Tobacco ControlPub Date : 2024-11-19DOI: 10.1136/tc-2024-058721
Jeannie Garmon, Kymberle Sterling, Olivia A Wackowski, Ollie Ganz, Jon-Patrick Allem, Andrea C Villanti
{"title":"Funding without transparency? Tobacco company support of Black-owned businesses in the USA.","authors":"Jeannie Garmon, Kymberle Sterling, Olivia A Wackowski, Ollie Ganz, Jon-Patrick Allem, Andrea C Villanti","doi":"10.1136/tc-2024-058721","DOIUrl":"https://doi.org/10.1136/tc-2024-058721","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676943","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 : 2024-11-14DOI: 10.1136/tc-2024-058914
Hang Tran, Robert E Tyx, Liza Valentin, Margaret Mahoney, Stephen Stanfill, Clifford H Watson
{"title":"Total and unprotonated (freebase) nicotine content in new types of oral 'tobacco-free' nicotine products.","authors":"Hang Tran, Robert E Tyx, Liza Valentin, Margaret Mahoney, Stephen Stanfill, Clifford H Watson","doi":"10.1136/tc-2024-058914","DOIUrl":"https://doi.org/10.1136/tc-2024-058914","url":null,"abstract":"<p><strong>Significance: </strong>Nicotine-containing products, labelled as being 'tobacco-free' nicotine (TFN), are marketed to consumers as alternatives to conventional tobacco products. Little is known about these emerging products and their contents.</p><p><strong>Methods: </strong>Moisture, total nicotine and pH content were analysed in 70 commercially available TFN products, covering five different types (lozenges, chewing gum, loose leaf, toothpicks and pouches). The freebase nicotine was calculated using the measured pH values.</p><p><strong>Results: </strong>Total nicotine levels ranged from 0.822 to 31.5 mg/g. Nicotine levels were highest in nicotine pouches (1.41-8.11 mg/product) and lowest in toothpicks (1.19-1.57 mg/product). Nicotine levels in TFN loose leaf (1.26-9.16 mg/g) were comparable to conventional moist snuff. The pH ranged from pH 4.68 to 9.49 and per cent freebase nicotine ranged from 0.0453% to 96.7%. The freebase nicotine content was highest in nicotine pouches (2.15-16.8 mg/g) and lowest in lozenges (0.0004-0.349 mg/g). The majority of TFN products (91.4%) analysed were advertised to contain flavour components.</p><p><strong>Conclusion: </strong>Overall, products advertised as higher strength were found to have higher nicotine content than products advertised as lower strength. The measured total nicotine content was either equal to or less than the level stated on the label, except for one product. Although TFN products may not contain tobacco lamina and may lack many harmful chemicals and carcinogens found in conventional smokeless products, freebase nicotine levels in the pouch products are elevated and could contribute to higher levels of addiction and other negative health effects.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628683","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 : 2024-11-12DOI: 10.1136/tc-2024-058731
Abby L Smith, Seema Mihrshahi, Becky Freeman
{"title":"Exploring small retailers' perspectives on selling tobacco after the tripling of Tasmania's tobacco licence fee.","authors":"Abby L Smith, Seema Mihrshahi, Becky Freeman","doi":"10.1136/tc-2024-058731","DOIUrl":"https://doi.org/10.1136/tc-2024-058731","url":null,"abstract":"<p><strong>Background: </strong>Licensing of tobacco retailers, including high retail licence fees, is one tobacco control measure that may reduce tobacco retail availability. Between 2015 and 2018, the tobacco licence fee in Tasmania, Australia, tripled to $A1132/year. We sought to explore small retailer perspectives on selling tobacco following the tripling of the licence fee.</p><p><strong>Methods: </strong>In-depth semistructured telephone interviews (n=21) were conducted with business owners and managers between March and July 2020. Participants were asked broad questions about their business, attitudes and intentions towards selling tobacco and the perceived importance of tobacco to their business.</p><p><strong>Results: </strong>Participants' perspectives and decision-making about selling tobacco were influenced by an interplay of factors, including tobacco's perceived core business value and its waning importance in small retail due to declining demand. Although participants frequently reported tobacco as unprofitable, with many describing it as their least profitable product, most continued selling it. The high tobacco licence fee created a tipping point that challenged the cost-benefit balance previously weighted towards selling tobacco. While the fee, alongside the increasing cost of tobacco itself, pushed some retailers towards a critical decision point to stop selling tobacco, others continued to sell tobacco but appear to be headed in the same direction.</p><p><strong>Conclusion: </strong>A high annual tobacco licence fee serves as a potential mechanism for phasing out the sale of commercial tobacco in small retailers in a jurisdiction with other strong tobacco control measures.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628681","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 : 2024-11-10DOI: 10.1136/tc-2023-058094
Joshua Trigg, Jane Rich, Edwina Williams, Coral E Gartner, Ashleigh Guillaumier, Billie Bonevski
{"title":"Perspectives on limiting tobacco access and supporting access to nicotine vaping products among clients of residential drug and alcohol treatment services in Australia.","authors":"Joshua Trigg, Jane Rich, Edwina Williams, Coral E Gartner, Ashleigh Guillaumier, Billie Bonevski","doi":"10.1136/tc-2023-058094","DOIUrl":"10.1136/tc-2023-058094","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco endgame strategies aim to drive down population smoking rates, the success of which can be improved with public buy-in, including from populations with high smoking rates such as alcohol and other drug (AOD) service clients. This study aimed to explore acceptability of tobacco retail and nicotine reduction, and subsidised nicotine vaping to support AOD service clients following a smoking cessation attempt.</p><p><strong>Methods: </strong>We interviewed 31 Australian AOD service clients who currently or previously smoked, following a 12-week randomised trial comparing nicotine replacement therapy with nicotine vaping product (NVP) for smoking cessation. Participants were asked how effectively three scenarios would support tobacco cessation: tobacco retailer reduction, very low-nicotine cigarette standard and subsidised NVP access. We thematically analysed participant views on how each approach would support tobacco abstinence.</p><p><strong>Results: </strong>Tobacco retailer reduction raised concerns about increasing travel and accessing cigarettes from alternate sources, with generally lower acceptability, though a range of perspectives were provided. Reducing nicotine in tobacco products was described as reducing appeal of smoking and potentially increasing illicit purchases of non-reduced nicotine products. Clients of AOD services were highly accepting of subsidised NVP access for tobacco cessation, as this would partly address financial and socioeconomic barriers.</p><p><strong>Conclusions: </strong>Australian tobacco control policy should consider how these approaches impact ease and likelihood of tobacco access by AOD service clients in relation to the general population. Understanding clients' acceptability of tobacco control and endgame measures can inform how to avoid potential unintended consequences for these clients.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e192-e198"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41213864","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 : 2024-11-10DOI: 10.1136/tc-2023-058011
Jennie C Parnham, Charlotte Vrinten, Hazel Cheeseman, Laura Bunce, Nicholas S Hopkinson, Filippos T Filippidis, Anthony A Laverty
{"title":"Changing awareness and sources of tobacco and e-cigarettes among children and adolescents in Great Britain.","authors":"Jennie C Parnham, Charlotte Vrinten, Hazel Cheeseman, Laura Bunce, Nicholas S Hopkinson, Filippos T Filippidis, Anthony A Laverty","doi":"10.1136/tc-2023-058011","DOIUrl":"10.1136/tc-2023-058011","url":null,"abstract":"<p><strong>Introduction: </strong>It is illegal in the UK to sell tobacco or nicotine e-cigarettes to people under the age of 18 years, as is displaying tobacco cigarettes at the point of sale. This paper examined changes in exposure to display of these products in shops and sources of these products among children and adolescent users over time METHODS: Data from representative repeated online cross-sectional surveys of youth in Great Britain (11-18 years) were used (2018-2022; n=12 445). Outcome measures included noticing product displays and sources of e-cigarettes and tobacco cigarettes. Logistic regressions examined the associations of these outcome variables over time and with sociodemographic variables.</p><p><strong>Results: </strong>Of 12 040 participants with complete data, 10.1% used some form of nicotine product (4.2% cigarettes, 2.9% e-cigarettes, 3.0% both) at least occasionally. The likelihood of noticing tobacco cigarettes on display fell over time for both supermarkets (2018: 67.1% to 2022: 58.5%) and small shops (2018: 81.3% to 2022: 66.3%), but the likelihood of noticing e-cigarettes in supermarkets rose (2018: 57.4% to 2022: 66.5%). Sources of tobacco cigarettes did not differ over time, but e-cigarette users were more likely to get their e-cigarettes from small shops in 2022 (51.2%) vs 2019 (34.2%) (OR 2.02, 95% CI 1.24, 3.29).</p><p><strong>Conclusion: </strong>This study provides evidence that current policies to limit awareness of and access to both tobacco and e-cigarettes among adolescents in the UK may not be effective. UK policies on the advertising, promotion and sale of both tobacco and e-cigarettes need to be reinforced to deter use among children and adolescents.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e199-e207"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911265","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 : 2024-11-10DOI: 10.1136/tc-2022-057702
Raglan Maddox, Ali Drummond, Michelle Kennedy, Sydney A Martinez, Andrew Waa, Patricia Nez Henderson, Hershel Clark, Penney Upton, Juliet P Lee, Billie-Jo Hardy, El-Shadan Tautolo, Shane Bradbrook, Tom Calma, Lisa J Whop
{"title":"Ethical publishing in 'Indigenous' contexts.","authors":"Raglan Maddox, Ali Drummond, Michelle Kennedy, Sydney A Martinez, Andrew Waa, Patricia Nez Henderson, Hershel Clark, Penney Upton, Juliet P Lee, Billie-Jo Hardy, El-Shadan Tautolo, Shane Bradbrook, Tom Calma, Lisa J Whop","doi":"10.1136/tc-2022-057702","DOIUrl":"10.1136/tc-2022-057702","url":null,"abstract":"<p><p>Ethical publishing practices are vital to tobacco control research practice, particularly research involving Indigenous (<i>Indigenous peoples</i>: For the purposes of this Special Communication, we use the term Indigenous people(s) to include self-identified individuals and communities who frequently have historical continuity with precolonial/presettler societies; are strongly linked to the land on which they or their societies reside; and often maintain their own distinct language(s), belief and social-political systems, economies and sciences. The authors humbly acknowledge, respect and value that Indigenous peoples are diverse and constitute many nations, cultures and language groups. Many Indigenous peoples also exist as governments in treaty relations with settler-colonial societies, and all Indigenous peoples have inherent rights under international law. The language and terminology used should reflect the local context(s) and could include, but are not limited to, terms such as Aboriginal, Bagumani, Cherokee, First Peoples, First Nations, Inuit, Iwaidja, Kungarakan, Lakota, Māori, Mѐtis, American Indian, Navajo, Wagadagam, Wiradjuri, Yurok, etc) people. These practices can minimise, correct and address biases that tend to privilege Euro-Western perspectives. Ethical publishing practices can minimise and address harms, such as appropriation and misuse of knowledges; strengthen mechanisms of accountability to Indigenous peoples and communities; ensure that tobacco control research is beneficial and meaningful to Indigenous peoples and communities; and support Indigenous agency, sovereignty and self-determination. To ensure ethical practice in tobacco control, the research methodology and methods must incorporate tangible mechanisms to include and engage those Indigenous peoples that the research concerns, affects and impacts. <i>Tobacco Control</i> is currently missing an ethical research and evaluation publishing protocol to help uphold ethical practice. The supporters of this Special Communication call on <i>Tobacco Control</i> to adopt publication practice that explicitly upholds ethical research and evaluation practices, particularly in Indigenous contexts. We encourage researchers, editors, peer reviewers, funding bodies and those publishing in <i>Tobacco Control</i> to reflect on their conduct and decision-making when working, developing and undertaking research and evaluation of relevance to Indigenous peoples. <i>Tobacco Control</i> and other publishers, funding bodies, institutions and research teams have a fundamental role in ensuring that the right peoples are doing the right work in the right way. We call for <i>Tobacco Control</i> to recognise, value and support ethical principles, processes and practices that underpin high-quality, culturally safe and priority-driven research, evaluation and science that will move us to a future that is commercial tobacco and nicotine free.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e240-e245"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10766279","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 : 2024-11-10DOI: 10.1136/tc-2022-057814
Kasra Zarei, Kristen R Hamilton-Moseley, Julia Chen-Sankey, Lilianna Phan, Aniruddh Ajith, Kiana Hacker, Bambi Jewett, Kelvin Choi
{"title":"Financial hardship during the COVID-19 pandemic and increased receipt of commercial tobacco discount coupons among US adults who use commercial tobacco.","authors":"Kasra Zarei, Kristen R Hamilton-Moseley, Julia Chen-Sankey, Lilianna Phan, Aniruddh Ajith, Kiana Hacker, Bambi Jewett, Kelvin Choi","doi":"10.1136/tc-2022-057814","DOIUrl":"10.1136/tc-2022-057814","url":null,"abstract":"<p><strong>Introduction: </strong>Many individuals experienced financial hardship during the COVID-19 pandemic; yet commercial tobacco (CT) sales increased in the USA. We examined how experiencing financial hardships relates to increased CT discount coupon reception during the pandemic.</p><p><strong>Methods: </strong>A nationally representative sample of 1700 US adults who used CT during the 12 months prior to the survey were surveyed online during January to February 2021. Participants reported if they had received more discount coupons for various CT products during (compared with before) the pandemic. They also reported whether they experienced six different types of financial hardships since the pandemic, and the total number of hardships experienced was counted. Weighted multivariable logistic regressions were used to examine the associations between financial hardships and increased coupon reception, adjusting for demographics and CT product use.</p><p><strong>Results: </strong>During the first 10-11 months of the pandemic, 21.3% of US adults who used CT during the 12 months prior to the survey reported receiving more CT discount coupons. Experiencing financial hardship during the pandemic was associated with higher odds of receiving more coupons for all types of CT products: every additional count of financial hardship was associated with higher odds of increased reception of discount coupons for all CT products (adjusted odds ratios ranging from 1.13 to 1.23 across products).</p><p><strong>Conclusions: </strong>Over one-fifth of US adults who used CT received more discount coupons during the pandemic. Those facing financial hardships had higher discount coupon reception, suggesting potential targeted marketing to financially vulnerable individuals by the tobacco industry.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e151-e157"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10730766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10025321","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 : 2024-11-10DOI: 10.1136/tc-2023-058161
Tamara Tabbakh, Eve Mitsopoulos, Tegan Nuss, Sarah J Durkin
{"title":"Messages about climate, pollution and social justice harms of tobacco as motivators to quit: an untapped communication opportunity?","authors":"Tamara Tabbakh, Eve Mitsopoulos, Tegan Nuss, Sarah J Durkin","doi":"10.1136/tc-2023-058161","DOIUrl":"10.1136/tc-2023-058161","url":null,"abstract":"<p><strong>Background: </strong>Campaigns highlighting the health harms of smoking have demonstrated success in motivating people who smoke to quit. Tobacco production and use also exert a toll on the environment, sustainable development and human rights. However, messages highlighting these harms of tobacco have been relatively unexplored as a cessation motivation strategy. In this study, we examined the extent to which a range of messages about climate, pollution and social justice harms of tobacco are perceived as motivating among people who smoke, overall and by sociodemographics.</p><p><strong>Data and methods: </strong>Australian adults who smoke (n=395) aged 18-59 years reported the 'extent to which each of the following motivated them to quit smoking' and were then presented with messages about <i>climate</i> (four items), <i>pollution</i> (three items) and <i>social justice</i> (three items) harms of tobacco, which they rated on a 5-point scale ranging from 1 'Not at all' to 5 'Very much so' in this online cross-sectional survey. Differences by age, education, gender, socioeconomic status (SES) and geographical region were examined using prevalence ratios from generalised linear models with log-link (Poisson regression).</p><p><strong>Results: </strong>For each of the 10 messages, between one-half and two-thirds of the overall sample perceived them as motivating (49-65%), particularly messages highlighting harms to human or animal life and welfare (all ≥60%). Across all message themes, younger adults (18-35 years) and those who completed tertiary education were more likely to perceive some messages as motivating. Perceived motivation did not vary significantly by gender, SES or geographical region.</p><p><strong>Conclusion: </strong>Findings suggest that value-based messaging featuring the environmental and social justice footprint of tobacco is perceived as motivating for smoking cessation, especially among younger people and those with higher education who may be more engaged with these issues. Inclusion of such messages as part of a comprehensive antitobacco communication strategy may provide an untapped opportunity by potentially providing people who smoke with additional compelling reasons to quit.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"e225-e230"},"PeriodicalIF":4.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418123","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}