Tobacco Control最新文献_第3页

Effectiveness of tobacco advertising, promotion and sponsorship bans on smoking prevalence, initiation and cessation: a systematic review and meta-analysis. 烟草广告、促销和赞助禁令对吸烟率、开始吸烟和戒烟的效果：系统回顾和荟萃分析。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-22 DOI: 10.1136/tc-2024-058903

Christina Saad, Brandon Hsu-Chen Cheng, Ryo Takamizawa, Arya Thakur, Chae-Weon Lee, Lachlan Leung, J Lennert Veerman, Leopold Ndemnge Aminde

{"title":"Effectiveness of tobacco advertising, promotion and sponsorship bans on smoking prevalence, initiation and cessation: a systematic review and meta-analysis.","authors":"Christina Saad, Brandon Hsu-Chen Cheng, Ryo Takamizawa, Arya Thakur, Chae-Weon Lee, Lachlan Leung, J Lennert Veerman, Leopold Ndemnge Aminde","doi":"10.1136/tc-2024-058903","DOIUrl":"10.1136/tc-2024-058903","url":null,"abstract":"Background: Bans on tobacco advertising, promotion and sponsorship (TAPS) have the potential to influence smoking behaviour. However, many countries are yet to implement such strategies.Objective: This study aimed to synthesise contemporary evidence on the effectiveness of TAPS bans on smoking prevalence, initiation and cessation.Data sources: Medline, EMBASE, Scopus, Cochrane Library and Web of Science databases were searched up to 11 April 2024. Sixteen eligible studies were included.Data selection and extraction: Two reviewers independently screened each study and extracted relevant data. Quality assessment was performed in duplicate using the ROBINS-I tool. Discrepancies were resolved via consensus or a third reviewer. Random effects meta-analyses were conducted for reasonably comparable studies.Data synthesis: The meta-analyses showed that TAPS bans were associated with a lower prevalence of current smoking (pooled OR= 0.80, 95% CI 0.68 to 0.95, I 2=98.7%) and a reduced risk of smoking initiation (pooled HR=0.63, 95% CI 0.48 to 0.82, I 2=95%). There was no association between TAPS bans and smoking cessation (pooled OR=1.10, 95% CI 0.86 to 1.40, I2 =58.5%). Subgroup analyses revealed the effects of TAPS bans on smoking prevalence differed by duration of evaluation (p<0.01).Conclusions: This review showed that TAPS bans were associated with a 20% lower odds of current smoking and a 37% reduced risk of smoking initiation. The available evidence suggests that TAPS bans influence smoking behaviour, which strengthens calls for the implementation and enforcement of these policies.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979950","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}

引用次数: 0

Quantile regression of tobacco tax pass-through in the UK 2017-2021: how have manufacturers passed through tax changes for different tobacco products in small retailers? Analysis at the national level and by neighbourhood of deprivation.

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-22 DOI: 10.1136/tc-2024-058958

Luke B Wilson, Colin Angus, Alan Brennan, Duncan Gillespie, Niamh K Shortt, Helena Tunstall, Roberto Valiente, Jamie Pearce

{"title":"Quantile regression of tobacco tax pass-through in the UK 2017-2021: how have manufacturers passed through tax changes for different tobacco products in small retailers? Analysis at the national level and by neighbourhood of deprivation.","authors":"Luke B Wilson, Colin Angus, Alan Brennan, Duncan Gillespie, Niamh K Shortt, Helena Tunstall, Roberto Valiente, Jamie Pearce","doi":"10.1136/tc-2024-058958","DOIUrl":"https://doi.org/10.1136/tc-2024-058958","url":null,"abstract":"Background: The effectiveness of tax increases in reducing tobacco consumption relies on the tobacco retailers and producers passing on increases to consumers (tax pass-through). Previous UK research on supermarkets found heterogeneous levels of tax pass-through across the market segments and price distribution of tobacco products. This study uses data from small retailers across the UK to assess whether recent tax changes have been passed on to consumers and if this varies across the price distribution, between countries of the UK and by neighbourhood deprivation.Methods: We use panel data quantile regression analysis of tobacco sales in small retailers in the UK from March 2017 to December 2021 combined with UK tax rates and store-level index of multiple deprivation (IMD). We calculated the rate of tax pass-through for factory-made cigarettes (FM) and roll-your-own tobacco (RYO).Results: Following increases in the duty payable on tobacco, we find evidence of overshifting across the entire price distribution for FM and RYO. For England, Scotland and Wales, the rate of the overshift in tax increased with product price. For Scotland, we find that stores in the least deprived IMD pass-through taxes at a higher rate.Conclusions: Our evidence shows heterogeneous levels of tax pass-through by price, region and level of deprivation. The findings emphasise the importance of understanding the pricing strategies of the tobacco industry (TI) and how these vary across the UK to develop robust approaches to mitigate the pricing strategies of the TI.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029635","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}

引用次数: 0

Vaping among young adults in Singapore: a qualitative study of motivations, challenges and antivaping intervention perceptions. 新加坡年轻人吸电子烟：一项关于动机、挑战和反电子烟干预观念的定性研究。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-21 DOI: 10.1136/tc-2024-059030

Iqbal Saifuddin Ahmad, Raymond Boon Tar Lim

{"title":"Vaping among young adults in Singapore: a qualitative study of motivations, challenges and antivaping intervention perceptions.","authors":"Iqbal Saifuddin Ahmad, Raymond Boon Tar Lim","doi":"10.1136/tc-2024-059030","DOIUrl":"https://doi.org/10.1136/tc-2024-059030","url":null,"abstract":"Introduction: The increasing use of electronic cigarettes among young adults in Southeast Asia is concerning. This study explores the motivations and challenges faced by young adults in quitting vaping and their perceptions of current public health messages and interventions in Singapore, which has stringent antivaping laws and active public health campaigns.Methods: A qualitative descriptive study was conducted involving in-depth interviews with 15 participants aged 18-35. Thematic analysis was performed by two independent researchers trained in qualitative methods.Results: Participants identified negative health outcomes and legal risks as major motivations for quitting vaping. Challenges included nicotine addiction, psychological dependency and entrenched vaping routines. The study revealed general scepticism towards current antivaping messages, which were seen as too generic and lacking credibility. Participants recommended that public health messages be more specific, transparent and engaging, incorporating independent research and visual aids to highlight vaping risks. They also suggested regulating e-cigarette sales instead of implementing blanket bans, ensuring anonymity for those seeking help and providing comprehensive nicotine cessation support. Additionally, the use of real-life testimonials and influencers was proposed to improve message relatability and effectiveness.Conclusion: This study provides valuable insights into the motivations and barriers of quitting vaping among young adults. Enhancing the transparency and specificity of antivaping messages, along with more tailored and supportive interventions, could increase their effectiveness and offer guidance for other Southeast Asian countries facing similar issues.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012197","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}

引用次数: 0

Effect of a minimum floor price law for tobacco products on tobacco sales in Oakland, California, USA: a synthetic difference-in-differences analysis. 美国加利福尼亚州奥克兰烟草制品最低底价法对烟草销售的影响：一种综合的差异分析。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-19 DOI: 10.1136/tc-2024-058853

Justin S White, Serge Atherwood, Dorie E Apollonio

{"title":"Effect of a minimum floor price law for tobacco products on tobacco sales in Oakland, California, USA: a synthetic difference-in-differences analysis.","authors":"Justin S White, Serge Atherwood, Dorie E Apollonio","doi":"10.1136/tc-2024-058853","DOIUrl":"10.1136/tc-2024-058853","url":null,"abstract":"Background: In May 2020, Oakland became the most populous city in California to implement a minimum floor price law (MFPL), requiring tobacco retailers to sell cigarettes and cigars at $8 or more per pack/package. Policy enforcement began in August 2020.Methods: We estimated changes in cigarette and cigar prices and unit sales for Oakland versus a matched comparator during the first 20 months following MFPL implementation using a synthetic difference-in-differences approach. We estimated outcome changes overall and by lower-priced (<$8) versus higher-priced (≥$8) segments based on pre-MFPL prices. We also assessed retailer compliance with the MFPL. We further estimated cross-border shopping as a means of price increase avoidance and substitution to electronic nicotine delivery systems (ENDS) and nicotine replacement therapy (NRT) products as alternative consumer responses to the MFPL.Results: Retailer compliance was high for cigarettes (97.5%) but extremely low for cigars (7.4%). Lower-priced cigarettes in Oakland exhibited: increased median price per pack of 9.0%, a decline in mean monthly sales of 25.2%, and no evidence of significant cross-border shopping (-1.2%) following MFPL enforcement. Lower-priced cigars in Oakland experienced no price change, yet a large sales decline post-enforcement (-58.8%), with a partially-offsetting increase in cross-border shopping (11.0%) post-enforcement. We observed no significant product substitution to higher-priced cigarettes or cigars nor to ENDS or NRT products.Conclusions: Oakland's MFPL produced an aggregate decline in cigarette sales of 15%. MFPLs hold promise as a complement to tobacco taxation for reducing tobacco use, especially in localities that pre-empt local tobacco taxation.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898446","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}

引用次数: 0

Lived experiences of stigma and altered self-perceptions among young people who are addicted to ENDS: a qualitative study from Aotearoa New Zealand. 对ENDS上瘾的年轻人的耻辱和改变的自我认知的生活经历：一项来自新西兰奥特罗亚的定性研究。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-19 DOI: 10.1136/tc-2024-058946

Anna Graham-DeMello, Carissa Sanders, Renee Hosking, Lani Teddy, Jude Ball, Karine Gallopel-Morvan, Yvette van der Eijk, David Hammond, Janet Hoek

{"title":"Lived experiences of stigma and altered self-perceptions among young people who are addicted to ENDS: a qualitative study from Aotearoa New Zealand.","authors":"Anna Graham-DeMello, Carissa Sanders, Renee Hosking, Lani Teddy, Jude Ball, Karine Gallopel-Morvan, Yvette van der Eijk, David Hammond, Janet Hoek","doi":"10.1136/tc-2024-058946","DOIUrl":"10.1136/tc-2024-058946","url":null,"abstract":"Introduction: Rising use of electronic nicotine delivery system (ENDS) among young people, especially those who have never smoked, has received considerable attention from the health community. However, fewer studies have examined the mental health impacts of ENDS use. We addressed this gap by exploring the stigma, altered self-perceptions and negative affect experienced by adolescents who assessed themselves as addicted to using ENDS.Methods: We interviewed 20 adolescents aged 16-18 who lived in Aotearoa New Zealand and assessed themselves as moderately or highly addicted to ENDS use. Using in-depth, semistructured qualitative interviews, we explored participants' experiences of addiction and its effects on their well-being. We interpreted the data using an inductive reflexive thematic analysis approach.Results: We identified four key themes. First, addiction to ENDS use adversely affected participants' physical and mental health. Second, addiction greatly diminished the pleasurable effects ENDS use first provided and participants who initially enjoyed using ENDS now felt unable to stop. Third, participants felt judged, stigmatised and belittled by others who did not understand their struggle with addiction. Fourth, they experienced several negative emotions, including self-blame, regret, disappointment and embarrassment that diminished how they saw themselves.Conclusions: We extend earlier studies by probing the mental health burden ENDS use imposes on young people, offer new insights into how they experience addiction and outline potential policy responses. Measures reducing young people's access to ENDS are urgently needed alongside empathetic, youth-oriented cessation support.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772629","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}

引用次数: 0

Effect of electronic cigarette atomising power and flavour on aerosol size-segregated metal concentration and inhalation risk. 电子烟的雾化功率和香味对气溶胶大小分离金属浓度和吸入风险的影响。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-15 DOI: 10.1136/tc-2024-058915

Jinho Lee, Masoud Afshar, Wei-Chung Su, Inkyu Han

{"title":"Effect of electronic cigarette atomising power and flavour on aerosol size-segregated metal concentration and inhalation risk.","authors":"Jinho Lee, Masoud Afshar, Wei-Chung Su, Inkyu Han","doi":"10.1136/tc-2024-058915","DOIUrl":"10.1136/tc-2024-058915","url":null,"abstract":"Introduction: Although numerous studies have estimated the inhalation dose of metals emitted from electronic cigarettes (e-cigs), the impact of factors including aerosol size and the atomising power of e-cig aerosols on estimating the inhalation dose of metals remains underexplored. A comprehensive understanding of these determinants is essential to assess the health risks associated with inhaling e-cig aerosols, which may contain potentially harmful metals.Objectives: The aim of this study is to elucidate the mass and inhalation doses of potentially harmful metals in e-cig aerosols by different particle size and their association with the various atomising powers of e-cig devices and flavours.Methods: Size-segregated e-cig aerosols were generated and collected in a exposure chamber, using an 11-stage cascade impactor for the analyses of aerosol mass and metals. The metal deposition dose in the human respiratory tract was calculated using a mathematical respiratory deposition estimation model and metal mass concentration by the size of aerosols.Results: In this study, the results showed that neither an increase in atomising power (from 5 to 20 W) nor e-cig flavours resulted in a significant increase in a metal deposition in the respiratory tracts. Although the factors did not significantly affect the calculated respiratory deposition of harmful metals under typical e-cig usage assumption, the estimated hazard index exceeded 1.0.Conclusion: The calculated health risks suggest substantial risks of inhalation of metal aerosols from e-cig use.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012196","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}

引用次数: 0

Nicotine levels in flavoured hookah (waterpipe) tobacco products: discrepancies between labelled and measured levels. 调味水烟（水烟）烟草制品中的尼古丁水平：标签和测量水平之间的差异。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-11 DOI: 10.1136/tc-2024-058939

Mary Rezk-Hanna, Ziyad Ben Taleb, Neal L Benowitz

{"title":"Nicotine levels in flavoured hookah (waterpipe) tobacco products: discrepancies between labelled and measured levels.","authors":"Mary Rezk-Hanna, Ziyad Ben Taleb, Neal L Benowitz","doi":"10.1136/tc-2024-058939","DOIUrl":"https://doi.org/10.1136/tc-2024-058939","url":null,"abstract":"Background: Hookah tobacco smoking is prevalent among youth and young adults. While health warning labels play a critical role in communicating the health risks of tobacco product use to consumers, compliance with US Federal Regulation's nicotine warning requirements on hookah tobacco packaging is low. Some labelling suggests that consumers are exposed to 'only 0.05% nicotine'. Here, this study sought to evaluate the accuracy of nicotine levels advertised on flavoured hookah tobacco packaging.Methods: We measured nicotine content of commercial hookah tobacco in a total of 15 flavours purchased from five different manufactures, that were selected based on their popularity in the USA and UK markets. Concentrations of nicotine were determined by gas-liquid chromatography with nitrogen phosphorus detection, using 5-methyl nicotine as an internal standard. Nicotine content was expressed as a percentage of tobacco weight.Results: Out of the 15 flavours tested and as compared with nicotine levels advertised on product packaging (0.05% nicotine), 12 (80%) had higher nicotine levels. Of these 12 flavours, actual nicotine levels ranged between 20% and 160% higher (0.08±0.01% vs 0.05%; mean±SE) than advertised levels. Estimates of determined levels of nicotine ranged from 0.05% to 0.13%.Conclusion: Nicotine levels cited by leading hookah tobacco manufacturers are misleading. The advertised levels of nicotine do not reflect the quantified dose of nicotine available to consumers of hookah tobacco products. Findings highlight the need for the development of hookah tobacco product regulations and labelling standards, similar to other tobacco products, to avoid misleading vulnerable consumers, including youth and young adults.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972201","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}

引用次数: 0

Association between tobacco advertising policies, health warning mandates and adolescents' exposure to tobacco advertising and warning labels in 80 countries. 80个国家的烟草广告政策、健康警告规定与青少年接触烟草广告和警告标签之间的关系。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-09 DOI: 10.1136/tc-2024-058786

Cathy Fan Ying Meng, Olivia Bannon, Anthony A Laverty, Filippos T Filippidis

{"title":"Association between tobacco advertising policies, health warning mandates and adolescents' exposure to tobacco advertising and warning labels in 80 countries.","authors":"Cathy Fan Ying Meng, Olivia Bannon, Anthony A Laverty, Filippos T Filippidis","doi":"10.1136/tc-2024-058786","DOIUrl":"https://doi.org/10.1136/tc-2024-058786","url":null,"abstract":"Background: Implementation of tobacco advertising, promotion and sponsorship (TAPS) bans and of health warning mandates varies by country, and their impact on adolescents' exposure to tobacco-related messages is not well understood, particularly in low-income and middle-income countries.Aim: To explore the association of the implementation of TAPS bans and health warning mandates with the proportion of adolescents exposed to tobacco advertisements and health warnings in 80 countries from 2016 to 2021.Methods: The proportion of 11-17 years old exposed to tobacco advertising was assessed using Global Youth Tobacco Survey data (80 countries, n=428 347). We conducted country-level multivariable linear regressions to explore the association between these policies and the proportion of adolescents exposed by country.Results: Of the 80 countries assessed, 39 had implemented a ban on advertising at points of sale, 54 had a ban on free distribution, 44 prohibited the use of tobacco brand names on non-tobacco products and 72 had laws mandating health warnings on cigarette packages. Banning point-of-sale advertisements was associated with 7.8% (95% CI -3.7% to -12.0%) lower exposure to point-of-sale advertisements. There was no significant association between mandating health warnings and the prevalence of exposure to health warnings. We did not find significant associations between bans on the free distribution of tobacco products or labelling non-tobacco products with tobacco brand names with exposure to tobacco advertisements.Conclusions: We found that, in the context of varying implementation levels, bans on point-of-sale advertisements were associated with lower exposure to advertisements.","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955550","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}

引用次数: 0

Ambiguity around assessment of exposure to cigarette advertising: the need for an updated measure. 香烟广告暴露评估的模糊性：更新测量方法的必要性。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-08 DOI: 10.1136/tc-2024-058934

Meghan Moran, Maryam Ibrahim, Lauren Czaplicki, Ryan David Kennedy

引用次数: 0

Quantifying differences in teenage vaping across countries: the importance of comparing like with like. 量化各国青少年吸电子烟的差异：同类比较的重要性。

IF 4 2区医学

Tobacco Control Pub Date : 2025-01-08 DOI: 10.1136/tc-2024-059008

Elizabeth M Greenhalgh, Maree Scully, Michelle Scollo, Sarah J Durkin

引用次数: 0