Tobacco ControlPub Date : 2025-10-24DOI: 10.1136/tc-2025-059644
Abayomi Adeosun, Karin Gross, Joachim Pelikan, Joshua Awogbemi
{"title":"Tobacco imagery in Nigerian music videos from 1999 to 2023: a content analysis.","authors":"Abayomi Adeosun, Karin Gross, Joachim Pelikan, Joshua Awogbemi","doi":"10.1136/tc-2025-059644","DOIUrl":"https://doi.org/10.1136/tc-2025-059644","url":null,"abstract":"<p><strong>Background: </strong>Tobacco imagery in music videos can glamorise smoking, influencing youth attitudes and behaviours, yet its prevalence in Nigerian music, a global cultural force driven mainly by the Afrobeats genre, remains underexplored.</p><p><strong>Methods: </strong>This content analysis examined tobacco imagery in 880 Nigerian music videos from 1999 to 2023, sourced from YouTube based on top song charts. Videos were coded for user demographics, tobacco product types and paraphernalia across 15 s episodes. Trends were analysed, and future prevalence was forecasted to 2050 using the Holt-Winters method.</p><p><strong>Results: </strong>Tobacco imagery was observed in 153 of 880 videos (17.4%), having combined 3.1 billion YouTube views. Cigarettes (51%) and cigars (34%) dominated, followed by shisha (7%), tobacco pipe (5%) and e-cigarettes (3%). Tobacco imagery appeared in the first 15 s of 23% of videos. Five artists accounted for 28% of videos with tobacco imagery and 33% of the tobacco events. The proportion of videos with tobacco imagery increased by 1.58 percentage points annually and is projected to exceed 55% by 2050 without intervention.</p><p><strong>Conclusions: </strong>Tobacco imagery is prevalent in Nigerian music videos, amplified by Afrobeats' global reach and youth viewership. The upward trend and shift towards newer products like shisha and e-cigarettes signal evolving public health risks and underscores the need for robust enforcement of existing regulations, alongside artist and corporate engagement to mitigate tobacco normalisation.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368843","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 : 2025-10-23DOI: 10.1136/tc-2025-059634
Jiayu Chen, Karen Messer, John P Pierce, David R Strong, Natalie E Quach, Yuyan Shi, Sara B McMenamin, Thet Nm Khin, Matthew D Stone, Dennis R Trinidad
{"title":"Cannabis use and progression to regular tobacco use among United States youth and young adults: evidence from the Population Assessment of Tobacco and Health (PATH) study, 2017-2021.","authors":"Jiayu Chen, Karen Messer, John P Pierce, David R Strong, Natalie E Quach, Yuyan Shi, Sara B McMenamin, Thet Nm Khin, Matthew D Stone, Dennis R Trinidad","doi":"10.1136/tc-2025-059634","DOIUrl":"https://doi.org/10.1136/tc-2025-059634","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use among United States (US) youth and young adults has declined from historic levels, but cannabis use has not. The importance of cannabis use as a risk factor for tobacco initiation is not known.</p><p><strong>Methods: </strong>The association between past 12-month cannabis use in 2017 (study exposure; wave 4) and new-onset regular tobacco use in 2021 (study outcome; wave 6) was examined in a prospective representative US cohort aged 12-24 years who had never regularly used tobacco. Exposed respondents were propensity score matched to unexposed controls on demographics, tobacco use history, perceived harmfulness of cigarettes, mental health symptoms and other measures.</p><p><strong>Results: </strong>Among these US youths aged 12-17 years who used cannabis, 32.7% (95% CI: 28.9% to 36.7%) progressed to regular tobacco use in 2021, an increase of 15.6 percentage points (pp) (95% CI: 11.1 pp to 20.2 pp) compared with their matched controls. Among the young adults aged 18-24 years, 14.0% (95% CI: 11.9% to 16.5%) of cannabis users reported regular tobacco use at follow-up, an increase of 5.4 pp (95% CI: 2.6 pp to 8.2 pp) over their matched controls. The matching analysis attributed 13.0% of total new regular tobacco use in the US to cannabis (the population attributable fraction), and estimated that in the absence of cannabis, 509 800 fewer US youth and young adults would have progressed to regular tobacco use in 2021.</p><p><strong>Conclusion: </strong>Among US youth and young adults who had never regularly used tobacco, cannabis use in 2017 was associated with a large increase in current regular tobacco use in 2021.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356241","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 : 2025-10-20DOI: 10.1136/tc-2025-059716
Michelle K Page, Noel J Leigh, Hasan Jamil, Nicholas J Felicione, Roberta Freitas-Lemos, Warren K Bickel, Richard J O'Connor, Maciej L Goniewicz
{"title":"Same brand, same flavour: but not the same product?","authors":"Michelle K Page, Noel J Leigh, Hasan Jamil, Nicholas J Felicione, Roberta Freitas-Lemos, Warren K Bickel, Richard J O'Connor, Maciej L Goniewicz","doi":"10.1136/tc-2025-059716","DOIUrl":"https://doi.org/10.1136/tc-2025-059716","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336676","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 : 2025-10-20DOI: 10.1136/tc-2025-059293
Emily M Donovan, Karl Braganza, Megan C Diaz, Andrew B Seidenberg, Jennifer M Kreslake, Michael F Pesko
{"title":"Population coverage and comprehensiveness of flavoured tobacco sales restrictions in the USA, 2010-2023.","authors":"Emily M Donovan, Karl Braganza, Megan C Diaz, Andrew B Seidenberg, Jennifer M Kreslake, Michael F Pesko","doi":"10.1136/tc-2025-059293","DOIUrl":"https://doi.org/10.1136/tc-2025-059293","url":null,"abstract":"<p><strong>Introduction: </strong>Flavoured tobacco products (FTPs) are associated with tobacco initiation and sustained tobacco use. Federal, state and local governments in the USA have enacted policies to restrict FTPs. This paper estimates the percentage of the US population (national and state levels) covered by state and local FTP sales restrictions of different comprehensiveness levels.</p><p><strong>Methods: </strong>Truth Initiative's FTP sales restrictions database was merged with 2020 Census data. Population coverage estimates were generated for first quarter (Q1) 2010 to Q4 2023. Estimates were subset by product inclusions and policy comprehensiveness (levels 1-6; 6 being most comprehensive).</p><p><strong>Results: </strong>Population coverage by FTP sales restrictions increased rapidly in 2020. Until 2019, a greater percentage of US residents were covered by FTP sales restrictions for cigars and smokeless tobacco compared with other products. From late 2019 to 2023, population coverage was highest for policies including e-cigarettes. Additionally, coverage by policies of level 2 comprehensiveness was most common due to menthol or key product (ie, cigarettes, smokeless tobacco, cigars and/or e-cigarettes) exemptions. During Q4 2023, 28.0%, 18.6%, 18.3% and 15.7% of US residents were covered by FTP sales restrictions for e-cigarettes, cigars, smokeless tobacco and menthol cigarettes, respectively.</p><p><strong>Conclusions: </strong>Implementation of FTP sales restrictions rapidly increased from 2019 to 2023, with policies varying in product, flavour and retailer inclusions. During Q4 2023, over one-quarter of US residents were covered by flavour policies; however, coverage by policies in the South and by menthol cigarette policies was limited. These data may be used to longitudinally evaluate the impacts of FTP policies.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145336735","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 : 2025-10-20DOI: 10.1136/tc-2025-059467
Reed M Reynolds, Shivani Mathur Gaiha
{"title":"Effectiveness of signage in preventing adolescents and young adults from accessing e-cigarettes in retail stores: a discrete-choice experiment.","authors":"Reed M Reynolds, Shivani Mathur Gaiha","doi":"10.1136/tc-2025-059467","DOIUrl":"https://doi.org/10.1136/tc-2025-059467","url":null,"abstract":"<p><strong>Background: </strong>Displaying signage about the minimum legal age (MLA) for tobacco, including e-cigarette sales in retail stores, is a common public health strategy intended to reduce underage access. This study examines a variety of messages currently used in the USA to test the effects of specific components in signage on discouraging e-cigarette purchase among underage individuals.</p><p><strong>Methods: </strong>A cross-sectional discrete-choice experiment asked 5326 adolescents and young adults, aged 13-24 years, to select from eight choice sets of hypothetical signs including different message attributes and images on retail storefronts. We analysed a total of 256 unique signs that varied in how they described tobacco, age, legal restrictions, whether and how images were included and whether there was a photo ID requirement.</p><p><strong>Results: </strong>Signage was significantly more effective at discouraging underage e-cigarette purchases when it (1) explicitly referred to e-cigarettes as 'liquid nicotine, electronic cigarettes or vapour products' listed among other tobacco products (vs tobacco), (2) displayed the age limit ('under 21'), (3) described legal restrictions, especially when using the word 'penalties', (4) stated 'Photo ID required' (vs not), and (5) included product images (vs not)-especially colour images. Participants under 21 were significantly more sensitive to colour images, the 'penalties' descriptor, and to a photo ID requirement. In addition, female participants were more sensitive to a 'penalties' descriptor compared with males, and non-Hispanic Black participants were less sensitive to an 'illegal' descriptor than non-Hispanic White participants.</p><p><strong>Conclusions: </strong>Including effective content and images in existing signage informing the public about MLA of tobacco sales has potential to discourage under-age access to tobacco products.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337579","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 : 2025-10-15DOI: 10.1136/tc-2024-058973
Samantha Joan Ackary, Alen Josef Santiago, Gianna Gayle Herrera Amul, Patrik James De Leon Cabrera
{"title":"Assessing industry compliance with the graphic health warnings law in the Philippines: challenges in multisectoral tobacco governance.","authors":"Samantha Joan Ackary, Alen Josef Santiago, Gianna Gayle Herrera Amul, Patrik James De Leon Cabrera","doi":"10.1136/tc-2024-058973","DOIUrl":"https://doi.org/10.1136/tc-2024-058973","url":null,"abstract":"<p><strong>Background: </strong>In 2014, the Philippines implemented Republic Act 10643, or the Graphic Health Warnings (GHW) Law, in alignment with the WHO Framework Convention on Tobacco Control Article 11, aimed at warning about the harms of tobacco use. The law mandates that all tobacco products in the Philippines carry GHWs that cover 50% of the principal display areas on their packaging, along with textual health warnings and additional health information. This study aims to assess the compliance of the tobacco industry with the requirements of the GHW Law and to identify the challenges of multisectoral tobacco governance in the Philippines.</p><p><strong>Methods: </strong>We adapted the Tobacco Pack Surveillance System protocol to collect a sample of unique tobacco products across the country. We coded and assessed packs using both the Codebook from the protocol and the Department of Health's (DOH) GHW Law checklist.</p><p><strong>Results: </strong>We collected 109 tobacco products, predominantly cigarettes (86.24%) and examined 96 eligible products (88.07%) for compliance. Compliance with the GHW Law was low: 6.19% of packs were fully compliant. 65.63% met the requirement for GHW size, and 78.13% followed DOH-prescribed templates. Additionally, 13 packs were illicit by lacking tax stamps and/or GHWs.</p><p><strong>Conclusion: </strong>Compliance with the GHW Law in the Philippines is low. Challenges in enforcement include ambiguous roles among agencies, weak monitoring of illicit products and inconsistencies in regulatory guidelines. Strengthening enforcement and clarifying agency responsibilities could improve compliance. Implementing plain packaging and involving local governments in monitoring may simplify and improve compliance.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303579","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 : 2025-10-15DOI: 10.1136/tc-2025-059490
Sisay Derso Mengesha, Cheneal Puljević, Shaun Kim, Dominique de Andrade, Coral E Gartner
{"title":"Tobacco retailers' views on selling tobacco and nicotine products, tobacco control policies and phasing out tobacco sales: a scoping review.","authors":"Sisay Derso Mengesha, Cheneal Puljević, Shaun Kim, Dominique de Andrade, Coral E Gartner","doi":"10.1136/tc-2025-059490","DOIUrl":"https://doi.org/10.1136/tc-2025-059490","url":null,"abstract":"<p><strong>Aim: </strong>This scoping review synthesises the global evidence on tobacco retailers' attitudes towards selling tobacco, tobacco control (TC) measures and the potential phase out of tobacco sales.</p><p><strong>Methods: </strong>We searched eight databases covering health, social science and business topics to identify records published between 2000 and 2024. Records were eligible for inclusion if they examined tobacco retailers' perceptions, attitudes or views on selling tobacco and nicotine products, or opinions on TC measures or ceasing tobacco sales. The review followed the Joanna Briggs Institute (JBI) Scoping Review Methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist for reporting scoping reviews.</p><p><strong>Results: </strong>52 studies met the eligibility criteria, with the USA and India contributing the most research. Most retailers demonstrated a strong understanding of existing TC measures, although knowledge varied by country and retailer demographics. Retailers largely opposed TC policies such as taxes, product display bans and standardised tobacco packaging. Despite recognising tobacco as a low-profit product for their business, most studies reported perceived customer attraction and retention as key reasons why retailers continue selling tobacco. 10 studies from high-income countries (Australia, New Zealand and the USA) indicated that stringent TC measures, along with personal ethical considerations, are key factors that motivate discontinuing tobacco sales.</p><p><strong>Conclusions: </strong>This review found that tobacco retailers typically report negative attitudes about TC regulations. However, regulatory measures, voluntary cessation initiatives and retail education that appeals to ethical values can collectively encourage some individual retailers to cease selling tobacco. Although these alone are unlikely to substantially reduce the number of tobacco retailers. These factors may also inform communication strategies concerning regulated phase-outs of tobacco retailing.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303650","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 : 2025-10-09DOI: 10.1136/tc-2025-059715
Travis Douglass
{"title":"Tobacco industry's pre-emption tactics rebuffed: a win for health equity-for now.","authors":"Travis Douglass","doi":"10.1136/tc-2025-059715","DOIUrl":"https://doi.org/10.1136/tc-2025-059715","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275926","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 : 2025-10-08DOI: 10.1136/tc-2025-059350
Daniel Bogale Odo, Jeffrey Reading, Kelley Lee, Genevieve Blais, Andrew Waa, Patricia Nez Henderson, Michelle Kennedy, Raglan Maddox
{"title":"Winds of change: a stocktake on progressing the Framework Convention on Tobacco Control in Indigenous contexts.","authors":"Daniel Bogale Odo, Jeffrey Reading, Kelley Lee, Genevieve Blais, Andrew Waa, Patricia Nez Henderson, Michelle Kennedy, Raglan Maddox","doi":"10.1136/tc-2025-059350","DOIUrl":"https://doi.org/10.1136/tc-2025-059350","url":null,"abstract":"<p><strong>Background: </strong>The WHO's Framework Convention on Tobacco Control (FCTC) obligates Parties to reduce tobacco use among Indigenous populations, who suffer disproportionate harm from historical and ongoing colonisation. These obligations must be upheld despite challenges like COVID and the tobacco industry's influence.</p><p><strong>Aim and objectives: </strong>This review updates an earlier analysis of the FCTC reports from Australia, Canada and Aotearoa New Zealand, evaluating their progress in fulfilling obligations to Indigenous peoples between 2018 and 2023.</p><p><strong>Data sources: </strong>This study employed a qualitative content analysis to review the FCTC progress reports from Australia, Canada and New Zealand, covering the period from 2018 to 2023. The analysis was based on three Global progress reports and nine country-specific reports.</p><p><strong>Study selection and data extraction: </strong>Using consistent search terms aligned with a previous review, we systematically identified relevant activities, achievements and practices reported in the FCTC documents. Two independent reviewers conducted the coding and analysis, and after initial coding, the findings were cross-checked by the research team.</p><p><strong>Results: </strong>Across the three countries, there was a focus on increasing Indigenous leadership in the development and implementation of tobacco control programmes. For example, in Australia, the Tackling Indigenous Smoking programme focuses on codesigning culturally tailored interventions to address high smoking rates and overcome challenges, particularly in remote communities, while addressing gaps in providing culturally safe supports. Indigenous leadership in tobacco control was also indicated in New Zealand's Smokefree Aotearoa 2025 Action Plan and in Canada's Tobacco Strategy. However, despite the encouraging progress, absence of Indigenous-specific data and inconsistent reporting is challenging, and more work is required.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252804","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 : 2025-10-08DOI: 10.1136/tc-2025-059528
Catherine O Egbe, Zanele R S Mthembu, Olalekan A Ayo-Yusuf
{"title":"Seven years in limbo and counting: pushing for a comprehensive regulation of tobacco and nicotine products amidst industry pushback in South Africa.","authors":"Catherine O Egbe, Zanele R S Mthembu, Olalekan A Ayo-Yusuf","doi":"10.1136/tc-2025-059528","DOIUrl":"https://doi.org/10.1136/tc-2025-059528","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252824","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}