Scott I Donaldson, Trista A Beard, Julia C Chen-Sankey, Ollie Ganz, Olivia A Wackowski, Jon-Patrick Allem
{"title":"Recognition of Online E-cigarette Marketing and E-cigarette-Related Attitudes and Behaviors Among Young Adults.","authors":"Scott I Donaldson, Trista A Beard, Julia C Chen-Sankey, Ollie Ganz, Olivia A Wackowski, Jon-Patrick Allem","doi":"10.1093/ntr/ntae167","DOIUrl":"10.1093/ntr/ntae167","url":null,"abstract":"<p><strong>Introduction: </strong>Past research examining the relationship between exposure to online e-cigarette marketing and e-cigarette-related attitudes and behaviors has relied on unaided recall measures that may suffer from self-report bias. To date, few studies have presented participants with e-cigarette marketing stimuli and assessed recognition. This study examined the associations between recognition of online e-cigarette marketing stimuli and e-cigarette-related attitudes and behaviors among young adults in California.</p><p><strong>Aims and methods: </strong>A non-probability representative sample of young adults (ages 18-24; N = 1500) living in California completed an online survey assessing their recognition of online e-cigarette marketing stimuli, including image-based (ie, Instagram and email) and audiovisual (ie, YouTube and TikTok) promotions, and positive e-cigarette-related attitudes (eg, appeal of e-cigarettes) and behaviors (eg, e-cigarette use). Adjusted and weighted logistic regression analyses were used.</p><p><strong>Results: </strong>A total of 79.0% (n = 1185) of young adults, including 78.1% (n = 310/397) of participants under 21 years old, recognized online e-cigarette marketing. Participants who reported recognition of stimuli, compared with those who did not, had greater odds of reporting appeal of e-cigarettes (AOR = 2.26, 95% CI = 1.65 to 3.09) and e-cigarette purchase intentions (AOR = 1.66, 95% CI = 1.13 to 2.43) among all participants, and susceptibility to use e-cigarettes among never users (AOR = 2.29, 95% CI = 1.59 to 3.29).</p><p><strong>Conclusions: </strong>Young adults in California recognized audiovisual and image-based online e-cigarette marketing. Such recognition may lead to positive e-cigarette-related attitudes and behavioral intentions, especially among never users. Future research should examine the causal relationships between the associations found in this study. Findings may inform the development and evaluation of psychometrically valid measures of online e-cigarette marketing exposures.</p><p><strong>Implications: </strong>Recognition of online e-cigarette marketing stimuli was associated with greater odds of reporting the appeal and benefits of e-cigarettes, purchase intentions, and lifetime e-cigarette use among all participants, and susceptibility to use e-cigarettes among never users. These findings may motivate the development and evaluation of psychometrically valid measures of online e-cigarette marketing exposures.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"73-79"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jovan Zubović, Olivera Jovanović, Boban Nedeljković
{"title":"Distributional Impacts of Tobacco Excise Taxes in Serbia.","authors":"Jovan Zubović, Olivera Jovanović, Boban Nedeljković","doi":"10.1093/ntr/ntae175","DOIUrl":"10.1093/ntr/ntae175","url":null,"abstract":"<p><strong>Introduction: </strong>Numerous studies worldwide have investigated the impact of tobacco tax increase on household welfare, focusing on concerns regarding potential tobacco taxation regressivity and its effects on the poorest, whereas their scope was limited to the working population.</p><p><strong>Aims and methods: </strong>To explore the effects of tax changes on household budgets, accounting for the retired population as well, we employed the modified Extended Cost-Benefit Analysis framework, assuming a 43.6% specific tax increase that fits the European Union (EU) Tobacco Tax Directive recommendation of minimum EUR 90 excise taxes per 1000 cigarettes. Our analysis encompassed changes in (1) tobacco expenditure (accounting for price elasticities by income groups: low-, middle-, and high-income), (2) medical costs linked to smoking-related diseases (utilizing relative risk of morbidity or mortality and smoking-attributable fractions), (3) years of working life (considering the years of working life lost among the working population), and (4) years of pension receipt (accounting for the years of retirement life lost due the premature death).</p><p><strong>Results: </strong>Under an assumed specific excise increase leading to a 22.4% retail tobacco price rise, the net gains in disposable household budgets would be 0.01% for high-income, 1.3% for middle-income, and 2.9% for low-income households.</p><p><strong>Conclusions: </strong>A tax increase would yield a progressive effect on income distribution, benefiting the most economically disadvantaged population thereby contributing to a more equitable income distribution.</p><p><strong>Implications: </strong>To effectively reduce tobacco consumption, subsequent smoking-related medical costs, and associated productivity and pension losses, it is recommended that Serbia implement a minimum 43.6% increase in the specific tobacco excise tax.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"106-113"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sharon Cox, Sarah E Jackson, Jamie Brown, Loren Kock, Lion Shahab
{"title":"Examining Differences in Real-World Effectiveness of e-Cigarettes for Smoking Cessation by Source of Purchase in England: An Observational Study of Different Contexts Before and After the COVID-19 Pandemic.","authors":"Sharon Cox, Sarah E Jackson, Jamie Brown, Loren Kock, Lion Shahab","doi":"10.1093/ntr/ntae178","DOIUrl":"10.1093/ntr/ntae178","url":null,"abstract":"<p><strong>Introduction: </strong>The effectiveness of e-cigarettes for smoking cessation may differ by source of purchase. The changing influence of self-selection on purchase location caused by COVID-19 pandemic-related vape shop closures means we can examine the association between smoking abstinence e-cigarette use by purchase source and test for the moderation of this association by the timing of the pandemic.</p><p><strong>Aims and methods: </strong>Repeat-cross-sectional nationally representative surveys, conducted between January 2017 and August 2023. Participants (N = 1284; ≥18 years, 46.9% women) who made a past-year quit attempt, used an e-cigarette in their most recent attempt, currently vaping and provided data on the purchase source were included. The association between e-cigarette purchase source and continuous abstinence following the most recent quit attempt was assessed with adjusted regression, including an interaction between the timing of pandemic restrictions (March 2020 through January 2022).</p><p><strong>Results: </strong>Overall, 48.1% usually purchase their e-cigarettes from vape shops, declining from 53.6% prepandemic to 40.6% during the pandemic. There was inconclusive evidence that those purchasing from vape shops had greater odds of quitting smoking (ORadj = 1.25, 95% CI = .92 to 1.76). The association between purchase source and successful quitting did not depend upon whether purchasing occurred before or during the pandemic (F = 0.08, pinteraction = .774; prepandemic: ORadj = 1.23, 0.79-1.91; and pandemic: ORadj = 1.29, 0.81-2.06).</p><p><strong>Conclusions: </strong>More data are needed to conclusively determine whether purchasing from a specialist vape shop increases smoking cessation. Given the changing influence of self-selection on purchase location caused by the pandemic, the similar associations between purchase source and quit success across both periods suggest it is unlikely an artifact of unmeasured confounding.</p><p><strong>Implications: </strong>If purchasing e-cigarettes from a specialist vape shop can increase their effectiveness for smoking cessation is an empirical question. While we found a positive association between purchasing from a specialist vape shop and abstinence rates, the results were inconclusive. Further studies are required to establish whether purchasing from specialist vape shops improves smoking cessation outcomes compared with other purchase sources.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"125-131"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akshika Sharma, Karin A Kasza, Richard J O'Connor, Nicholas J Felicione
{"title":"Personal Characteristics Associated With Switching From Cigarettes to Noncombustible Tobacco and Nicotine Products Among U.S. Adults: Findings From PATH Study Waves 1-5.","authors":"Akshika Sharma, Karin A Kasza, Richard J O'Connor, Nicholas J Felicione","doi":"10.1093/ntr/ntae170","DOIUrl":"10.1093/ntr/ntae170","url":null,"abstract":"<p><strong>Introduction: </strong>Reducing the disease burden from tobacco smoking may encompass switching to noncombustible (NCs), along with cessation. This study evaluates factors associated with switching to NCs (e-cigarettes, smokeless, and snus) versus continued smoking, complete cessation, or dual use.</p><p><strong>Aims and methods: </strong>Population Assessment of Tobacco and Health adult data were analyzed in three 2-year wave pairs across 2013-2019 to assess product transitions among people who exclusively smoked tobacco. Generalized estimating equations examined demographics, smoking characteristics, perceptions, and messaging exposure as predictors of transitions from cigarette smoking.</p><p><strong>Results: </strong>Ages 18-44 years (ref = 65+; aORs = 3.79-5.92), males (aOR = 1.18, 95% CI [1.01, 1.37]), and perceiving NCs as less harmful than smoking (ref = not; aOR = 1.47, 95% CI [1.28, 1.69]) were positively associated with switching to NCs versus continued smoking, while being Black (ref = White; aOR = 0.36, 95% CI [0.26, 0.48]) or Hispanic (ref = non-Hispanic; aOR = 0.59, 95% CI [0.45, 0.78]) were negatively associated. Ages 18-64 years (aORs = 2.49-5.89), noticing promotional ads (ref = not; aOR = 1.34, 95% CI [1.14, 1.58]), daily light or heavy smoking (ref = nondaily; aORs = 2.33-3.72), and smoking within 30 minutes of waking (ref=>30 minutes; aOR = 1.47, 95% CI [1.18, 1.85]) were positively associated with switching to NCs versus cessation, while being Black (aOR = 0.55, 95% CI [0.38, 0.74]) or Hispanic (aOR = 0.52, 95% CI [0.38, 0.71]) were negatively associated. Incomes of $10 000-≥$100 000 (ref ≤ $10 000; aORs = 2.08-3.13) and daily heavy smoking (aOR = 1.96, 95% CI [1.11, 3.48]) were positively associated with switching to NCs versus dual use, while being male (aOR = 0.44, 95% CI [0.29, 0.65]) was negatively associated.</p><p><strong>Conclusions: </strong>Transitioning to NCs was unequally distributed among sociodemographic groups and smoking characteristics. The mere availability of NCs may not promote health equity. Continued market and regulatory efforts that promote both smoking cessation and transitioning to NCs among various populations may promote public health gains.</p><p><strong>Implications: </strong>This study examines factors associated with transitioning from smoking to noncombustible tobacco product use. We examined three different product use scenarios that may be associated with varied levels of exposure to harm. We observed that younger ages and perceiving NCs as less harmful than cigarettes were more likely to transition to NCs as compared to continued smoking and cessation, while Black or Hispanic individuals were less likely to transition to NCs. This highlights the need for more focused harm reduction efforts for racial and ethnic minority populations as a complementary strategy to cessation to reduce health disparities from smoking.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"80-90"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601035","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 Bertucci, Erica Schultz, Brittany Stevenson, Steven S Fu
{"title":"An Opt-out Tobacco Treatment Group Intervention Within an Intensive Substance Use Disorders Treatment Program: Initial Outcomes in the Veterans Health Administration.","authors":"Stephanie Bertucci, Erica Schultz, Brittany Stevenson, Steven S Fu","doi":"10.1093/ntr/ntae134","DOIUrl":"10.1093/ntr/ntae134","url":null,"abstract":"<p><strong>Introduction: </strong>Despite steadily declining rates of tobacco use in the United States, individuals suffering from substance use disorders (SUD) and other mental illnesses continue to use tobacco at alarmingly high rates, resulting in increased mortality. Given the synergistic consequences to those who suffer from both tobacco use disorders (TUD) and other SUD, embedding tobacco treatment into structured SUD programs using an opt-out approach may yield a greater impact. The current study compares clinical outcomes (ie, quit attempts and prescription of tobacco cessation medications) for an opt-out versus opt-in approach to tobacco treatment.</p><p><strong>Aims and methods: </strong>Tobacco use information was collected prior to and after implementation of an opt-out, eight-session, tobacco group treatment intervention. Patient self-report and medical chart review were utilized to identify individuals who began a tobacco cessation medication during treatment as well as those who reported quitting tobacco, defined as sustained tobacco abstinence for at least 7 days. The analysis includes a total of N = 332 Veterans who enrolled in the intensive outpatient program.</p><p><strong>Results: </strong>Those enrolled in the opt-out tobacco treatment group reported a significantly higher rate of quitting tobacco (24.57%) than those in the opt-in group (2.55%; p < .001). Likewise, the opt-out group was prescribed tobacco cessation medications at a significantly higher rate than the opt-in group (55.00% compared to 14.65%; p < .001).</p><p><strong>Conclusions: </strong>An opt-out treatment approach to TUD in SUD treatment settings produced improved outcomes, including significantly more patients engaged in TUD treatment and a higher overall rate of SUD treatment completion.</p><p><strong>Implications: </strong>Given the disproportionately high rate of tobacco use among those seeking treatment for SUD, enhanced tobacco cessation interventions could result in both improved tobacco as well as other substance use outcomes. The implementation of an opt-out tobacco treatment intervention embedded into SUD programming is supported by our findings of reduced tobacco use among patients.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"12-17"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180324","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}
Luciana Severini, Beatriz Albuquerque de Figueiredo, Gianella Severini, Brian Tran, Ernesto M Sebrié, Eric Crosbie
{"title":"Shaping the Future: Proposed Bills to Regulate New and Emerging Tobacco and Nicotine Products in Latin America and the Caribbean Amidst Public Health Concerns and Industry Interests.","authors":"Luciana Severini, Beatriz Albuquerque de Figueiredo, Gianella Severini, Brian Tran, Ernesto M Sebrié, Eric Crosbie","doi":"10.1093/ntr/ntae161","DOIUrl":"10.1093/ntr/ntae161","url":null,"abstract":"<p><strong>Introduction: </strong>To examine legislative efforts to regulate new and emerging tobacco and nicotine products (NETNPs) in Latin America and the Caribbean (LAC) between 2017 and 2022.</p><p><strong>Aims and methods: </strong>Analysis of online national legislation databases to track NETNP bills using standard snowball search methods.</p><p><strong>Results: </strong>Bills were identified in 15 out of the 33 LAC countries, accounting for a total of 91 bills targeting NETNPs. Mexico had the highest number (n = 38) of bills, followed by Brazil (n = 16), Argentina (n = 10), Colombia (n = 8), and Chile (n = 5). The remaining countries introduced two or fewer NETNP bills. Among the identified 91 bills, the majority (n = 60) addressed both electronic cigarettes and heated tobacco products (HTPs), almost one-third of bills (n = 29) applied only to electronic cigarettes, and only two focused solely on HTPs. Six of the fifteen countries with identified bills, enacted one NETNP law including Barbados, Bolivia, Costa Rica, Guyana, Mexico, and Panama. Since 2019, there has been a steady increase in the amount of NETNP bills introduced in LAC. In 2017 and 2018, 10 NETNP bills were introduced each year followed by 23 NETNP bills introduced in each 2019 and 2020, 19 in 2021, and 16 by August 2022.</p><p><strong>Conclusions: </strong>The substantial increase in the number of NETNP bills introduced since 2019 indicates the growing importance of regulating NETNPs in LAC. As NETNPs continue to evolve and grow it is important to continue monitoring and evaluating tobacco and nicotine regulatory initiatives while also staying ahead of the evolving market of NETNPs.</p><p><strong>Implications: </strong>Previous studies have analyzed the regulatory environment of NETNPs but it is less known about legislative and regulatory efforts and attempts. This is the first known study to analyze legislative bills to regulate NETNPs in Latin America and the Caribbean (LAC). The substantial increase in the number of NETNP bills introduced in LAC since 2019 indicates the growing importance of regulating NETNPs in LAC. As NETNPs continue to evolve and grow it is important to continue monitoring and evaluating tobacco and nicotine regulatory initiatives while also staying ahead of the evolving market of NETNPs.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"148-151"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545103","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":"Game of Cigarette Cards: Unveiling the Challenges to Youth Tobacco Exposure and Tobacco Control in China.","authors":"Jiayi Jiang","doi":"10.1093/ntr/ntae169","DOIUrl":"10.1093/ntr/ntae169","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"159-160"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590856","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":"Recent Developments Relevant to Debates Around the Dissemination of Industry-Funded Science.","authors":"Sophie Braznell","doi":"10.1093/ntr/ntae183","DOIUrl":"10.1093/ntr/ntae183","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"161-162"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Devon Noonan, Susan G Silva, Laura J Fish, Leigh Ann Simmons, Nneze Nwankwo, Karen Scherr, Mariana Da Costa, Elaine Sang, Camila Sanders, Courtney Swinkels, Norma Garcia Ortiz, Herbert H Severson, Kathryn I Pollak
{"title":"Randomized Controlled Trial of a Text-Based Smokeless Tobacco Cessation Intervention for Rural and Medically Underserved Communities.","authors":"Devon Noonan, Susan G Silva, Laura J Fish, Leigh Ann Simmons, Nneze Nwankwo, Karen Scherr, Mariana Da Costa, Elaine Sang, Camila Sanders, Courtney Swinkels, Norma Garcia Ortiz, Herbert H Severson, Kathryn I Pollak","doi":"10.1093/ntr/ntae182","DOIUrl":"10.1093/ntr/ntae182","url":null,"abstract":"<p><strong>Introduction: </strong>Smokeless tobacco use remains prevalent in rural and medically underserved populations, leading to increased rates of tobacco-related cancers and chronic disease. While access to effective cessation programs is limited, text-based interventions may offer a delivery approach with broad reach. This two-armed randomized control trial (RCT) assessed the efficacy of #EnufSnuff.TXT, a text-based smokeless tobacco cessation intervention, in rural and medically underserved communities.</p><p><strong>Aims and methods: </strong>We conducted a two-arm RCT assessing #EnufSnuff.TXT, a text-based scheduled reduction intervention paired with text-based cessation support messages compared with the modified Enough Snuff intervention comprised of a cessation education booklet and bi-weekly motivational text messages. We recruited participants via social media and surveyed participants at 3 and 6 months post-randomization. The primary outcome was self-reported 7-day point prevalence abstinence at 6 months.</p><p><strong>Results: </strong>We recruited and randomized 532 participants. At 3 months post-randomization, the quit rate was significantly higher in #EnufSnuff.TXT arm compared to the Enough Snuff arm for intent-to-treat (ITT) cases (29.2% vs. 19.0%, odd ratios [OR] = 1.75, p = .0066). The quit rate at 6 months post-randomization remained higher in #EnufSNuff.TXT compared to Enough Snuff for ITT cases (23.1% vs. 20.9%, OR = 1.14, p = .5384), although no longer significantly different.</p><p><strong>Conclusions: </strong>This is the first large-scale text-based cessation clinical trial for individuals in underserved areas who use smokeless tobacco. The #EnufSnuff.TXT intervention performed better in the short term; however, both interventions yielded similar quit rates at 6 months post-randomization. Future research should focus on improving long-term abstinence in the #EnufSNuff.TXT intervention.</p><p><strong>Implications: </strong>Text-based cessation approaches have the potential to increase access to cessation interventions in rural and medically underserved areas and reduce tobacco-related chronic disease morbidity and mortality. Our study shows short-term efficacy from the first-ever randomized controlled trial of a smokeless tobacco cessation intervention, #EnufSnuff.TXT, for rural and medically underserved residents in the United States. Our #EnufSnuff.TXT Intervention offers a scalable solution to reach and provide much-needed access to cessation interventions in medically underserved, rural communities in the United States. This work provides the foundation for further inquiry on augmented text-based approaches to increase cessation in this at-risk group.</p><p><strong>Clinical trials registration: </strong>A text-based Reduction Intervention for Smokeless Tobacco Cessation, NCT04315506.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"132-142"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731377","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, Rachel R Ouellette, Dhiraj Murthy, Ben Pretzer, Tanvi Anand, Grace Kong
{"title":"Identifying E-cigarette Content on TikTok: Using a BERTopic Modeling Approach.","authors":"Juhan Lee, Rachel R Ouellette, Dhiraj Murthy, Ben Pretzer, Tanvi Anand, Grace Kong","doi":"10.1093/ntr/ntae171","DOIUrl":"10.1093/ntr/ntae171","url":null,"abstract":"<p><strong>Introduction: </strong>The use of hashtags is a common way to promote e-cigarette content on social media. Analysis of hashtags may provide insight into e-cigarette promotion on social media. However, the examination of text data is complicated by the voluminous amount of social media data. This study used machine learning approaches (ie, Bidirectional Encoder Representations from Transformers [BERT] topic modeling) to identify e-cigarette content on TikTok.</p><p><strong>Aims and methods: </strong>We used 13 unique hashtags related to e-cigarettes (eg, #vape) for data collection. The final analytic sample included 12 573 TikTok posts. To identify the best fitting number of topic clusters, we used both quantitative (ie, coherence test) and qualitative approaches (ie, researchers checked the relevance of text from each topic). We, then, grouped and characterized clustered text for each theme.</p><p><strong>Results: </strong>We evaluated that N = 18 was the ideal number of topic clusters. The 9 overarching themes were identified: Social media and TikTok-related features (N = 4; \"duet,\" \"viral\"), Vape shops and brands (N = 3; \"store\"), Vape tricks (N = 3; \"ripsaw\"), Modified use of e-cigarettes (N = 1; \"coil,\" \"wire\"), Vaping and girls (N = 1; \"girl\"), Vape flavors (N = 1; \"flavors\"), Vape and cigarettes (N = 1; \"smoke\"), Vape identities and communities (N = 1; \"community\"), and Non-English language (N = 3; Romanian and Spanish).</p><p><strong>Conclusions: </strong>This study used a machine learning method, BERTopic modeling, to successfully identify relevant themes on TikTok. This method can inform future social media research examining other tobacco products, and tobacco regulatory policies such as monitoring of e-cigarette marketing on social media.</p><p><strong>Implications: </strong>This study can inform future social media research examining other tobacco products, and tobacco regulatory policies such as monitoring of e-cigarette marketing on social media.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"91-96"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601034","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}