Tobacco ControlPub Date : 2025-07-23DOI: 10.1136/tc-2025-059469
Sarah E Jackson, Lion Shahab, Jamie Brown
{"title":"The end of smoking in England? The importance of considering different metrics of success.","authors":"Sarah E Jackson, Lion Shahab, Jamie Brown","doi":"10.1136/tc-2025-059469","DOIUrl":"https://doi.org/10.1136/tc-2025-059469","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699625","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}
Tobacco ControlPub Date : 2025-07-22DOI: 10.1136/tc-2025-059527
Britta K Matthes, Laura Graen, Katrin Schaller
{"title":"\"Let us all work together for the larger public health good.\" Philip Morris targeting German dental professionals.","authors":"Britta K Matthes, Laura Graen, Katrin Schaller","doi":"10.1136/tc-2025-059527","DOIUrl":"https://doi.org/10.1136/tc-2025-059527","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691645","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}
Tobacco ControlPub Date : 2025-07-21DOI: 10.1136/tc-2025-059450
Emily E Hackworth, Dana Mowls Carroll, Eric C Donny, Rachel L Denlinger-Apte, Dorothy Hatsukami
{"title":"Policy support and potential black-market use in response to a reduced nicotine standard: responses following a 12-week open-label clinical trial.","authors":"Emily E Hackworth, Dana Mowls Carroll, Eric C Donny, Rachel L Denlinger-Apte, Dorothy Hatsukami","doi":"10.1136/tc-2025-059450","DOIUrl":"https://doi.org/10.1136/tc-2025-059450","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683233","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}
Tobacco ControlPub Date : 2025-07-20DOI: 10.1136/tc-2025-059342
Sheng Zhi Zhao, Hua Yin, Jiayu Tu, Xue Weng, Man Ping Wang
{"title":"From packs to games: a qualitative study on children's experiences and perceptions of cigarette card games in China.","authors":"Sheng Zhi Zhao, Hua Yin, Jiayu Tu, Xue Weng, Man Ping Wang","doi":"10.1136/tc-2025-059342","DOIUrl":"https://doi.org/10.1136/tc-2025-059342","url":null,"abstract":"<p><strong>Background: </strong>The lack of plain packaging and pictorial warnings on cigarette packs in China has provided a window for children to play and collect cards made from cigarette packages. This study examined children's participation in cigarette card (CC) games and parents' views on packaging regulations.</p><p><strong>Methods: </strong>Between September and December 2024, semistructured interviews were conducted with 21 child-parent dyads (19 boys, 2 girls; 17 mothers, 4 fathers) using purposive and snowball sampling in nine provinces in China. Eligible children aged 6-12 years had played CC games in the past month. Separate child and parent interviews were conducted using tailored guides to minimise bias. Interviews were transcribed verbatim and analysed through thematic analysis with dual coding and triangulation.</p><p><strong>Results: </strong>Five key themes emerged: (1) attractive designs as a gateway to gameplay, (2) development of brand knowledge through gameplay, (3) packaging as a marker of social value, (4) neglect of text-based warnings by children and (5) parental demands for pictorial warnings. Vibrant packaging colours and logos primarily motivated children's participation. Card collection normalised smoking by increasing brand knowledge and enabling peer status competition through card ownership. Parents observed that textual warnings failed to deter gameplay but emphasised that pictorial warnings showing health risks could reduce the game's popularity among children.</p><p><strong>Conclusions: </strong>Attractive cigarette packaging drives children's involvement in CC games, which in turn normalises smoking by promoting brand familiarity and social exchange among peers. China must urgently implement pictorial warnings and plain packaging to reduce tobacco's appeal and protect the younger generations.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675647","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}
Tobacco ControlPub Date : 2025-07-18DOI: 10.1136/tc-2024-059241
Tanner D Wakefield, Rosendo Iniguez, Stella Bialous, Pamela Ling, Dorie E Apollonio
{"title":"Tobacco industry efforts to harness the voice and influence of community organisations.","authors":"Tanner D Wakefield, Rosendo Iniguez, Stella Bialous, Pamela Ling, Dorie E Apollonio","doi":"10.1136/tc-2024-059241","DOIUrl":"https://doi.org/10.1136/tc-2024-059241","url":null,"abstract":"<p><strong>Background: </strong>The tobacco industry historically recruited community groups to advance its policy agenda; however, there has been little study of industry recruitment of Latinx organisations.</p><p><strong>Methods: </strong>We reviewed internal tobacco industry documents to identify activities, messaging and strategies used by the Tobacco Institute to obtain political support from a prominent Latinx organisation in the USA. Documents were identified through keyword searches, organised in a spreadsheet and analysed for content.</p><p><strong>Results: </strong>From 1984 to 1989, the Tobacco Institute funded the League of United Latin American Citizens (LULAC) to support its policy agenda. The Tobacco Institute hired organisation leaders, used a public relations firm to plan activities, crafted messages to encourage Latinx support and provided funding to strengthen relationships with LULAC. This encouraged LULAC to actively support the tobacco industry's positions while obscuring industry involvement.</p><p><strong>Conclusions: </strong>The Tobacco Institute used tactics identified in previous research on third-party industry allies to build a partnership with LULAC. Tobacco companies use similar practices in the 21st century. Our findings suggest a need for transparency regarding industry funding of community organisations given its potential to influence them in ways that promote health harms.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668573","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}
Tobacco ControlPub Date : 2025-07-07DOI: 10.1136/tc-2024-059213
Yu Yu, Peggy Toy, Dahai Yue, James Macinko, Ninez Ponce
{"title":"Local tobacco control policy intensity and cigarette smoking behaviours in California.","authors":"Yu Yu, Peggy Toy, Dahai Yue, James Macinko, Ninez Ponce","doi":"10.1136/tc-2024-059213","DOIUrl":"https://doi.org/10.1136/tc-2024-059213","url":null,"abstract":"<p><strong>Introduction: </strong>In the USA, most tobacco control research has focused on federal-level and state-level policies. However, tobacco control policies vary substantially within states. We aimed to examine the impact of local tobacco control policy intensity on smoking behaviour in California from 2014 to 2019.</p><p><strong>Methods: </strong>In this cross-sectional study, we linked data from the 2014 to 2019 California Health Interview Survey (n=126 095) with local-level tobacco control policy scores. Logistic regression models were used to assess the association between local policy intensity and cigarette smoking.</p><p><strong>Results: </strong>Adoption of local tobacco control policies was associated with a 2.1 percentage point (pp) reduction in overall smoking prevalence, a 2.3 pp reduction among individuals living in multiunit housing or neighbourhoods with low socioeconomic status and a 3.5 pp reduction among African American populations. Longer durations of policy implementation and stricter measures were associated with greater reductions in smoking, particularly among individuals living in low socioeconomic status neighbourhoods and multiunit housing than among their counterparts.</p><p><strong>Conclusions: </strong>Local tobacco control policies are associated with lower smoking rates, especially among disadvantaged populations. Strengthening and expanding these policies may be an effective strategy to further reduce tobacco-related disparities.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584958","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}
Tobacco ControlPub Date : 2025-07-07DOI: 10.1136/tc-2025-059305
Driss Ait Ouakrim, Tim Wilson, Samantha Howe, Jennifer Summers, Richard Edwards, Coral E Gartner, Nick Wilson, Tony Blakely
{"title":"Modelling the potential impacts of limiting vaping product sales to pharmacies.","authors":"Driss Ait Ouakrim, Tim Wilson, Samantha Howe, Jennifer Summers, Richard Edwards, Coral E Gartner, Nick Wilson, Tony Blakely","doi":"10.1136/tc-2025-059305","DOIUrl":"https://doi.org/10.1136/tc-2025-059305","url":null,"abstract":"<p><strong>Background: </strong>Vaping rates are increasing globally. Restricting vaping products' access may result in net population health loss if youths who vape switch to smoking, or net gain if it promotes cessation among people who smoke. We used simulation modelling to assess how two vaping restriction policies-over-the-counter (OTC) pharmacy access or prescription-only access via general practitioners-might impact vaping and smoking rates in Aotearoa New Zealand (A/NZ).</p><p><strong>Methods: </strong>We adapted an established Markov model of smoking and vaping, linked to a proportional multistate lifetable, to simulate the A/NZ population from 2023 to 2044. Three business-as-usual (BAU) scenarios ('low', 'medium' and 'high' vaping) were informed by youth vaping trends. Intervention impacts were derived from prior research and expert elicitation.</p><p><strong>Results: </strong>Compared with the medium BAU scenario with 50% vaping among 18-24-year olds by 2044, restricting to OTC pharmacy access reduced vaping prevalence by 6% and increased health-adjusted life years (HALYs). Only under the 'high' BAU scenario (60% vaping) did interventions marginally increase smoking (2% for OTC). Both interventions averted premature deaths and produced HALY gains.</p><p><strong>Interpretation: </strong>Our model suggests modest reductions in vaping prevalence and net health gains from the OTC pharmacy policy, with minor benefits from a prescription-only approach. These findings underscore the importance of balancing the potential smoking cessation benefits of vaping with the need to curb youth uptake. Future research is required to better understand how vaping restriction policies could impact vaping and smoking dynamics in A/NZ, in particular, considering how illicit supply may impact policy effectiveness.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584959","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}
Tobacco ControlPub Date : 2025-07-03DOI: 10.1136/tc-2025-059349
Gina Rae Kruse, Ginny Chadwick, Maeve Stover, Cameron Alyssa Reitan, Victoria Lopez Mendez, Boram Lee, Mark Meaney, Hai-Yen Chien, Sydney L Goldberg, A Eden Evins, Nancy A Rigotti, Douglas E Levy
{"title":"US state implementation of policies restricting sales of flavoured E-cigarettes: a qualitative analysis.","authors":"Gina Rae Kruse, Ginny Chadwick, Maeve Stover, Cameron Alyssa Reitan, Victoria Lopez Mendez, Boram Lee, Mark Meaney, Hai-Yen Chien, Sydney L Goldberg, A Eden Evins, Nancy A Rigotti, Douglas E Levy","doi":"10.1136/tc-2025-059349","DOIUrl":"10.1136/tc-2025-059349","url":null,"abstract":"<p><strong>Background: </strong>E-cigarettes are the most popular nicotine product among youth in the USA and the majority of young people use products with flavours such as mint, menthol, fruit and candy. Between December 2019 and December 2022, seven US states and the District of Columbia put in place restrictions on the sale of flavoured e-cigarettes. Studies of e-cigarette flavour restrictions have found varied policy effects across different populations. While some qualitative research has investigated policy implementation details, no studies to date have systematically examined how flavour restrictions are implemented.</p><p><strong>Methods: </strong>From April to December 2023, we conducted key informant interviews guided by Bullock's policy implementation process model and determinants framework to investigate how states are implementing flavour restriction policies.</p><p><strong>Results: </strong>Key themes in implementation included the roles of clear product definitions and enforcement processes, coordination across state and local governments, adequate resources and communication with retailers. We found between-state heterogeneity in these factors, with key informants reporting challenges with one or more of these components.</p><p><strong>Conclusions: </strong>Implementing policies restricting the sale of flavoured e-cigarettes is complex and variable from state to state. Future implementation efforts and policy evaluations should take this variability into account.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529678","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}
Tobacco ControlPub Date : 2025-07-01DOI: 10.1136/tc-2024-059262
Phuong The Nguyen, Shiori Tanaka, Keisuke Fukui, Yuri Ito, Kota Katanoda
{"title":"Patterns of birth cohort-specific smoking histories in Japan, 1910-2050: a shift towards younger people?","authors":"Phuong The Nguyen, Shiori Tanaka, Keisuke Fukui, Yuri Ito, Kota Katanoda","doi":"10.1136/tc-2024-059262","DOIUrl":"https://doi.org/10.1136/tc-2024-059262","url":null,"abstract":"<p><strong>Background: </strong>To identify important parameters for targeted smoking intervention strategies, we examined smoking initiation, cessation, and prevalence in the Japanese population by birth cohorts from 1910 to 1990.</p><p><strong>Methods: </strong>We collected data from 34 consecutive National Health and Nutrition Surveys from 1986 to 2019 to gain nationally representative information on age at initiation, cessation and smoking intensity. Applying age-period-cohort models, we estimated annual probabilities for smoking initiation and cessation, the prevalence of people who currently smoke, and average cigarettes smoked per day (CPD), focusing on cohorts from 1910 to 1990. Under a status quo scenario, we projected these trends forward through 2050.</p><p><strong>Results: </strong>Smoking initiation rates peaked in the late teens, with more recent cohorts peaking at younger ages in both genders. Smoking cessation rates were higher in males with notable increases after age 50, while female rates rose more gradually by age. Smoking intensity patterns were higher in males; however, recent cohorts reveal declined CPD levels with narrowing gaps between genders. Male smoking prevalence declined from 55% in 1985 to a projected 20% in 2030, while female prevalence peaked at 10% in 2005 before dropping to 8% by 2030.</p><p><strong>Conclusions: </strong>This study highlights key patterns in smoking prevalence, initiation, cessation and intensity in Japan. The persistently higher prevalence in men, slower cessation and reductions in women, and earlier initiation in younger cohorts underscore significant gender and cohort differences. Targeted, gender-specific interventions, early prevention and sustained efforts to address health disparities are crucial to tackling the unique challenges faced by Japanese populations.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544976","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}
Tobacco ControlPub Date : 2025-07-01DOI: 10.1136/tc-2024-059243
Sophie Braznell
{"title":"IQOS-marketing a tobacco product in the UK.","authors":"Sophie Braznell","doi":"10.1136/tc-2024-059243","DOIUrl":"https://doi.org/10.1136/tc-2024-059243","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144544975","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}