Tobacco Control最新文献

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Incidence, mortality and oral cancer disability-adjusted life years in 204 countries and territories before and after the adoption of FCTC/WHO: interrupted time series study. 《烟草控制框架公约》/世卫组织通过前后204个国家和地区的发病率、死亡率和口腔癌残疾调整生命年:间断时间序列研究。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-02-11 DOI: 10.1136/tc-2024-058882
Bruna Machado da Silva, Laila Menezes Hagen, Amanda Ramos da Cunha, Fernando Neves Hugo, José Miguel Amenabar
{"title":"Incidence, mortality and oral cancer disability-adjusted life years in 204 countries and territories before and after the adoption of FCTC/WHO: interrupted time series study.","authors":"Bruna Machado da Silva, Laila Menezes Hagen, Amanda Ramos da Cunha, Fernando Neves Hugo, José Miguel Amenabar","doi":"10.1136/tc-2024-058882","DOIUrl":"https://doi.org/10.1136/tc-2024-058882","url":null,"abstract":"<p><p>The development of oral cancer (OC) is strongly associated with tobacco products which is a significant risk factor. In 2003, the WHO recommended that countries adopt the Framework Convention on Tobacco Control (FCTC/WHO), an international treaty that includes a set of public policies for tobacco control. Studies show a reduction in the prevalence of tobacco product consumption in countries that have more strongly implemented WHO/FCTC actions. However, information on the relationship between these policies and the burden of neoplastic diseases, including OC, is still scarce. For this reason, the objective of this study was to analyse trends in incidence, mortality, and OC disability-adjusted life years (DALYs) in countries and territories that have joined FCTC/WHO. The analysis lasted from 1990 to 2019, and 2003 was the interruption year (FCTC/WHO implementation), characterising the interrupted time series. The control group (G1) was composed of the countries and territories that did not adhere to the FCTC/WHO; the countries and territories that joined FCTC/WHO were divided into two groups, according to their policy performance (G2A: lowest MPOWER score and G2B: highest MPOWER score). To analyse trends and slopes, generalised linear regression was used using the Prais-Winsten method, allowing the presentation by means of the annual percentage changes and their respective 95% CIs. The temporal pattern showed significant downward negative movements in the group of countries and territories with the highest performance of the policies established in the FCTC/WHO (G2B Group). The socioeconomic development of the countries and territories did not interfere with the impact on the OC rates. It is concluded that the effective implementation of public policies for tobacco control is capable of favourably modifying the trend of incidence, mortality and DALYs rates of OC.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399994","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
Expanding synthetic nicotine commercial market: Aroma King's 'NoNic' pouches and e-cigarettes. 扩大合成尼古丁商业市场:Aroma King的“NoNic”烟袋和电子烟。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-02-08 DOI: 10.1136/tc-2024-059067
Louisiana Montserrat Sanchez, Adam M Leventhal, Jennifer B Unger, Artur Galimov
{"title":"Expanding synthetic nicotine commercial market: Aroma King's 'NoNic' pouches and e-cigarettes.","authors":"Louisiana Montserrat Sanchez, Adam M Leventhal, Jennifer B Unger, Artur Galimov","doi":"10.1136/tc-2024-059067","DOIUrl":"https://doi.org/10.1136/tc-2024-059067","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374523","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
Marketing ZYN: examining branded and unbranded content. 营销 ZYN:研究品牌和非品牌内容。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-02-06 DOI: 10.1136/tc-2024-058766
Ollie Ganz, Patrick V Barnwell, Mary Hrywna, Scott I Donaldson, Jon-Patrick Allem, Cristine D Delnevo
{"title":"Marketing ZYN: examining branded and unbranded content.","authors":"Ollie Ganz, Patrick V Barnwell, Mary Hrywna, Scott I Donaldson, Jon-Patrick Allem, Cristine D Delnevo","doi":"10.1136/tc-2024-058766","DOIUrl":"10.1136/tc-2024-058766","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535347","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}
引用次数: 0
How do clinicians address vaping in an illegal context? A qualitative Singapore study. 临床医生如何处理非法情况下的电子烟?一项定性新加坡研究。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-02-06 DOI: 10.1136/tc-2024-058996
Yvette van der Eijk, Wei Yi Kwok, Grace Ping Ping Tan
{"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":"https://doi.org/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":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-06","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}
引用次数: 0
Generative AI in a new era of computer model-informed tobacco research: a short report. 基于计算机模型的烟草研究新时代中的生成式人工智能:一份简短报告。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-02-06 DOI: 10.1136/tc-2024-058887
Julia Vassey, Chris J Kennedy, Ho-Chun Herbert Chang, Jennifer B Unger
{"title":"Generative AI in a new era of computer model-informed tobacco research: a short report.","authors":"Julia Vassey, Chris J Kennedy, Ho-Chun Herbert Chang, Jennifer B Unger","doi":"10.1136/tc-2024-058887","DOIUrl":"10.1136/tc-2024-058887","url":null,"abstract":"<p><strong>Background: </strong>Social media influencers who promote e-cigarettes on Instagram or TikTok for tobacco brands use marketing tactics to increase the appeal of their promotional content, for example, depicting e-cigarettes alongside healthy lifestyle or entertainment imagery that could decrease youths' risk perceptions of e-cigarettes. Monitoring the prevalence of such content on social media using computer vision and generative AI (artificial intelligence) can provide valuable data for tobacco regulatory science (TRS).</p><p><strong>Methods: </strong>We selected 102 Instagram and TikTok videos posted by micro-influencers in 2021-2024 who promoted e-cigarettes alongside posts featuring four themes: cannabis, entertainment, fashion or healthy lifestyle. We used OpenAI's GPT-4o multimodal large-scale visual linguistic model to detect the presence of nicotine vaping, cannabis vaping, fashion, entertainment and healthy lifestyle. The model did not require any additional training and improved its performance as we modified the text prompt.</p><p><strong>Results: </strong>The model's accuracy was 87% for nicotine vaping, 96% for cannabis vaping, 99% for fashion, 96% for entertainment and 98% for healthy lifestyle.</p><p><strong>Conclusions: </strong>Generative AI can achieve accurate object detection with zero-shot learning (no additional training of the pretrained model). This model can be applied to big data-scale sample sizes of images and videos to detect e-cigarette-related and other substance-related promotional content and contexts (eg, healthy lifestyle) used for the promotion of these products on social media, providing valuable data for TRS.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068260","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
Removing or returning freedom? Views on a nicotine-free generation policy held by young people from aotearoa who use electronic nicotine delivery systems (ENDS). 剥夺还是归还自由?使用电子尼古丁传送系统的青少年对无尼古丁一代政策的看法。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-02-04 DOI: 10.1136/tc-2024-058913
Janet Hoek, Renee Hosking, Anna Graham-DeMello, Carissa Sanders, Lani Teddy, Jude Ball, Yvette van der Eijk, Karine Gallopel-Morvan
{"title":"Removing or returning freedom? Views on a nicotine-free generation policy held by young people from aotearoa who use electronic nicotine delivery systems (ENDS).","authors":"Janet Hoek, Renee Hosking, Anna Graham-DeMello, Carissa Sanders, Lani Teddy, Jude Ball, Yvette van der Eijk, Karine Gallopel-Morvan","doi":"10.1136/tc-2024-058913","DOIUrl":"https://doi.org/10.1136/tc-2024-058913","url":null,"abstract":"<p><strong>Introduction: </strong>International interest in a smokefree generation policy has grown as more local authorities and governments move to introduce this policy. Young people strongly support this measure, but we know less about how they view a nicotine-free generation policy that includes electronic nicotine delivery systems (ENDS). We addressed this gap by probing adolescents' views on a birth-year policy that included all nicotine products.</p><p><strong>Methods: </strong>We undertook in-depth interviews with 20 adolescents aged 16-18 who self-assessed as moderately or severely addicted to vaping and lived in Aotearoa New Zealand. In semistructured interviews, we explored participants' views on a nicotine-free generation, its rationale, implementation and likely impact. We interpreted the data using a reflexive thematic analysis approach.</p><p><strong>Results: </strong>Most participants supported a nicotine-free generation, rejected arguments that ENDS use was a 'choice', and called for government leadership to protect them and future generations; a small minority saw the measure as unwarranted interference. Several participants thought compliance would be low, given their experiences of lax age verification practices and the widespread social supply of ENDS, but suggested measures to improve compliance.</p><p><strong>Conclusions: </strong>Although participants thought a nicotine-free generation could impose personal hardship, most privileged the freedom they thought it could bring over the illusory 'choice' they currently had. Policy-makers should consider looking beyond a smokefree generation to a nicotine-free generation; alongside this measure, they should implement strong enforcement and provide comprehensive support so young people addicted to nicotine can be empowered to stop using ENDS.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190357","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
Cigarette filter ventilation, product appeal and regulatory options: a review of the influence of ventilation on consumers' sensory and risk perceptions. 香烟过滤嘴通风、产品吸引力和监管选择:通风对消费者感官和风险认知影响的综述。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-02-03 DOI: 10.1136/tc-2024-058921
Vaughan W Rees, Dorothy Hatsukami, Reinskje Talhout
{"title":"Cigarette filter ventilation, product appeal and regulatory options: a review of the influence of ventilation on consumers' sensory and risk perceptions.","authors":"Vaughan W Rees, Dorothy Hatsukami, Reinskje Talhout","doi":"10.1136/tc-2024-058921","DOIUrl":"10.1136/tc-2024-058921","url":null,"abstract":"<p><strong>Objective: </strong>Cigarette filter ventilation may enhance product appeal, support initiation and sustained smoking, and increase smoking prevalence. We reviewed recent evidence on how filter ventilation affects consumers' perceptions of product appeal and considered product use preferences to inform regulatory options.</p><p><strong>Data sources: </strong>PubMed, Embase and PsycINFO databases were searched up to December 2023. Systematic search strategies used terms based on cigarette filter ventilation, and multiple constructs comprising product appeal and user perceptions.</p><p><strong>Study selection: </strong>Two reviewers screened all 917 retrieved titles and abstracts independently and applied a consensus strategy to identify 16 articles that met eligibility criteria.</p><p><strong>Data extraction: </strong>Extracted data focused on study design, dependent variables or outcomes, and major conclusions.</p><p><strong>Data synthesis: </strong>While remaining popular, awareness and risk perception of ventilated cigarettes is generally low. Cigarettes with filter ventilation are perceived as smoother and less irritating than non-ventilated cigarettes. These modified sensory experiences shape perceptions of reduced health risks. Pack text descriptors and colours convey further information to consumers about smoothness, supporting lowered risk perceptions.</p><p><strong>Conclusions: </strong>Filter ventilation and its associated marketing continue to influence consumers' perceptions of smoothness creating misperceptions about health risks. Standardised ('plain') packaging regulations are recommended to restrict communication of ventilation themes as well as evidence-based health communications to correct consumer misperceptions about smoothness and health risks. Since filter ventilation has no benefits for public health, policy makers could consider banning filter ventilation or even disallowing filters.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122597","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
Trends in use of cigarettes and e-cigarettes among young adults who had smoked in adolescence: 2017-2022. 2017-2022年青少年吸烟的年轻人使用香烟和电子烟的趋势。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-01-31 DOI: 10.1136/tc-2024-059018
Richard Miech, Adam Leventhal, Megan Patrick, Nicolas Rodriguez
{"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":"https://doi.org/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":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cessation and knowledge-building messaging are associated with e-cigarette cessation intentions among youth and young adults in the USA. 戒烟和知识建设信息与美国青少年和年轻人的电子烟戒烟意图有关。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-01-30 DOI: 10.1136/tc-2024-058821
Linda Q Yu, Elizabeth K Do, Tyler Minter, Kristiann Koris, Bushraa Khatib, Megan A Jacobs, Amanda L Graham, Elizabeth C Hair
{"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":"https://doi.org/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":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-30","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}
引用次数: 0
Psychological, social and cultural influences on smoking among lesbian, bisexual and queer women. 心理、社会和文化对女同性恋、双性恋和酷儿女性吸烟的影响。
IF 4 2区 医学
Tobacco Control Pub Date : 2025-01-27 DOI: 10.1136/tc-2024-059039
Ruby Grant, Julie Mooney-Somers, Ruth McNair, Amy Pennay, Catherine Segan, Jennifer Power, Adam Bourne
{"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":"https://doi.org/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":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-27","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}
引用次数: 0
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