Predicting Tobacco-Free Nicotine Pouch Intention Among Swedish Young Adults: Gender and the Proximal Predictors of the Theory of Triadic Influence
Abstract: Nicotine pouches are popular products marketed in Sweden as tobacco-free alternatives to tobacco-containing snus. The purpose of the present study was to investigate the underlying factors influencing use of nicotine pouches among Swedish young adults using the theory of triadic influence (TTI; Flay et al., 1995), a model used to predict health-related behaviors. A questionnaire measuring self-efficacy/perceived behavioral control, social normative beliefs, and affective attitudes toward nicotine pouches and snus was administered to nicotine-using and non-using Swedish adults ages 18-29 (N = 493). Ordinal logistic regressions were conducted to assess the predictive power of the three TTI predictors and gender on nicotine pouch use intention with nicotine-use status and age as controls. Additional tests were conducted to measure between-gender differences in intention and within-subject differences in nicotine pouch and snus affective attitudes. Participants with higher self-efficacy/perceived behavioral control had .460, 95% CI [.389, .544] the odds of expressing higher intention, and participants with more positive affective attitudes toward nicotine pouches had 1.144, 95% CI [1.054, 1.243] the odds of expressing higher intention than those that scored lower. No significant differences were found in intention between genders, U = 25746, z = -1.386, p = .166. Nicotine pouches elicited a mean increase in affective attitudes when compared to snus, t(476) = 14.474, p < .001, d = .66. Results indicated that self-efficacy/perceived behavioral control and affective attitudes toward nicotine pouches were significant predictors for nicotine pouch use intention, and participants held more positive affective attitudes toward nicotine pouches than snus.
AT THIS PAGE YOU CAN DOWNLOAD THE WHOLE ESSAY. (follow the link to the next page)