Tobacco Control最新文献

{"title":"Structured evaluation of gender integration in tobacco control research.","authors":"Tina Nanyangwe-Moyo, Laura J Rosa Pereira, Mathieu Jean-Patrick Poirier","doi":"10.1136/tc-2025-059334","DOIUrl":"10.1136/tc-2025-059334","url":null,"abstract":"<p><strong>Background: </strong>Gender norms are known to influence smoking behaviours, but studies evaluating tobacco control policies frequently overlook these factors by relying on gender-blind methodologies. The degree to which gender-sensitive methodological approaches are used in tobacco control research since the adoption of the Framework Convention on Tobacco Control has not yet been evaluated.</p><p><strong>Methods: </strong>We applied the European Institute for Gender Equality's Gender Impact Assessment (EIGE-GIA) toolkit to 43 peer-reviewed studies to assess the integration of gender-sensitive approaches in tobacco control research. Original tobacco control research studies published after 2005 based on nationally representative data were identified from PubMed using targeted search terms and a reverse snowball strategy. Each study was coded against the EIGE-GIA's core criteria of specifying the gendered target group and assessing the gendered impact of policy interventions.</p><p><strong>Results: </strong>Among the 43 studies analysed, 40 identified specific target groups and outlined key challenges related to tobacco use and MPOWER policies, meeting the first EIGE-GIA criterion. However, only 16 studies assessed specific tobacco control policies, and only 5 evaluated the gender-specific impacts of these policies. Many studies failed to meet the second criterion, often relying on binary comparisons that ignore complex gender dynamics.</p><p><strong>Conclusions: </strong>Our findings reveal persistent gaps in tobacco control research methodologies. Reliance on binary sex-disaggregated data that fail to explore gender-based determinants of health limits our understanding of the effectiveness of tobacco control policy interventions and fails to address gendered smoking behaviours. Researchers should use comprehensive frameworks to guide the assessment of gendered impacts of tobacco control interventions.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"540-544"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174995","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":"Representation of commercial and traditional tobacco on social media: deconstructing historical narratives to address the Indigenous youth tobacco epidemic.","authors":"Alec J Calac, Tiana McMann, Zhuoran Li, Raphael Cuomo, Timothy K Mackey","doi":"10.1136/tc-2024-058881","DOIUrl":"10.1136/tc-2024-058881","url":null,"abstract":"<p><strong>Background: </strong>Tobacco has significant cultural and spiritual uses in many Indigenous communities. The tobacco industry has long appropriated American Indian or Alaska Native (AI/AN or Indigenous) cultural imagery in print media and signage to advertise commercial tobacco products. In the internet era, little is known about the representation of commercial tobacco product advertising using AI/AN terms and images on social media.</p><p><strong>Methods: </strong>With structured platform searches, custom data collection approaches and a combination of manual content analysis and natural language processing approaches (NLP), we identified and characterised content using the hashtag #TraditionalTobacco (specific to Indigenous contexts) on Instagram and Twitter.</p><p><strong>Results: </strong>Using a combination of manual annotation and NLP, we identified prevalent themes and discussion topics, such as misrepresentation of traditional AI/AN uses of tobacco, appropriation of AI/AN imagery in retail advertising of tobacco and different uses for tobacco among North American Indigenous communities in 486 Instagram posts and 89 tweets. The representation of retail and recreational use of tobacco was more prevalent than traditional tobacco use on Instagram, a platform popular among youth and adolescents, while tobacco-related conversations on Twitter (X) primarily focused on debunking misconceptions about traditional tobacco use. Several tobacco retailers using AI/AN imagery in their advertising claimed to be affiliated with an AI/AN community, but we were unable to verify if these claims were authorised or legitimate.</p><p><strong>Conclusions: </strong>Findings may inform the design of culturally appropriate tobacco cessation interventions among AI/AN youth and lead to greater regulation of commercial tobacco product advertising.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"475-481"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626194","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":"Velo (BAT) buffet of oral nicotine pouches in Pakistan: varying brand variant levels of nicotine, menthol and other flavour chemicals.","authors":"Joanna E Cohen, Maryam Ibrahim, Sejal Saraf, Kevin Welding, Wentai Luo, Kevin J McWhirter, Katherine Clegg Smith, James F Pankow","doi":"10.1136/tc-2024-059139","DOIUrl":"10.1136/tc-2024-059139","url":null,"abstract":"<p><strong>Introduction: </strong>Global sales of oral nicotine pouches are increasing. 10 brand variants of Velo (BAT) pouches were purchased in Karachi, Pakistan in 2022 and assessed for levels of nicotine, numerous flavour chemicals, packaging and price.</p><p><strong>Methods: </strong>Purchase prices were recorded, and colours, images and words on the containers were assessed. Samples were analysed for nicotine and 180 individual flavour chemicals. Data were examined using the values of several flavour chemical groups, including total fruit flavour chemicals (TFFCs), total non-menthol mint chemicals (TNMMCs) and total menthol/mint chemicals (TM/MCs).</p><p><strong>Results: </strong>All brand variants indicated the nicotine content on the container (6, 10 or 14 mg/pouch). The 14 mg variants were packaged with black container tops and cost 25% more than the others, which had off-white container tops. Measured nicotine levels were similar to the labelled values. 46 of the 180 flavour compounds were detected at least once in the 10 products; four compounds were detected in all 10 products. Variation in the levels of TFFCs, TNMMCs and TM/MCs was much larger than the variation for the measured values of nicotine.</p><p><strong>Conclusion: </strong>This is the first independent assessment of oral nicotine pouch brand variants. Nicotine is available over a range of levels; it could be considered as a regulatory target. Consumers are also offered a buffet of options with a range of flavour levels and flavour mixes. Regulation of flavour chemicals in oral nicotine pouches should be considered in Pakistan given that flavours are known to increase product appeal, initiation by adolescents and quitting difficulty.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"498-504"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988125","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":"Electronic cigarette use, related health outcomes and policy interventions in the USA: a call for research to fill evidence gaps.","authors":"Tyler Nighbor, Shanshan Wang, Zheng Xue, Samuel Asare, Eva Orr-Souza, Minal Patel, Priti Bandi, Johann Lee Westmaas, Ahmedin Jemal, Nigar Nargis","doi":"10.1136/tc-2024-059019","DOIUrl":"10.1136/tc-2024-059019","url":null,"abstract":"<p><p>The population-level health consequences of electronic cigarette (e-cigarette) use are heavily debated. This special communication provides updated evidence and identifies knowledge gaps across domains including: (1) health-related outcomes associated with e-cigarette use; (2) initiation and use of e-cigarettes among youth and young adults; (3) concurrent use of electronic and combustible cigarettes; (4) transitions from combustible cigarette use to exclusive e-cigarette use among adults who currently smoke cigarettes and (5) existing e-cigarette-related policy interventions. Literature was searched through PubMed and Medline for systematic reviews, scoping reviews, meta-analyses and primary research articles including emerging topics not covered in reviews published between 1 January 2017 and 1 January 2024. E-cigarette use is associated with several adverse acute health outcomes; there is currently insufficient longitudinal evidence to predict chronic health outcomes. Prevalence of e-cigarette use among youth is considerable and may be associated with subsequent combustible cigarette smoking. Evidence for the health and behavioural impact of dual use of e-cigarettes and combustible cigarettes is limited by imprecise measurement of exposure. Evidence on adults completely substituting combustible cigarettes for e-cigarettes is strong in clinical trials; observational studies do not show complete substitution. Finally, the effects of e-cigarette-related policy interventions to restrict e-cigarette consumption are currently limited in scope and too short-lived to draw causal inferences. Substantial evidence gaps related to the use, associated health impacts and regulation of e-cigarettes in the USA are identified, and we suggest key areas for future research to address that are crucial for informing the public health approach to e-cigarettes.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"528-533"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045088","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":"Cigarette packs as advertising channels to promote heated tobacco products in South Korea.","authors":"Eunsil Cheon, Seulgi Kim, Susan Park, Steve Shaowei Xu, Anne C K Quah, Sung-Il Cho, Heewon Kang","doi":"10.1136/tc-2024-059227","DOIUrl":"10.1136/tc-2024-059227","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"559-561"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050034","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":"Impact of standardising the colour and branding of vape devices on product appeal among young people: a randomised experiment in England, Canada and the United States.","authors":"Harry Tattan-Birch, Katherine East, Sharon Cox, Sarah Jackson, Jamie Brown, Erikas Simonavicius, Jessica L Reid, David Hammond, Eve Violet Taylor","doi":"10.1136/tc-2024-059210","DOIUrl":"10.1136/tc-2024-059210","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the impact of standardising the colour and branding of disposable vaping devices on young people's interest in trying them.</p><p><strong>Design, setting and participants: </strong>Data were from national surveys of 16-29-year-olds in Canada, England and the United States in 2023 (N=15 259).</p><p><strong>Interventions: </strong>Respondents were randomised (1:1) to view images of either four branded disposable vapes (N=7638) or four standardised white disposable vapes (n=7621) and asked which they would be interested in trying.</p><p><strong>Main outcome measures: </strong>The primary outcome was selecting \"no interest in trying\" rather than any of the vapes displayed. We also examined whether the impact of standardisation differed by five potential moderators.</p><p><strong>Results: </strong>A greater proportion of participants reported \"no interest in trying\" the white standardised than branded vapes (67.1% vs 62.8%; adjusted risk ratio (ARR) 1.127, 95% CI 1.085 to 1.169). Compared with those who had never smoked or vaped, the impact of standardisation on those reporting no interest was greater for those who had, in the past 30 days, only smoked (47.5% vs 37.5%, ARR 1.287, 95% CI 1.079 to 1.495), only vaped (19.9% vs 16.4%, ARR 1.220, 95% CI 1.002 to 1.438), dual used (13.5% vs 9.5%, ARR 1.420, 95% CI 1.017 to 1.822) or who had formerly vaped/smoked (72.6% vs 65.0%, ARR 1.119, 95% CI 1.071 to 1.167). The impact was also greatest in the oldest age group, but there were no other clear moderators.</p><p><strong>Conclusions: </strong>Standardising the colour and branding of disposable vaping devices reduces young people's interest in trying them. However, this includes a substantial impact on those who smoke.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"489-497"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111814","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":"Association between perceived changes in electronic cigarette retailer density and regulation support among adolescents in China.","authors":"Xibin Sun, Yang Wang, Linnea Laestadius","doi":"10.1136/tc-2025-059312","DOIUrl":"10.1136/tc-2025-059312","url":null,"abstract":"<p><strong>Background: </strong>Adolescents' support for the regulation of electronic cigarettes (e-cigarettes) has been documented to be influenced by various factors, but the commercial environment has rarely been studied. We examined the relationship between adolescents' perceived changes in e-cigarette retailer density and their support for e-cigarette regulations in China and further identified potential underlying pathways.</p><p><strong>Methods: </strong>Data were collected from a national online cross-sectional survey of Chinese adolescents during 2022-2023 (N=1988). Using structural equation modelling, we examined the association between perceived changes in e-cigarette retailer density and support for e-cigarette regulations, including flavour bans, online sales bans, taxation and comprehensive bans. Specifically, the analyses tested the mediating effects of e-cigarette-related positive outcome expectancy and perceived health risk, along with the moderating effects of e-cigarette use status.</p><p><strong>Results: </strong>More than half of the participants supported the flavour ban (58.3%), the online sales ban (67.7%) and taxation (71.7%), but only 43.5% supported the comprehensive ban on e-cigarettes. Perceived increases in retailer density were significantly negatively associated with adolescents' regulation support (β=-0.097, 95% CI -0.142 to -0.054), mediated by positive outcome expectancy (β=-0.009, 95% CI -0.017 to -0.003) and perceived health risk (β=-0.045, 95% CI -0.063 to -0.027). However, subgroup analysis found this association to be significant only in never users, rather than those who had tried e-cigarettes.</p><p><strong>Conclusions: </strong>Positive outcome expectancy and perceived health risk simultaneously influenced the negative association between perceived increases in e-cigarette retailer density and regulation support among adolescents who never vaped. Measures are needed to address the perceptions of increasing e-cigarette retailer density among adolescents.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"545-548"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161140","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":"Cigfluencers: how celebrities and influencers are glamourising smoking again.","authors":"Carmen C W Lim, Joshua Trigg, Tianze Sun","doi":"10.1136/tc-2024-059240","DOIUrl":"10.1136/tc-2024-059240","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"562-563"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326882","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":"'I'm sure within 5 minutes I can find someone that will be selling it': qualitative insights into how social media facilitates the sale of banned flavoured tobacco products.","authors":"Jill M Singer, Elizabeth G Klein, Micah L Berman, Jeffrey J Wing, Megan E Roberts","doi":"10.1136/tc-2024-058937","DOIUrl":"10.1136/tc-2024-058937","url":null,"abstract":"<p><strong>Background: </strong>In 2020, Massachusetts became the first state in the USA to restrict the sale of flavoured tobacco products. One demographic group that is disproportionately impacted by flavoured tobacco use is young people. This study explored how Massachusetts' flavour restriction impacted young adults and the ways that flavoured tobacco products were acquired after policy implementation.</p><p><strong>Methods: </strong>Between January and March 2024, we conducted 15 virtual, semistructured qualitative interviews with young adults (aged 19-29) who were living in Massachusetts and who reported ever using a flavoured tobacco product. The interview guide included questions about personal tobacco use, awareness of the flavour restriction policy and accessing flavoured tobacco products. After interviews were transcribed and coded, themes were identified.</p><p><strong>Results: </strong>Only 1 out of 15 participants believed that it would be hard for them to acquire flavoured tobacco products with Massachusetts' policy in place. Social sources were a common way participants reported getting flavoured tobacco products and one-third of participants mentioned seeing them sold on social media platforms. Snapchat was the most frequently reported platform; participants described the 'easy' process of connecting with sellers on Snapchat and how 'openly' people listed the products they had for sale.</p><p><strong>Conclusions: </strong>Despite Massachusetts implementing a comprehensive flavoured tobacco restriction (FTR), young adults report being able to access flavoured tobacco products with ease. Snapchat was the social media platform that participants brought up frequently to find people selling flavoured tobacco products. Preventing the sale of flavoured tobacco products through Snapchat and other social sources will be critical for Massachusetts' FTR to have its intended impact.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"549-551"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045106","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":"Unauthorised therapeutic claims on e-cigarette and nicotine pouch company websites in the USA.","authors":"Meagan O'Neill Robichaud, Kevin R J Schroth, Michael B Steinberg, Cristine D Delnevo","doi":"10.1136/tc-2025-059338","DOIUrl":"10.1136/tc-2025-059338","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"556-558"},"PeriodicalIF":3.3,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080436","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}