Tobacco ControlPub Date : 2025-10-01DOI: 10.1136/tc-2025-059612
Ashleigh C Block, Connor D Martin, Danielle Smith
{"title":"Products involved in tobacco and cannabis co-use among US adults and youth, 2022-2023.","authors":"Ashleigh C Block, Connor D Martin, Danielle Smith","doi":"10.1136/tc-2025-059612","DOIUrl":"https://doi.org/10.1136/tc-2025-059612","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207716","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 : 2025-09-27DOI: 10.1136/tc-2025-059692
Michelle I Jongenelis, Gemma Cook
{"title":"Tobacco industry 'rainbow washing' during Pride Month.","authors":"Michelle I Jongenelis, Gemma Cook","doi":"10.1136/tc-2025-059692","DOIUrl":"https://doi.org/10.1136/tc-2025-059692","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182240","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":"Spatial distribution of e-cigarette vending machines: a case study from Germany.","authors":"Sisay Mulugeta Alemu, Ute Mons, Katrin Schaller, Ezgi Baltaci, Connie Hoe","doi":"10.1136/tc-2025-059546","DOIUrl":"https://doi.org/10.1136/tc-2025-059546","url":null,"abstract":"<p><strong>Background: </strong>Germany has the highest density of cigarette vending machines globally, and the recent proliferation of electronic cigarette (e-cigarette) vending machines raises growing public health concerns, particularly regarding youth exposure. However, limited data exist on their spatial distribution and contextual placement. This study presents the first spatial analysis of e-cigarette vending machines in Germany, using the Berlin-based company '<i>Vape4Me</i>' as a case study.</p><p><strong>Methods: </strong>Geo-referenced data on e-cigarette vending machine locations were extracted from the <i>Vape4Me</i> website and cross-validated using Google Maps and Microsoft Bing Maps. Spatial analyses-including density mapping, proximity assessments and co-location analysis-were conducted using ArcGIS Pro, R and OpenRouteService. Associations with population size were examined through regression analysis. Selected sites in Cologne and Wiesbaden were visited for on-site validation.</p><p><strong>Results: </strong>A total of 316 (<i>Vape4Me</i>) e-cigarette vending machines were identified in Germany, with the highest concentration in Berlin. Machine density was significantly associated with population size, with a 3.24% increase per 1000 additional residents. In Berlin, vending machines were frequently co-located with hospitality and commercial establishments and rarely placed near outdoor or public utility areas. On-site inspections revealed that machines offered disposable e-cigarettes for around €10, with basic age verification.</p><p><strong>Conclusion: </strong>The integration of e-cigarette vending machines into everyday environments-combined with continuous advertising and 24/7 access-normalises e-cigarette use and poses challenges to tobacco control efforts. Stronger regulations, including bans on the sale of cigarettes and e-cigarettes via vending machines, are urgently needed to protect youth from early nicotine exposure.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182206","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 : 2025-09-19DOI: 10.1136/tc-2025-059378
Zidian Xie, Alex C Liber, Maciej Lukasz Goniewicz, Richard O'Connor, Dongmei Li
{"title":"Digital footprints of the US e-cigarette market: correlations among retail sales data, social media activity and Google search trends.","authors":"Zidian Xie, Alex C Liber, Maciej Lukasz Goniewicz, Richard O'Connor, Dongmei Li","doi":"10.1136/tc-2025-059378","DOIUrl":"https://doi.org/10.1136/tc-2025-059378","url":null,"abstract":"<p><strong>Introduction: </strong>The global market for electronic cigarettes (e-cigarettes) has been changing rapidly. There is limited research on whether real-time social media activities and Google search trends could reflect the e-cigarette market.</p><p><strong>Methods: </strong>Using retrospective US retail sales data (Circana) of four popular e-cigarette brands (JUUL, Puff Bar, Hyde and Elf Bar) every 4 weeks from May 2021 to January 2023, we examined their Spearman correlations with the Google search trends and social media (Twitter, Reddit and Instagram) mentions during the same period. We applied linear mixed-effects models to the pooled brands data to further examine the association between sales and online activities, accounting for both within-brand temporal correlation and between-brand variability in baseline sales.</p><p><strong>Results: </strong>We observed strong positive correlations between retail sales and Google search trends across all four brands, with Spearman correlation r ranging from 0.59 to 0.99 (p<0.001). Reddit mentions were also highly correlated with sales of each e-cigarette brand, with correlations ranging from 0.54 to 0.88 (p<0.01). Twitter mentions showed moderate to high correlations with sales, ranging from 0.46 to 0.88 (p<0.05). Instagram mentions demonstrated strong correlations with sales, ranging from 0.74 to 0.96 (p<0.001), except for Puff Bar (r=-0.06, p=0.793). The linear mixed-effects models indicated that Google Trends (estimate=0.391, p=0.002) and Twitter mentions (estimate=0.096, p=0.011) were significant predictors of sales.</p><p><strong>Conclusions: </strong>Google search trends and social media activities can serve as digital footprints of the e-cigarette market, providing reliable data sources for near-real-time monitoring of the prominence of e-cigarette brands in the marketplace.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092487","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 : 2025-09-18DOI: 10.1136/tc-2025-059484
Alwalid Ali, Ben Houghton, Jennifer Moran Stritch, Frank Houghton
{"title":"Relaxing, cool, sexy and stylish: misinterpretations of an EU pictorial tobacco warning image.","authors":"Alwalid Ali, Ben Houghton, Jennifer Moran Stritch, Frank Houghton","doi":"10.1136/tc-2025-059484","DOIUrl":"https://doi.org/10.1136/tc-2025-059484","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087321","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 : 2025-09-17DOI: 10.1136/tc-2025-059655
Erin L Mead-Morse, Artur Galimov, Jennifer B Unger, Rachel R Ouellette, Grace Kong
{"title":"'Fuel your peak performance': marketing of nicotine pouches to athletes.","authors":"Erin L Mead-Morse, Artur Galimov, Jennifer B Unger, Rachel R Ouellette, Grace Kong","doi":"10.1136/tc-2025-059655","DOIUrl":"10.1136/tc-2025-059655","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081749","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 : 2025-09-17DOI: 10.1136/tc-2025-059412
Vincent Lorant, Pierre Laloux, Nora Mélard, Danielle van Kalmthout, Suzanne Gabriels
{"title":"Political hurdles to implementing tobacco control policies: the case of the smoke-free generation policy in Belgium.","authors":"Vincent Lorant, Pierre Laloux, Nora Mélard, Danielle van Kalmthout, Suzanne Gabriels","doi":"10.1136/tc-2025-059412","DOIUrl":"https://doi.org/10.1136/tc-2025-059412","url":null,"abstract":"<p><strong>Objectives: </strong>The smoke-free generation (SFG) movement aims to prevent tobacco use among future generations through enhanced tobacco control policies. Political factors are critical levers for effective implementation but remain poorly understood. This study analyses political support for SFG advocacy among political parties. This paper outlines political parties' positions on SFG policies and identifies the political narratives influencing tobacco control policy progress.</p><p><strong>Method: </strong>Ahead of the June 2024 Belgian election, a questionnaire was distributed to political parties (n=10), requesting their stance on 15 tobacco control policies and the rationale behind their responses. Factorial correspondence analysis was used to identify primary controversies, while thematic analysis was employed to uncover the main narratives.</p><p><strong>Results: </strong>The SFG initiative represents a political controversy. Although most parties endorse preventive measures to achieve an SFG, there is insufficient support for the most impactful regulatory policies. In particular, major parties across the ideological spectrum prioritise the short-term economic interests of adults who smoke over potential risks to young people. Narratives promoted by key political parties indicate a divergence from the core belief underlying the SFG movement, and protecting children is not consistently prioritised.</p><p><strong>Conclusion: </strong>There is a notable lack of commitment among political parties, both on the left and right, towards endorsing SFG advocacy, indicating weak adherence to the core values of the SFG movement.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081724","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 : 2025-09-16DOI: 10.1136/tc-2024-058941
Deborah K Sy, Chloe Momas, Emmanuelle Beguinot, Daniëlle Arnold, Danielle van Kalmthout, Lilia Olefir
{"title":"Turning tobacco Extended Producer Responsibility (EPR) into Extended Producer Liability (EPL): critical safeguards for the UN Plastics Treaty.","authors":"Deborah K Sy, Chloe Momas, Emmanuelle Beguinot, Daniëlle Arnold, Danielle van Kalmthout, Lilia Olefir","doi":"10.1136/tc-2024-058941","DOIUrl":"10.1136/tc-2024-058941","url":null,"abstract":"<p><p>Extended Producer Responsibility (EPR) is recognised as a valuable tool for environmental management of products' end-of-life impacts; it was featured in all the draft negotiating text for the future UN Plastics Treaty. However, when applied to the tobacco industry, its implementation faces significant challenges due to the industry's historical manipulation of health policies. This study explores the inherent contradictions in using EPR schemes for tobacco products, which are designed to make producers 'stewards' for the life cycle of their products, including end-of-life impacts. The study highlights the potential for tobacco companies to exploit these schemes to weaken health regulations and greenwash their public image. By examining frameworks like the European Union Single-Use Plastics Directive alongside the UN Plastics Treaty negotiations, the study stresses the need for stringent safeguards to ensure EPR schemes do not serve as tools for greenwashing but support health and environmental objectives. The study also proposes enhanced regulatory measures, such as redefining EPR for tobacco as 'Extended Producer Liability' and integrating it with WHO Framework Convention on Tobacco Control guidelines.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144837735","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 : 2025-09-16DOI: 10.1136/tc-2025-059522
Charlotte Xin Li, Pin-Chun Wang, Ariadna Feliu, Anthony A Laverty, Cristina Martinez, Constantine I Vardavas, Filippos T Filippidis
{"title":"Advertising exposure and the appeal of emerging nicotine-containing products among people who have never used nicotine: findings from the Eurobarometer 2023.","authors":"Charlotte Xin Li, Pin-Chun Wang, Ariadna Feliu, Anthony A Laverty, Cristina Martinez, Constantine I Vardavas, Filippos T Filippidis","doi":"10.1136/tc-2025-059522","DOIUrl":"https://doi.org/10.1136/tc-2025-059522","url":null,"abstract":"<p><strong>Introduction: </strong>Emerging nicotine-containing products, including heated tobacco products (HTPs) and nicotine pouches, have been growing in popularity in the European Union (EU). Advertising exposure impacts perceived product appeal and may contribute to product initiation. However, the current EU's Tobacco Products Directive lacks a consistent framework for regulating these advertisements. This study examines how exposure to HTP and nicotine pouch advertisements influences their appeal among people who have never used nicotine.</p><p><strong>Methods: </strong>Data from the Special Eurobarometer 99.3 survey (May-June 2023) included 13 436 participants who have never used nicotine across 27 EU Member States. We estimated the weighted prevalence of HTP and nicotine pouch advertising exposure and perceived appeal and ran multilevel Poisson regression models adjusting for sociodemographic factors.</p><p><strong>Results: </strong>31.1% of participants reported HTP advertising exposure across the EU, with the highest levels reported in Romania (53.4%) and Slovakia (50.0%) and the lowest in Malta (13.6%). Nicotine pouch advertising exposure averaged 16.6%, peaking in Sweden (46.0%) and lowest in the Netherlands (5.0%) and Lithuania (7.7%). Product appeal remained low, with only 2.0% finding HTPs appealing and 1.3% finding nicotine pouches appealing. Exposed to HTP advertisements were 3.71 times more likely to find them appealing, while exposure to nicotine pouch advertisements increased perceived appeal of nicotine pouches by 5.78 times.</p><p><strong>Conclusion: </strong>Advertising exposure was associated with higher appeal of nicotine-containing products among people who have never used nicotine. Given the risk of initiation, EU-wide advertising restrictions could protect this group and limit the impact of these products on health.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076111","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 : 2025-09-05DOI: 10.1136/tc-2025-059357
Acadia Thielking, Yiqi Qian, Stephen Olivier, Ronel Sewpaul, Douglas E Levy, Hloniphile Ngubane, Gina R Kruse, Thando Zulu, Nancy A Rigotti, Mark J Siedner, Emilly B Wong, Krishna Reddy
{"title":"Changes in tobacco use in rural South Africa during the 2020 tobacco sales ban: an analysis of current and previous behaviours using cross-sectional data.","authors":"Acadia Thielking, Yiqi Qian, Stephen Olivier, Ronel Sewpaul, Douglas E Levy, Hloniphile Ngubane, Gina R Kruse, Thando Zulu, Nancy A Rigotti, Mark J Siedner, Emilly B Wong, Krishna Reddy","doi":"10.1136/tc-2025-059357","DOIUrl":"10.1136/tc-2025-059357","url":null,"abstract":"<p><strong>Background: </strong>As part of its COVID-19 response, South Africa banned tobacco sales between March and August 2020. We examined self-reported tobacco use before, during and after the ban among a rural South African population with high HIV prevalence.</p><p><strong>Methods: </strong>Between May 2021 and November 2022, we conducted a telephonic survey on tobacco use among a purposively selected subset of a population-based cohort in rural KwaZulu-Natal. We compared the prevalence and characteristics of people who retrospectively reported tobacco use (combustible, smokeless and/or electronic cigarettes) before, during and after the ban. Multiple logistic regression assessed predictors of tobacco use during and after the ban.</p><p><strong>Results: </strong>Of 1448 people eligible, 752 (51.9%) completed the survey. Among 449 people who used tobacco before the ban, 118 (26.3%, 95% CI 22.2% to 30.4%) reported abstinence during the ban, of whom 103 (87.3%, 95% CI 81.3% to 93.3%) relapsed afterwards. Of the 39 people (8.7%, 95% CI 6.1% to 11.3%) abstinent after the ban, most had used tobacco during the ban and quit afterwards. People with HIV were more likely than people without HIV to stop during the ban (adjusted OR (aOR) 1.57, 95% CI 1.01 to 2.44, p=0.046). For each unit increase in daily combustible tobacco use before the ban, individuals were less likely to stop using tobacco during the ban (aOR 0.92, 95% CI 0.88 to 0.97, p<0.001).</p><p><strong>Conclusions: </strong>South Africa's 2020 tobacco sales ban, prompted by the COVID-19 pandemic, was associated with a 26% decrease in retrospectively reported tobacco use prevalence among a rural cohort. Tobacco use largely, but not completely, rebounded after the ban.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006545","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}