Tobacco Control最新文献

{"title":"Pre-post implementation policy support for warnings on cigarette filters in Canada among adults who smoke cigarettes.","authors":"Emily E Hackworth, Samantha L Petillo, Yanwen Sun, Dèsirée Vidaña-Pérez, Crawford Moodie, Jeff Niederdeppe, David Hammond, James F Thrasher","doi":"10.1136/tc-2024-059007","DOIUrl":"https://doi.org/10.1136/tc-2024-059007","url":null,"abstract":"<p><strong>Background: </strong>Canada has become the first country in the world to require warnings to be displayed on cigarette sticks. Tobacco companies were given a transition period, from 30 April to 31 July 2024 to ensure that all king size cigarettes sold in the country included warnings on the filter of each cigarette stick. Warnings on the filter of regular size cigarettes will be implemented from April 2025.</p><p><strong>Methods: </strong>We used an online panel provider to recruit an open cohort of adults in Canada who smoked factory-made or roll-your-own cigarettes. Seven waves of data were collected at 3-month intervals between February 2023 to August 2024, with 10 521 observations across 4310 participants. Participants were asked about support for the inclusion of warnings on cigarette filters, accompanied by an image of one of the six prescribed warnings (eg, 'Cigarettes damage your organs'). Smoking behaviours and sociodemographic characteristics were also queried.</p><p><strong>Results: </strong>Generalised estimated equations were used to estimate support at each wave. At W1 (February 2023, prior to the policy announcement), 25% of participants reported supporting printed health messages on cigarette sticks, significantly increasing to 27% by W7 (August 2024, at the end of the implementation transition period). Participants were more likely to support the policy if they used other nicotine/tobacco products, roll-your-own cigarettes, had a recent quit attempt, intended to quit, or had higher risk perception of smoking harms, and less likely if they were older, female, white or reported greater reactance to warnings on cigarette packs.</p><p><strong>Conclusion: </strong>Just as increased support has been found for a range of tobacco control policies post-implementation, we found increased support for warnings on cigarettes during the transition period. However, support for this policy among people who smoke remains low. Other countries considering implementing this policy may consider these findings.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883027","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":"Generative artificial intelligence and social media: insights for tobacco control.","authors":"Grace Kong, Rachel R Ouellette, Dhiraj Murthy","doi":"10.1136/tc-2024-058813","DOIUrl":"https://doi.org/10.1136/tc-2024-058813","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792315","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":"Exposure to e-cigarette use in influencer videos and its association with e-cigarette use among adolescents in Germany.","authors":"Reiner Hanewinkel, Julia Hansen","doi":"10.1136/tc-2024-059044","DOIUrl":"10.1136/tc-2024-059044","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772615","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":"'O-ZYN-PIC' and 'ZYNCOIN': how viral marketing, tokenisation and trendjacking boosted Zyn popularity in the USA.","authors":"Ganna Kostygina, Chandler C Carter, Sherry L Emery","doi":"10.1136/tc-2024-058916","DOIUrl":"https://doi.org/10.1136/tc-2024-058916","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781124","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":"Level of compliance to smoke-free laws by restaurants in Karachi: an observational study.","authors":"Mahrukh Zafar, Sabahat Naz, Rahat Batool, AbidAli Vancy, Javaid A Khan, Romaina Iqbal","doi":"10.1136/tc-2024-058940","DOIUrl":"https://doi.org/10.1136/tc-2024-058940","url":null,"abstract":"<p><strong>Introduction: </strong>Exposure to secondhand smoke is a significant public health concern. Our study assessed the level of implementation of smoke-free laws in restaurants in Karachi, Pakistan.</p><p><strong>Methods: </strong>We conducted a cross-sectional study in District East, Karachi. We randomly selected 40 restaurants based on their meal cost: 17 low (<400 PKR/meal), 12 medium (400-600 PKR/meal) and 11 high-end (>600 PKR/meal). We assessed tobacco control law implementation using an observational checklist that included questions about the presence of no-smoking signs, presence of smokers, people/children near smokers and remains of tobacco products and developed a compliance score for smoke-free laws: compliant (all criteria met), partially compliant (1-2 criteria met) and non-compliant (none met). We asked questions about knowledge, attitudes and practices regarding smoke-free laws with each restaurant's staff. We reported frequencies and percentages for observations and questionnaire responses by restaurant category.</p><p><strong>Results: </strong>Of the 40 restaurants, 70% (n=28) were either non-compliant or partially compliant, with 82% of low-end and 67% of medium-end were either non-compliant or partially compliant. None of the high-end restaurants were non-compliant; however, 55% partially complied with the smoke-free laws. More than half (53%, n=21) had no no-smoking signs. Smokers were observed on terraces or near children in 20% (n=8) of restaurants, and ashtrays or cigarette packs/butts were found in 40% (n=16). Fifty per cent of restaurant staff (n=20) believed that there was no tobacco control law in Pakistan, only 10% (n=4) knew the particulars of the law and 18% (n=7) were aware of any penalties for violations. In addition, 60% (n=24) reported no visits from legislative or administrative bodies to enforce compliance.</p><p><strong>Conclusion: </strong>Our study reveals disparities in the compliance of smoke-free laws between low-end and high-end restaurants, highlighting the need to enforce these laws across all restaurant categories effectively.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781122","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":"Content analysis of marketing features in US nicotine pouch ads from 2021 to 2023.","authors":"Lauren Czaplicki, Dana Tfayli, Tory R Spindle, Maryam Ibrahim, Ryan David Kennedy, Ashley Dowd, John Rogers Diseker, Johannes Thrul, Meghan B Moran","doi":"10.1136/tc-2024-059010","DOIUrl":"https://doi.org/10.1136/tc-2024-059010","url":null,"abstract":"<p><strong>Introduction: </strong>Since their 2016 US debut, nicotine pouches, which are available in various flavours and strengths, have grown in popularity. Nicotine pouches may appeal to people who use tobacco, but there is also concern that they may appeal to youth and non-nicotine users. This study analysed nicotine pouch advertising trends from 2021 to 2023 to explore advertising features and inform regulatory strategies.</p><p><strong>Methods: </strong>We conducted a content analysis of 2147 nicotine pouch print, radio, online/mobile, direct emails and social media ads from 2021 to 2023. Ads were coded for flavours, terms and claims. Two trained coders double-coded all ads, and any discrepancies were reconciled. We conducted χ² and post-hoc tests to assess changes over time, using Bonferroni adjustments for multiple comparisons.</p><p><strong>Results: </strong>Most ads (84.6%) were posted on brands' social media accounts. Zyn ads comprised 54.5% of ads across media platforms. Most ads (72.3%) featured flavoured products, particularly fruit (27.1%) and mint (26.1%). Common terms included 'smoke-free' (19.2%), 'tobacco-free' (18.4%), 'synthetic' (12.9%) and 'spit-free' (10.6%), which all significantly declined from 2021 to 2023. The most common claim featured how convenient the product was to use, which significantly increased over time. Claims about product discreetness and the presence of coupons/discounts also significantly increased over time.</p><p><strong>Conclusions: </strong>We observed a decline in terms of connecting nicotine pouches to other tobacco products and an increase in potentially youth-appealing convenience claims. Future research should investigate how these features impact risk perceptions and use intentions among people who never and currently use tobacco to inform regulations (ie, restrict youth-appealing claims).</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772613","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":"Keeping pace with nicotine pouch market developments.","authors":"Georgia Alexandrou, Crawford Moodie","doi":"10.1136/tc-2024-059017","DOIUrl":"https://doi.org/10.1136/tc-2024-059017","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772627","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":"Lived experiences of stigma and altered self-perceptions among young people who are addicted to ENDS: a qualitative study from Aotearoa New Zealand.","authors":"Anna Graham-DeMello, Carissa Sanders, Renee Hosking, Lani Teddy, Jude Ball, Karine Gallopel-Morvan, Yvette van der Eijk, David Hammond, Janet Hoek","doi":"10.1136/tc-2024-058946","DOIUrl":"https://doi.org/10.1136/tc-2024-058946","url":null,"abstract":"<p><strong>Introduction: </strong>Rising use of electronic nicotine delivery system (ENDS) among young people, especially those who have never smoked, has received considerable attention from the health community. However, fewer studies have examined the mental health impacts of ENDS use. We addressed this gap by exploring the stigma, altered self-perceptions and negative affect experienced by adolescents who assessed themselves as addicted to using ENDS.</p><p><strong>Methods: </strong>We interviewed 20 adolescents aged 16-18 who lived in Aotearoa New Zealand and assessed themselves as moderately or highly addicted to ENDS use. Using in-depth, semistructured qualitative interviews, we explored participants' experiences of addiction and its effects on their well-being. We interpreted the data using an inductive reflexive thematic analysis approach.</p><p><strong>Results: </strong>We identified four key themes. First, addiction to ENDS use adversely affected participants' physical and mental health. Second, addiction greatly diminished the pleasurable effects ENDS use first provided and participants who initially enjoyed using ENDS now felt unable to stop. Third, participants felt judged, stigmatised and belittled by others who did not understand their struggle with addiction. Fourth, they experienced several negative emotions, including self-blame, regret, disappointment and embarrassment that diminished how they saw themselves.</p><p><strong>Conclusions: </strong>We extend earlier studies by probing the mental health burden ENDS use imposes on young people, offer new insights into how they experience addiction and outline potential policy responses. Measures reducing young people's access to ENDS are urgently needed alongside empathetic, youth-oriented cessation support.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772629","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":"Impact of the intensified follow-up procedure of patients lost to 6-month follow-up after an intensive smoking and nicotine cessation intervention in practice: a cohort study.","authors":"Nawal Fayyaz Roga, Mie Sylow Liljendahl, Hanne Tønnesen","doi":"10.1136/tc-2024-058970","DOIUrl":"https://doi.org/10.1136/tc-2024-058970","url":null,"abstract":"<p><strong>Background: </strong>Post-intervention follow-up is challenging in research and practice. In tobacco reports, patients with missing follow-up were considered smokers. Based on patient and staff preferences, an add-on intensified follow-up procedure after intensive tobacco and nicotine cessation interventions was developed. This study examined the impact of the new procedure on patients lost to follow-up and compared their cessation status with that of those who completed routine follow-up.</p><p><strong>Methods: </strong>Between January and February 2023, 2114 patients participated in the Danish STOPbase for Tobacco and Nicotine after providing informed consent. Overall, 1529 (72%) patients completed routine 6-month follow-up interviews, 136 (6%) patients rejected follow-up participation and 449 (21%) patients were lost to follow-up. Of the 449 patients, 225 patients were randomly selected to undergo the new follow-up procedure with repeated information, up to four extra calls, texts and voice messages from known telephone numbers.</p><p><strong>Results: </strong>Using the new procedure, 143/225 (64%; 95% CI: 61% to 67%) patients completed the follow-up, with a continuous quit rate of 54/225 (24%; 21% to 27%). The lost to follow-up group had a significantly lower continuous cessation rate than the group that completed the routine follow-up: 54/143 (38%; 34% to 42%) and 703/1529 (46%; 45% to 47%), respectively, (p<0.01).</p><p><strong>Conclusion: </strong>Almost two-thirds of the patients lost to 6-month follow-up completed the intensified follow-up procedure and had substantially lower cessation rates than those completing routine follow-up. However, this finding is clinically relevant, as a high follow-up rate impacts the reliability of outcomes, with loss to follow-up reported on continuous use.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755616","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":"'Authentic' or 'corny': LGBTQ+ young adults respond to visual, thematic and semantic elements of culturally targeted tobacco public education advertisements.","authors":"Alysha C Ennis, Ashley Meadows, Emma Jankowski, Caitlin Miller, Hayley Curran, Elle Elson, Sydney Galusha, Grace Turk, Monica Stanwick, Joanne G Patterson","doi":"10.1136/tc-2024-058858","DOIUrl":"https://doi.org/10.1136/tc-2024-058858","url":null,"abstract":"<p><strong>Background: </strong>Lesbian, gay, bisexual, transgender and queer (LGBTQ+) young adults (YA) experience disparities in nicotine and tobacco use. Mass-reach health communications can prevent nicotine and tobacco initiation and progression, but LGBTQ+adults report low engagement. Although cultural targeting (CT) could reach LGBTQ+YA, we know little about the strategies that resonate with this population. We probed how LGBTQ+YA perceived CT content to inform tobacco public education campaigns on strategies to engage this population.</p><p><strong>Methods: </strong>We conducted six focus groups with N=20 LGBTQ+YA (18-35) who had ever used vapes, cigarettes or both. We showed participants examples of CT tobacco public education campaigns, probed their opinions and perceptions and coded transcripts using a data-driven inductive approach.</p><p><strong>Results: </strong>Participants were more inclined to view an ad as effective when they felt it was authentically created for the LGBTQ+community. Avoiding stereotyping, including diversity, using 'subtle' LGBTQ+iconography (ie, rainbows), and including personal experiences all contributed to the authenticity of the ad. Participants discussed the importance of visual appeal; bright colours made ads appear too corporate or like an ad for a tobacco product. Lastly, participants responded well to gain-framed messages rather than traditional risk messaging.</p><p><strong>Conclusion: </strong>Tobacco public education ads featuring 'every-day' LGBTQ+people in candid or unposed shots, personal stories with gain-framed messaging, and subtle Pride iconography and colours may increase acceptability among LGBTQ+YA. Researchers should focus on cultivating authenticity in ads and avoid outdated trends by consulting with the community and moving with speed from development to implementation.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755457","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}