Tobacco Control最新文献

{"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":"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":"358-365"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343919/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in use of cigarettes and e-cigarettes among young adults who had smoked in adolescence: 2017-2022.","authors":"Richard Miech, Adam Leventhal, Megan Patrick, Nicolas Rodriguez","doi":"10.1136/tc-2024-059018","DOIUrl":"10.1136/tc-2024-059018","url":null,"abstract":"<p><strong>Background: </strong>This study considers recent trends in combustible and e-cigarette use among US young adults who smoked cigarettes in adolescence, who are the originating source of most adults who smoke.</p><p><strong>Methods: </strong>Data come from the Monitoring the Future study, which includes young adults aged 19-30 who were first surveyed in 12th grade as part of a nationally-representative sample. The analysis centres on 3623 observations from 2377 young adults surveyed from 2017 to 2022 who reported they had ever smoked a combustible cigarette in the initial, 12th grade survey.</p><p><strong>Results: </strong>Among young adults who had smoked in adolescence, the percentage who used a combustible cigarette currently (in the past 30 days) significantly declined from 45% in 2017-2018 to 35% in 2021-2022. The percentage who currently used nicotine hovered around 50%, as measured by current use of an e-cigarette or combustible cigarette and this percentage did not significantly trend over the study period. The percentage who currently used e-cigarettes exclusively and not combustible cigarettes tripled from 6% in 2017-2018 to 21% in 2021-2022. About half of this exclusive e-cigarette group deliberately used e-cigarettes to quit combustible cigarettes, in all years. Dual use of both e-cigarettes and combustible cigarettes significantly increased from 11% in 2017-2018 to 17% in 2021-2022. Trends were robust in multivariable regression analyses that controlled demographics.</p><p><strong>Conclusion: </strong>Among young adults who had smoked in adolescence, a 10-point decline in cigarette prevalence from 2017 to 2022 coincided with a 7-point increase in the percentage who deliberately used e-cigarettes to quit combustible cigarettes.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"345-350"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075581","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}

{"title":"Cessation and knowledge-building messaging are associated with e-cigarette cessation intentions among youth and young adults in the USA.","authors":"Linda Q Yu, Elizabeth K Do, Tyler Minter, Kristiann Koris, Bushraa Khatib, Megan A Jacobs, Amanda L Graham, Elizabeth C Hair","doi":"10.1136/tc-2024-058821","DOIUrl":"10.1136/tc-2024-058821","url":null,"abstract":"<p><strong>Background: </strong>Increasing intentions to quit e-cigarettes among youth and young adults can reduce usage rates by making quit attempts more likely. This study assessed the potential impacts of a national media campaign, focused on building knowledge of e-cigarette use risks and cessation resources, on intentions to quit and campaign-targeted beliefs about mental health and quitting.</p><p><strong>Methods: </strong>A national sample from a repeated cross-sectional online survey was collected from March 2022 to August 2023, among youth and young adults who reported e-cigarette use in the past 30 days (N=5169). Regression models were used to assess associations between weekly campaign awareness and frequency of exposure on intentions to quit e-cigarette use within the next 6 months and targeted beliefs related to mental health and quitting.</p><p><strong>Results: </strong>Participants who were aware of both cessation and knowledge-building messaging were more likely to report intentions to quit e-cigarette use in the next 6 months (OR 1.43, (95% CI 1.21, 1.69)) and agree with quitting-related targeted beliefs (ORs 1.35-1.63) and a mental health targeted belief scale (b=1.14 (95% CI 0.69, 1.59)), relative those with no messaging awareness. The frequency of exposure to cessation messaging held a dose-response relationship with almost all outcomes.</p><p><strong>Conclusion: </strong>Findings suggest that frequency and awareness of messaging that educates about e-cigarette harms to mental health and about cessation resources are associated with higher quitting intentions among young people who use e-cigarettes.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"337-344"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068241","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":"How do clinicians address vaping in an illegal context? A qualitative Singapore study.","authors":"Yvette van der Eijk, Wei Yi Kwok, Grace Ping Ping Tan","doi":"10.1136/tc-2024-058996","DOIUrl":"10.1136/tc-2024-058996","url":null,"abstract":"<p><strong>Background: </strong>Despite a strict vaping ban also covering purchase, use and possession, vaping has become more prevalent in Singapore. As more countries seek to regulate vaping, with no tailored services or guidelines for vaping cessation, clinicians may face additional challenges in identifying or treating vaping cases due to stigma or patients' reluctance to disclose their vaping. Few studies have explored how clinicians identify or manage vaping cases in a context where vaping is heavily regulated or stigmatised.</p><p><strong>Methods: </strong>We conducted semistructured interviews with 12 Singapore practitioners from pharmacy, psychology, respiratory medicine, smoking cessation or youth welfare settings, all of whom had encountered vaping cases in their practice. Interviews explored how they manage vaping cases. We analysed data using inductive thematic methods.</p><p><strong>Results: </strong>Patients were described as reluctant to disclose their vaping for fear of being reported to authorities, and some clinicians were unsure of their duty to report, making it challenging to identify vaping cases. Variability in usage patterns and inaccurate e-liquid labelling posed difficulties in estimating nicotine dependence, leaving practitioners to trial and error or to adapt from smoking cessation guidelines. Tailored quit support for people who vape was lacking, especially in the form of subsidised nicotine replacement therapy.</p><p><strong>Conclusion: </strong>Even in contexts where vaping is heavily regulated, given the rising incidence of vaping globally, it is important to record patients' vaping history as part of routine practice and to provide services to help people quit vaping without facing stigma or legal repercussions because of their vaping.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"351-357"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365872","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":"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":"366-374"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","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":"Protecting children from second-hand tobacco smoke in the home: the need for a new approach.","authors":"Sean Semple, Olena Tigova, Rebecca Howell, Edward Davie, Giuseppe Gorini, Stephen W Turner, Constantine Vardavas, Luke Clancy, Armando Peruga, Esteve Fernández, Rachel O'Donnell","doi":"10.1136/tc-2024-059205","DOIUrl":"10.1136/tc-2024-059205","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"412-414"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634535","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":"Assessing the effects of minimum floor price laws on tobacco use among youth in the state of Virginia, USA: an agent-based simulation approach.","authors":"Shuo-Yu Lin, Hemant Purohit, Randy Koch, Andrew J Barnes, Rashelle B Hayes, Xiaoquan Zhao, Hong Xue","doi":"10.1136/tc-2024-058801","DOIUrl":"10.1136/tc-2024-058801","url":null,"abstract":"<p><strong>Background: </strong>Preventing youth exposure to cigarette smoking is a public health priority. One of the most effective ways to reduce tobacco use is to increase the prices of tobacco products. Minimum floor price laws (MFPLs) are a relatively new but more feasible strategy that sets a price below which the product cannot be sold. We aim to examine the effects of minimum floor prices (MFPs) on tobacco use among youth in Virginia.</p><p><strong>Methods: </strong>An agent-based modelling (ABM) was developed from bottom-up to evaluate the influence of increasing the cigarette MFPs on middle and high school students' smoking behaviour in the state of Virginia. A rational-addiction model was integrated to model the smoking decision of youth under the dynamic utility maximisation framework within the ABM.</p><p><strong>Results: </strong>The model predicted that every 10% increase in the MFP in Virginia could prevent 2232 8th graders and 1890 12th graders from cigarette smoking, a 2.4% and 1.8% reduction in median smoking prevalence. For students who smoked, 8th and 12th graders would consume 0.36 and 0.45 fewer cigarettes per smoking day if experiencing a 10% increase in the MFP from the baseline US$7.50 to US$8.30. The MFP level that produces the maximal response was estimated to be between 10% and 30%.</p><p><strong>Conclusions: </strong>MFPLs provide local jurisdictions with a potentially effective strategy to reduce tobacco use and mitigate-related harms among youth.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"375-381"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789232","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":"Tobacco retailers' use of toy displays and cartoons in signage in Australia.","authors":"Kylie Morphett, Coral E Gartner","doi":"10.1136/tc-2024-059102","DOIUrl":"10.1136/tc-2024-059102","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"417-418"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731762","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":"Active ingredients of smoking cessation interventions for (expectant) parents experiencing socioeconomic disadvantage: a mixed-methods systematic review.","authors":"Linda van der Spek, Tessa Scheffers-van Schayck, Hans van Kippersluis, Linda Bauld, Anna L De Bree, Nienke W Boderie, Rukiye Turkeli, Jasper V Been","doi":"10.1136/tc-2025-059882","DOIUrl":"https://doi.org/10.1136/tc-2025-059882","url":null,"abstract":"<p><strong>Objective: </strong>To identify active ingredients of smoking cessation interventions for (expectant) parents experiencing socioeconomic disadvantage.</p><p><strong>Data sources: </strong>Systematic search of 11 electronic databases from 1990 up to 6 May 2025. Reference lists and citation records of relevant reviews and included studies were also screened.</p><p><strong>Study selection: </strong>Qualitative, quantitative and mixed-methods studies reporting on smoking cessation interventions and their effectiveness among (expectant) parents experiencing socioeconomic disadvantage were eligible.</p><p><strong>Data extraction: </strong>We extracted data on study characteristics, methodological quality (Mixed Methods Appraisal Tool), intervention content (behaviour change technique (BCT) taxonomy v1), delivery (Template for Intervention Description and Replication) and outcomes related to effectiveness, reach and retention.</p><p><strong>Data synthesis: </strong>Out of 1727 screened records, 62 interventions from 63 articles met inclusion criteria. Effective interventions applied a broader set of BCTs (M=8) than ineffective ones (M=5), particularly from BCT groups, 'goals and planning', 'shaping knowledge', 'reward and threat', 'feedback and monitoring' and 'social support'. Increased intensity and duration of the intervention were also associated with higher effectiveness. Qualitative data indicated that low burden, flexible and relational delivery (eg, empathetic and culturally sensitive) supported reach and retention. Implementation success was shaped not only by content but also by accessibility, contextual fit and proactive engagement strategies.</p><p><strong>Conclusions: </strong>Effective interventions for (expectant) parents experiencing socioeconomic disadvantage combine a broad set of BCTs (particularly goals, planning, instruction, rewarding, monitoring, feedback and social support) with delivery that is accessible, personalised and relational. These strategies enhance recruitment, retention and effectiveness, providing concrete guidance for designing more equitable cessation support.</p><p><strong>Prospero registration number: </strong>CRD42023452795.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843174","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":"Psychological, social and cultural influences on smoking among lesbian, bisexual and queer women.","authors":"Ruby Grant, Julie Mooney-Somers, Ruth McNair, Amy Pennay, Catherine Segan, Jennifer Power, Adam Bourne","doi":"10.1136/tc-2024-059039","DOIUrl":"10.1136/tc-2024-059039","url":null,"abstract":"<p><strong>Background: </strong>Smoking rates have declined markedly in Australia over time; however, lesbian, bisexual and queer (LBQ) women continue to smoke at higher rates than heterosexual women. Understanding the factors influencing smoking in this population is crucial for developing targeted cessation interventions and other supports.</p><p><strong>Methods: </strong>Experiences of and motivations for smoking among 42 LBQ cisgender and transgender women and non-binary people in Australia who currently or previously smoked were explored through semi-structured interviews. Participants were primarily white Australian cisgender women in their 30s-40s. Thematic analysis was used to identify common psychological, social and cultural influences on smoking.</p><p><strong>Results: </strong>While coping with minority stress was a common factor influencing some participants' smoking behaviours, participants also described how smoking offered pleasurable opportunities for gender expression, affirmation and rebellion. Smoking also enabled participants to experience 'marginalised connectivity', a form of social solidarity fostered through the sharing of a stigmatised practice by an oppressed or stigmatised community.</p><p><strong>Conclusion: </strong>This article identifies factors contributing to the ongoing socio-cultural relevance of smoking for some LBQ women in Australia. These specific psychological, social and cultural contexts remain salient for LBQ women's smoking and must be factored into smoking cessation campaigns and programme designs for this population. Tailored messaging that emphasises alternative self-care strategies and the benefits of quitting in the context of supportive communities may be more effective in engaging LBQ women than long-term health risk messages.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"331-336"},"PeriodicalIF":4.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053764","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}