Tobacco ControlPub Date : 2025-01-02DOI: 10.1136/tc-2023-058241
David Hammond, Jessica L Reid
{"title":"Trends in vaping and nicotine product use among youth in Canada, England and the USA between 2017 and 2022: evidence to inform policy.","authors":"David Hammond, Jessica L Reid","doi":"10.1136/tc-2023-058241","DOIUrl":"10.1136/tc-2023-058241","url":null,"abstract":"<p><strong>Background: </strong>Preventing uptake of nicotine products among youth remains a central objective of tobacco control policy. Comparing trends in the use of nicotine across countries provides an opportunity to identify emergent product trends and to evaluate 'natural experiments' in policies.</p><p><strong>Methods: </strong>Repeat cross-sectional data were analysed from eight waves of the International Tobacco Control Youth Tobacco and Vaping Survey, conducted between 2017 and 2022. Non-probability samples of youth aged 16-19 years in Canada, England and the USA (N=104 473) completed online surveys including measures on vaping, smoking and use of other nicotine products. This paper summarises findings across the 5-year period of the study, as part of a comprehensive report on key indicators of youth vaping in the three countries.</p><p><strong>Results: </strong>The youth nicotine market has rapidly evolved across the three countries, with different patterns of combustible and non-combustible product use in Canada, the USA and England. These changes are primarily attributable to trends in youth vaping: following declines during the initial COVID-19 pandemic period, by 2022, vaping prevalence neared pre-pandemic levels in the USA and Canada, and reached record highs in England. Notable shifts also occurred in the types of vaping products used by youth, including increased use of disposable, nicotine salt-based products. Additional findings are reported on a range of policy-relevant indicators, including for vaping products, promotions and purchasing.</p><p><strong>Conclusions: </strong>Patterns of nicotine use among youth have rapidly evolved in recent years due to the proliferation of nicotine products, the COVID-19 pandemic and the emerging impact of policy measures.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"115-118"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522668","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 : 2025-01-02DOI: 10.1136/tc-2022-057898
Eric K Soule, Sinan Sousan, Jack Pender, Alisha Thomas, Neal Patel
{"title":"Electronic cigarette use and cigarette smoking in vehicles among adults who use electronic cigarettes and cigarettes in the USA.","authors":"Eric K Soule, Sinan Sousan, Jack Pender, Alisha Thomas, Neal Patel","doi":"10.1136/tc-2022-057898","DOIUrl":"10.1136/tc-2022-057898","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"111-114"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10787805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10176613","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 : 2025-01-02DOI: 10.1136/tc-2023-058054
Zaineb Danish Sheikh, J Robert Branston, Kirsten van der Zee, Anna B Gilmore
{"title":"How has the tobacco industry passed tax changes through to consumers in 12 sub-Saharan African countries?","authors":"Zaineb Danish Sheikh, J Robert Branston, Kirsten van der Zee, Anna B Gilmore","doi":"10.1136/tc-2023-058054","DOIUrl":"10.1136/tc-2023-058054","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco taxation is only effective in reducing consumption when it is translated into higher prices. This study aims to investigate to what extent the tobacco industry (TI) passes tax increases over to consumers by increasing the retail price of cigarettes in 12 sub-Saharan African (SSA) countries.</p><p><strong>Methods: </strong>African Cigarette Prices Project and WHO's Global Tobacco Epidemic Reports data were used to calculate the rate of tax pass-through by decomposing the retail price of cigarettes into tax and net prices between 2016 and 2020. Percentage change in net price was used to identify industry pricing behaviour, in both packs and single-stick sales. TI pricing strategies were examined by country, producer type, producers, and cigarette price segment.</p><p><strong>Results: </strong>There were mixed TI strategies, with taxes primarily overshifted (Botswana, Madagascar, Tanzania, Zimbabwe), undershifted (Ethiopia, Lesotho, Mozambique, Namibia, South Africa, Zambia) or a mix of both (Malawi, Nigeria). The detail varied between countries, over time, and between the different brands/segments offered. Patterns for single-stick sales were broadly similar to that of packs but with some differences observed in particular countries/years. Pricing strategies for the various transnational tobacco companies and domestic producers were similar but the changes in net price for the latter were larger. The country tax level/type and the size of tax change did not seem to be an obvious influence.</p><p><strong>Conclusion: </strong>This paper provides an overview of TI pricing strategies in response to tax increases in SSA. Governments must monitor how the TI responds to tax changes to ensure that tax increases are effective in impacting price.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"48-58"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033683","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 : 2025-01-02DOI: 10.1136/tc-2023-057992
Elizabeth C Hair, Jennifer M Kreslake, Shreya Tulsiani, Tatum McKay, Donna Vallone
{"title":"Reducing e-cigarette use among youth and young adults: evidence of the truth campaign's impact.","authors":"Elizabeth C Hair, Jennifer M Kreslake, Shreya Tulsiani, Tatum McKay, Donna Vallone","doi":"10.1136/tc-2023-057992","DOIUrl":"10.1136/tc-2023-057992","url":null,"abstract":"<p><strong>Background: </strong>Mass media campaigns have been shown to be effective in reducing cigarette use. However, evidence is limited for whether campaigns can shift e-cigarette use among youth and young adults (YYA). To assess the impact of the truth anti-e-cigarette campaign, which focused on the effects of vaping on mental health, this study examines the relationship between campaign awareness and e-cigarette behaviour among YYA.</p><p><strong>Methods: </strong>Data from weekly cross-sectional surveys of YYA aged 15-24 years from September 2021 to October 2022 were used for multilevel models assessing how weekly campaign awareness is related to intentions to use e-cigarettes and current e-cigarette use (past 30 days). Weekly campaign awareness was calculated by averaging individual-level awareness for each week. Control variables included individual-level campaign awareness, sociodemographics, perceived financial situation, parental smoking, sensation seeking, and mental health.</p><p><strong>Results: </strong>Weekly campaign awareness ranged from 50% to 78%, with most weeks (77%) being within 65% and 75% of weekly campaign awareness. At weekly awareness levels between 65% and 75%, there was a significant association with lower intentions to use e-cigarettes. A dose-response relationship was observed for current use: compared with weeks with lower (<65%) awareness, weeks with awareness of 65-70% had 14% lower odds of current use, weeks with 70-75% awareness had 16% lower odds and weeks with >75% weekly awareness had 18% lower odds (p=0.018, p=0.009 and p=0.007, respectively).</p><p><strong>Conclusions: </strong>Findings from this analysis of weekly campaign awareness demonstrate that exposure to the truth anti-e-cigarette campaign is associated with significantly lower odds of intentions to use and current use of e-cigarette among YYA.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"59-64"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9957415","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 : 2025-01-02DOI: 10.1136/tc-2023-058033
Megan C Diaz, Nathan A Silver, Adrian Bertrand, Barbara A Schillo
{"title":"Bigger, stronger and cheaper: growth in e-cigarette market driven by disposable devices with more e-liquid, higher nicotine concentration and declining prices.","authors":"Megan C Diaz, Nathan A Silver, Adrian Bertrand, Barbara A Schillo","doi":"10.1136/tc-2023-058033","DOIUrl":"10.1136/tc-2023-058033","url":null,"abstract":"<p><strong>Objective: </strong>Given the evolving changes in the disposable e-cigarette market, we explore patterns of sales in the USA by e-liquid volume capacity, nicotine strength and real sales-weighted average prices by both e-cigarette unit and volume of e-liquid.</p><p><strong>Methodology: </strong>We used NielsenIQ retail scanner data from January 2017 to September 2022 to examine changes over time for average product volume capacity in millilitres, nicotine strength (%) and both sales-weighted average price per disposable unit and per millilitre of e-liquid for each 4-week period.</p><p><strong>Results: </strong>Among disposable e-cigarettes sold between January 2017 and September 2022, average volume capacity increased 518% from 1.1 mL to 5.7 mL and average nicotine strength increased 294% from 1.7% to 5%. Sales-weighted average price per disposable unit and millilitres of e-liquid both remained relatively constant until January 2020. From January 2020 through September 2022, average unit prices increased 165.7% from US$8.49 to US$14.07, while the average price of 1 mL of e-liquid decreased 69.2% from US$7.96 to US$2.45.</p><p><strong>Conclusions: </strong>The current regulatory regime around e-cigarettes has resulted in disposable e-cigarette manufacturers providing consumers with bigger, cheaper disposable e-cigarettes that come in increasingly higher nicotine strengths. Tobacco policy recommendations such as restricting e-liquid capacity and minimum price laws as well as regulations on product characteristics that affect nicotine emissions and delivery such as nicotine strength, nicotine output, device power, and puff duration should be considered in regulating the e-cigarette market.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"65-70"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9934833","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 : 2025-01-02DOI: 10.1136/tc-2024-059257
Marita Hefler
{"title":"The 'tobacco endgame' in an age of disinformation: rising to the challenge.","authors":"Marita Hefler","doi":"10.1136/tc-2024-059257","DOIUrl":"https://doi.org/10.1136/tc-2024-059257","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":"34 1","pages":"1-2"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923370","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 : 2025-01-02DOI: 10.1136/tc-2023-057941
Zheng Xue, Christian Okitondo, Samuel Asare, Priti Bandi, Minal Patel, Nigar Nargis
{"title":"Association between cigarette sales in the USA and FDA's announcement of its intention to prohibit menthol as a characterising flavour in cigarettes.","authors":"Zheng Xue, Christian Okitondo, Samuel Asare, Priti Bandi, Minal Patel, Nigar Nargis","doi":"10.1136/tc-2023-057941","DOIUrl":"10.1136/tc-2023-057941","url":null,"abstract":"<p><strong>Introduction: </strong>On 29 April 2021, the US Food and Drug Administration (FDA) announced its intention to prohibit menthol as a characterising flavour in cigarettes.</p><p><strong>Methods: </strong>We assessed the changes in cigarette sales associated with the FDA's announcement using interrupted time series analysis based on monthly retail point-of-sale data on cigarettes from the NielsenIQ Local Trade Area (LTA) data from September 2019 to April 2022. Main outcome variables included LTA-level monthly menthol and non-menthol cigarette sales per 1000-persons.</p><p><strong>Results: </strong>Monthly cigarette sales were declining before the FDA's announcement (menthol vs non-menthol: -1.68 (95% CI -1.92, -1.45) vs -3.14 (95% CI -3.33, -2.96) packs per 1000-persons). Monthly menthol cigarette sales increased immediately in May 2021 after the FDA's announcement by 6.44 packs per 1000-persons (95% CI 3.83, 9.05). Analysis stratified by LTA-level racial/ethnic compositions showed that LTAs with a relatively higher proportion of non-Hispanic Black population (>8.94%) experienced higher spike in menthol cigarette sales in May 2021 immediately after the announcement and higher post-announcement 12-month menthol cigarette sales than expected.</p><p><strong>Conclusions: </strong>Areas with a relatively higher proportion of non-Hispanic Black population are potentially at risk of experiencing increased burden of menthol cigarette consumption. Targeted community level cessation support in non-Hispanic Black majority areas may help mitigate the growing burden of menthol cigarette smoking and improve health equity. The findings of this study also suggest that FDA's prompt finalisation and enforcement of such ban may help avoid extending the increased burden of menthol cigarette consumptions in non-Hispanic Black majority areas.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"41-47"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866192","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 : 2025-01-02DOI: 10.1136/tc-2023-058045
Mateusz Borowiecki, Tessa R D van Deelen, Bas van den Putte, Anton E Kunst, Mirte A G Kuipers
{"title":"Bans on tobacco display, advertising and vending machines in the Netherlands: impact on visibility of tobacco and compliance of retailers.","authors":"Mateusz Borowiecki, Tessa R D van Deelen, Bas van den Putte, Anton E Kunst, Mirte A G Kuipers","doi":"10.1136/tc-2023-058045","DOIUrl":"10.1136/tc-2023-058045","url":null,"abstract":"<p><strong>Introduction: </strong>Visibility of tobacco products at retail tobacco outlets is associated with smoking initiation. To address this, across 2020-2022 the Netherlands banned tobacco product displays, advertisements and vending machines in the retail environment. Tobacco/vape specialist shops were exempted. This study assessed the impact of these policies on tobacco visibility in the retail environment and retailer compliance.</p><p><strong>Methods: </strong>We conducted observational audits of all tobacco outlets in four Dutch cities (Amsterdam, Haarlem, Eindhoven and Zwolle) between 2019 and 2022 (before and after policy implementation), assessing visibility of tobacco products and advertisements, compliance and remaining sources of tobacco visibility (after implementation). We described results by location and outlet type.</p><p><strong>Results: </strong>The number of tobacco outlets with any tobacco advertising or product visibility declined from 530 to 267 (-50%). Among outlets not exempt from the ban, the number with visibility declined from 449 to 172 (-62%), with lower postban visibility in petrol stations (12%) and supermarkets (6%) than small shops (47%). Visibility among tobacco/vape shops increased by 17%. Tobacco product displays remained the main source of visibility. 93% of tobacco vending machines were removed. Maps showed that non-compliance is concentrated in Amsterdam's city centre and more evenly distributed in other cities.</p><p><strong>Conclusion: </strong>The bans on tobacco display and tobacco advertising halved the visibility of tobacco in the retail environment, and the vending machine ban practically eradicated vending machines. To further reduce tobacco visibility, violations in small shops should be addressed and tobacco visibility should be regulated in currently exempt tobacco specialist shops.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"78-84"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283723","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 : 2025-01-02DOI: 10.1136/tc-2023-058074
Leah R Meza, Artur Galimov, Steve Sussman, Maciej Lukasz Goniewicz, Michelle K Page, Adam Leventhal
{"title":"Proliferation of 'non-menthol' cigarettes amid a state-wide flavour ban.","authors":"Leah R Meza, Artur Galimov, Steve Sussman, Maciej Lukasz Goniewicz, Michelle K Page, Adam Leventhal","doi":"10.1136/tc-2023-058074","DOIUrl":"10.1136/tc-2023-058074","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"135-137"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10312947","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 : 2025-01-02DOI: 10.1136/tc-2023-057934
Matilda Kim Nottage, Eve Violet Taylor, Yebin Kim, Nicole Soh, David Hammond, Erikas Simonavicius, Ann McNeill, Deborah Arnott, Katherine East
{"title":"Marketing claims on the websites of leading e-cigarette brands in England.","authors":"Matilda Kim Nottage, Eve Violet Taylor, Yebin Kim, Nicole Soh, David Hammond, Erikas Simonavicius, Ann McNeill, Deborah Arnott, Katherine East","doi":"10.1136/tc-2023-057934","DOIUrl":"10.1136/tc-2023-057934","url":null,"abstract":"<p><strong>Introduction: </strong>Exposure to electronic cigarette (EC) marketing is associated with EC use, particularly among youth. In England, the Tobacco and Related Products Regulations and Committee of Advertising Practice (CAP) regulate EC marketing to reduce appeal to youth; however, there are little published data on EC marketing claims used online. This study therefore provides an overview of marketing claims present on the websites of EC brands popular in England.</p><p><strong>Methods: </strong>From January to February 2022, a content analysis of 10 of England's most popular EC brand websites was conducted, including violation of CAP codes.</p><p><strong>Results: </strong>Of the 10 websites, all presented ECs as an alternative to smoking, 8 as a smoking cessation aid and 6 as less harmful than smoking. Four websites presented ECs as risk-free. All mentioned product quality, modernity, convenience, sensory experiences and vendor promotions. Nine featured claims about flavours, colours, customisability and nicotine salts. Seven featured claims concerning social benefits, personal identity, sustainability, secondhand smoke and nicotine strength. Six featured claims about fire safety. Some claimed ECs are cheaper than tobacco (n=5), cited health professionals (n=4) or featured collaborations with brands/icons (n=4). All were assessed by the research team to violate one or more CAP code(s) by featuring medicinal claims (n=8), contents which may appeal to non-smokers (n=7), associations with youth culture (n=6), depictions of youth using ECs (n=6) or media targeting youth (n=5).</p><p><strong>Conclusion: </strong>Among 10 top EC brand websites in England, marketing elements that might appeal to youth were commonly identified and CAP code compliance was low.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"21-27"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127987","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}