Tobacco ControlPub Date : 2024-11-28DOI: 10.1136/tc-2022-057795corr1
{"title":"Correction: <i>Tobacco industry accountability for marine pollution: country and global estimates</i>.","authors":"","doi":"10.1136/tc-2022-057795corr1","DOIUrl":"https://doi.org/10.1136/tc-2022-057795corr1","url":null,"abstract":"","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":"142755461","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 : 2024-11-28DOI: 10.1136/tc-2024-058817
Carmen S Ng, Coco Wing Sze Yu, Lancelot Leung, Eponine Kate Wong, Sai Yin Ho, Dennis K M Ip, Yongda Wu, Man Ping Wang, Jianchao Quan
{"title":"Economic costs of tobacco-related diseases in Hong Kong in 2021.","authors":"Carmen S Ng, Coco Wing Sze Yu, Lancelot Leung, Eponine Kate Wong, Sai Yin Ho, Dennis K M Ip, Yongda Wu, Man Ping Wang, Jianchao Quan","doi":"10.1136/tc-2024-058817","DOIUrl":"https://doi.org/10.1136/tc-2024-058817","url":null,"abstract":"<p><strong>Background: </strong>Hong Kong has one of the lowest smoking prevalence both within China and among high-income economies. As tobacco use consistently declined over the past decades, we examine whether there are corresponding cost reductions.</p><p><strong>Methods: </strong>Data were sourced from diverse population-wide datasets including government reports and public hospital records. Costs were calculated using Global Burden of Disease (GBD) 2019 risk estimates for active smoking. Direct costs encompassed public and private healthcare expenses, while indirect costs included the value of years of productive life lost, days off work due to active smoking or secondhand smoke exposure, and long-term care costs.</p><p><strong>Findings: </strong>Active smoking accounted for 26.3% of deaths in people aged 35 or over. Healthcare costs amounted to US$342 million and US$45 million for active and secondhand smoking. Annual tobacco-related diseases reached US$1.27 billion (0.3% of 2021 Hong Kong GDP). Compared with previous methods, the analysis using GBD 2019 risk estimates showed a twofold increase in lives lost due to active smoking but a 31.0% decrease for secondhand smoking.</p><p><strong>Interpretation: </strong>Past studies greatly underestimate the health burden of tobacco compared with more recent data on the wider risks. Despite a decline in smoking prevalence, the total costs associated with smoking have risen as utilisation shifts from primary care towards more expensive specialist care. The long-term health and economic impacts of tobacco use remain substantial even in regions of China that have now achieved low smoking prevalence.</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":"142755493","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 : 2024-11-28DOI: 10.1136/tc-2024-058826
Akshika Sharma, Amy Belton, Jenny E Ozga, Pamela Ling, Mary Hrywna, Jennifer Cornacchione Ross, Ollie Ganz, Krysten W Bold, Cassandra Stanton
{"title":"Marketing strategies in business-to-business advertisements for oral nicotine products.","authors":"Akshika Sharma, Amy Belton, Jenny E Ozga, Pamela Ling, Mary Hrywna, Jennifer Cornacchione Ross, Ollie Ganz, Krysten W Bold, Cassandra Stanton","doi":"10.1136/tc-2024-058826","DOIUrl":"https://doi.org/10.1136/tc-2024-058826","url":null,"abstract":"<p><strong>Introduction: </strong>Although the popularity of oral nicotine products (ONPs) such as ZYN and On! is growing globally, there is limited research on their marketing and advertising. This report describes recent ONP marketing communication to retailers. Promotion to retailers can provide insight into new product flavours and styles, as well as future marketing strategies targeting consumers.</p><p><strong>Methods: </strong>We obtained all unique ONP print and online advertisements (ads) (N=50) targeted towards US businesses between January 2016 and August 2022 from Vivvix (formerly Numerator Ad Intel). Two independent reviewers coded for type of ONP, brand, nicotine strength(s), flavour(s), slogan(s), claim(s) and frequency of each component.</p><p><strong>Results: </strong>Most ads featured nicotine pouches alone (52%), while 22% featured a mix of ONPs including pouches, tablets and lozenges. By brand, Rogue constituted 36% of ads, followed by Zyn and On! (16% each). Most (82%) ads featured at least one cooling flavour and 48% displayed at least one fruit flavour. Wintergreen flavour appeared most frequently (48%). Most (72%) ads contained a slogan, which frequently highlighted convenience of use (eg, '<i>Chew on this Anywhere… Anytime'</i>), bypassing current restrictions on other tobacco and nicotine products use (eg, '<i>Laughs at no smoking signs</i>') and highlighting big profit margins from sales of ONPs for retailers (eg, <i>'small pouches big margins'</i>).</p><p><strong>Conclusion: </strong>This analysis provides insight into tobacco companies' strategies for increasing ONP endorsement among retailers. Strategies include appealing to profitability, emphasising convenience of product use and primarily promoting non-tobacco flavours. These findings highlight new trends in ONP products and marketing tactics and identify important areas to monitor to inform tobacco marketing regulations.</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":"142755620","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 : 2024-11-27DOI: 10.1136/tc-2024-058618
Chad Cotti, Erik Nesson, Michael F Pesko, Serena Phillips
{"title":"Standardising the measurement of e-cigarette tax rates in the USA (2nd edition), 2010-2023.","authors":"Chad Cotti, Erik Nesson, Michael F Pesko, Serena Phillips","doi":"10.1136/tc-2024-058618","DOIUrl":"10.1136/tc-2024-058618","url":null,"abstract":"<p><strong>Introduction: </strong>30 states enacted e-cigarette taxes by the end of 2023. E-cigarette tax schema in the USA vary, in contrast to cigarette taxes that are standardised as an excise tax amount per pack. Some states use excise taxes on liquid and containers, others wholesale sales taxes and others retail sales taxes. Increasingly, states are taxing open system and closed system products differently. It is therefore difficult to understand the relative magnitudes of these e-cigarette taxes and their size relative to cigarette taxes.</p><p><strong>Objective: </strong>To update and publish a database of state and local quarterly e-cigarette tax rates from 2010 to 2023, standardised as the rate per millilitre of fluid, for both closed system and open system products.</p><p><strong>Methods: </strong>Using Universal Product Code-level e-cigarette sales from the NielsenIQ Retail Scanner Data along with e-cigarette product characteristics collected from internet searches and visits to e-cigarette retailers, we develop a method to standardise e-cigarette tax rates as an equivalent average excise tax rate measured per millilitre of fluid.</p><p><strong>Results: </strong>In 2023, the average American resided in a location with $3.21 in cigarette taxes and $0.49 in closed system e-cigarette taxes (per 0.7 fluid millilitre). Among the 10 states using segmented taxation for closed and open systems, the average open system e-cigarette tax was 85% lower.</p><p><strong>Conclusions: </strong>The public availability of this updated database of state and local standardised e-cigarette tax rates will improve and expand research on effects of e-cigarette taxes on tobacco and related outcomes.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695787","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 : 2024-11-19DOI: 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}