Tobacco ControlPub Date : 2026-08-04DOI: 10.1136/tc-2026-060085
Austin Landini, Christopher Lowenstein, Michael F Pesko
{"title":"Patterns of specialty tobacco retail locations and visitor counts in the USA.","authors":"Austin Landini, Christopher Lowenstein, Michael F Pesko","doi":"10.1136/tc-2026-060085","DOIUrl":"10.1136/tc-2026-060085","url":null,"abstract":"<p><strong>Background: </strong>Specialty tobacco retailers, including vape shops, smoke shops and cigar shops, are important sources of tobacco access, yet there is no reproducible national database documenting their locations and consumer engagement.</p><p><strong>Methods: </strong>We develop a national database of specialty tobacco retailers in the USA by combining Google Maps business listings as of June 2024 with Advan unique visitor count data, updated to May 2024. We match approximately 20 000 businesses across both databases and observe roughly 50 million monthly visits to these locations. We then perform two cross-sectional analyses examining specialty retailer density and visits at the census tract and county levels.</p><p><strong>Results: </strong>We find strong clustering of all types of specialty retailers in low-income areas and fewer shops per capita in rural areas. We find that smoke and vape shop density is negatively correlated with both educational attainment and population share of racial and ethnic minorities. Cigar and smoke shops were less common in areas with high shares of young people aged 15-24. Additional businesses are positively associated with total consumer visits, with evidence of spillover effects across shop types.</p><p><strong>Conclusions: </strong>This study provides the first reproducible national assessment of specialty tobacco retailer locations linked to consumer visit data, offering a new foundation for monitoring retail access and informing tobacco control policy.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702244","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 : 2026-08-03DOI: 10.1136/tc-2026-060362
Andrew Seidenberg, Sairam V Jabba, Maciej Lukasz Goniewicz, Sven Eric Jordt
{"title":"Combustible tobacco-free cigarettes containing a nicotine analogue: a dangerous design to counter smoking regulations?","authors":"Andrew Seidenberg, Sairam V Jabba, Maciej Lukasz Goniewicz, Sven Eric Jordt","doi":"10.1136/tc-2026-060362","DOIUrl":"https://doi.org/10.1136/tc-2026-060362","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040716","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 : 2026-08-03DOI: 10.1136/tc-2026-060117
Sungmin Park, Naeun Kang, Sung-Il Cho, Heewon Kang
{"title":"Public insurer litigation and tobacco industry liability: lessons from the National Health Insurance case in the Republic of Korea.","authors":"Sungmin Park, Naeun Kang, Sung-Il Cho, Heewon Kang","doi":"10.1136/tc-2026-060117","DOIUrl":"https://doi.org/10.1136/tc-2026-060117","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697957","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 : 2026-07-31DOI: 10.1136/tc-2025-059802
Susan Park, David T Levy, Heewon Kang, Seulgi Kim, Chang Bum Kang, Gil-Yong Kim, Woojin Jeong, Sung-Il Cho
{"title":"Modelling the potential impact of a flavour ban on smoking and vaping prevalence in South Korea.","authors":"Susan Park, David T Levy, Heewon Kang, Seulgi Kim, Chang Bum Kang, Gil-Yong Kim, Woojin Jeong, Sung-Il Cho","doi":"10.1136/tc-2025-059802","DOIUrl":"https://doi.org/10.1136/tc-2025-059802","url":null,"abstract":"<p><strong>Background: </strong>The increasing popularity of flavoured cigarettes in South Korea poses a challenge to recent declines in smoking prevalence, particularly among younger populations. This study aimed to estimate the potential impact of implementing a flavoured cigarette ban on smoking and vaping prevalence in South Korea using the Smoking and Vaping Model (SAVM).</p><p><strong>Methods: </strong>We adapted the SAVM to the Korean context using national demographic data, smoking and vaping prevalence from the Korea National Health and Nutrition Examination Survey (KNHANES) and flavoured cigarette use data from the International Tobacco Control (ITC) survey. To validate the model, we compared the projected smoking prevalence under the status quo scenario from 2016 to 2022 with the smoking prevalence reported in KNHANES. The model assumes implementation of the flavoured cigarette ban beginning in 2025 and projects smoking and vaping prevalence from 2025 to 2034 under both the status quo and flavour ban scenarios. Sensitivity analyses were conducted by varying key parameters by ±10%.</p><p><strong>Results: </strong>Under the flavour ban scenario, male smoking prevalence is projected to further decline by 2.0% point and female prevalence by 0.5% point within 1 year of policy implementation, compared with the status quo. Flavoured cigarette use is expected to drop substantially, with partial substitution to unflavoured cigarettes and flavoured nicotine vaping products. Vaping prevalence is projected to increase by approximately 1.0% point in both sexes, compared with the status quo. Sensitivity analysis indicated the robustness of these projections.</p><p><strong>Conclusions: </strong>A comprehensive flavour ban could significantly reduce smoking prevalence in South Korea, but may lead to increased use of alternative tobacco products. To maximise public health benefits, policies should address flavoured products across all tobacco products and anticipate potential substitution behaviours.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649347","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 : 2026-07-31DOI: 10.1136/tc-2025-060006
Abbey R Masonbrink, Shelbie Wooten, Hung-Wen Yeh, Stephani Stancil, Melissa K Miller, Karen Wilson, Tamara D Simon, Adam Leventhal, Delwyn Catley
{"title":"Pilot randomised controlled trial of an e-cigarette and tobacco use intervention for hospitalised youth.","authors":"Abbey R Masonbrink, Shelbie Wooten, Hung-Wen Yeh, Stephani Stancil, Melissa K Miller, Karen Wilson, Tamara D Simon, Adam Leventhal, Delwyn Catley","doi":"10.1136/tc-2025-060006","DOIUrl":"10.1136/tc-2025-060006","url":null,"abstract":"<p><strong>Introduction: </strong>We sought to evaluate preliminary efficacy and implementation outcomes of an e-cigarette and tobacco cessation intervention for hospitalised youth in the USA.</p><p><strong>Methods: </strong>We conducted a pilot randomised controlled trial at a paediatric hospital with 3-month follow-up from August 2023 to December 2024. Hospitalised youth (14-21 years) with self-reported past 30-day e-cigarette use were eligible. Exclusions included severe medical/psychiatric illness, cognitive impairment and inability to communicate in English. Intervention entailed health education, motivational interviewing counselling, quit planning, nicotine replacement therapy (NRT) and phone booster sessions. Control entailed brief advice and quit programme referral. The primary outcome was self-reported past 30-day e-cigarette abstinence at 3 months with biochemical confirmation with intention-to-treat (ITT) sensitivity analysis. Implementation outcomes included acceptability, feasibility and fidelity.</p><p><strong>Results: </strong>In 144 hospitalised youth enrolled, the mean age was 16.2 years (SD: 1.3) and 62% were female. At 3 months there was no difference in past 30-day e-cigarette abstinence between arms (intervention 43% vs control 42%; p=0.91). In ITT analysis we found the OR of abstinence was OR 0.77 (95% CI 0.27 to 2.19, p=0.62) in the intervention versus control. Mean fidelity score was 43 (SD: 3; out of 50). All intervention participants (n=96) completed the initial in-person intervention, 49% made a quit plan, of those 23% were prescribed NRT. Most (89%) were somewhat/very satisfied with the intervention.</p><p><strong>Conclusions: </strong>Our study is among the first to demonstrate promising implementation but not efficacy of an e-cigarette cessation intervention in hospitalised youth. Future work is needed to enhance intervention efficacy in this population.</p><p><strong>Trial registration number: </strong>NCT05936099.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649282","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 : 2026-07-31DOI: 10.1136/tc-2025-059459
Kensei Seki, Tomohiro Shinozaki, Takahiro Tabuchi
{"title":"Government-regulated workplace indoor smoking rooms for exclusive heated tobacco product (HTP) smoking in Japanese workplaces are associated with a higher likelihood of HTP smoking: the JASTIS 2024 study.","authors":"Kensei Seki, Tomohiro Shinozaki, Takahiro Tabuchi","doi":"10.1136/tc-2025-059459","DOIUrl":"https://doi.org/10.1136/tc-2025-059459","url":null,"abstract":"<p><strong>Objective: </strong>Despite the recommendation that heated tobacco products (HTPs) and conventional cigarettes (CCs) be regulated equivalently, Japan has adopted a national policy allowing some types of employers to institute workplace policies designating indoor HTP-only smoking rooms, in addition to the long-standing partial smoking ban system that allows smoking CCs and HTPs only inside smoking rooms. This study assessed whether employers' workplace policies regarding smoking were associated with employees' self-reported CC or HTP smoking.</p><p><strong>Methods: </strong>In 2024, we conducted a nationwide internet-based survey of 12 625 workers. Relative risks (RRs) for current (past 30 days) CC and HTP smoking based on workplace policies were estimated using modified Poisson regression analysis, adjusted for demographic and behavioural characteristics. Workplace smoking policies were classified into three categories: complete bans on smoking CCs and HTPs, partial smoking bans with HTP-only smoking rooms and partial smoking bans without HTP-only smoking rooms. Additionally, we conducted stratified analyses to identify possible associations between workplace smoking policies and smoking CCs and HTPs within each stratum of characteristics.</p><p><strong>Results: </strong>Compared with complete smoking bans, partial smoking bans with HTP-only smoking rooms were associated with a higher likelihood of HTP smoking (RR=1.55, 95% CI 1.35 to 1.77). This association was observed both among people who formerly (RR=1.88, 95% CI 1.51 to 2.33) and currently (RR=1.28, 95% CI 1.09 to 1.51) smoke CCs.</p><p><strong>Conclusions: </strong>The presence of HTP-only smoking rooms in workplaces likely resulted in more workers smoking HTPs. HTP-only smoking rooms should therefore be eliminated, and employers should completely prohibit CC and HTP smoking in their workplaces.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649338","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 : 2026-07-30DOI: 10.1136/tc-2026-060087
K Michael Cummings, Gang Meng, Shannon Gravely, Anne C K Quah, Colin W Randol, Avery Roberson, Geoffrey T Fong, Katherine A East, Coral E Gartner, Ron Borland
{"title":"Trends in where adults buy their e-cigarette supplies: findings from 2016 to 2024 International Tobacco Control (ITC) four country smoking and vaping surveys.","authors":"K Michael Cummings, Gang Meng, Shannon Gravely, Anne C K Quah, Colin W Randol, Avery Roberson, Geoffrey T Fong, Katherine A East, Coral E Gartner, Ron Borland","doi":"10.1136/tc-2026-060087","DOIUrl":"10.1136/tc-2026-060087","url":null,"abstract":"<p><strong>Background: </strong>Little is known about trends in electronic cigarette (EC) purchase sources across countries with different regulations.</p><p><strong>Methods: </strong>We analysed five waves of the International Tobacco Control Four Country and Vaping (ITC 4CV) survey data from Canada, USA, England and Australia (2016, 2018, 2020, 2022, 2024) comprising representative samples (aged ≥18) who reported vaping ≥weekly, past-month EC purchasing and last purchase source (ie, online, vape shop, other retail places defined as places other than online and vape shops) in ≥1 survey (n=8904). Generalised estimating equations models estimated purchase locations over time within and between countries.</p><p><strong>Findings: </strong>EC purchase locations differed between countries and over time. In Canada, between 2016 and 2018, other retail places decreased by 7.9% (p=0.04); between 2018 and 2020, other retail places increased by 12.1% (p<0.01). In the USA, between 2020 and 2022 online purchasing decreased by 14.4% (p<0.01), while vape shop purchasing increased by 12.4% (p<0.01). In Australia, between 2020 and 2022 online purchasing decreased by 23.6% (p<0.01) while other retail places increased by 22.5% (p<0.01) and increased again between 2022 and 2024 by 15.1% (p<0.01). In 2024, purchasing in vape shops was more common in Canada (61.4%) and the USA (55.0%) compared with England (31.6%) and Australia (21.4%); online purchasing was more common in England (30.8%) than Canada (17.6%), Australia (18.0%) and the USA (11.7%); and purchasing from other retail places was more common in Australia (60.7%) than England (37.6%), the USA (33.3%) and Canada (21.0%). Purchasing from a pharmacy/chemist was rare.</p><p><strong>Interpretation: </strong>EC regulations may influence where consumers can legally be sold EC supplies.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13678653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631602","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 : 2026-07-28DOI: 10.1136/tc-2026-060471
Ariadna Feliu, Luk Joossens, Cristina Martinez
{"title":"Celebrating 20 years of the Tobacco Control Scale: Evolving to benchmark and advance policy implementation in a changing context.","authors":"Ariadna Feliu, Luk Joossens, Cristina Martinez","doi":"10.1136/tc-2026-060471","DOIUrl":"https://doi.org/10.1136/tc-2026-060471","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":"35 4","pages":"423-424"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148607869","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 : 2026-07-28DOI: 10.1136/tc-2024-059220
Margaret Mahoney, Alexander Schwank, Maeh Al-Shawaf, Carissa Baker Holmes, Michael A Tynan
{"title":"Support among adults for a policy to lower nicotine levels in cigarettes and cigars - USA, 2023.","authors":"Margaret Mahoney, Alexander Schwank, Maeh Al-Shawaf, Carissa Baker Holmes, Michael A Tynan","doi":"10.1136/tc-2024-059220","DOIUrl":"10.1136/tc-2024-059220","url":null,"abstract":"<p><p>Nicotine is highly addictive and plays a dominant role in sustaining commercial tobacco use. This study assesses support for a policy to lower the nicotine levels in both cigarettes and cigars because reducing nicotine levels to less addictive or non-addictive levels is expected to reduce tobacco use and the resulting tobacco-related disease and death. Data came from SpringStyles 2023, a web panel survey of adults in the USA, aged 18 years or older (N=6694). Overall, 79.9% of adults supported this policy, including 69.3% of adults who currently smoke cigarettes, 70.2% of adults who currently smoke cigars and 79.2% of adults who reported that they tried to quit smoking in the past year. These findings can help inform federal, state, local, tribal and territorial efforts to reduce commercial tobacco product use.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"513-516"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812507","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}