Tobacco ControlPub Date : 2025-08-12DOI: 10.1136/tc-2025-059457
Christopher B Gage, Jacob C Kamholz, Jonathan R Powell, Shea L van den Bergh, Micah L Berman, Ashish R Panchal, Amy Katherine Ferketich
{"title":"Reducing on-duty smoking: the role of workplace policies in emergency medical services in the United States.","authors":"Christopher B Gage, Jacob C Kamholz, Jonathan R Powell, Shea L van den Bergh, Micah L Berman, Ashish R Panchal, Amy Katherine Ferketich","doi":"10.1136/tc-2025-059457","DOIUrl":"https://doi.org/10.1136/tc-2025-059457","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849147","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 : 2025-08-11DOI: 10.1136/tc-2024-059003
Qinghua Nian, Jennifer L Brown, Elizabeth Crespi, Shuai Zhang, Rusi Long, Joanna E Cohen
{"title":"Tobacco sales and marketing at points-of-sale near schools remain widespread in China: an observational study in 2021 and 2023.","authors":"Qinghua Nian, Jennifer L Brown, Elizabeth Crespi, Shuai Zhang, Rusi Long, Joanna E Cohen","doi":"10.1136/tc-2024-059003","DOIUrl":"https://doi.org/10.1136/tc-2024-059003","url":null,"abstract":"<p><strong>Background: </strong>China prohibits tobacco product sales near schools and, as of 2022, bans non-tobacco-flavoured e-cigarette sale. This study assessed changes in tobacco sales and marketing near schools in ten cities across China from 2021 to 2023.</p><p><strong>Methods: </strong>We sampled 879 schools (731 urban, 148 rural) using multistage sampling and observed the availability and marketing of tobacco products at retailers within 100 m of urban schools and 250 m of rural schools in 2021 and 2023. McNemar and paired t-tests were conducted with school as unit of analysis.</p><p><strong>Results: </strong>From 2021 to 2023, there was a significant decrease in prevalence of cigarette retailers around both urban schools (57.2% vs 47.1%, p<0.05) and rural schools (70.3% vs 62.8%, p<0.05). The prevalence of flavoured cigarette retailers significantly decreased around urban schools (42.8% vs 38.9%, p<0.05); however, it remained high (52%) around rural schools. The total number of e-cigarette retailers decreased from 59 to 11. Over 90% of cigarette and e-cigarette retailers displayed tobacco products. While the prevalence of retailers displaying cigarettes inside significantly declined around urban schools (55.5% vs 44.6%, p<0.001), the prevalence of retailers displaying cigarettes next to sweets, drinks or snacks significantly increased (28.0% vs 32.1%, p<0.05).</p><p><strong>Conclusions: </strong>The number of retailers selling and displaying cigarettes and flavoured cigarettes decreased but remained widespread, and the number of retailers selling e-cigarettes also decreased near schools in 10 cities across China. To protect youth, effective enforcement of regulations prohibiting tobacco sales around schools, a comprehensive advertising ban and restrictions on flavoured cigarettes are necessary.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822627","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 : 2025-08-11DOI: 10.1136/tc-2025-059581
Lauren Czaplicki, Meghan B Moran, Ryan David Kennedy, Dana Tfayli, Suzanne Frisbee, Maryam Ibrahim, Tory R Spindle
{"title":"Nicotine analogue pouches: a growing regulatory challenge.","authors":"Lauren Czaplicki, Meghan B Moran, Ryan David Kennedy, Dana Tfayli, Suzanne Frisbee, Maryam Ibrahim, Tory R Spindle","doi":"10.1136/tc-2025-059581","DOIUrl":"https://doi.org/10.1136/tc-2025-059581","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822626","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 : 2025-08-07DOI: 10.1136/tc-2024-059245
Makenna N Gomes, Jessica L Reid, Eve V Taylor, Richard Edwards, Richard O'Connor, Andrew Hyland, David Hammond
{"title":"E-cigarette consumption among youth who vape in Canada, England, New Zealand and the USA: Exploring methods to quantify consumption amounts and differences by product attributes using population-level surveys.","authors":"Makenna N Gomes, Jessica L Reid, Eve V Taylor, Richard Edwards, Richard O'Connor, Andrew Hyland, David Hammond","doi":"10.1136/tc-2024-059245","DOIUrl":"10.1136/tc-2024-059245","url":null,"abstract":"<p><strong>Significance: </strong>Despite the popularity of vaping among young people, data on e-liquid consumption remain limited. The current study explores methods to quantify e-liquid consumption among youth who currently vape in four countries.</p><p><strong>Methods: </strong>Data were analysed from the 2023 International Tobacco Control Policy Evaluation Project Youth Surveys, conducted online with national samples in Canada, England, New Zealand and the USA, among 2916 youth aged 16-19 who vaped in the past 30 days. The volume of e-liquid consumed in the past 30 days was estimated from device-specific measures. Linear regression models examined differences in total e-liquid consumption by (1) country, age, sex-at-birth, exclusive versus dual vaping/smoking and device type; (2) four vaping dependence variables (frequency of strong urges, perceived addiction, days vaped, E-cigarette Dependence Scale (EDS) score) and (3) flavour.</p><p><strong>Results: </strong>Across countries, total e-liquid consumption reported in the past 30 days was a median of 9.7 mL and a mean of 22.4 mL. Compared with the USA, e-liquid consumption was greater in Canada (β=4.6, p=0.048) and England (β=4.8, p=0.027). Using multiple device types was associated with greater e-liquid consumption (eg, three device types vs only pods/cartridges: β=54.6, p<0.001). All four dependence indicators were positively associated with consumption, including urges to vape, perceived addiction, days vaped and EDS (all p<0.001). Youth who vaped fruit flavours reported the greatest e-liquid consumption (β=9.1, p=0.001), with some evidence of higher consumption levels for sweet/drinks/other flavours (β=4.3, p=0.093).</p><p><strong>Conclusions: </strong>The findings suggest substantial e-liquid consumption among youth who vape in all four countries.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804915","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":"Analysis of roll-your-own tobacco pack design and warning compliance in Argentina.","authors":"Emilia Elicabe, María Belén Arnaudo, Raul Mejia, Georgia Alexandrou, Crawford Moodie","doi":"10.1136/tc-2024-059254","DOIUrl":"https://doi.org/10.1136/tc-2024-059254","url":null,"abstract":"<p><strong>Introduction: </strong>Packaging is a key marketing tool for tobacco companies and an important means of communicating product-related risks to governments. While research has explored promotional characteristics of cigarette packs and compliance with warnings on cigarette packs, studies on roll-your-own (RYO) tobacco packaging are limited.</p><p><strong>Methods: </strong>We purchased a convenience sample of unique RYO packs (n=116) between November 2022 and May 2024 in five cities in Argentina, where RYO tobacco has increased in popularity. We developed a checklist to examine the presence of pack design features and compliance with on-pack warnings and conducted a descriptive analysis.</p><p><strong>Results: </strong>The sample included 50 brands. Most packs were pouches (94.0%) and contained 30 g of tobacco (74.1%). About half (51.7%) were flavoured, most commonly fruit (43.3%), vanilla (21.7%) and chocolate (15.0%). Unflavoured packs frequently featured 'natural' or 'additive-free' descriptors (51.8%) and light colours (48.2%), while flavoured packs predominantly used flavour descriptors (88.3%) and bright colours (86.7%). Nearly half the packs (46.6%) were locally produced, with 48.1% highlighting their Argentinian origin. In terms of warning compliance, 47.4% of packs failed to display a warning image covering 50% of the front of the pack. The warning image (90.5%) and message (81.9%) were frequently obscured by a tax stamp.</p><p><strong>Conclusions: </strong>The findings help understand how tobacco companies promote RYO via the packaging. Additionally, this exploratory study could serve as a template for other studies on RYO tobacco.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790050","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 : 2025-08-05DOI: 10.1136/tc-2025-059487
Fatma Romeh M Ali, Pearlanna DeLong, Carlos Manuel Guerrero-López, German Rodriguez-Iglesias, Jeffrey Drope
{"title":"Global cigarette market: trends in sales, pricing and estimates of price elasticity across WHO regions (2008-2022).","authors":"Fatma Romeh M Ali, Pearlanna DeLong, Carlos Manuel Guerrero-López, German Rodriguez-Iglesias, Jeffrey Drope","doi":"10.1136/tc-2025-059487","DOIUrl":"https://doi.org/10.1136/tc-2025-059487","url":null,"abstract":"<p><strong>Objectives: </strong>To assess trends in cigarette sales and prices and estimate price elasticity of demand for cigarettes in the WHO regions.</p><p><strong>Methods: </strong>Cigarette sales data (2008-2022) for 98 countries (88.7% of the global population), grouped across six WHO regions, were obtained from the Euromonitor International Passport database. Trends in cigarette stick sales, and inflation-adjusted sales values and prices were assessed using Joinpoint regression. The price elasticity was estimated using a panel data fixed-effects model, adjusting for potential confounders.</p><p><strong>Results: </strong>From 2008 to 2022, global cigarette stick sales decreased 11.6%, driven by significant reductions in the Americas (40.6%) and Europe (40.9%). Conversely, sales remained stable in the Western Pacific and South-East Asia, while increasing in the Eastern Mediterranean and Africa-the only two regions that experienced minimal or no price increases. The global price elasticity was estimated at -0.44. The Americas showed the highest elasticity (-0.89), followed by the Western Pacific (-0.51), Europe (-0.49) and the Eastern Mediterranean (-0.30)-no significant elasticity was observed in Africa or South-East Asia.</p><p><strong>Conclusions: </strong>Rising cigarette prices have contributed to reduced sales in the Americas and Europe, indicating the effectiveness of tobacco taxation and/or the effects of industry pricing strategies. Conversely, sales remained stable in the Western Pacific and South-East, likely due to population and economic growth offsetting price effects. Sales increased in the Eastern Mediterranean and Africa alongside minimal price changes, highlighting the urgent need for stronger tobacco control through sustained tax increases and countering industry interference.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790051","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 consumption, gender and caregiving: a case study in Argentina.","authors":"Guillermo Cruces, Jorge Puig, Ignacio Lunghi, Mauricio Flores Muñoz, Guillermo Paraje","doi":"10.1136/tc-2025-059272","DOIUrl":"https://doi.org/10.1136/tc-2025-059272","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigates the gender-specific economic impacts of tobacco price increases, focusing on their effects on caregiving time, female labour income and total family income within Argentine households.</p><p><strong>Methods: </strong>Using Argentine data, the research employs simulations to assess the potential changes in economic indicators following a hypothetical 25% increase in tobacco prices. The analysis considers specific behavioral assumptions to model household responses.</p><p><strong>Results: </strong>Simulations indicate that a 25% increase in tobacco prices is associated with a potential increase in the average monthly labour income of female caregivers by up to 8.6% in the preferred scenario. This effect is attributed to an increase in the hours worked by female caregivers and a rise in female labour force participation, driven by a reduced need for caregiving hours due to improved health outcomes or changes in household dynamics related to tobacco cessation. Consequently, this also implies a 0.53% increase in the monthly per capita household income (PCHI). These positive economic effects are non-linear across the income distribution, with women in the lowest quintile experiencing a more substantial 0.64% increase in PCHI.</p><p><strong>Conclusions: </strong>Tobacco price increases in Argentina may yield significant gender-specific economic benefits, particularly for female caregivers and low-income households. These findings highlight an additional economic rationale for implementing robust tobacco control policies, beyond direct health benefits, by demonstrating their potential to enhance female economic empowerment and reduce household poverty.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785392","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 : 2025-08-01DOI: 10.1136/tc-2025-059315
Andrew Perusco, Coral E Gartner, Michelle Kennedy, Azad Singh Bali, Raglan Maddox
{"title":"Shaping the end of the Australian commercial tobacco epidemic: insights from Indigenous and non-Indigenous tobacco control policy actor interviews.","authors":"Andrew Perusco, Coral E Gartner, Michelle Kennedy, Azad Singh Bali, Raglan Maddox","doi":"10.1136/tc-2025-059315","DOIUrl":"https://doi.org/10.1136/tc-2025-059315","url":null,"abstract":"<p><strong>Background: </strong>Smoking is the leading preventable cause of death in Australia, with disproportionate harms experienced by Aboriginal and Torres Strait Islander peoples. Recognising Indigenous perspectives provided impetus for a commercial tobacco endgame in Aotearoa/New Zealand, and Indigenous perspectives may assist policy adoption in Australia.</p><p><strong>Purpose: </strong>The study aimed to identify the necessary conditions for the adoption of endgame policies in Australia, with an emphasis on Indigenous perspectives.</p><p><strong>Methods: </strong>Semi-structured interviews with Australian tobacco control policy actors were conducted between November 2023 and April 2024. We analysed data from 28 people (26 interviews, two written responses), including 6 Indigenous people. Template analysis was guided by endgame goals and policies, the Multiple Streams Framework and the Decolonising Framework. Indigenous perspectives were prioritised in the interpretation.</p><p><strong>Results: </strong>Policy failures, particularly the vaping epidemic, were a key theme. There was broad consensus among Indigenous peoples and non-Indigenous members of the dominant policy community for stronger tobacco and vape supply restrictions, and varied views on other endgame policies. Political barriers included tobacco tax revenue and resistance from the commercial sector. Facilitators included the tobacco control playbook, a favourable political environment, the popularity of tobacco-free generation policy and opportunities to broaden the lobby base.</p><p><strong>Conclusion: </strong>The tobacco control playbook will remain important in promoting policy innovation, as will resisting the influence of the commercial sector. Indigenous leadership is essential for all Australians and may open additional policy windows and drive reforms that are equitable, effective, community-driven and commensurate with the scale of harms.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765575","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 : 2025-07-31DOI: 10.1136/tc-2024-058599
Jagdish Kaur, Arvind Vashishta Rinkoo, Sol Richardson
{"title":"Update on numbers of tobacco-attributable deaths by country in the South-East Asia region: implications for policy.","authors":"Jagdish Kaur, Arvind Vashishta Rinkoo, Sol Richardson","doi":"10.1136/tc-2024-058599","DOIUrl":"10.1136/tc-2024-058599","url":null,"abstract":"<p><strong>Background: </strong>The WHO South-East Asia Region is home to around 33% of adult tobacco users. To inform tobacco control policy and practice, we conducted a study using the latest available data to update mortality attributable to overall tobacco use, including smoked tobacco, smokeless tobacco (SLT) and secondhand smoke (SHS) exposure, in the 11 countries of the Region.</p><p><strong>Methods: </strong>We estimated smoking, SLT use and SHS exposure using the latest available surveys for each country during 2016-2021, and then estimated all-cause and lung cancer-attributable annual deaths for each using the population-attributable fraction method. Finally, we estimated the annual total tobacco-attributable deaths including all three exposures using the multiplicative aggregation method.</p><p><strong>Results: </strong>We estimated the occurrence of 4 087 920 all-cause deaths and 105 279 lung cancer deaths annually attributable to tobacco use among the 11 countries investigated. India accounted for 63.9% of all-cause tobacco-attributable deaths.</p><p><strong>Conclusions: </strong>The high annual number of tobacco-attributable deaths in the Region highlights the need for accelerating progress in reducing tobacco use. Implementation of the WHO Framework Convention on Tobacco Control (FCTC) and MPOWER policy package needs prioritisation at the country level. Tobacco cessation services, supply-side measures and policies to counter tobacco industry interference should be strengthened. Further work is needed to monitor progress towards FCTC implementation and analyse the impacts of policies on tobacco-related outcomes, including attributable mortality and disease burden, to inform advocacy efforts.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"544-547"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293757","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 : 2025-07-31DOI: 10.1136/tc-2024-058632
Prashant Kumar Singh, Amit Yadav, Sagarika Rout, Chandresh Pragya Verma, Varsha Pandey, Sanchita Roy Pradhan, Vandana Tamrakar, Shalini Singh
{"title":"ICC's Cricket World Cup 2023 and the dirty game of surrogate advertisements of smokeless tobacco.","authors":"Prashant Kumar Singh, Amit Yadav, Sagarika Rout, Chandresh Pragya Verma, Varsha Pandey, Sanchita Roy Pradhan, Vandana Tamrakar, Shalini Singh","doi":"10.1136/tc-2024-058632","DOIUrl":"10.1136/tc-2024-058632","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"558-559"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162264","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}