Tobacco Control最新文献

{"title":"Trends in menthol and non-menthol cigarette consumption in the US: 2009-2024.","authors":"Cristine D Delnevo, Daniel P Giovenco, Andrea C Villanti","doi":"10.1136/tc-2025-059408","DOIUrl":"https://doi.org/10.1136/tc-2025-059408","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326894","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":"A hopeful journey: responses to efficacy labels from people using RYO tobacco in Aotearoa New Zealand.","authors":"Lani Teddy, Ellen Ozarka, Mei-Ling Blank, Andrew Waa, Janet Hoek","doi":"10.1136/tc-2024-059164","DOIUrl":"https://doi.org/10.1136/tc-2024-059164","url":null,"abstract":"<p><strong>Introduction: </strong>Although many countries have introduced pictorial warning labels (PWLs), few use efficacy labels or inserts offering supportive cessation advice or outlining benefits of quitting. Theory and evidence suggest efficacy labels foster positive responses to the threats presented rather than elicit maladaptive responses that manage the fear aroused. We explored how people who smoke roll-your-own (RYO) tobacco responded to potential on-pack efficacy labels that could complement PWLs by promoting self-efficacy and response-efficacy.</p><p><strong>Methods: </strong>We undertook 27 in-depth interviews with people aged 18 and over (16 female, 8 Māori, 13 aged ≤35) who smoked RYO cigarettes and lived in Aotearoa New Zealand. We probed participants' responses to efficacy labels and provided them with stimuli they could use to construct their own inspiring label. We used the Extended Parallel Process Model and hope theory to interpret the data, which we analysed using a reflexive thematic analysis approach.</p><p><strong>Results: </strong>Participants strongly endorsed efficacy labels; unlike current warning labels, which they saw as didactic and judgemental, efficacy labels offered hope and agency, and helped them envisage the benefits of becoming smokefree. Creating hope valued and empowered participants, while practical advice offered helped them anticipate how they could overcome addiction and become smokefree.</p><p><strong>Conclusions: </strong>On-pack efficacy labels could complement PWLs and support people to address the threat these warnings describe. Policymakers should explore and implement interventions such as efficacy stimuli, given these appear to resonate with priority population groups and could help reduce health inequities.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326880","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":"Model-based appraisal of the potential effects of minimum pricing for tobacco in Scotland.","authors":"Duncan Gillespie, Damon Morris, Colin Angus, Luke B Wilson, Ryan Kai Le Chen, Grace Leeming, John Holmes, Alan Brennan","doi":"10.1136/tc-2024-059252","DOIUrl":"https://doi.org/10.1136/tc-2024-059252","url":null,"abstract":"<p><strong>Background: </strong>Minimum tobacco pricing would set a legal price floor. This study aimed to estimate how five minimum price thresholds could impact smoking behaviour, health and economic outcomes alongside tobacco tax increases in Scotland.</p><p><strong>Methods: </strong>The Sheffield Tobacco and Alcohol Policy Model was used to estimate effects on tobacco consumption up to the Scottish Government's 'tobacco-free' target of 2034. The model is an individual-based microsimulation that uses data from the Scottish Health Survey, Living Costs and Food Survey, hospital and death records. The £0.40 and £0.50 per cigarette stick minimum prices would impact only hand-rolling tobacco (assuming 0.5 g hand-rolling tobacco per cigarette), and the £0.60, £0.70 and £0.80 per stick minimums would affect hand-rolling and factory-made cigarettes.</p><p><strong>Results: </strong>A £0.60 minimum implemented in 2024 was estimated to lead to 16 327 fewer people who smoke and increase weekly tobacco spending by £7.21 for those who continue smoking. It would prevent an estimated 285 deaths, adding 6792 life years, and reducing hospital admissions by 1467 by 2034. These health gains would be higher in more deprived geographic areas, saving the Scottish National Health Service £1.2 million over 5 years and £2.7 million by 2034. Over 5 years, a £0.60 minimum price would reduce UK Government tax revenue by £253 million, while increasing tobacco industry revenue by £996 million.</p><p><strong>Conclusions: </strong>A minimum price implemented alongside tobacco duty rises could reduce smoking rates and improve public health, especially for those living in deprived areas where smoking rates and related harms are highest.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326893","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":"Changes in seeking smoking cessation therapy among Japanese employees and their families: a possible role for the dissemination of heated tobacco products (HTPs).","authors":"Chie Taniguchi, Isao Oze, Akihiko Narisada, Rei Wakayama, Akiyo Nonogaki, Hideo Tanaka, Kohta Suzuki","doi":"10.1136/tc-2025-059331","DOIUrl":"https://doi.org/10.1136/tc-2025-059331","url":null,"abstract":"<p><strong>Introduction: </strong>The adoption of heated tobacco products (HTPs) has grown as smokers transition away from conventional cigarettes for harm reduction. However, the impact of HTP use on smoking behaviours remains unclear.</p><p><strong>Methods: </strong>We analysed data from 8890 records of smokers seeking smoking cessation therapy (SCT) between 2014 and 2019 using the Japan Medical Data Center claims database. September 2015, when the HTP 'IQOS' was launched in 12 major prefectures in Japan, marked the first dissemination phase of HTP. April 2016, when IQOS became available nationwide, marked the second phase. Interrupted time series analysis was applied to evaluate changes in SCT uptake rates across these phases.</p><p><strong>Results: </strong>Following the first dissemination phase, there was a significant immediate decrease in SCT uptake (-0.21%, 95% CI: -0.41% to -0.16%, p=0.035), followed by a further significant reduction after the second phase (-0.26%, 95% CI: -0.48% to -0.10%, p=0.008). Additionally, the slope of SCT uptakes was significantly decreased after the second phase (-0.007% per month, 95% CI: -0.012 to -0.02, p=0.008).</p><p><strong>Conclusions: </strong>Our study showed that SCT uptake decreased sharply when HTPs were disseminated to all prefectures in Japan, and this downward trend continued thereafter. These findings are considered to result from the widespread adoption of HTP in the Japanese market, as these products were perceived to be less harmful than traditional cigarettes. Therefore, it is worrying that the widespread availability of HTP resulted in reduced smoking cessation behaviour among cigarette users.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326881","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":"Cigfluencers: how celebrities and influencers are glamourising smoking again.","authors":"Carmen C W Lim, Joshua Trigg, Tianze Sun","doi":"10.1136/tc-2024-059240","DOIUrl":"https://doi.org/10.1136/tc-2024-059240","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326882","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":"Estimating the prevalence of disability among adults in the USA who smoke cigarettes, 2019-2023.","authors":"Jeanette Novakovich, Todd Griffin, Brian Armour, Elizabeth Courtney-Long, Corinne Husten, Rene A Arrazola, Philip Bammeke","doi":"10.1136/tc-2024-059027","DOIUrl":"10.1136/tc-2024-059027","url":null,"abstract":"<p><strong>Background: </strong>Cigarette smoking is associated with adverse health outcomes in people with and without disabilities. However, little is known about disability prevalence among people who smoke. The purpose of this study was to estimate the prevalence of disability and severity of functional difficulties among adults who smoke cigarettes.</p><p><strong>Methods: </strong>Univariate testing was used to analyse data from the 2019-2023 National Health Interview Survey (NHIS) to estimate the prevalence of disability and severity of functional difficulties - including vision, hearing, mobility, self-care, and communication - among adults who currently smoke, formerly smoked, or never smoked cigarettes - and analyse disability prevalence among adults who currently smoke by age, sex, race/ethnicity, and education.</p><p><strong>Results: </strong>During 2019-2023, estimates for any disability were significantly higher for adults who currently and formerly smoked compared with those who never smoked (p<0.05). The prevalence of reporting a disability was more than twice as high among adults who currently smoke (14.1%) compared with those who never smoked (6.8%) and 1.5 percentage points higher compared with those who formerly smoked (12.6%). The prevalence of vision, hearing, mobility and cognitive disability were 2.0 to 2.4 times higher among adults who currently smoke compared with those who never smoked. Disability prevalence among adults who currently smoke was 16.5% among women and 12.1% among men. Among age groups, prevalence ranged from 21.6% among adults 65+ to 8.7% among adults 25-44. For race and ethnicity, it ranged from 19.0% among non-Hispanic Others to 11.1% among Hispanics. By educational level, prevalence ranged from 21.4% among those with less than a high school degree to 7.6% among college graduates.</p><p><strong>Conclusion: </strong>Given that one in seven people who currently smoke has a disability, public health programmes might consider the needs of those with disabilities when designing smoking prevention and treatment programmes.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182765","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 Indonesian subnational smoke-free policies on cardiovascular health outcomes: evidence from national health insurance (2019-2021).","authors":"Wahyu Septiono, Marvel Pratama Tjiaman, Muhammad Zen Zaidan, Zidan Fawwaz Ausath, Ella Nurlaela Hadi, Vaughan W Rees","doi":"10.1136/tc-2024-059178","DOIUrl":"https://doi.org/10.1136/tc-2024-059178","url":null,"abstract":"<p><strong>Objective: </strong>Adoption of smoke-free policies (SFPs) in public venues, workplaces and other settings may prevent chronic smoking-related diseases, such as cardiovascular diseases (CVDs) and respiratory illnesses. However, evidence on the impact of SFPs from cohort data in low- and middle-income countries remains limited. We assessed the association between SFP policy adoption at subnational levels in Indonesia and CVD burden.</p><p><strong>Methods: </strong>Data on 244 602 adults were derived from the data claim sample from the Indonesian national health insurance between 2019 and 2021. We assessed the impacts of district and province-level SFPs on CVD mortality and morbidity using multilevel Poisson regression, with results expressed as relative risk (RR). The analyses controlled for sociodemographic and district-level characteristics.</p><p><strong>Results: </strong>The risk of CVD-related mortality was lower in provinces with strong SFP (RR: 0.83; 95% CI 0.70 to 0.98) and in districts adopting moderate-strength SFP (RR: 0.89; 95% CI 0.81 to 0.98), both compared with jurisdictions without SFPs. Lower risk of CVD-related morbidity was observed in provinces with strong SFP compared with those without SFP (RR: 0.88; 95% CI 0.79 to 0.98). Both moderate-strength and strong SFPs at district level were not significantly associated with CVD morbidity risk.</p><p><strong>Conclusion: </strong>SFP adoption at both the province and district levels was associated with reduced CVD burden. However, inconsistencies in impact, particularly at the district level, highlight potential challenges in the implementation and enforcement of these policies. Despite these challenges, these findings suggest the potential for tobacco control strategies implemented at a subnational level to reduce population harm, when implemented in settings with decentralised health systems.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144294964","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":"Trends of oral nicotine pouch prices and sales by product characteristics in the USA, 2021-2024.","authors":"Yanun He, Zezhong Zhang, Brittney Keller-Hamilton, Darren Mays, Theodore L Wagener, Micah L Berman, Ce Shang","doi":"10.1136/tc-2024-059222","DOIUrl":"https://doi.org/10.1136/tc-2024-059222","url":null,"abstract":"<p><strong>Background: </strong>Oral nicotine pouches (ONPs) have rapidly gained popularity in recent years. While ONPs likely expose users to fewer toxicants than cigarettes, they contain nicotine and may initiate, sustain or increase nicotine addiction and dependence. Monitoring the ONP marketplace is essential to inform timely regulatory action.</p><p><strong>Methods: </strong>We used Nielsen ScanTrack data to analyse ONP sales and prices from 2021 to 2024. Joinpoint regression assessed sales and price trends, and ordinary least squares regression evaluated the association between ONP sales and product characteristics.</p><p><strong>Results: </strong>Monthly ONP unit sales increased significantly, from 327 million in July 2021 to 1046 million in May 2024-more than tripling over this period (p<0.001, average monthly per cent change (AMPC)=3.45). Inflation-adjusted prices also rose, from 19 cents/pouch in June 2021 to 22 cents/pouch in May 2024 (p<0.001, AMPC=0.50). The sales of ZYN, On!, Rogue and VELO account for 99.8% of total sales. ONPs with explicit flavour descriptors outsold those with implicit flavour descriptors by more than eight times. The 'chill' flavour had also gained notable popularity. ONPs with 6 mg and 3 mg nicotine concentrations made up 68% of total sales. Additionally, ONPs with explicit flavour descriptors and higher nicotine concentrations were associated with increased sales.</p><p><strong>Conclusions: </strong>Policy-makers may need to consider the role of major manufacturers, product flavours, and nicotine content in shaping the market. Continued surveillance is warranted to assess trends in use, particularly among youth and non-tobacco users.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286538","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":"What cigarette price would drive Vietnamese people who smoke to quit smoking? Findings from the 2019-2020 ITC Vietnam surveys.","authors":"Thi Phuong Thao Tran, Thi Ngoc Phuong Nguyen, Thu Trang Vu, Tu Anh Duong, Hai Thi Phan, Ngoc Khue Luong, Son Dao The, Min Kyung Lim, Anne C K Quah, Mary E Thompson, Geoffrey Fong, Jin-Kyoung Oh, Minh Van Hoang","doi":"10.1136/tc-2024-059029","DOIUrl":"https://doi.org/10.1136/tc-2024-059029","url":null,"abstract":"<p><strong>Background: </strong>Tobacco taxation is the most effective strategy for reducing tobacco consumption, yet it remains underused globally, especially in low- and middle-income countries. This study aimed to investigate the price that would lead Vietnamese people who smoke to quit smoking and examine the impact of non-tax tobacco control policies on this price.</p><p><strong>Methods: </strong>Cross-sectional data from Waves 2 and 3 of the International Tobacco Control Project in Vietnam were analysed. The price to quit was assessed by a question 'What price for a pack of cigarettes would make you try to quit smoking?'. Tobit models were used to examine the association between non-tax policies (ie, noticing health warnings, anti-smoking advertising, use of cessation services and workplace smoke-free policies) and the price to quit.</p><p><strong>Results: </strong>The weighted median of the price to quit for a cigarette pack was Vietnam dong (VND)20 000 (US$0.86), which doubled the weighted median of the purchased price of VND10 000 (US$0.43). If cigarette prices increased by VND2000 or VND5000, 27.4% and 42.8% of people who smoke would intend to quit smoking, respectively. Price increases that doubled or tripled current prices would lead 70.7% and 82.9% of people who smoke to consider quitting smoking, respectively. Smoke-free policies at workplace were associated with a lower price to quit.</p><p><strong>Conclusion: </strong>Given that the current cigarette prices are very low and affordable, substantial price increases are needed to motivate quitting. Adding specific taxes in addition to the existing ad valorem system could enhance the effectiveness of tobacco taxation.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286539","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":"Behind the smoke: using authenticity to romanticise cigars.","authors":"Anthony Lonn, Timothy Dewhirst, Wonkyong Beth Lee","doi":"10.1136/tc-2025-059332","DOIUrl":"https://doi.org/10.1136/tc-2025-059332","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249758","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}