Nicotine & Tobacco Research最新文献

{"title":"Prevalence and multiple-level determinants of smoking among women in the workforce in China.","authors":"Hao Lin, Changping Liu, Yuying Sun, Yihua Liu, Lanchao Zhang, Chengqian Zhang, Ying Ji, Wangnan Cao, Chun Chang","doi":"10.1093/ntr/ntae308","DOIUrl":"https://doi.org/10.1093/ntr/ntae308","url":null,"abstract":"<p><strong>Introduction: </strong>To describe the prevalence of smoking among Chinese women in the workforce and to investigate its potential associated factors from a multi-level perspective.</p><p><strong>Methods: </strong>The study was based on data collected from the \"Asia Best Workplace\" program in 2021. We obtained a sample of 6,260 women in the workforce and collected the data using a self-administered questionnaire, including occupational characteristics, utilization of workplace health services, and mental health status. We employed univariate and multivariate logistic regression analyses to examine the associations between interested variables and the smoking status of women in the workforce.</p><p><strong>Results: </strong>The prevalence of smoking among Chinese women in the workforce was 3.4%. After controlling for potential confounders, factors that were associated with smoking included field sales personnel (Adjusted Odds Ratio, AOR=3.45, 95% Confidence Interval, CI: 2.29-5.18, reference: white collar), mixed shift workers (AOR=2.42, 95% CI: 1.66-3.53), working overtime every day (AOR=2.27, 95% CI: 1.38-3.74, reference: no overtime work), having depressive (AOR=1.10, 95% CI: 1.07-1.13) or anxiety symptoms (AOR=1.25, 95% CI: 1.13-1.39), and daily exposure to secondhand smoke (AOR=12.54, 95% CI: 8.70-18.05). Women with access to infirmaries (AOR=0.38, 95% CI: 0.18-0.81) and fitness facilities (AOR=0.60, 95% CI: 0.38-0.96) were less likely to smoke.</p><p><strong>Conclusions: </strong>The prevalence of smoking among Chinese women in the workforce was low. Smoking cessation programs in women in the workforce may benefit from taking into account the nature of their work, whether there were night shifts and overtime working.</p><p><strong>Implications: </strong>Smoking takes a huge toll on women, and women in the workforce face additional health challenges. Little is known about the specific factors associated with smoking among women in the workforce. Women who were field sales personnel, managers, working night or irregular shifts, and frequent overtime workers should be considered vulnerable sub-populations for smoking. Providing accessible workplace health services and resources is associated with a lower likelihood of smoking. Smoking cessation programs may consider the specific occupational and workplace factors that influence smoking behavior in this population, as well as address mental health needs.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872571","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":"Prevalence and Patterns of Polysubstance Use (Tobacco and Other Substances) and Associated Factors: A Cross-Sectional Analysis in a High-Risk Cohort for Oral Cancer in Varanasi, India, with a Special Focus on Young Emerging Adults.","authors":"Tulika Shruti, Priyanka Sharma, Divya Khanna, Sudhir Ranjan, Aqusa Khan, G Keerthi, Arjun Gurmeet Singh, Aseem Mishra, Anupama Shetty, Praveen Birur, Pankaj Chaturvedi","doi":"10.1093/ntr/ntae307","DOIUrl":"https://doi.org/10.1093/ntr/ntae307","url":null,"abstract":"<p><strong>Introduction: </strong>The dearth of population-based data on polysubstance use, especially in young emerging adults, presents a critical gap in understanding public health challenges, particularly in rural India, where tobacco and oral cancer are prevalent. This study addresses this gap by investigating the prevalence and patterns of substance use, with a focus on young emerging adults (18-29 years) within a high-risk cohort for oral cancer in Varanasi, India.</p><p><strong>Methods: </strong>The study involved a cross-sectional analysis of baseline data from 10,101 participants within a high-risk cohort in rural settings of the Varanasi district between December 2020-June 2023. This region has high rates of tobacco use and oral cancer. Polysubstance use was defined as the lifetime concurrent use of two or more substances for at least a year. The study examined the prevalence of any substance use, polysubstance use, and associated socio-demographic factors. Univariable and multivariable analyses were employed to identify significant predictors.</p><p><strong>Results: </strong>The prevalence of any substance use in the study population was 55.7%. Tobacco use was most prevalent (94.3%), followed by areca nut (44.8%), alcohol (6.6%), and cannabis (0.8%). Among young emerging adult substance users, the prevalence of polysubstance use was 42.6%. Predictors of polysubstance use included age, male gender, employment status, and income.</p><p><strong>Conclusion: </strong>This study offers vital insights into substance use among rural Indian communities, particularly among young adults who are at a critical juncture in their lives. The findings underscore the urgent need for evidence-based strategies to address this region's multifaceted public health challenge of polysubstance use.</p><p><strong>Implications: </strong>Literature is scarce on population-based data for the prevalence and pattern of polysubstance (tobacco and other substances) use in India, both for the young and adult population. We studied the prevalence and pattern of substance use in a predominantly rural district of India, which reportedly has the second-highest burden of oral cancer among all Indian population-based cancer registries. We found that more than half (55.7%) of the study population used at least one substance; among them, nearly half (42.4%) used two or more substances. Tobacco use was the most prevalent form (94.3%), followed by areca nut use (44.8%), alcohol (6.6%) and cannabis (0.8%). Polysubstance use was prevalent among young emerging adult substance users. Age, male gender, employment, and income were predictors of polysubstance use. Distinct sociocultural factors shaping substance use in India necessitate research.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Systematic Development of a Mobile Phone Delivered Text-messaging Tobacco Cessation Intervention in India.","authors":"Miriam Sequeira, Felix Naughton, Richard Velleman, Leena Gaikwad, Pratima Murthy, Marimilha Grace Pacheco, Joseline D'souza, Ganga Nair, Rachit Shah, Seema Sambari, Urvita Bhatia, Abhijit Nadkarni","doi":"10.1093/ntr/ntae306","DOIUrl":"https://doi.org/10.1093/ntr/ntae306","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco consumption is a leading cause of mortality globally. Eighty percent of these deaths occur in low- and middle-income countries (LMICs). Despite this, there is a large treatment gap due to both demand and supply-side barriers. Digital interventions are an innovative solution to bridge this gap. We describe the systematic development of ToQuit, a text-messaging intervention for tobacco cessation in India.</p><p><strong>Methods: </strong>ToQuit was developed in sequential steps: a) Identifying Behaviour Change Techniques (BCTs) from evidence-based tobacco cessation interventions; b) Identifying additional BCTs through in-depth interviews (IDIs); c) Online expert survey to rate BCTs on feasibility, acceptability and perceived effectiveness when delivered via text messaging; and d) A consultation workshop with practitioners.</p><p><strong>Results: </strong>Thirty BCTs were identified from steps one and two. Three were excluded in step three. The final intervention included 27 BCTs delivered over three phases: phase one - orientation (information about antecedents and consequences of tobacco consumption, goal setting, reattribution, pros and cons of quitting); phase two - skill-building (self-monitoring, avoidance of cues for behaviour, behaviour substitution, distraction, stress-management, handling urges, restructuring physical and social environments, instructions on how to perform a behaviour, prompts and cues, problem-solving, social support and referrals among others); and phase three - relapse prevention (psychoeducation about lapse and relapse, review goals, action planning and feedback on behaviour). The intervention is delivered via text messages over eight weeks with 2-3 messages a day, 2-3 days a week.</p><p><strong>Conclusion: </strong>ToQuit is a contextually relevant and potentially scalable text messaging intervention for tobacco cessation in resource-constrained settings.</p><p><strong>Implications: </strong>This manuscript is an important piece in the development of contextually relevant digital interventions for cessation of both smoked and smokeless forms of tobacco. The detailed description of the steps followed in developing the ToQuit intervention will help others replicate these procedures while developing similar interventions responsive to their contexts; particularly in LMICs.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872579","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":"E-cigarette (EC) and heated tobacco product (HTP) use in the United Arab Emirates, an emerging EC and HTP market: A cross-sectional analysis of the International Tobacco Control (ITC) UAE Survey.","authors":"Andrea Leinberger-Jabari, Amar Ahmad, Nicola Lindson, Jason Oke, Jamie Hartmann-Boyce, Geoffrey T Fong, Omar El-Shahawy, Raghib Ali, Scott Sherman","doi":"10.1093/ntr/ntae299","DOIUrl":"https://doi.org/10.1093/ntr/ntae299","url":null,"abstract":"<p><strong>Introduction: </strong>E-cigarettes (ECs) and heated tobacco products (HTPs) are recent arrivals to the nicotine product market in the Middle East, which are rapidly growing in popularity in the region. There is a lack of surveillance data at the country-level on use of these products and factors associated with their use.</p><p><strong>Methods: </strong>This study analyzed a subset of data from the UAE Healthy Future Study, a population-based cohort study of the Emirati population, to determine the factors associated with EC and HTP use among a sample of Emirati adults (≥ 18 years). The baseline assessment and supplementary questionnaires, conducted from 2016 to 2023, included data on combustible tobacco use, EC, and HTP use and sociodemographic characteristics.</p><p><strong>Results: </strong>Of the 2,041 individuals who answered questions on EC use, 32% reported ever using them. Of 521 people providing data on HTP, 30% reported ever using them. After adjusting for age, sex, education, perceived harms and perceived addictiveness of EC, current EC use was associated with baseline combustible tobacco smoking (aOR = 27.63, 95% confidence interval [CI] 14.39, 53.06), users of a younger age (aOR=0.91, 95%CI 0.88, 0.95), and users of male sex (OR = 2.15, 95% CI 1.21, 3.81). Current HTP use was less common, but was also associated with baseline combustible tobacco use.</p><p><strong>Conclusions: </strong>Use of ECs and HTPs was more common among those who used combustible tobacco. Future research should examine use trajectories among those who do and do not smoke, as well as uptake of these products among youth.</p><p><strong>Implications: </strong>Non-combustible nicotine products are growing in popularity in the Middle East Region. Our study found that EC and HTP use is associated with baseline combustible tobacco use and that concurrent users may use them to cut down on their combustible tobacco use. Continued comprehensive population-based monitoring of all tobacco and nicotine products, especially EC and HTP use, will provide current data to aid in appropriately informing public health and harm reduction messages and programming.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864948","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":"Practicing inclusive language related to people who are lesbian, gay, bisexual, transgender, queer, intersex, asexual and other sexual and gender identities (LGBTQIA+) in nicotine and tobacco research.","authors":"Juhan Lee, Perel Y Wein, Jaimee L Heffner, Andrea H Weinberger, Josephine T Hinds","doi":"10.1093/ntr/ntae305","DOIUrl":"https://doi.org/10.1093/ntr/ntae305","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869627","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":"Considering Relative Rurality in Tobacco Regulatory Science.","authors":"Mary Kay Rayens, Ann E Kingsolver, W Jay Christian, Ellen J Hahn, Teresa M Waters, Shyanika W Rose, Mikhail N Koffarnus, Seth Himelhoch","doi":"10.1093/ntr/ntae303","DOIUrl":"https://doi.org/10.1093/ntr/ntae303","url":null,"abstract":"","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864946","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":"Validity of the E-Cigarette Wisconsin Inventory of Smoking Dependence Motives (e-WISDM) in Exclusive E-Cigarette Users: Evidence from a Laboratory Self-Administration Study.","authors":"Thomas M Piasecki, Claudia E Korcarz, Kristin M Hansen, Daniel M Bolt, Michael C Fiore, James H Stein, Timothy B Baker","doi":"10.1093/ntr/ntae302","DOIUrl":"https://doi.org/10.1093/ntr/ntae302","url":null,"abstract":"<p><strong>Introduction: </strong>Prior research suggests that the e-Cigarette Wisconsin Inventory of Smoking Dependence Motives (e-WISDM) distinguishes primary (e-PDM) and secondary dependence (e-SDM), however, there is little research on these e-WISDM dimensions and prior research comprised dual users (using cigarettes and e-cigarettes) and those using older generations of e-cigarettes.</p><p><strong>Methods: </strong>Those exclusively using contemporary e-cigarettes (N = 164) completed the e-WISDM and a laboratory self-administration session and rated pre-use expectancies and post-use experiences.</p><p><strong>Results: </strong>Only a 1-factor model limited to the primary scales (Automaticity, Tolerance, Craving, Loss of Control) achieved good model fit. The e-PDM was correlated with the Penn State Electronic Cigarette Dependence Index (PS-ECDI), r = .79, p < .001. The e-PDM and PS-ECDI were similarly correlated with use topography and self-reported measures. Analyses of motive profiles identified Taste, Tolerance, and Automaticity as the most strongly endorsed motives in the full sample. Subgroup analyses indicated primary motives were more elevated in in daily vs. non-daily e-cigarette users and participants with vs. without a history of smoking cigarettes. Taste motives were stronger in users of 3rd vs. 4th generation e-cigarettes.</p><p><strong>Conclusions: </strong>These findings suggest that the four e-PDM subscales are a concise, reliable, and valid measure of core e-cigarette dependence motives that are related to meaningful dependence attributes.</p><p><strong>Implications: </strong>Electronic cigarettes (e-cigarettes) are dependence-producing. Instruments that measure e-cigarette dependence are necessary to identify users who may have difficulty quitting e-cigarettes and who are at risk for use-related harms. The four subscales of the e-WISDM PDM index self-reported heavy e-cigarette use, craving, automatic or mindless use, and perceived loss of control over use. The current research supports the validity of the e-WISDM PDM as a measure of core e-cigarette dependence in users of today's e-cigarette devices.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854857","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 Gender Differences in Receipt of the 5As for Smoking Cessation for Recently-Diagnosed Cancer Patients (ECOG-ACRIN EAQ171CD).","authors":"Lucy Finkelstein-Fox, Jo Rean D Sicks, Lynne I Wagner, Ruth C Carlos, Isabelle Miranda, Rachel L Rosen, Maria Lopes, Brett M Goshe, Ilana F Gareen, Benjamin A Herman, Alex Taurone, Angela Wangari Walter, Autumn W Rasmussen, Douglas E Levy, Michael A Thompson, Laura Malloy, Irina Gonzalez, Brian L Burnette, Alyssa D Throckmorton, Martha S Tingen, Jamie S Ostroff, Elyse R Park","doi":"10.1093/ntr/ntae304","DOIUrl":"https://doi.org/10.1093/ntr/ntae304","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking cessation is important for men and women diagnosed with cancer. Oncology clinicians should encourage all patients to quit and offer resources to help them do so, following the 5As framework (Ask, Advise, Assess, Assist, and Arrange follow-up).</p><p><strong>Method: </strong>This study tests gender differences in self-reported receipt of the 5As by an oncology provider among 306 recently-diagnosed male and female cancer patients. Receipt of praise for quitting efforts was also assessed as an indicator of empathic communication. Participants completed baseline surveys as part of a larger clinical trial focused on smoking cessation (NCT03808818), reflecting on pre-trial interactions with their oncology clinicians.</p><p><strong>Results: </strong>Most male and female patients received \"Ask,\" \"Advise,\" and \"Assess\" (i.e., asking patients if they smoke, advising them to quit, and assessing their interest in doing so), though significant gender differences emerged in receiving \"Assist\" and \"Arrange follow-up.\" Women were less likely to receive assistance (e.g., medication or counseling referral; 85.25% versus 93.18%, respectively) or a follow-up appointment to discuss their progress (28.11% versus 40.91%, respectively). Approximately half of men and women were praised for their quitting efforts. In exploratory sensitivity analyses, gender differences in arrange-follow-up were attenuated when adjusting for cancer location (smoking-related or not), self-reported distress, and self-reported coping ability.</p><p><strong>Discussion: </strong>Women may be at risk for suboptimal smoking-related support during cancer care, as assistance and follow-up are essential to sustained abstinence. Clinicians should consistently deliver each of the 5As to all cancer patients who smoke, regardless of cancer type or expressed distress/coping difficulty.</p><p><strong>Implications: </strong>The current study findings add to the growing literature describing gender disparities in tobacco treatment access. Findings highlight an addressable gap in access to tobacco treatment for a group of women who have cancer. Advancements in the equitable delivery of smoking cessation counseling have the potential to improve cessation outcomes for women with cancer who smoke.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854841","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":"Cigarette Smoking Trajectories of US Young Adults by Sex.","authors":"Moriah R Harton, Maria A Parker","doi":"10.1093/ntr/ntae301","DOIUrl":"https://doi.org/10.1093/ntr/ntae301","url":null,"abstract":"<p><strong>Introduction: </strong>While cigarette smoking is the leading cause of preventable morbidity and mortality in the United States (US), nearly one-fifth of young adults continue to smoke cigarettes, however, the prevalence remains higher in males than females.</p><p><strong>Methods: </strong>The restricted panel data from the Monitoring the Future (MTF) study from 1976-2020 (n=24,293) was used. A group-based trajectory model (GBTM) was fit to the data for each sex (male/female), where groups were determined by cigarette smoking (yes/no) from the base year through the six biennial follow-up questionnaires. The analysis was then repeated overall and by decade.</p><p><strong>Results: </strong>Four trajectory groups of cigarette smoking emerged for both sexes (male/female). Group 1 (60.8/62.0%) included participants with non-use of cigarettes. Group 2 (13.1/14.2%) captured individuals with moderate probability of use of cigarettes at baseline that decreased over time. Group 3 (7.1/5.5%) was the opposite of Group 2, where participants had low/moderate probability of cigarette smoking at baseline that increased over time. Group 4 (19.0/18.3%) captured individuals with high/moderate to high use of cigarettes throughout the study period. Overall and by decade analyses produced similar results.</p><p><strong>Conclusions: </strong>Almost one quarter of the sample had increasing or high cigarette smoking, which suggests prioritizing interventions on recent high school graduates, regardless of sex, who begin with low cigarette smoking and increase over time and those with consistently high cigarette smoking. Future research will examine how different cigarette smoking trajectories relate to substance use and mental health outcomes.</p><p><strong>Implications: </strong>This study provides a novel viewpoint on cigarette trajectory analysis among the adolescent and young adult population, stratified by sex. This stratification showed that regardless of sex, the same four distinct trajectory groups were present. This result was somewhat unanticipated as there are known discrepancies in both cigarette smoking initiation and cessation between the sexes.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854833","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":"Perceptions of children and young people in England on the smokefree generation policy: a focus group study.","authors":"Nathan P Davies, Rachael L Murray, Tessa Langley, Joanne R Morling, Manpreet Bains","doi":"10.1093/ntr/ntae300","DOIUrl":"https://doi.org/10.1093/ntr/ntae300","url":null,"abstract":"<p><strong>Background: </strong>Modelling shows smokefree generation (SFG) policies could effectively reduce smoking rates by banning tobacco sales to those born after a specific year. Little is known about how young people perceive the legitimacy and impact of the planned SFG policy in England.</p><p><strong>Methods: </strong>We conducted 7 semi-structured focus groups with 36 participants aged 12 - 21 (mean = 15) in England over video call and in person. 21 participants were female and 15 male. Participants were purposively sampled to include those from areas of greater deprivation and for use of tobacco or e-cigarettes. Data was analysed using the framework approach.</p><p><strong>Results: </strong>Participants expressed broadly negative perceptions towards tobacco and its manufacturers. Most participants supported SFG policy goals and its focus on freedom from addiction and harm; some believed it should also encompass electronic cigarettes. Many believed the law would only be successful if it included stringent enforcement, accompanying tobacco licensing, and input from young people. A minority raised concerns about the loss of freedom to purchase tobacco.</p><p><strong>Conclusions: </strong>Communication of the freedom-giving nature of SFG is likely to resonate with many young people. Enforcement, communication, and involvement of young people in SFG should be considered carefully to maximise policy impact.</p><p><strong>Implications: </strong>The smokefree generation (SFG) policy's potential to offer freedom from addiction and disease can resonate with young people. Its effectiveness could be maximised through targeted enforcement in areas with high youth smoking rates and low adherence to age-of-sale laws, and through introduction of additional policies that offer restrictive licensing of tobacco retailers. A phased approach to SFG, initially covering tobacco and later incorporating e-cigarettes as smoking prevalence declines, could balance reducing youth vaping and harm reduction; future research could investigate optimal policy conditions for this approach.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142838493","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}