Tobacco ControlPub Date : 2025-02-06DOI: 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}
Tobacco ControlPub Date : 2025-02-04DOI: 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}
Tobacco ControlPub Date : 2025-02-03DOI: 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}
Tobacco ControlPub Date : 2025-01-31DOI: 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}
Tobacco ControlPub Date : 2025-01-30DOI: 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}
Tobacco ControlPub Date : 2025-01-27DOI: 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}
Tobacco ControlPub Date : 2025-01-27DOI: 10.1136/tc-2024-058895
Travis R Whitacre, Alyssa Crippen, Mayah Monthrope, Tanisha Narine, Alex C Liber, Abigail S Friedman
{"title":"Tobacco product flavour policies in the USA.","authors":"Travis R Whitacre, Alyssa Crippen, Mayah Monthrope, Tanisha Narine, Alex C Liber, Abigail S Friedman","doi":"10.1136/tc-2024-058895","DOIUrl":"https://doi.org/10.1136/tc-2024-058895","url":null,"abstract":"<p><strong>Objectives: </strong>Characterise US residents' exposure to restrictions on sales of flavoured electronic nicotine delivery system (ENDS), cigars and menthol cigarettes across states and time, and assess correlations between these policies.</p><p><strong>Methods: </strong>From 2022 to 2024, we compiled flavour policy locations from advocacy groups and online searches, located corresponding legal texts and reviewed these to identify policy details, including effective dates. Using census data, we calculated the proportion of state residents covered by each policy quarterly from 2009 to 2024 and estimated correlations between them and cigarette taxes.</p><p><strong>Results: </strong>By January 2024, menthol cigarettes, flavoured cigars and flavoured ENDS sales restrictions covered 17.6%, 18.1% and 28.1% of US residents. About 1 in 10 US residents is subject to flavoured ENDS restrictions without concurrent restrictions on flavoured cigar and menthol cigarette sales. Strong correlations between flavour policy coverage and cigarette tax rates indicate a need to adjust for exposure to a range of tobacco control policies in analyses evaluating any one of these regulations' effects.</p><p><strong>Conclusions: </strong>While state and local adoption of restrictions on flavoured tobacco product sales has proliferated, flavour policy coverage for combustible tobacco products lags well behind that for ENDS. If this leads some people who vape flavoured ENDS to substitute towards flavoured cigars and/or menthol cigarettes, this policy combination could harm population health.</p><p><strong>Policy implications: </strong>Rapid implementation of proposed US Food and Drug Administration rules barring flavoured cigar and menthol cigarette sales is needed to ensure that regulation of more lethal, combustible tobacco products is not more lenient than restrictions on less harmful nicotine products.</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":"143053766","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 : 2025-01-22DOI: 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":"<p><strong>Background: </strong>Bans on tobacco advertising, promotion and sponsorship (TAPS) have the potential to influence smoking behaviour. However, many countries are yet to implement such strategies.</p><p><strong>Objective: </strong>This study aimed to synthesise contemporary evidence on the effectiveness of TAPS bans on smoking prevalence, initiation and cessation.</p><p><strong>Data sources: </strong>Medline, EMBASE, Scopus, Cochrane Library and Web of Science databases were searched up to 11 April 2024. Sixteen eligible studies were included.</p><p><strong>Data selection and extraction: </strong>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.</p><p><strong>Data synthesis: </strong>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>I</i> <sup>2</sup>=98.7%) and a reduced risk of smoking initiation (pooled HR=0.63, 95% CI 0.48 to 0.82, <i>I</i> <sup>2</sup>=95%). There was no association between TAPS bans and smoking cessation (pooled OR=1.10, 95% CI 0.86 to 1.40, <i>I<sup>2</sup></i> =58.5%). Subgroup analyses revealed the effects of TAPS bans on smoking prevalence differed by duration of evaluation (p<0.01).</p><p><strong>Conclusions: </strong>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.</p>","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}
Tobacco ControlPub Date : 2025-01-22DOI: 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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}
Tobacco ControlPub Date : 2025-01-21DOI: 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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}