Austen D Le, Chiyuan Amy Zhang, Abby L Chen, Satvir Basran, Nicolas Seranio, Michael Scott, Shufeng Li, Elizabeth E Hatch, Kenneth J Rothman, Amelia K Wesselink, Alyssa F Harlow, Lauren A Wise, Michael L Eisenberg
{"title":"A Preconception Cohort Study of Nicotine Vaping and Incidence of Spontaneous Abortion.","authors":"Austen D Le, Chiyuan Amy Zhang, Abby L Chen, Satvir Basran, Nicolas Seranio, Michael Scott, Shufeng Li, Elizabeth E Hatch, Kenneth J Rothman, Amelia K Wesselink, Alyssa F Harlow, Lauren A Wise, Michael L Eisenberg","doi":"10.1093/ntr/ntaf141","DOIUrl":"https://doi.org/10.1093/ntr/ntaf141","url":null,"abstract":"<p><strong>Introduction: </strong>We evaluated association of preconception nicotine vaping among female and male partners with spontaneous abortion (SAB) incidence, and the extent to which associations vary by cigarette smoking.</p><p><strong>Methods: </strong>In a prospective cohort study, 6136 participants assigned female-at-birth and 1688 of their partners assigned male-at-birth reported preconception nicotine vaping and cigarette smoking via online questionnaire. Female partners reported incident pregnancies and outcomes (e.g., SAB) on follow-up questionnaires completed every 8 weeks and in early and late pregnancy. We used multivariable Cox proportional hazards regression models estimated adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for association between vaping and SAB incidence, overall and by smoking history.</p><p><strong>Results: </strong>Mean age was 30 and 32 for females and males respectively. Among females, 13% reported ever-vaping and 14% reported ever-smoking, while 19% of males reported ever-vaping and 24% reported ever-smoking. Relative to female never-vapers, aHRs were 1.03 for former vaping (95% CI 0.86-1.24) and 0.91 for current vaping (95% CI 0.61-1.36). Former and current vaping were also not appreciably associated with SAB rate among ever-smokers. In the couple-based cohort, relative to male never-vapers, aHRs were 1.00 for male former-vapers (95% CI: 0.74-1.35) and 0.67 for male current-vapers (95% CI: 0.35-1.25). Additional analysis of female participants after stratifying by finer categories of smoking status did not identify any meaningful association with SAB incidence.</p><p><strong>Conclusion: </strong>The current study found that vaping in either partner during the preconception period was not associated with SAB incidence. Cigarette smoking also did not modify this association.</p><p><strong>Implications: </strong>The rising prevalence of vaping invokes greater scrutiny on its possible adverse reproductive effects. Studies have linked vaping to adverse birth events, and clear guidance is made to avoid vaping in pregnant people. However, guidance about vaping during preconception is less clear despite research showing how preconception behaviors are linked to adverse pregnancies and birth outcomes. Our cohort study finds little association between preconception vaping and spontaneous abortion. In context of established risks of vaping on fetal outcomes, this study highlights the need for additional evidence-based information about preconception vaping to help couples make lifestyle decisions for optimal reproductive outcomes.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554030","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}
Meghan E Morean, Vanessa Ponte, Wei Li, Danielle R Davis, Akshika Sharma, Suchitra Krishnan-Sarin, Krysten W Bold, Grace Kong
{"title":"Putting the \"tobacco\" in tobacco-free blunt wraps: Early evidence from adolescents who use cannabis blunts signals a potential need for regulatory action.","authors":"Meghan E Morean, Vanessa Ponte, Wei Li, Danielle R Davis, Akshika Sharma, Suchitra Krishnan-Sarin, Krysten W Bold, Grace Kong","doi":"10.1093/ntr/ntaf139","DOIUrl":"https://doi.org/10.1093/ntr/ntaf139","url":null,"abstract":"<p><strong>Introduction: </strong>Historically, cannabis blunts were made using tobacco products like cigars, but tobacco-free blunt wraps (TFBWs) made from sources like hemp and palm leaves are gaining popularity. While marketed for cannabis, it is unknown what substances adolescents put in TFBWs. Here, we focused on using tobacco in TFBWs.</p><p><strong>Methods: </strong>From April-May 2024, 4760 Connecticut high school students completed school-wide, anonymous, online surveys. The analytic sample comprised 489 adolescents (44.6% male, 28.2% non-Hispanic White, mean age 16.20 [1.27] years) with lifetime cannabis blunt use who answered questions about TFBW awareness and use, including with tobacco. We examined demographic-, tobacco-, and cannabis-related associations with using tobacco in TFBWs.</p><p><strong>Results: </strong>Of students reporting lifetime cannabis blunt use, 49.7% were aware of TFBWs and 24.7% reported use. Among adolescents using TFBWs, 12.4% reported putting tobacco in TFBWs and 8.7% reported usually doing so. In bivariate analyses, putting tobacco in TFBWs was associated with using blunts at an earlier age; using other tobacco products; using a greater total number of tobacco products in one's lifetime; and greater dependence on e-cigarettes, cigarettes, and cannabis (p-values <0.05).</p><p><strong>Conclusions: </strong>Few students who use cannabis blunts reported putting tobacco in TFBWs. Yet, using tobacco in TFBWs was associated with negative outcomes like nicotine and cannabis dependence, requiring future investigation. Unlike cigarette rolling papers and tobacco blunt wraps, TFBWs are not regulated by the US Food and Drug Administration as tobacco products. However, surveillance in nationally-representative samples may support the need for regulatory action if tobacco use in TFBWs continues.</p><p><strong>Implications: </strong>Although some brands of tobacco-free blunt wraps (TFBWs) specifically note that their products are not intended for tobacco use, blunts are user-rolled. Results demonstrate that among adolescents who use cannabis blunts and endorse TFBW use, 12.4% have added tobacco to a TFBW and 8.7% regularly do so. If findings are replicated in future national survey studies of adolescents and adults, this would support the United States Food and Drug Administration in regulating TFBWs as tobacco products.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541571","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}
Andrew Hardin, Sooa Ahn, Shaoying Ma, Veronica Thai, Micah Berman, Darren Mays, Jian Chen, Electra D Paskett, Theodore L Wagener, Ce Shang
{"title":"The Association Between Product Attributes and Oral Nicotine Pouch (ONP) Preference - Evidence from Online Stores.","authors":"Andrew Hardin, Sooa Ahn, Shaoying Ma, Veronica Thai, Micah Berman, Darren Mays, Jian Chen, Electra D Paskett, Theodore L Wagener, Ce Shang","doi":"10.1093/ntr/ntaf137","DOIUrl":"https://doi.org/10.1093/ntr/ntaf137","url":null,"abstract":"<p><strong>Introduction: </strong>Oral nicotine pouches (ONPs) have steadily gained popularity since first appearing in the U.S. market during 2014, but research on how their features are associated with consumer preference remains limited. We examined how ONP characteristics, including prices, flavors, pouches per can, nicotine concentration, and ingredient claims, are associated with online ratings (1-5 stars), which measured consumer preferences in our analysis.</p><p><strong>Methods: </strong>Data on 1689 unique ONPs from 19 brands that received reviews were scraped from 4 online stores that shipped to the US, and we used ordinary least squares regressions to estimate associations between product features and ratings.</p><p><strong>Results: </strong>On average, products cost $0.20/pouch and contained 19 pouches/can. Nearly half (46%) had 5 to <10 mg nicotine/pouch. The most common flavors were \"fruit/sweet\" (33%), \"mint\" (25%) and \"wintergreen\" (13%), while 21% of products had \"ice/freeze\" mentions. The brand on! accounted for 15% of products. Nicotine claims included \"tobacco-free\" (21%), \"leaf-free\" (26%), \"synthetic\" (8%), and multiple claims (20%). Product size was associated with lower ratings while mint flavor was associated with higher ratings (p<.05). Product characteristics were highly correlated with brands, and the negative association between price per pouch and ratings became insignificant after adjusting for brands.</p><p><strong>Conclusions: </strong>More pouches per can are associated with lower ratings. Sales prices vary across ONP brands, which is related to how consumers rate more expensive products. Future research should investigate how restricting mint flavor, product size and certain brands may impact consumer preferences for ONPs and their subsequent use.</p><p><strong>Implications: </strong>We provide novel evidence on how oral nicotine pouch (ONP) features are associated with consumer preferences, measured by online ratings (ranging from 1-5 stars). Larger product size (more pouches per can) is associated with lower consumer ratings while mint flavor is associated with higher ratings. Brands are strongly correlated with ratings, impacting how consumers rate more expensive products. Restricting mint flavor, product size and certain brands may influence consumer preferences for ONPs and their subsequent use, which should be investigated in future research.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541572","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}
Sera Levy, Robert A Schnoll, E Paul Wileyto, Morgan Thompson, Manaal Azad, David Metzger, Frank Leone, Rebecca L Ashare
{"title":"Differences in Cognition and Smoking Abstinence Rates Among People With and Without HIV Who Smoke.","authors":"Sera Levy, Robert A Schnoll, E Paul Wileyto, Morgan Thompson, Manaal Azad, David Metzger, Frank Leone, Rebecca L Ashare","doi":"10.1093/ntr/ntaf115","DOIUrl":"10.1093/ntr/ntaf115","url":null,"abstract":"<p><strong>Introduction: </strong>High rates of smoking among people with HIV (PWH) persist and may be due to HIV-associated neurocognitive disorders exacerbating abstinence-induced cognitive deficits, leading to higher risk of relapse. This study assessed differences in smoking abstinence rates and abstinence-induced cognitive deficits among PWH and people without (PWOH).</p><p><strong>Methods: </strong>In this prospective observational design (NCT03169101), treatment-seeking adults completed two laboratory sessions during a pre-quit phase to assess cognition: once following 24h abstinence and once smoking-as-usual. Cognition was measured through response inhibition, working memory, and verbal memory tasks. All received standard smoking cessation treatment over 8 weeks (i.e., counseling, nicotine patch). Point-prevalence abstinence was assessed at end-of-treatment.</p><p><strong>Results: </strong>Our sample included 210 participants (38.1% PWH; 61.9% PWOH), who were mostly male (59.5%) and Black/African-American (76.7%). No significant HIV status by abstinence condition interactions emerged for any cognitive outcome (all ps > .4). There were significant abstinence-induced deficits in response inhibition (p = .02), working memory response time (p = .005), and verbal memory (p=<.001). No significant differences emerged in abstinence rates between PWH and PWOH (31.2%, 32.3%, respectively; OR = 1.26, 95% CI: 0.67, 2.39, p = .48).</p><p><strong>Conclusion: </strong>Despite prior research suggesting differences in abstinence rates and cognition between PWH and PWOH who smoke, hypotheses were not supported. However, this is one of a few studies to directly compare people with and without HIV in a rigorously designed mechanistic smoking cessation study. Given that cognition does not appear to play a primary role in smoking among PWH, more work is needed to understand the mechanisms driving disproportionate smoking rates among PWH.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512203","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}
Olalekan A Ayo-Yusuf, Kgomotso S Kali, Olufemi Erinoso
{"title":"Heated Tobacco Products in South Africa: Harm Perceptions, Use and Quitting Behaviors among an Online Sample of Adults.","authors":"Olalekan A Ayo-Yusuf, Kgomotso S Kali, Olufemi Erinoso","doi":"10.1093/ntr/ntaf134","DOIUrl":"https://doi.org/10.1093/ntr/ntaf134","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the growing sales of heated tobacco products (HTPs) in South Africa (SA), only, limited information is available on HTP use in SA and, generally in Africa. The aim of this study is to describe individuals who currently and formerly used HTPs, including the association between HTP use and perceived relative harm of HTPs to combustible cigarettes (CC), and CC cessation among an online SA population.</p><p><strong>Methods: </strong>Data was obtained from an online survey conducted in 2021 among SA adults ≥18 years (n = 12 674). The dependent variables were HTP-use status, past-year quit attempts and cigarettes-per-day (CPD). Primary independent variables were CC-smoking status and relative harm perceptions. Weighted proportions, multivariable logistic, and poisson regression models were used to examine the association between dependent and independent variables.</p><p><strong>Results: </strong>In this online sample, 2.82% of SA adults indicated current HTP-use. Among current CC-smokers, 6.57% indicated current HTP-use compared to 0.50% among those who have never smoked cigarettes. Current CC-smoking was associated with higher odds of current HTP-use (aOR = 2.66; 95%CI:1.11, 6.39). Conversely, perceiving HTPs as more/equally harmful than CCs was associated with lower odds of current HTP-use (aOR = 0.24; 95%CI:0.14, 0.40). HTP-use was not associated with previous CC quit attempts, and there was no difference in CPD between current and never HTPs users who smoked (aIRR = 1.02; 95% CI:0.91, 1.14).</p><p><strong>Conclusions: </strong>HTP users in the studied SA online population were mostly current cigarette smokers who believed HTPs were less harmful than cigarettes. However, HTP-use was not associated with higher previous quit attempts nor smoking fewer CPD.</p><p><strong>Implications: </strong>This study provides early data on the behaviors and beliefs associated with Heated Tobacco Products (HTPs) in South Africa, a significant yet understudied tobacco market for novel nicotine products. It reveals that individuals with lower harm perceptions, polytobacco use, and individuals who currently smoke combustible cigarettes are more likely to consume HTPs. However, HTP use was not associated with higher odds of past-year cigarette quit attempts or a reduction in the number of cigarettes smoked per day. These findings offer valuable evidence for surveillance and policy efforts aimed at emerging tobacco products and protecting public health.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485273","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}
Theodore P Klupinski, Anna Adetona, Alexander Ivanov, Aaron Richardson, Erich D Strozier, Laura L S Aume, Hani Karam, Stephanie D Makselan, Martha McCauley, Larry Mullins, Billie Stiffler, Eric A Lucas, Hyoshin Kim
{"title":"Chemical Constituents and Particle Size Distribution of Mainstream Emission From Electronic Waterpipe.","authors":"Theodore P Klupinski, Anna Adetona, Alexander Ivanov, Aaron Richardson, Erich D Strozier, Laura L S Aume, Hani Karam, Stephanie D Makselan, Martha McCauley, Larry Mullins, Billie Stiffler, Eric A Lucas, Hyoshin Kim","doi":"10.1093/ntr/ntaf028","DOIUrl":"10.1093/ntr/ntaf028","url":null,"abstract":"<p><strong>Introduction: </strong>An electronic waterpipe (electronic hookah) uses an electronic heating element to promote the vaporization and aerosolization of an e-liquid in a waterpipe. There is little or no published information characterizing the toxicant levels or particle size distributions (PSDs) of electronic waterpipe mainstream emission.</p><p><strong>Methods: </strong>Controlled laboratory experiments were performed to evaluate electronic waterpipe mainstream emission for 40 test conditions: 10 e-liquid products × 2 power settings × 2 puffing topographies. Data were collected for amounts of three volatile toxicants and selected semi-volatile compounds, mass of total particulate matter, and PSD within the size range of 5-1000 nm.</p><p><strong>Results: </strong>Amounts of the volatile toxicants acetaldehyde, acrolein, and benzene measured in mainstream emission were 33-505 µg/session, 27-415 µg/session, and 0.69-2.44 µg/session, respectively. The amounts of acetaldehyde and acrolein, when reported in units of µg/puff, are generally similar to some literature-reported amounts in e-cigarette mainstream emission and tobacco waterpipe smoke. A bimodal or trimodal PSD was typically observed, and substantial concentrations of nanoparticles were detected. The amounts (in µg/puff) of the volatile toxicants and several quantitative measures of PSD were significantly affected by power setting and puffing topography.</p><p><strong>Conclusions: </strong>Given the hazards of acetaldehyde and acrolein and the distinctive toxicological profile of nanoparticles, electronic waterpipe use may present significant toxicity concerns. Operation of an electronic waterpipe is a complex process in which physics, fluid dynamics, and chemistry interact to yield mainstream emission for which the composition is sensitive to changes from various sources.</p><p><strong>Implications: </strong>This publication, to our knowledge, is the first to report the amounts of toxicants and PSDs in electronic waterpipe mainstream emission. The results reported herein suggest that there may be significant toxicity concerns associated with electronic waterpipe use as indicated by the levels of volatile toxicants and the presence of nanoparticles in electronic waterpipe mainstream emission. This knowledge is valuable to support the research community and tobacco regulatory agencies in understanding the impact that electronic waterpipe use may have on public health.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1265-1273"},"PeriodicalIF":3.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066896","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}
Danny Dabroy, Steven Alec Barrientos, Mohammed Ebrahimi Kalan, Ahmed Alarabi, Kevin Schug, Roman Goff, Sabrina Islam, Caroline O Cobb, Ziyad Ben Taleb
{"title":"Waterpipe Size Matters: The Effect of Waterpipe Size on Toxicant Exposures and Subjective Experiences.","authors":"Danny Dabroy, Steven Alec Barrientos, Mohammed Ebrahimi Kalan, Ahmed Alarabi, Kevin Schug, Roman Goff, Sabrina Islam, Caroline O Cobb, Ziyad Ben Taleb","doi":"10.1093/ntr/ntae229","DOIUrl":"10.1093/ntr/ntae229","url":null,"abstract":"<p><strong>Introduction: </strong>Waterpipe (WP) tobacco smoking remains popular among US young adults, yet specific regulations for WP devices are lacking. This study examines how WP device size (base volume and height) affects smoking behavior, toxicant exposures, and subjective experiences.</p><p><strong>Aims and methods: </strong>Thirty-eight individuals who smoke WP aged 21-39 participated in a randomized crossover study. Each completed three 45-min ad libitum smoking sessions using small, medium, and large WP sizes. Saliva nicotine and exhaled carbon monoxide (eCO) were measured before and after smoking. Puff topography was recorded during sessions, and subjective smoking experiences were collected afterwards.</p><p><strong>Results: </strong>Significant differences were observed in saliva nicotine between the three WP sizes, with higher concentrations for the small WP relative to larger sizes (p < .05). Exhaled CO was significantly higher after smoking the large WP compared to smaller sizes (p < .05). Puff topography revealed significant differences and followed a dose-response pattern, with larger size associated with longer puff duration, greater smoke volume inhaled, and larger puff volume (p < .05). The large WP was associated with enhanced subjective experiences for satisfaction and concentration compared to the small WP (p < .05).</p><p><strong>Conclusions: </strong>WP size substantially impacts smoking experiences and exposures. Regulation of WP size should be essential in comprehensive tobacco control policies aimed at curbing WP use among young adults. These findings will aid in the developing of WP size-specific standards to regulate the marketing and sales of WP devices. Such regulations should aim to minimize toxicant exposure by controlling the dimensions and design of WP components, which can significantly influence smoking behavior and toxicant intake.</p><p><strong>Implications: </strong>This study underscores the critical role of waterpipe (WP) size in shaping smoking behavior, experiences, and exposures among young adults.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1227-1235"},"PeriodicalIF":3.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406658","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}
Sarah E Jackson, Harry Tattan-Birch, Nicholas S Hopkinson, Jamie Brown, Lion Shahab, Laura Bunce, Anthony A Laverty, Deborah Arnott
{"title":"Estimating Young Adult Uptake of Smoking by Area Across the United Kingdom.","authors":"Sarah E Jackson, Harry Tattan-Birch, Nicholas S Hopkinson, Jamie Brown, Lion Shahab, Laura Bunce, Anthony A Laverty, Deborah Arnott","doi":"10.1093/ntr/ntae231","DOIUrl":"10.1093/ntr/ntae231","url":null,"abstract":"<p><strong>Introduction: </strong>There is majority support in parliament and across the United Kingdom to implement a \"smoke-free generation\" policy which would mean people born on or after January 1, 2009, could never legally be sold tobacco. To explore the potential impact this policy could have, we estimated the number of young adults (18-25 years) currently taking up smoking each year by area across the United Kingdom.</p><p><strong>Methods: </strong>Using data from the Office for National Statistics (ONS), Annual Population Survey (APS), and Smoking Toolkit Study (STS), we estimated the total number of 18- to 25-year-olds taking up smoking each year, based on national estimates of population size (ONS) and the proportion who reported ever having regularly smoked (STS). We used local data on adult smoking rates (APS) to apportion the national estimated number of young adults taking up smoking to specific areas.</p><p><strong>Results: </strong>Around 127 500 18- to 25-year-olds in the United Kingdom start smoking regularly each year (~350 each day); 105 700 each year in England, 11 500 in Scotland, 6500 in Wales, and 3800 in Northern Ireland. Uptake estimates varied across localities: for example, North East Lincolnshire had the highest proportion of young adults taking up smoking each year (3.9%) and Wokingham had the lowest (0.9%).</p><p><strong>Conclusions: </strong>Despite reductions in smoking prevalence over recent decades, hundreds of young adults in the United Kingdom start smoking every day.</p><p><strong>Implications: </strong>Data on rates of uptake among individual local authorities can be used to focus attention locally prior to the introduction of new age of sale laws.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1300-1305"},"PeriodicalIF":3.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142504898","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}
Bethea A Kleykamp, Hannah Smith, Mahima Dewan, Leanna M Kalinowski, Jacob Parsky, Jessica A Kulak
{"title":"Lost in the Smoke: Underrepresentation of Aging Adults in Nicotine and Tobacco Research.","authors":"Bethea A Kleykamp, Hannah Smith, Mahima Dewan, Leanna M Kalinowski, Jacob Parsky, Jessica A Kulak","doi":"10.1093/ntr/ntaf029","DOIUrl":"10.1093/ntr/ntaf029","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"1311-1312"},"PeriodicalIF":3.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066898","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}