Tobacco Control最新文献

{"title":"Australian adolescents' knowledge of smoking harms and misperceptions about tobacco products: a cross-sectional study.","authors":"Maree Scully, Melanie A Wakefield, Emily Baker, Ian Koh, Michelle Scollo, Emily Brennan, Victoria M White, Sarah J Durkin","doi":"10.1136/tc-2024-059083","DOIUrl":"https://doi.org/10.1136/tc-2024-059083","url":null,"abstract":"<p><strong>Objective: </strong>To assess adolescents' baseline knowledge of smoking health harms scheduled to be covered in future graphic health warnings (GHWs) and inform the content of future tobacco control public communication campaigns.</p><p><strong>Methods: </strong>Cross-sectional survey of 8631 secondary school students (mean age=14.5 years) in Australia in 2022/2023 (weighted n=8655). Students were asked (a) for their agreement/disagreement that smoking causes each of nine harms (eg, lung cancer, stomach cancer and asthma), (b) to indicate where most of smoking's harmful chemicals come from and (c) for their agreement/disagreement concerning the relative harmfulness of different tobacco product attributes (eg, menthol and roll-your-own). Multivariable logistic regression analyses examined associations between students' knowledge and perceptions and their smoking status, controlling for demographics and school-level clustering.</p><p><strong>Results: </strong>Students had greater awareness of harms previously publicised in Australia. Among students who had never smoked, those open to future smoking had lower awareness of six smoking harms than those with a firm future intention not to smoke. Only 17.8% of all students were aware that most harmful chemicals came from burning the tobacco, with 37.8% not knowing and 34.6% attributing the source to additives. Three-quarters held misperceptions that roll-your-own cigarettes are less harmful than factory-made cigarettes or that cigarette smoke which feels light or smooth is less harmful than smoke that feels harsh. Only 25.9% of students were aware that menthol cigarettes are more addictive than non-menthol cigarettes.</p><p><strong>Discussion: </strong>New GHWs and public communication campaigns could improve student knowledge of previously unpublicised smoking harms and counter pervasive misperceptions about tobacco products.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568228","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":"Effects of retail environment regulations on reducing tobacco retailers and operating hours: a case study in Egypt.","authors":"Raouf Alebshehy, Ramy Ibrahim, Sherif Elmitwalli","doi":"10.1136/tc-2024-058995","DOIUrl":"https://doi.org/10.1136/tc-2024-058995","url":null,"abstract":"<p><strong>Background: </strong>The tobacco industry targets future generations to maintain its profits. One of its tactics is to maintain its presence noticed at the level of retail environment. Measures to address this high presence are identified in the literature. Our study examines the effects of six of these identified tobacco retail reduction measures in reducing the total number of tobacco retailers and the number of retailers within 500, 1000 and 2000 m from youth-oriented facilities.</p><p><strong>Methods: </strong>Data were collected by scraping Google Places on examination points including locations, opening hours, type and subtype of tobacco retailers in addition to educational, youth, health and religious facilities. The six studied measures were enacted using Python codes to assess the reduction percentage. The measures included restricting tobacco retail outlets per density of population, requiring a minimum distance between tobacco retailers, banning tobacco retail outlets within a minimum distance from specific facilities, banning tobacco sale in specific retail outlets, restricting tobacco retail outlets per geographic area and limiting the number of hours in which tobacco can be sold.</p><p><strong>Results: </strong>The data collected showed a high presence of tobacco retailers around vital facilities, particularly youth-oriented ones. The six scenarios implemented showcased a positive reduction in the number of tobacco retailers in total and around youth-oriented facilities. The total reduction of retailers varied from 4% up to total elimination of availability.</p><p><strong>Discussion and conclusions: </strong>Our study presents an example of measurable reduction impact of six tobacco retail reduction measures. The high percentage in reduction achieved, especially around youth-oriented facilities, is worth the attention of policy-makers to be considered as countermeasures for the high tobacco industry presence in retail.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543647","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":"Online retailer noncompliance to e-cigarette excise tax and tobacco licensing laws.","authors":"Tomas Mejorado, Shannon Ellis, Raquel M Harati, Nora Satybaldiyeva, Gustavo Benitez, Emily A C Austin, Eric C Leas","doi":"10.1136/tc-2024-059161","DOIUrl":"https://doi.org/10.1136/tc-2024-059161","url":null,"abstract":"<p><strong>Introduction: </strong>Tax non-compliance by online vaping retailers undermines excise taxes designed to reduce vaping rates and fund prevention efforts. Despite California's 12.5% Electronic Cigarette Excise Tax and federal mandates under the Prevent All Cigarette Trafficking Act, online vaping retailers' adherence to excise taxes remains unclear. This study assessed excise tax compliance among online vaping retailers shipping products to California consumers.</p><p><strong>Methods: </strong>156 purchase attempts were made from n=78 online vaping retailers shipping to San Diego residential addresses. 16 buyers used their personal billing information and residential addresses. Receipts obtained from their purchases were analysed to determine if retailers charged the required 12.5% tax. Retailer licensing status was verified by comparing retailer information to the state's licensed business list using geolocation and approximate string matching. Differences in compliance rates were compared using χ² and Fisher's exact tests.</p><p><strong>Results: </strong>Of the n=58 retailers with receipts, 84.5% did not charge the required excise tax. In-state retailers were more likely to be (p<0.001) licensed than out-of-state (4.0%) or international (0.0%), but tax compliance rates did not significantly differ by retailer location (p=0.57)-intrastate (19.2%), interstate (16.7%) or international (0.0%). Licensed retailers had higher tax compliance (27.3%) than unlicensed ones (9.1%); however, overall compliance was low.</p><p><strong>Discussion: </strong>Many online vape retailers fail to comply with California's excise tax and licensing laws. Low compliance rates indicate existing enforcement mechanisms are not optimised for online sales. Enhancing oversight and enforcement of excise tax laws for online retailers is crucial to reduce tax non-compliance, prevent revenue loss and support public health.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524523","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":"Vaping cessation interventions: a systematic review and meta-analysis.","authors":"Javad Heshmati, Avinash Pandey, Joseph Benjamen, Muhammad Furqan, Muhammad Salman, Sarah Visintini, Kerri-Anne Mullen, Gordon Guyatt, Andrew L Pipe, Hassan Mir","doi":"10.1136/tc-2024-058798","DOIUrl":"https://doi.org/10.1136/tc-2024-058798","url":null,"abstract":"<p><strong>Objective: </strong>Electronic nicotine delivery systems (ENDS), such as e-cigarettes, have surged in popularity. While long-term risks remain unclear, known dangers include nicotine addiction, E-cigarette or Vaping Use-Associated Lung Injury and potential extrapulmonary effects on the heart, immune system and neurodevelopment. Addressing ENDS addiction may require strategies akin to smoking cessation. However, evidence is lacking; there are no currently approved vaping-cessation aids. The objective of this review is to summarise the available literature addressing interventions for vaping cessation.</p><p><strong>Data sources and study selection: </strong>A librarian-assisted search was conducted in MEDLINE, Embase and Scopus, as well as preprints in Europe PMC, Open Science Framework, and the grey literature searches until January 2024. Six included studies used self-report methods to determine the abstinence rate, while one study used cotinine-level-verified self-reported abstinence. We included randomised controlled trials (RCTs) that examine 'rates of vaping cessation' outcomes. An intention-to-treat approach was used for data extraction, and random-effects meta-analyses models were applied.</p><p><strong>Data synthesis: </strong>Seven RCTs were included, which studied pharmacological therapy, digital interventions and/or educational content. The primary meta-analyses demonstrated a statistically significant increase in the odds of achieving 7-day point prevalence abstinence (PPA) (OR 1.52, 95% CI 1.15 to 2.01, number of participants=3244, moderate-certainty) and continuous abstinence (OR 2.71, 95% CI 1.31 to 5.61, number of participants=164, low-certainty) following intervention. A non-significant increase in odds was noted at 30-day PPA (OR 1.32, 95% CI 0.72 to 2.42, number of participants=1994, very low certainty).</p><p><strong>Conclusions: </strong>Vaping cessation interventions increase 7-day PPA rates at 1-12 months follow-up and this was consistent across prespecified subgroup analyses of the intervention type, outcome and duration of follow-up. More high-quality studies with reproducible findings are needed to enhance the certainty of the evidence and guide clinical interventions.</p><p><strong>Prospero registration number: </strong>CRD42022383670.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516857","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":"Swisher Blunts: the consequences of assembly no longer being required.","authors":"Alex C Liber, Lauren M Dutra, Doris G Gammon, Caroline J Meek, Barrett W Montgomery","doi":"10.1136/tc-2024-059153","DOIUrl":"https://doi.org/10.1136/tc-2024-059153","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459382","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":"Marketing for Sensa: a 'zero nicotine vapor product' from a major tobacco company.","authors":"Meagan O Robichaud, Eugene M Talbot, Ollie Ganz, Melissa Mercincavage, Hanno C Erythropel, Julie B Zimmerman, Sairam V Jabba, Sven E Jordt, Cristine D Delnevo","doi":"10.1136/tc-2024-059074","DOIUrl":"10.1136/tc-2024-059074","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433865","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":"Recommended self-report measures for use of menthol, mint and cooling-flavoured nicotine and tobacco products.","authors":"Jenny E Ozga, Krysten W Bold, Daniel P Giovenco, Andrea C Villanti, Jennifer B Unger, Adam Leventhal, Cassandra Stanton","doi":"10.1136/tc-2024-059157","DOIUrl":"https://doi.org/10.1136/tc-2024-059157","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415338","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 Instagram and TikTok influencer marketing on perceptions of e-cigarettes and perceptions of influencers in young adults: a randomised survey-based experiment.","authors":"Julia Vassey, Erin A Vogel, Jennifer B Unger, Junhan Cho, Dayoung Bae, Scott I Donaldson, Jon-Patrick Allem","doi":"10.1136/tc-2024-059021","DOIUrl":"https://doi.org/10.1136/tc-2024-059021","url":null,"abstract":"<p><strong>Background: </strong>Pairing e-cigarettes with healthy lifestyle contexts in influencers' promotional social media posts may increase e-cigarette use risk among young adults. This study examined the effects of e-cigarette and healthy lifestyle content on young adults' perceptions of influencer credibility, harm perceptions of, and susceptibility to use, e-cigarettes.</p><p><strong>Methods: </strong>In this survey-based online, repeated-measures experiment (2023), California young adults (N=1494, M_age=23 (SD=1.8); 63% female, 51% Hispanic) were randomly shown 10 (total) Instagram and TikTok videos, featuring influencers promoting e-cigarettes alongside healthy lifestyle activities (experimental group), or a healthy lifestyle activity alone (control). After watching each video, participants rated perceived influencer credibility (eg, honesty). After watching all videos, harm perceptions of e-cigarettes were assessed among all participants and susceptibility to e-cigarette use was assessed among e-cigarette never-users. Harm perceptions and susceptibility outcomes were compared between groups (experimental vs control) and between participants who perceived influencers as credible versus non-credible, using binomial generalised linear mixed effects models.</p><p><strong>Results: </strong>Participants in the experimental group were more likely to report lower harm perceptions (adjusted OR (AOR) 1.12; 95% CI 1.03; 1.21) and higher susceptibility to e-cigarette use (AOR 1.22, 95% CI 1.11; 1.34), than participants in the control condition. Similar results were found when influencers were perceived as credible, but not when they were perceived as non-credible.</p><p><strong>Conclusions: </strong>Social media influencers' posts promoting e-cigarette use along with healthy activities may contribute to young adult e-cigarette use. Decreasing perceived credibility of influencers could decrease the negative effects of their promotional posts.</p><p><strong>Trial registration number: </strong>NCT06433466.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415334","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":"Association of menthol-flavoured cigarette smoking with all-cause and cause-specific mortality risk.","authors":"Priti Bandi, Christina Newton, Zheng Xue, Blake Thomson, Samuel Asare, Minal Patel, Farhad Islami, Nigar Nargis, Alpa V Patel, Ahmedin Jemal, Johann Lee Westmaas, W Ryan Diver","doi":"10.1136/tc-2024-059020","DOIUrl":"https://doi.org/10.1136/tc-2024-059020","url":null,"abstract":"<p><strong>Introduction: </strong>Menthol-flavoured cigarettes remain unregulated in the USA and in many low- and middle-income countries (LMICs) despite their known impacts on smoking uptake and reduced cessation. Yet, evidence about whether menthol cigarettes are associated with higher disease risks than non-menthol cigarettes is inconclusive, and the industry has used this argument to lobby against regulation.</p><p><strong>Methods: </strong>All-cause and cause-specific mortality risk was assessed according to baseline smoking status (current, former and never) and menthol flavour status (menthol and non-menthol) of the cigarette brand smoked for the longest period among 969 349 persons from Cancer Prevention Study-II, a population-based prospective cohort study enrolled in 1982-1983 with mortality follow-up of 6 years.</p><p><strong>Results: </strong>73 486 and 281 680 persons reported menthol brands and non-menthol brands, respectively, among whom 4071 and 20 738 deaths occurred, respectively. Currently smoking cigarettes, whether menthol or non-menthol brands, was associated with highest mortality risks (eg, all causes: about two times higher risk vs never smoking) but quitting substantially reduced risks for both types. Among persons who formerly smoked, menthol versus non-menthol smoking was associated with an elevated mortality risk of 12% from all-causes, 16% from all cardiovascular diseases, 13% from ischaemic heart disease, and 43% from other heart diseases Among individuals currently smoking, there was no difference in mortality risks for menthol versus non-menthol cigarettes except for elevated risk among those smoking≥40 cigarettes per day. Black persons currently smoking menthol versus non-menthol brands had an 88% elevated mortality risk for other heart diseases.</p><p><strong>Conclusion: </strong>Findings of a unique excess mortality risk associated with menthol cigarettes provide additional scientific evidence-apart from their known impacts on initiation and cessation-in support of menthol flavour regulation in the USA and similar policies in LMICs. Public communication efforts must reiterate that quitting all cigarette types is the only safe option to reduce disease risk.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415312","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":"Incidence, mortality and oral cancer disability-adjusted life years in 204 countries and territories before and after the adoption of FCTC/WHO: interrupted time series study.","authors":"Bruna Machado da Silva, Laila Menezes Hagen, Amanda Ramos da Cunha, Fernando Neves Hugo, José Miguel Amenabar","doi":"10.1136/tc-2024-058882","DOIUrl":"https://doi.org/10.1136/tc-2024-058882","url":null,"abstract":"<p><p>The development of oral cancer (OC) is strongly associated with tobacco products which is a significant risk factor. In 2003, the WHO recommended that countries adopt the Framework Convention on Tobacco Control (FCTC/WHO), an international treaty that includes a set of public policies for tobacco control. Studies show a reduction in the prevalence of tobacco product consumption in countries that have more strongly implemented WHO/FCTC actions. However, information on the relationship between these policies and the burden of neoplastic diseases, including OC, is still scarce. For this reason, the objective of this study was to analyse trends in incidence, mortality, and OC disability-adjusted life years (DALYs) in countries and territories that have joined FCTC/WHO. The analysis lasted from 1990 to 2019, and 2003 was the interruption year (FCTC/WHO implementation), characterising the interrupted time series. The control group (G1) was composed of the countries and territories that did not adhere to the FCTC/WHO; the countries and territories that joined FCTC/WHO were divided into two groups, according to their policy performance (G2A: lowest MPOWER score and G2B: highest MPOWER score). To analyse trends and slopes, generalised linear regression was used using the Prais-Winsten method, allowing the presentation by means of the annual percentage changes and their respective 95% CIs. The temporal pattern showed significant downward negative movements in the group of countries and territories with the highest performance of the policies established in the FCTC/WHO (G2B Group). The socioeconomic development of the countries and territories did not interfere with the impact on the OC rates. It is concluded that the effective implementation of public policies for tobacco control is capable of favourably modifying the trend of incidence, mortality and DALYs rates of OC.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399994","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}