Quiz 3.

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Which of the following best defines tobacco harm reduction (THR)?

Completely eliminating all forms of nicotine use in the population

Encouraging people who smoke to quit by using any available means, including safer alternatives

Reducing the harm caused by smoking by switching to non-combustible, lower-risk nicotine products when quitting is not possible

THR focuses on reducing harm, not necessarily eliminating nicotine use, especially for those unable or unwilling to quit

Promoting the use of traditional tobacco as a cultural practice

What is the main reason non-combustible nicotine products carry less risk than cigarettes?

They contain no nicotine at all

They do not produce toxic smoke or tar because there is no combustion

The key health risks from smoking come from burning tobacco, not from nicotine itself

They are used less frequently than cigarettes

They are made with natural ingredients

Which of the following best illustrates the “risk continuum”?

All tobacco and nicotine products are equally dangerous

Cigarettes cause the least harm while nicotine pouches cause the most

Cigarettes are the most harmful, followed by heated tobacco, vapes, snus, and nicotine pouches as least harmful

The concept of a risk continuum recognises that products differ in harm depending on whether they involve combustion

Only traditional cigarettes and cigars are harmful to health

Which statement correctly identifies a limitation of abstinence-only approaches in LMICs?

They are always successful because people can quit without assistance

They provide easy access to affordable cessation aids for all people who smoke

They often ignore barriers such as limited cessation support, high stress, and low affordability of therapies

Abstinence-only approaches can be unrealistic in resource-limited contexts and may leave people who smoke without viable options

They encourage innovation and improve health equity

Which ethical issue most often arises in debates on THR in LMICs?

Whether governments should allow any nicotine use at all

Balancing individual choice with public health protection

Ethical debates often focus on respecting adult autonomy while safeguarding public health through proportionate, evidence-based regulation

Whether to prioritise funding for anti-smoking media campaigns

Deciding which multinational companies can sell their products

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