Information; D005006:Ethnicity; D005260:Female; D006801:Humans; D057226:Information Seeking Behavior; D008297:Male; D012907:Smoking / Q000453:epidemiology* / Q000208:ethnology / Q000523:psychology; D016540:Smoking Cessation / Q000208:ethnology / Q000523:psychology*; D011795:Surveys and Questionnaires; D062789:Tobacco Products / Q000009:adverse effects*; D014481:United States / Q000453:epidemiology