Nicotine & Tobacco Research最新文献

{"title":"Is it time to update clinical care guidelines to address sex and gender differences in smoking cessation medication efficacy?","authors":"Sherry A McKee","doi":"10.1093/ntr/ntaf107","DOIUrl":"https://doi.org/10.1093/ntr/ntaf107","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079207","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":"Can Religious Fasting Nudge People to Smoke Less? Evidence from Ramadan.","authors":"Zeynep B Uğur, Abdullah Doğan","doi":"10.1093/ntr/ntaf101","DOIUrl":"https://doi.org/10.1093/ntr/ntaf101","url":null,"abstract":"<p><strong>Introduction: </strong>In this study, we examine whether religiosity affects people's levels of smoking. We use the month of Ramadan, a sacred month for Muslims, as an exogenous change for religiosity. In this month, there is less opportunity to smoke for fasters.</p><p><strong>Methods: </strong>First, we conducted a survey at different times: once before Ramadan, four times during Ramadan (one survey per week), and once after Ramadan. Secondly, we utilized monthly administrative cigarette sales data between 2009-2020.</p><p><strong>Results: </strong>Individual level data from the survey shows that full fasters reduce their smoking by 53% drop during Ramadan compared to the pre-Ramadan sample. Cigarette sales drop as much as 14% in the month of Ramadan in Turkey overall. A regular Ramadan day lowers cigarette sales around 0.8%. Reduction in Ramadan is much higher in more religious provinces.</p><p><strong>Conclusion: </strong>This study demonstrates that limiting the opportunity to smoke can be an effective way to reduce smoking.</p><p><strong>Implications: </strong>Based on two complementary studies-a six-wave survey of 769 individuals and an analysis of provincial-level cigarette sales from 2009 to 2020-this research shows that Ramadan significantly reduces smoking intensity and cigarette sales. Full fasters decreased smoking by 53%, and national cigarette sales fell by 14%. The effect was more pronounced in more religious provinces. These findings suggest that even short-term restrictions on smoking opportunities can lead to substantial behavioral changes, despite the addictive nature of tobacco use. These findings offer valuable insights for public health policies aiming to reduce smoking through culturally sensitive and opportunity-limiting interventions.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011844","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":"Financial Stress and Tobacco Expenditure in Australian Households: A Cross-Sectional Analysis of Prevalence and Association Across Wealth and Income Levels.","authors":"Koen Smit, Rowan Dowling, Robin Room, Anne-Marie Laslett, Ron Borland, Charles Livingstone, Heng Jiang","doi":"10.1093/ntr/ntaf102","DOIUrl":"https://doi.org/10.1093/ntr/ntaf102","url":null,"abstract":"<p><strong>Introduction: </strong>Despite successful public health campaigns, tobacco use persists as a major cause of preventable illness and death. While tobacco taxation is recognized as an effective control strategy, concerns remain about potential financial strain on lower socioeconomic groups. This study investigates the relationship between household tobacco expenditure and financial stress in Australia, a country with high tobacco taxes and declining smoking rates.</p><p><strong>Methods: </strong>Household data from the 2015-16 Australian Household Expenditure Survey were analysed (N=10,036). Financial stress was measured using a scale based on nine self-reported indicators. Respondents were asked to report if their household had experienced any of these difficulties, e.g. inability to pay utility bills or going without meals. Negative binomial regression models assessed the association between tobacco expenditure share and financial stress, adjusting for sociodemographic factors, household wealth, and other expenditures.</p><p><strong>Results: </strong>Financial stress was more prevalent among households that did (45.0%; (95% CI: 42.5, 47.5)) versus did not (25.4%) purchase tobacco. All levels of tobacco expenditure were significantly associated with higher financial stress bivariably, after controlling for covariates. For instance, households in the second-lowest tobacco expenditure share quintile had a higher mean financial stress score than non-purchasing households (RR=1.59, CI, 1.36, 1.85, p<0.001).</p><p><strong>Discussion: </strong>In Australia, financial stress is prevalent among tobacco-purchasing households and household tobacco expenditure is significantly associated with increased financial stress even at modest levels of spending, i.e. the lower quintiles of tobacco expenditure. These findings underscore the need for targeted policies to mitigate financial strain and support smoking cessation among vulnerable populations.</p><p><strong>Implications: </strong>This study found that the prevalence of financial stress is higher in Australian households that purchase tobacco, regardless of their spending on tobacco. Although tobacco price increases reduce overall tobacco use, our study shows that increased prices exacerbate strain among financially disadvantaged smokers. Further research into associations between financial well-being and tobacco use is needed, both nationally and internationally. Longitudinal research should also examine the longer-term health and economic impacts mediated by financial stress.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002991","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":"Nicotine use is associated with elevated risk of opioid use disorder following total/hemi hip arthroplasty procedures.","authors":"Zachary Freedman, Andrew Kim, Nicholas Graziane, Matthew Silvis, Elise N Marino, Brandon Fross, Ducel Jean-Berluche, Curtis Bone","doi":"10.1093/ntr/ntaf098","DOIUrl":"https://doi.org/10.1093/ntr/ntaf098","url":null,"abstract":"<p><strong>Introduction: </strong>Opioids are often necessary for pain control after surgery; however, it is challenging to predict risk of developing opioid use disorder (OUD) after surgical interventions. Nicotine impacts opioid metabolism, which is associated with risk of opioid use disorder (OUD). We aimed to determine whether peri-operative nicotine use is associated with incident OUD following hip arthroplasties.</p><p><strong>Methods: </strong>We performed a retrospective cohort study using a national de-identified database to identify subjects who underwent total/hemi hip arthroplasty in the United States from 2013-2018 and received post-operative opioid treatment within two weeks of the procedure. The matched cohorts consisted of nicotine dependent (N=10,464) versus non-nicotine dependent individuals (N=10,464). Subjects were matched on known confounders: age, sex, race, ethnicity, alcohol use disorder, sedative-hypnotic/anxiolytic disorders, congestive heart failure, chronic obstructive pulmonary disease, depressive disorders, and anxiety disorders. We assessed for development of OUD, and though IVDU was not directly measured due to data limitations, we assessed for secondary outcomes of OUD associated with IVDU: Human Immunodeficiency Virus (HIV), Hepatitis C Virus (HCV), and Hepatitis B Virus (HBV) at multiple timepoints (1 month, 3 months, 6 months, 1 year, 3 years) after surgery utilizing logistic regression analysis.</p><p><strong>Results: </strong>Nicotine dependence was associated with increased risk of developing OUD at 3 months post-surgery (OR 2.36 p<0.001) and thereafter (OR 2.37-2.42 p<0.001). Peri-operative nicotine dependence was also associated with HIV (OR 1.26-1.92 p<0.05) and HCV (OR 1.47-1.60 p<0.02) at all timepoints.</p><p><strong>Conclusions: </strong>Considering nicotine use when determining OUD risk following total/hemi hip arthroplasty procedures is warranted.</p><p><strong>Implications: </strong>Orthopedic surgeons should monitor individuals who use nicotine products with vigilance for signs and symptoms of OUD post-operatively. The opioid risk tool should be evaluated to determine if inclusion of nicotine products enhances the predictive model. Future research efforts may focus on the impact of pre-surgical smoking cessation on development of OUD.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064235","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":"Biomarkers of Exposure to Tobacco-Related Toxicants and Oxidative Stress among Cancer Survivors.","authors":"Hongying Daisy Dai, Yi Hao, Mona Periera, Tzeyu Michaud","doi":"10.1093/ntr/ntaf099","DOIUrl":"https://doi.org/10.1093/ntr/ntaf099","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer survivors who continue to use tobacco products may have negative impacts on their long-term health outcomes.</p><p><strong>Methods: </strong>Data were drawn from the Population Assessment of Tobacco and Health Study Wave 5 (n=6946). Geometric mean concentrations of biomarkers from four classes of harmful and potentially harmful constituents, along with a biomarker of oxidative stress, were compared between cancer survivors and non-cancer adults using weighted linear regressions adjusted for demographic factors. Among cancer survivors, comparisons were also made across current cigarette smoking and e-cigarette use statuses.</p><p><strong>Results: </strong>Compared to non-cancer adults (n=6441), cancer survivors (n=505) exhibited higher mean concentrations of 4-(methylnitrosoamino)-1-(3-pyridyl)-1-butanol (NNAL, 10.9 vs. 6.7 pg/mg creatinine), cadmium (0.3 vs. 0.2 ng/mg creatinine), lead (0.4 vs. 0.3 ng/mg creatinine), N-Acetyl-S-(2-carboxyethyl)-L-cysteine (CEMA), 156.6 vs. 128.3 ng/mg creatinine), and 8-isoprostane (521.6 vs. 441.5 pg/mg creatinine) in the unadjusted analyses. Among cancer survivors, both exclusive cigarette smokers and dual users had higher mean concentrations of urine nicotine metabolites (i.e., nicotine equivalents [TNE2], and cotinine), NNAL, cadmium, volatile organic compounds (VOCs), and 8-isoprostane than non-tobacco users. Exclusive e-cigarette users also had higher mean concentrations of nicotine metabolites (TNE2, 4.1 vs. 0.01, p<.0001; cotinine, 288.1 vs. 0.4, p<.0001), NNAL (5.6 vs. 1.7, p=.03), cadmium (0.4 vs. 0.3, p=.01), and 8-isoprostane (594.2 vs. 482.5, p=.03) than non-tobacco users.</p><p><strong>Conclusions: </strong>Both exclusive smoking and dual use pose elevated risks of exposure to tobacco-related toxicants to cancer survivors. Exclusive e-cigarette use also increases the risk of nicotine addiction and oxidative stress. Abstinence of all tobacco use among cancer survivors is needed to improve health outcomes.</p><p><strong>Implications: </strong>Cancer survivors represent a high-risk group for tobacco use. This study offers important insights into differences in biomarkers of tobacco-related toxicant exposure between cancer survivors and non-cancer adults and provides evidence of the health impacts associated with cigarette smoking and e-cigarette use. The findings emphasize the need for clinical monitoring and targeted public health interventions to encourage tobacco cessation, including addressing dual use of cigarettes and e-cigarettes, in order to enhance long-term health outcomes and quality of life for cancer survivors.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028611","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":"Exploring Factors Shaping Tobacco and Marijuana Use Among Sexual Minority Adolescents.","authors":"Meng-Yun Lin, Darcy Lockhart, Rachel Denlinger-Apte","doi":"10.1093/ntr/ntaf097","DOIUrl":"https://doi.org/10.1093/ntr/ntaf097","url":null,"abstract":"<p><strong>Purpose: </strong>This study sought to identify the predominant factors associated with tobacco and marijuana/cannabis use among adolescents according to their sexual identity.</p><p><strong>Methods: </strong>Using the 2023 National Youth Tobacco Survey, we examined current use of e-cigarettes, cigarettes, and marijuana/cannabis vaping among adolescents. We used dominance analyses and logistic regression models to assess the relative importance of factors linked to tobacco and marijuana/cannabis use. The analyses were stratified by sexual identity (straight, sexual minorities, unsure) and grade levels (middle-school versus high-school).</p><p><strong>Results: </strong>The study sample includes 6,654 middle-school and 8,274 high-school students. Three themes emerge from the dominance analysis. First, exposure to e-cigarette or cigarette use at home or in vehicles consistently ranked as the leading factor associated with smoking and vaping across school levels and sexual identity, explaining up to 44% of the predicted variance. Second, the perception of occasional e-cigarette or cigarette use as little to no harm was a top factor, linked to e-cigarette use among sexual minority students and straight high-school students, as well as cigarette use among straight students and sexual minority high-school students. It explained up to 21.6% and 26.5% of the variance in current e-cigarette and cigarette use, respectively. Third, mental stress was a dominant factor associated with tobacco and marijuana/cannabis use among sexual minority middle-school students, explaining up to 21% of the variance.</p><p><strong>Conclusions: </strong>This study identifies modifiable factors linked to adolescent tobacco and marijuana use. Public health initiatives targeting these factors may reduce smoking and vaping, especially among sexual minority adolescents.</p><p><strong>Implications: </strong>Adolescents in the LGBTQ+ community use tobacco and marijuana at higher rates than their straight peers. This study offers insight into the relative importance of a variety of sociodemographic and environmental factors contributing to increased use. The most dominant factors, identified as immediate environmental exposure, e-cigarette risk perceptions, and mental stress should be prioritized when developing targeted interventions to reduce smoking and vaping in this priority population.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973643","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":"Sex and gender in relation to use of e-cigarette product characteristics in united states datasets: a systematic review.","authors":"Elise E DeVito, Esther Stern, Marc Szpilzinger, Nicole Petersen, Raina D Pang, Andrea H Weinberger","doi":"10.1093/ntr/ntaf092","DOIUrl":"https://doi.org/10.1093/ntr/ntaf092","url":null,"abstract":"<p><strong>Introduction: </strong>Electronic cigarette (e-cigarette) product characteristics impact appeal, addictive potential, toxicity, and/or harm reduction potential. We conducted a systematic review to characterize sex and gender differences in e-cigarette product characteristics used in the United States (US).</p><p><strong>Methods: </strong>Included studies used US population representative datasets to assess sex/gender differences, sex-specific findings, or differences by sexual or gender minority (SGM) status in relation to e-cigarette product characteristics (e.g., flavors, nicotine (i.e., nicotine in e-liquid), cannabis vaping (i.e., cannabis in e-liquid), device types, other). Additionally, articles had to be written in English and published in peer-reviewed journals. Searches were conducted in PubMed on March 9, 2024 and in PsycInfo and Medline on February 23, 2025.</p><p><strong>Results: </strong>The 52 included papers used 7 datasets and addressed flavor (N=28), nicotine (N=14), cannabis vaping (N=15), device (N=6), and other characteristics (N=3; 1 package size; 2 other toxicant exposure). Samples included youth (N=23) and/or adults (N=32). Although data are somewhat mixed, taken together findings indicate that while prevalence of e-cigarette use is higher in males, within those who use e-cigarettes, prevalence of flavor use is higher in females, prevalence of nicotine and cannabis vaping and open (adjustable) device type use is higher in males.</p><p><strong>Conclusions: </strong>E-cigarette product characteristics are a tractable target for regulation. Understanding e-cigarette product characteristics used by males and females in the US could shed light on sex and gender differences in the course of e-cigarette use and the addictive potential, appeal, or harm reduction potential of e-cigarette products.</p><p><strong>Implications: </strong>There are sex and gender differences in the use and cessation of tobacco products like combustible cigarettes. E-cigarettes have become more popular and characteristics such as flavors, nicotine, cannabis vaping (i.e., cannabis in e-liquid), and device types impact appeal and addiction potential. This review is the first to synthesize the literature on sex and gender in relation to e-cigarette characteristics among United States youth and adults and highlight gaps where more research is needed. This information can help guide that regulation and other efforts related to e-cigarette so they are as effective as possible across sex and gender groups.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036874","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":"Daily cigarette abstinence and smoking rate with varenicline: Relationships with treatment, craving, and affect during the first week of the quit attempt.","authors":"Sarah S Tonkin, Jennifer M Betts, Ashley N Dowd, Martin C Mahoney, Paul M Cinciripini, Robert A Schnoll, Tony P George, Rachel F Tyndale, Larry W Hawk","doi":"10.1093/ntr/ntaf095","DOIUrl":"https://doi.org/10.1093/ntr/ntaf095","url":null,"abstract":"<p><strong>Introduction: </strong>Dichotomized smoking abstinence (abstinent/smoking) is the standard outcome for clinical trials, but obscures smoking behavior change. Examining both smoking probability and smoking rate as outcomes may identify unique barriers to cessation (e.g., craving, affect) among individuals who are receiving treatment but unable to quit.</p><p><strong>Methods: </strong>Two-part latent growth modeling examined daily smoking probability and smoking rate during the first week of the quit attempt using self-reported cigarettes per day. Smoking trajectories and the effect of 12 weeks of varenicline (versus placebo), craving, negative affect (NA), and positive affect (PA) on these trajectories were examined among 828 adults in a randomized smoking cessation trial (NCT01314001).</p><p><strong>Results: </strong>On average, smoking probability was 46% on the target quit day and increased to 50% later into the week (ps<.01). Among participants continuing to smoke, daily smoking rates were reduced to 27% of baseline rates and remained stable throughout the week (p=.62). Varenicline use was associated with lower smoking probability (p<.001). Higher craving and NA were associated with a higher smoking probability and higher smoking rates (ps≤.05). Higher PA was associated with a higher smoking probability, but lower smoking rates (ps<.04).</p><p><strong>Conclusions: </strong>Modeling smoking behavior, versus dichotomized abstinence, reveals differences in predictors of treatment effects. Results suggest smoking probability increases early into the quit attempt while daily smoking rates remained stable. Varenicline increases the probability of abstinence. Smoking abstinence and lower smoking rates were both associated with lower craving and NA. However, PA demonstrated differential relationships with abstinence and smoking rates.</p><p><strong>Implications: </strong>This study expands clinical outcomes beyond dichotomous smoking abstinence by conducting preliminary two-part latent growth models to evaluate treatment processes and barriers to cessation on both smoking probability and smoking rate. This approach provides a complementary understanding of treatment effects and predictors of outcomes. Results suggest time, treatment, craving, and affect may have differential relationships with smoking probability versus smoking rates which would not be captured in traditional modeling for clinical trial outcomes.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034523","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":"Effectiveness of Nicotine Replacement Therapy and Behavioral Intervention in Tobacco Cessation-A Tertiary Hospital-Based Randomized Controlled Trial.","authors":"Utkal Keshari Mohanty, Kuldeep Kumar, Gaurav Sharma, Swapna Sarit, Hemamalini Rath","doi":"10.1093/ntr/ntaf091","DOIUrl":"https://doi.org/10.1093/ntr/ntaf091","url":null,"abstract":"<p><strong>Introduction: </strong>The effectiveness of nicotine replacement therapy (NRT) on smokeless tobacco (SLT) users is underexplored in India, with prior research primarily focusing on smokers. This study assessed and compared the effectiveness of combining behavioral intervention (BI) and NRT with BI alone on smoking and SLT cessation.</p><p><strong>Methods: </strong>This 1.5-year prospective, open-label, three-arm parallel-group randomized controlled trial was conducted at the Tobacco Cessation Clinic, SCB Dental College and Hospital, Odisha, India. The three intervention groups-BI, BI+nicotine patch, and BI+nicotine gum-were assessed using a prevalidated proforma on sociodemographics, relevant medical and dental history, oral hygiene practices, and previous tobacco use patterns.</p><p><strong>Results: </strong>The study enrolled 130 participants. At 26 weeks, 63.3% (19/30) in the BI+patch and 52.9% (18/34) in the BI+gum achieved abstinence, compared to 24.1% (7/29) in the BI group. The odds ratio (OR), 95% confidence interval (CI); p-value of abstinence was 6.03 (1.90-19.15; p=0.003) for BI + patch, and 3.25 (1.08-9.78; p=0.035) for BI+gum. Among SLT users, abstinence was achieved in 70.59% (12/17) with BI+patch (OR 6.40, 95% CI: 1.57-26.03; p =0.010) and 53.85% (14/26) with BI+gum (OR 3.11, 95% CI: 0.92-10.47; p=0.067) versus 27.27% (6/22) with BI alone. Both intervention groups demonstrated significantly reduced relapse risk versus BI alone (Hazard ratio [HR] 0.45, 95% CI: 0.24-0.83; p=0.011) for BI+patch and HR 0.40, 95% CI: 0.22-0.74; p=0.003 for BI+gum.</p><p><strong>Conclusion: </strong>Combination therapy (BI+NRT) is more effective than BI alone. The BI+patch combination is more effective than BI+gum and BI alone. The NRT intervention groups had higher abstinence rates and reduced relapses than the standard BI group. Further studies are required to validate these findings.</p><p><strong>Implications: </strong>This study portrays the effectiveness of combining behavioral intervention (BI) with nicotine replacement therapy (NRT) in promoting cessation of tobacco use in smokeless tobacco (SLT) users and reducing relapse rates. The findings highlight the superiority of BI+NRT over BI alone as they demonstrate notable efficacy, higher odds of abstinence, and lower relapse rates in the BI+patch and BI+gum group as compared to the BI group. The study underscores the significance of integrating NRT into cessation programs to enhance long-term outcomes by emphasizing the need for comprehensive approaches and tailored interventions to address the challenges of addiction with a focus on SLT users.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004443","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":"Letter to the Editor: Women's National Basketball Association (WNBA) Star Athlete Kelsey Plum gets Signature Premium Cigar Amidst Record-Breaking WNBA Viewership.","authors":"Ollie Ganz, Cristine D Delnevo, Andrea C Villanti, Kevin R J Schroth, Jennifer Cornacchione Ross","doi":"10.1093/ntr/ntaf094","DOIUrl":"https://doi.org/10.1093/ntr/ntaf094","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037820","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}