Rime Jebai, Sarah D Kowitt, Leah M Ranney, Jennifer Cornacchione Ross
{"title":"Psychological Distress is Associated With Blunt Use Among Youth in the United States: Insights From the 2021-2023 National Youth Tobacco Surveys.","authors":"Rime Jebai, Sarah D Kowitt, Leah M Ranney, Jennifer Cornacchione Ross","doi":"10.1093/ntr/ntaf049","DOIUrl":"10.1093/ntr/ntaf049","url":null,"abstract":"<p><strong>Introduction: </strong>Blunts (hollowed-out cigars filled or mixed with cannabis) are popular among youth. Research on psychological distress and other determinants of blunt use is scant. This study examined factors associated with blunt use among a nationally representative sample of US youth.</p><p><strong>Methods: </strong>Data were from the 2021-2023 (n = 68 253) cross-sectional National Youth Tobacco Surveys. Anxiety and depression were assessed using the Generalized Anxiety Disorder scale and the Patient Health Questionnaire, dichotomized into yes/no categories. Youth reporting blunt use at least once in their lifetime were classified as having ever used blunts. To estimate the association between anxiety, depression, race, sexual orientation, and ever blunt use, we conducted weighted logistic regressions for middle and high school students, adjusted for demographics.</p><p><strong>Results: </strong>The prevalence of ever blunt use increased from 7.5% to 7.7% from 2021 to 2022, then decreased to 6.6% in 2023. High school students identifying as bisexual (1.26, [1.04,1.52]) (vs. straight) had higher odds of ever blunt use. Hispanic (1.21, [1.00,1.45]) and non-Hispanic (NH) Black high school students (1.59, [1.27, 2.00]) (vs. NH White youth) were more likely to report ever blunt use. High school students with anxiety (1.29, [1.11,1.50]) and depression (1.38, [1.18, 1.60]) had higher odds of ever blunt use compared to youth without these conditions. Similar results were observed for middle school students.</p><p><strong>Conclusions: </strong>Middle and high school students who reported psychological distress, or identified as bisexual, Hispanic, or NH Black were more likely to report ever blunt use. Findings underscore the importance of cannabis use control efforts designed to reach minoritized communities and those with psychological distress.</p><p><strong>Implications: </strong>Using 2021-2023 National Youth Tobacco Survey data, this study underscores the critical need for targeted interventions in cannabis control, particularly among marginalized youth, and those with psychological distress. The findings highlight higher ever blunt use among youth identifying as bisexual, Hispanic, or non-Hispanic Black, and youth who reported psychological distress, emphasizing the necessity for targeted prevention, and support initiatives within these communities.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1760-1768"},"PeriodicalIF":3.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justin J Anker, Motohiro Nakajima, Dorothy K Hatsukami, Sharon S Allen, Mustafa al'Absi
{"title":"The Enduring Effects of Early Life Adversity on the Dysregulation of the Stress Awakening Response Among Dependent Tobacco Users.","authors":"Justin J Anker, Motohiro Nakajima, Dorothy K Hatsukami, Sharon S Allen, Mustafa al'Absi","doi":"10.1093/ntr/ntaf013","DOIUrl":"10.1093/ntr/ntaf013","url":null,"abstract":"<p><strong>Introduction: </strong>Adults with early life adversity (ELA) often exhibit stress system dysregulation and are prone to smoke for stress relief. This study, conducted as part of a larger project examining psychobiological stress responses in smokers, specifically focuses on the a priori research question of how ELA influences the cortisol awakening response (CAR) during acute tobacco withdrawal.</p><p><strong>Aims and methods: </strong>Using quasi-experimental design, adult daily (heavy) smokers were randomly assigned to either regular smoking (ad-lib) (N = 37) or 24-hour withdrawal (N = 55), and categorized into low or high ELA. Carbon monoxide levels verified smoking status, and CAR was assessed through salivary cortisol upon awakening and at 30 and 60 post-wakening. CAR was evaluated using mean cortisol levels, peak reactivity, and area under the curve with respect to increase (AUCi) and area under the curve with respect to ground while controlling for possible covariates. Self-reported measures of mood, craving, and withdrawal were also analyzed.</p><p><strong>Results: </strong>Smoking status X ELA interaction on peak cortisol and AUCi. High ELA ad-lib smokers (versus high ELA withdrawal) had elevated peak and AUCi levels and were higher than low ELA ad-lib smokers with respect to peak (ps < .05). Withdrawal (versus ad-lib smokers) had lower positive affect and higher negative affect, craving, and withdrawal (ps < .05). Adult smokers with a history of ELA exhibit heightened stress response dysregulation, as evidenced by altered CAR, compared to those without ELA or in smoking withdrawal.</p><p><strong>Conclusions: </strong>These findings demonstrate that ELA significantly exacerbates stress system dysregulation among adult smokers, as evidenced by alterations in the CAR.</p><p><strong>Implications: </strong>Findings from this study suggest ELA not only leads to an earlier initiation of smoking but also worsens stress system dysregulation in adult smokers. These insights highlight the importance of developing early prevention strategies aimed at adolescents with ELA to prevent smoking initiation and reduce its impact on stress regulation. Additionally, the findings support the need for customized, trauma-informed smoking cessation programs for adults with ELA, emphasizing the necessity to address the distinct challenges related to stress regulation and nicotine withdrawal they face.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1703-1712"},"PeriodicalIF":3.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stepwise Rather Than Linear Trend in Prevalence of Secondhand Tobacco Exposure Among Children.","authors":"Isao Muraki","doi":"10.1093/ntr/ntaf082","DOIUrl":"10.1093/ntr/ntaf082","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1852-1853"},"PeriodicalIF":3.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adaptation Process of a Culturally Tailored Smoking Cessation Intervention for People living with Severe Mental Illness in South Asia: IMPACT 4S.","authors":"Aslam Faiza, Zavala Gerardo, Mazumdar Papiya Guha, Sadananda Reddy, Thomson Heather, Prasad Muliyala Krishna, Hannah Maria Jennings, Kellar Ian, Nizami Asad Tamizuddin, Siddiqi Najma, Siddiqi Kamran, Murthy Pratima, Gilbody Simon, Mdege Noreen, Jackson Cath","doi":"10.1093/ntr/ntaf191","DOIUrl":"https://doi.org/10.1093/ntr/ntaf191","url":null,"abstract":"<p><strong>Introduction: </strong>Despite high smoking prevalence in people living with Severe Mental Illness (SMI) from low- and middle-income countries, smoking cessation interventions adapted for this population and context are lacking. This paper describes the adaptation process of a smoking cessation intervention for people living with SMI in South Asia.</p><p><strong>Methods: </strong>The adaptation process followed the first nine steps of the Escoffery framework for adapting health interventions, complemented by the Stirman adaptation classification to document the modifications. This was conducted by an interdisciplinary co-design team comprising people living with SMI, caregivers, experts in mental health, smoking cessation, and behavioral science from India, Pakistan and the UK. Stakeholders were consulted throughout. Evidence-based interventions were selected and contextual modifications to content and delivery identified. Staff were trained both in-person and online. Acceptability of the intervention was assessed through final consultations with community advisory panels.</p><p><strong>Results: </strong>A UK intervention, SCIMITAR+, was selected to be adapted, drawing also on the TB & Tobacco and Smart Guide interventions from South Asia. Content and delivery adaptations focused on adding an additional \"life after quitting\" step, ensuring materials were understandable with culturally relevant examples and pictures, avoiding stigmatizing SMI, incorporating caregiver support, flexible scheduling of sessions alongside routine appointments, offering hybrid delivery and including female cessation advisors.</p><p><strong>Conclusion: </strong>We systematically adapted a UK smoking cessation intervention for people living with SMI, tailoring it for implementation in India and Pakistan. The next steps (10 and 11 of the Escoffery framework) would be to implement and evaluate it in a pilot feasibility trial.</p><p><strong>Implications: </strong>In this paper, we describe the adaptation process for a smoking cessation intervention in South Asia for people living with SMI. The co-design approach, involving people living with SMI, their caregivers, healthcare providers and experts in mental health, smoking cessation, and behavioral science, enhanced the intervention's relevance for the new target population.There is still a significant gap in the literature explaining how such interventions are developed. This lack of detailed reporting hinders the ability to assess the appropriateness of adaptations and limits guidance for other initiatives. By addressing this gap, this paper aims to improve transparency and show how two adaptation frameworks (Escoffery adaptation framework, Stirman classification of adaptations) were used in low-resource settings, which can inform future adaptation and implementation efforts.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Message that E-Cigarettes Are Less Harmful than Combustible Cigarettes is Not Getting through.","authors":"Neil McKeganey, Dylan Grier, Gabriel Barnard","doi":"10.1093/ntr/ntaf194","DOIUrl":"https://doi.org/10.1093/ntr/ntaf194","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie Klosterhalfen, Neal D Freedman, Daniel Kotz
{"title":"Waterpipe and co-use of inhaled nicotine and tobacco products: findings from a population-based cross-sectional household survey in Germany.","authors":"Stephanie Klosterhalfen, Neal D Freedman, Daniel Kotz","doi":"10.1093/ntr/ntaf192","DOIUrl":"https://doi.org/10.1093/ntr/ntaf192","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to provide prevalence data on dual-use (one additional product) and poly-use (two or more products) of inhaled nicotine and tobacco products (cigarettes, e-cigarettes and/or heated tobacco products (HTP)) among current waterpipe (WP) users in Germany over recent years, and explores specific person characteristics associated with such co-use.</p><p><strong>Methods: </strong>A series of cross-sectional, nationwide, representative, face-to-face household surveys in Germany between 2019 and 2023. Samples were selected using multistratified random sampling (50%) combined with quota sampling (50%). The current analysis included 61 713 respondents (aged ≥14 years) of which 1303 reported current WP use.</p><p><strong>Results: </strong>WP use in Germany fluctuated between 1.5% and 2.8% from 2019 and 2023. The prevalence rate for 2023 was 1.5% (95%CI = 1.2,1.7). Among users, exclusive WP use declined from 41.8% (95%CI = 35.3,48.5) in 2019 to 26.3% (95%CI = 20.2,33.3) in 2023. Over this period, dual-use increased from 49.3% (95%CI = 42.6,56.1) to 62.3% (95%CI = 55.0,69.3), and poly-use rose from 8.9% (95%CI = 5.5,13.4) to 11.2% (95%CI = 7.1,16.7). Multivariable analyses confirmed a significant decline in exclusive WP use over time (OR per year = 0.90, 95%CI = 0.81-0.99), while the increases in dual-use was not statistically robust after adjustment. Among dual users, the majority (94.2%) reported also smoking cigarettes. The likelihood of using at least one additional product alongside WP was positively associated with increasing age, and with low and middle compared with high educational attainment.</p><p><strong>Conclusion: </strong>Among current WP users in Germany, exclusive WP use has decreased in recent years, with potential commensurate increase in dual- and poly-use.</p><p><strong>Implication: </strong>These novel data help inform on the consumption behavior of current WP users and highlights the need for targeted public health interventions that address not only exclusive product use but also the rising combination of different products.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juhan Lee, Austin D Smith, Dget L Downey, Fatima A Mabrouk, Anthony Nunez, Nadine Sikora, M Justin Byron, Marshall K Cheney, Natacha M De Genna, Amal Khayat, Dale Dagar Maglalang, Joanne G Patterson, Shyanika W Rose, Christina J Sun, Andy S L Tan, Andrea H Weinberger, Josephine T Hinds
{"title":"A scoping review of theory-based tobacco control efforts for sexual and gender minority populations.","authors":"Juhan Lee, Austin D Smith, Dget L Downey, Fatima A Mabrouk, Anthony Nunez, Nadine Sikora, M Justin Byron, Marshall K Cheney, Natacha M De Genna, Amal Khayat, Dale Dagar Maglalang, Joanne G Patterson, Shyanika W Rose, Christina J Sun, Andy S L Tan, Andrea H Weinberger, Josephine T Hinds","doi":"10.1093/ntr/ntaf193","DOIUrl":"https://doi.org/10.1093/ntr/ntaf193","url":null,"abstract":"<p><strong>Introduction: </strong>Understanding which theories have been effectively applied in tobacco control efforts for sexual and gender minority (SGM) individuals will help identify constructs to incorporate into future tobacco control efforts aimed at reducing SGM tobacco disparities. This scoping review summarizes the use of theory in SGM-focused tobacco control efforts.</p><p><strong>Methods: </strong>We searched four databases using SGM- and tobacco-focused terms in November 2023. Two trained coders independently screened each title and abstract, reviewed the full text, and extracted data about theories used and which tobacco control measures from the World Health Organization Framework Convention on Tobacco Control were included.</p><p><strong>Results: </strong>The final analytic sample included 86 papers. Of those, 11 (12.9%) discussed price/tax manipulations, 15 (17.7%) discussed secondhand smoke and smoke-free policies, 11 (12.9%) discussed product characteristics (e.g., flavors), 5 (5.9%) discussed product disclosures (e.g., warning labels), 7 (8.1%) discussed packaging, 23 (27.1%) discussed education, communication and public awareness, 15 (17.7%) discussed tobacco advertising and promotion, 49 (57.7%) discussed tobacco prevention/cessation interventions, and 1 discussed Tobacco 21 (1%). Under half (31 articles, 36.0%) explicitly presented theoretical models.</p><p><strong>Conclusions: </strong>This review found a relative lack of theoretical models applied in tobacco control initiatives for SGM people. Of the 31 studies that did, most used theory to help clarify the etiology and associated factors of tobacco use (e.g., minority stress, increased exposure to marketing) or tailor prevention/cessation interventions focused on SGM individuals. Future studies should be grounded in theory to increase the effectiveness of these activities while preventing potential unintended consequences.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alayna P Tackett, Ahmad El-Hellani, Brittney Keller-Hamilton
{"title":"Understanding the Emergence, Use, and Appeal of Nicotine Pouches: From the Chemistry Lab to TikTok.","authors":"Alayna P Tackett, Ahmad El-Hellani, Brittney Keller-Hamilton","doi":"10.1093/ntr/ntaf190","DOIUrl":"https://doi.org/10.1093/ntr/ntaf190","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Philip Gendall, Christine Eckert, Paul F Burke, Lani Teddy, Andrew Waa, Janet Hoek
{"title":"How Do People Who Smoke Respond to Novel Tobacco Pack Warnings? Two Cross-Sectional Studies from Aotearoa New Zealand.","authors":"Philip Gendall, Christine Eckert, Paul F Burke, Lani Teddy, Andrew Waa, Janet Hoek","doi":"10.1093/ntr/ntaf167","DOIUrl":"https://doi.org/10.1093/ntr/ntaf167","url":null,"abstract":"<p><strong>Introduction: </strong>On-pack pictorial warning labels (PWLs) typically feature graphic health risks of smoking. We examined whether expanding the themes featured could increase PWLs' potential effectiveness.</p><p><strong>Methods: </strong>We conducted two online studies: an assessment survey (n = 783) and a discrete choice experiment (DCE) (n = 970) to estimate the impact of price, health, family, and addiction warning themes. Assessment survey respondents rated the likely effect on smoking and quitting-related behaviors of 12 warning images. DCE respondents saw eight sets of four PWLs that combined images and headlines and chose those most likely and least likely to encourage them to think about quitting. Both studies used a PWL featuring a cancerous tongue as a control.</p><p><strong>Results: </strong>The assessment survey found images from the health, family, and price themes elicited similar responses to the control, but in some cases were judged more effective. However, all addiction images were significantly less effective than the control. The DCE sample comprised two distinct segments: one responded significantly more strongly to price and family PWLs, while the other was more responsive to a health PWL than to the control.</p><p><strong>Conclusions: </strong>PWLs featuring monetary savings, empathetic health messages, and family-oriented benefits can stimulate thoughts of quitting more effectively than a health-oriented PWL designed to arouse fear. Countries introducing or refreshing PWLs should consider more diverse warning themes that provide different motivations to become smoke-free; these are potentially likely to be at least as effective, if not more effective, than graphic health PWLs.</p><p><strong>Implications: </strong>PWLs conveying the financial costs of smoking and communicating empathetic health messages and family-oriented risks may stimulate thoughts of quitting more effectively than a control using a health-oriented PWL designed to arouse fear. Priority groups' differing responses to PWLs support earlier work that recommended complementing health-oriented PWLs with warnings featuring more diverse themes. Countries considering introducing or refreshing tobacco pack warnings should consider developing PWLs that recognize smoking's impact on well-being in its broader sense, given these appear as effective, if not more effective, than PWLs featuring graphic health images.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca Selove, Todd Combs, Carolyn J Heckman, Sarah E Neil-Sztramko, Taneisha S Scheuermann, Tamar Ginossar, Jennifer Leng, Philip D Walker, Jaime Sidani, Ramzi G Salloum
{"title":"A Scoping Review of Implementation Science in Planning and Delivering Tobacco Control Interventions in the United States from 2000 to 2020: Frameworks, Intervention Characteristics, and Health Equity Considerations.","authors":"Rebecca Selove, Todd Combs, Carolyn J Heckman, Sarah E Neil-Sztramko, Taneisha S Scheuermann, Tamar Ginossar, Jennifer Leng, Philip D Walker, Jaime Sidani, Ramzi G Salloum","doi":"10.1093/ntr/ntaf155","DOIUrl":"https://doi.org/10.1093/ntr/ntaf155","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence-based interventions to reduce tobacco-related morbidity and mortality are not widely or effectively implemented, thereby failing to equitably address disparities in tobacco-related health outcomes. Implementation science (IS) has the potential to advance the impact of tobacco control programs, but its use in this field has not been previously explored. To identify opportunities for expanding tobacco intervention impact, this scoping review investigated the use of IS tools in tobacco control research in the United States.</p><p><strong>Method: </strong>Using Arksey and O'Malley's approach, seven databases were searched to identify tobacco control studies published from 2000 to 2020 that included implementation frameworks, strategies, outcomes, or other relevant tools. Study titles, abstracts, and full texts were screened for eligibility using dual independent review. Data were extracted in duplicate regarding IS tools, intervention goals and characteristics, and health equity considerations. Results were categorized according to the research questions and then analyzed using descriptive statistics.</p><p><strong>Results: </strong>A total of 58 papers representing 51 studies met inclusion criteria. The most frequently described IS tools were strategies (n = 51) and outcomes (n = 50), followed by models or frameworks (n = 37). Smoking cessation was the most frequent tobacco control goal (n = 45), followed by prevention (n = 10), and reducing secondhand exposure (n = 10). Twenty studies reported interventions with disadvantaged populations, including two in rural settings.</p><p><strong>Conclusions: </strong>IS tools were unevenly utilized in tobacco control research in the United States reported from 2000 to 2020. Expanded use of implementation frameworks, strategies, and consistent terminology, and prioritizing health equity could reduce disparities associated with tobacco use in the United States.</p><p><strong>Implications: </strong>This scoping review provides an overview of implementation science contributions during two decades of tobacco control research. We identified limited use of implementation science frameworks and insufficient information about implementation strategies, whereas attention to context and perspectives of key participants were reported more frequently. Greater integration of implementation science tools and attention to health equity in tobacco control research could enhance the effectiveness of tobacco control interventions and reduce health disparities. Clarifying details of intervention components and strategies could improve the ability to replicate studies and lead to significant improvements in tobacco control outcomes and the field of implementation science.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}