Nicotine & Tobacco Research最新文献

{"title":"Challenges to Implementation of Tobacco Control Intervention in Low- and Middle-Income Countries.","authors":"Chandrashekhar T Sreeramareddy","doi":"10.1093/ntr/ntae238","DOIUrl":"10.1093/ntr/ntae238","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1-2"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392098","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":"Correction to 24 papers to add an additional interest disclosure.","authors":"","doi":"10.1093/ntr/ntae234","DOIUrl":"10.1093/ntr/ntae234","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"163"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471013","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}

{"title":"Varenicline Over-The-Counter Trial on Efficacy and Safety.","authors":"Jennifer Pearson, Mitchell A Nides, Alana Cataldo, Marisol Martinez, Jackie Morales, Ryan Seltzer, Jonathan Kurka, Matthew Broussard, Scott J Leischow","doi":"10.1093/ntr/ntae172","DOIUrl":"10.1093/ntr/ntae172","url":null,"abstract":"<p><strong>Introduction: </strong>Varenicline helps people who smoke quit at rates 2-3 times greater than placebo. Currently, in the United States, varenicline is not available over the counter (OTC).</p><p><strong>Aims and methods: </strong>In this study, we assessed the safety and efficacy of 1 mg and 0.5 mg varenicline as an OTC medication for smoking cessation in comparison to placebo. This randomized, double-blind, placebo-controlled study was performed at two clinical sites in the United States of n = 313 people. The treatment period was 12 weeks. During the COVID pandemic, the protocol was modified to allow remote participation; verification of smoking status was via breath carbon monoxide levels for in-person visits and mailed urine cotinine kits for the remote participants.</p><p><strong>Results: </strong>There was no difference in biologically confirmed continuous abstinence by condition between weeks 8 and 12; however, the odds of biologically confirmed point prevalence abstinence were higher for those in the 1 mg b.i.d. condition than for those in the placebo condition at week 12 (OR 3.39; 95% CI 1.49, 7.71), and were higher for those assigned to the 1.0 mg b.i.d. condition than the 0.5 mg b.i.d. condition at week 12 (OR 2.37; 95% CI 1.11, 5.05). Adverse events were modest, and as expected (vivid dreams and nausea in the medication conditions).</p><p><strong>Conclusions: </strong>The results are suggestive that varenicline is safe and effective as an OTC medication.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"97-105"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620540","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":"Boosting Smoking Cessation Intervention Utilization in Chinese Health Care Providers: A Randomized Controlled Trial of the \"WeChat WeQuit\" Medical Education Program.","authors":"Yunfei Wang, Pu Peng, Zhenzhen Wu, Yuhang Liu, Chudong Wang, Jinsong Tang, Yanhui Liao","doi":"10.1093/ntr/ntae166","DOIUrl":"10.1093/ntr/ntae166","url":null,"abstract":"<p><strong>Introduction: </strong>In China, standard smoking cessation practices are rarely used by health care service providers (HSPs). WeChat, a popular social media app, has been widely used in China.</p><p><strong>Aims and methods: </strong>In this single-blind, randomized trial, undertaken in China with 8-week interventions and follow-up to 34 weeks, 1887 HSPs were randomly selected to the intervention (n = 942) or control group (n = 945) from October 2020 to October 2021. The intervention group received regular smoking cessation training program messages from the professional team for 8 weeks and followed for 34 weeks. The control group received thanks messages for 8 weeks, and follow-up to 34 weeks. Both groups received a hard copy of the manual after randomization. The primary outcome measure was the utilization rate of behavioral and pharmacotherapy interventions for smoking patients from 9 to 34 weeks. This trial is registered at ClinicalTrials.gov (number NCT03556774).</p><p><strong>Results: </strong>HSPs in the intervention group demonstrated a better overall utilization rate of smoking cessation at 20-week follow-up compared to the control group (35.54% vs. 31.41%, p = .036). Additionally, both groups showed a significant increase in the adoption of various components of the 5A's model-including \"Assess,\" \"Assist: set a quit date,\" \"Assist: recommend cessation program,\" \"Assist: provide information,\" \"Assist: recommend medication,\" and \"Arrange\"-at the 9-week follow-up relative to baseline. Notably, at the 20-week follow-up, the intervention group reported significantly enhanced utilization rates for all these components, except \"Assist: set a quit date.\"</p><p><strong>Conclusions: </strong>The \"WeChat WeQuit\" training program effectively enhanced smoking cessation intervention adoption among Chinese HSPs.</p><p><strong>Implications: </strong>\"WeChat WeQuit\" training program was effective in increasing the provision of effective tobacco cessation interventions by Chinese-speaking HSPs to patients with cigarette smoking, which could provide valuable insights into bridging the gap between need and services for smoking cessation in China.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"61-72"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856066","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}

{"title":"Proposed Redefinition of \"Tobacco and Nicotine Industry\": An Industry Perspective.","authors":"Jeffrey Weiss","doi":"10.1093/ntr/ntae160","DOIUrl":"10.1093/ntr/ntae160","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"157-158"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492788","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":"A Content Analysis of Nicotine Descriptors on the Front of Vape Packaging in the United Kingdom.","authors":"Allison Ford, Anne Marie MacKintosh, Amber Morgan, Daniel Jones, Crawford Moodie, Kate Hunt, Kathryn Angus","doi":"10.1093/ntr/ntae168","DOIUrl":"10.1093/ntr/ntae168","url":null,"abstract":"<p><strong>Introduction: </strong>The Tobacco and Related Products Regulations (TRPR) 2016 require consumers in the United Kingdom to be informed about the presence of nicotine in vaping products. However, there is misunderstanding among some young people and adults around the strength of products. We examined how nicotine content is displayed on the front of vape packaging in the United Kingdom.</p><p><strong>Aims and methods: </strong>Between August and December 2022, we systematically analyzed a representative, stratified selection of vapes and refill packs (n = 156) on the UK market to assess TRPR compliance. This paper presents an analysis of free-text responses collected to indicate the presence of nicotine information on the front-of-pack including metric, percentage, graphic, and text indicators. Data were analyzed using descriptive statistics produced for the sample as a whole and for five product categories.</p><p><strong>Results: </strong>Most packs (n = 126, 81%) displayed at least one front-of-pack nicotine descriptor, including the majority of disposables (n = 43, 90%), e-liquid (n = 42, 88%) and refill pods (n = 36, 100%). Many packs (n = 107, 69%) contained a nicotine-related metric (eg mg/ml), a quarter (n = 37, 24%) included a percentage indicator and most (n = 126, 81%) displayed at least one of these. Almost two-fifths (n = 57, 37%) mentioned nicotine beyond the warning. Less observed indicators included graphic and textual depictions of strength, dosage information, and an equivalent number of cigarettes.</p><p><strong>Conclusions: </strong>The front of vape packaging communicates important product information to consumers. There is inconsistency in how nicotine content is currently displayed. Future research should examine how best to display nicotine content to promote consumer understanding and informed decision making.</p><p><strong>Implications: </strong>This pack analysis of a representative sample of UK vape packaging highlights the varied ways in which nicotine content and strength are currently communicated to consumers on the front of vape packaging. The inconsistent presentation of nicotine content on the front of packs may contribute to misperceptions around product strength. A consistent and easily understood way of communicating nicotine content on the front of vape packaging may help consumers make more informed choices about vape products.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"152-156"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760047","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}

{"title":"Correction to 20 papers to add an additional interest disclosure.","authors":"","doi":"10.1093/ntr/ntae235","DOIUrl":"10.1093/ntr/ntae235","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"164"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471012","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}

{"title":"\"We're on the Same Team\": A Qualitative Study on Communication and Care Coordination Surrounding the Requirement to Quit Smoking Prior to Elective Orthopedic Surgery.","authors":"Sara E Golden, Christina J Sun, Allison Young, David A Katz, Mark W Vander Weg, Marissa Song Mayeda, Kenneth R Gundle, Steffani R Bailey","doi":"10.1093/ntr/ntae140","DOIUrl":"10.1093/ntr/ntae140","url":null,"abstract":"<p><strong>Introduction: </strong>Many surgeons require patients to quit smoking prior to elective surgeries to reduce the risk of postoperative complications. Our aim was to qualitatively evaluate the communication and care experiences of patients and clinicians involved in conversations about quitting smoking prior to elective orthopedic surgery.</p><p><strong>Aims and methods: </strong>A qualitative interview study of rural-residing Veterans, primary care providers (PCP), and Veterans Administration (VA) orthopedic surgery staff and pharmacists, who care for rural Veterans. We performed a combination of deductive and inductive approaches to support conventional content analysis using a Patient-centered care (PCC) framework.</p><p><strong>Results: </strong>Patients appreciated a shared approach with their PCP on the plan and reasons for cessation. Despite not knowing if the motivation for elective surgeries served as a teachable moment to facilitate long-term abstinence, almost all clinicians believed it typically helped in the short term. There was a lack of standardized workflow between primary care and surgery, especially when patients used care delivered outside of the VA.</p><p><strong>Conclusions: </strong>While clinician-provided information about the reasons behind the requirement to quit smoking preoperatively was beneficial, patients appreciated the opportunity to collaborate with their care teams on developing a plan for cessation and abstinence. Other aspects of PCC need to be leveraged, such as the therapeutic alliance or patient-as-person, to build trust and improve communication surrounding tobacco use treatment. System-level changes may need to be made to improve coordination and connection of clinicians within and across disciplines.</p><p><strong>Implications: </strong>This study included perspectives from patients, primary care teams, and surgical teams and found that, in addition to providing information, clinicians need to address other aspects of PCC such as the therapeutic alliance and patient-as-person domains to promote patient engagement in tobacco use treatment. This, in turn, could enhance the potential of surgery as a teachable moment and patient success in quitting smoking.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"28-35"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200354","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":"Use of Cigarettes and E-Cigarettes, Impulsivity, and Anxiety: Influences on Suicidal Ideation Among Youth and Young Adults in Texas.","authors":"Anna V Wilkinson, Baojiang Chen, Alan C Swann, David P Graham, David A Nielsen, Thomas R Kosten, Alexandra Loukas, Dale S Mantey, Bara S Bataineh, Melissa B Harrell","doi":"10.1093/ntr/ntae163","DOIUrl":"10.1093/ntr/ntae163","url":null,"abstract":"<p><strong>Introduction: </strong>Cigarette use and smoking intensity increase risk of suicidal ideation. Less is known about e-cigarette use. Here we examine direct influences of cigarette versus e-cigarette use on suicidal ideation among 16- to 23-year-olds in Texas.</p><p><strong>Aims and methods: </strong>Since 2019, the Texas Adolescent Tobacco and Marketing Surveillance Study collected data on suicidal ideation every 6 months covering the previous 2 weeks. Youths answering that they had \"thoughts that you would be better off dead, or of hurting yourself\" on more than 2 of 14 days were categorized as having suicidal ideation. Generalized linear mixed-effects logistic regressions examined the influence of ever and past 30-day (P30D) use of cigarettes, e-cigarettes, impulsivity, and anxiety on suicidal ideation, controlling for gender, race/ethnicity, socioeconomic status (SES), and grade in school. Interactions between ever and P30D use of both products and (a) impulsivity and (b) gender were examined.</p><p><strong>Results: </strong>Of the 2329 participants, 29.1% reported ever and 6.5% reported P30D cigarette use, 48.2% reported ever and 11.6% reported P30D e-cigarette use, and 18.5% reported suicidal ideation. Ever cigarette use among females (aOR = 1.83; 95% CI: 1.36 to 2.46), P30D e-cigarette use (aOR = 1.30; 95% CI: 1.00 to 1.68), and P30D cigarette use (aOR = 1.47; 95% CI: 1.06 to 2.05) were independently associated with higher risk for suicidal ideation after adjusting for covariates. Impulsivity and anxiety directly increased risk of suicidal ideation regardless of product type used. Hispanic youth had higher risk of suicidal ideation than White youth, while higher levels of SES were protective.</p><p><strong>Conclusions: </strong>Cigarette/e-cigarette use, as well as impulsivity and anxiety, directly increase the risk of suicidal ideation.</p><p><strong>Implications: </strong>Clinicians should ask young adults with a history of tobacco use, anxiety, or impulsive behavior about suicidal ideation. Nicotine prevention and cessation programs might be more effective if they simultaneously target substance use and mental health. Culturally appropriate support is needed for ethnic and racial minority youth and young adults in school, college, and at work. When evaluating and understanding risk, the role of multiple social identities (such as minority status, gender, and SES) is important.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"54-60"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727594","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":"Interventions for Tobacco Prevention and Control in Humanitarian Settings: A Scoping Review.","authors":"Nachiket Gudi, Edlin Glane Mathias, Ansuman Swain, Vanshika Gupta, Elstin Anbu Raj, Sanjay Pattanshetty, Sanjay Zodpey, Helmut Brand","doi":"10.1093/ntr/ntae135","DOIUrl":"10.1093/ntr/ntae135","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco usage is an epidemic as statistics point towards smoking as the second leading cause of death. Populations experiencing humanitarian emergencies may experience a higher propensity for tobacco, alcohol, and other substance abuse disorders. This review aimed to map tobacco prevention and control interventions in humanitarian settings.</p><p><strong>Aims and methods: </strong>The search for this scoping review was conducted in six databases and supplemented with a gray literature search. Articles were screened at title-abstract and full-text by two pairs of authors, and data was abstracted by three individuals independently. An adapted diffusion of governance framework is used to discuss the findings.</p><p><strong>Results: </strong>A total of 26 articles were included from the searches conducted in the databases and gray literature. The interventions targeted all age groups. The documents retrieved from the gray literature search were classified as population-based interventions, as they were not restricted to a particular group of individuals. Interventions were delivered at various locations, using different methods and engaging multiple stakeholders. Interventions assessed were grouped into packaging, labeling, and other policy interventions (pricing and taxes).</p><p><strong>Conclusions: </strong>There are few tobacco prevention and control interventions in the humanitarian context. The diffusion of governance perspective in implementing these interventions in humanitarian settings provides a cue for inter-sectoral cooperation among different stakeholders and disciplines beyond the health sector. Our review recommends exploring complementarity between the demand and supply-side interventions for tobacco control.</p><p><strong>Implications: </strong>The scoping review has highlighted various tobacco prevention and control efforts in humanitarian settings. The interventions were delivered using various modes, and yet the burden of smoking is higher among the humanitarian population. Further research may use impact evaluation techniques to assess the impact of these interventions to facilitate the re-design of the implementation approach and policy priorities.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"3-11"},"PeriodicalIF":3.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184508","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}