Tobacco Control最新文献

{"title":"Cross-sectional study of the associations between the implementation of the WHO FCTC tobacco advertising, promotion and sponsorship bans and current e-cigarette use among youth from countries with different income levels.","authors":"Tuija Ylitörmänen, Yelena Tarasenko, Heikki Hiilamo, Otto Ruokolainen, Pekka Puska, Hanna Ollila","doi":"10.1136/tc-2023-058160","DOIUrl":"10.1136/tc-2023-058160","url":null,"abstract":"<p><strong>Background: </strong>The WHO Framework Convention on Tobacco Control (WHO FCTC) Article 13 requires countries to ban tobacco advertising, promotion and sponsorship (TAPS), and bans are recommended to cover electronic cigarettes (e-cigarettes). We examined youth e-cigarette prevalence by TAPS regulations in countries with different income levels.</p><p><strong>Methods: </strong>We analysed data on 165 299 respondents from 48 countries with 2016/2018 WHO FCTC implementation reports and 2016-2019 Global Youth Tobacco Survey. We used multilevel logistic regressions to examine associations between TAPS regulations and current e-cigarette use, stratified by country income.</p><p><strong>Results: </strong>About 1 in 10 respondents was currently using e-cigarettes. Respondents in countries with TAPS bans on the internet were less likely to use e-cigarettes (adjOR=0.58; 95% CI 0.39 to 0.86) than youth in countries without such bans. In lower middle-income and low-income countries, bans on displaying tobacco products at the point of sale (adjOR=0.55; 95% CI 0.34 to 0.90), bans on product placement (adjOR=0.44; 95% CI 0.28 to 0.69) and strength of additional TAPS measures were associated with lower prevalence of e-cigarette use among students. Being taught about the dangers of the use of tobacco in school was associated with lower odds of e-cigarette use. No differences in the use of e-cigarettes were observed by types of TAPS among respondents in high-income countries.</p><p><strong>Conclusions: </strong>Strengthening implementation of TAPS policies and assuring they cover new and emerging products, online channels and points of sales are essential, especially in lower income countries. Maintaining tobacco health education is also important to protect youth from e-cigarette use.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"443-451"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576485","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":"Iluma-nating: IQOS variant enters the Guatemalan market.","authors":"Aiken Chew, Gustavo Davila, Crawford Moodie, James Thrasher, Joaquin Barnoya","doi":"10.1136/tc-2024-058722","DOIUrl":"10.1136/tc-2024-058722","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"560-561"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301617","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":"Trade law and effective electronic cigarette regulation design.","authors":"Elizabeth Sheargold, Genevieve Wilkinson","doi":"10.1136/tc-2024-059004","DOIUrl":"https://doi.org/10.1136/tc-2024-059004","url":null,"abstract":"<p><p>This special communication provides recommendations for policymakers on how to regulate electronic cigarettes (e-cigarettes) without violating international trade rules. Concerns are increasing that e-cigarette consumption poses serious harms to health, prompting a recent call to action from the WHO for regulations to lower the appeal of e-cigarettes and address the threat they pose to global populations. Despite this call, no agreement on an appropriate regulatory approach has been reached between the parties to the WHO Framework Convention on Tobacco Control or in any other multilateral forum. In the absence of multilateral consensus, states have implemented a diverse range of frameworks, including restrictions on packaging, marketing and advertising of e-cigarettes, stringent product standards or even bans on e-cigarettes, sometimes with exceptions for use as a tobacco smoking cessation aid. There is a risk that some of these approaches may be challenged as a restriction of rights that are protected in World Trade Organization agreements, including the Agreement on Technical Barriers to Trade, the General Agreement on Tariffs and Trade and the Agreement on Trade-Related Aspects of Intellectual Property Rights. The authors explain how different types of e-cigarette regulations engage protection under international trade rules and offer recommendations for how states can formulate public health justifications that ensure these regulations do not breach international trade rules. The authors also recommend that states work toward international consensus or guidelines, which can support the legitimacy of e-cigarette regulations in the event of a challenge.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761428","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":"What do young people know about the nicotine in their e-cigarettes?","authors":"Grace Balzer, Anthony Landrus, Ilona Ovestrud, Jill M Singer, Bo Lu, Dylan D Wagner, Elizabeth G Klein, Loren E Wold, Clark Wilson, Alayna P Tackett, Megan E Roberts","doi":"10.1136/tc-2023-058234","DOIUrl":"10.1136/tc-2023-058234","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, the nicotine in e-cigarettes has been available in either a 'free-base' (unprotonated) or 'nicotine salt' (protonated) form. Additionally, e-cigarette nicotine can be either 'synthetic' or 'tobacco-derived'. These dimensions of nicotine have implications for nicotine absorption, bioavailability and sensory experiences. However, it is unclear if the young people using e-cigarettes are aware of these nicotine dimensions.</p><p><strong>Methods: </strong>Data came from a cohort of Ohio youth (aged 15-24) who reported using an e-cigarette in the past 4 months (N=271). Participants were enrolled and provided background information in 2021; their 12-month follow-up survey asked about the presence, form and type of nicotine in their usual e-cigarette. Individuals who reported that they could distinguish between tobacco-derived and synthetic nicotine were additionally asked to describe the difference.</p><p><strong>Results: </strong>Of the 247 youth who reported that there was nicotine in their usual e-cigarette, 71.7% did not know whether it was free-base or nicotine salt and 75.7% did not know whether it was synthetic or tobacco-derived. Awareness was higher among youth who were using e-cigarettes at a greater frequency and quantity. The majority reported that they could not detect a difference between the experience of using synthetic vs tobacco-derived nicotine.</p><p><strong>Conclusions: </strong>These findings indicate the generally limited awareness about nicotine among youth who used e-cigarettes. Improvements in health communications and requirements for e-cigarette industry disclosures are necessary to ensure that consumers are better informed about the dimensions-and the risks-of the nicotine they are consuming.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"527-531"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11096260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399385","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 verification of identification cards for JUUL product purchase attempts after final consent judgement in <i>North Carolina versus JUUL Labs, Inc.</i>: evidence from Pitt County, North Carolina, 2022.","authors":"Elisabeth C Reed, Joseph G L Lee, Mary Hrywna, Amanda Y Kong, Christopher Ackerman, Cristine D Delnevo","doi":"10.1136/tc-2024-058811","DOIUrl":"10.1136/tc-2024-058811","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"562-563"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907719","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":"E-commerce licensing loopholes: a case study of online shopping for tobacco products following a statewide sales restriction on flavoured tobacco in California.","authors":"Eric C Leas, Tomas Mejorado, Raquel Harati, Shannon Ellis, Nora Satybaldiyeva, Nicolas Morales, Adam Poliak","doi":"10.1136/tc-2023-058269","DOIUrl":"10.1136/tc-2023-058269","url":null,"abstract":"<p><strong>Introduction: </strong>Retailer licensing programmes can be an effective method of enforcing tobacco control laws, but most programmes do not require e-commerce retailers to obtain licenses. California's implementation of a statewide flavour restriction (Senate Bill 793 (SB-793)) in December 2022 enforced through its tobacco retailer licensing programme presented an opportunity to assess whether the exclusion of e-commerce in the definition of 'tobacco retailer' might have resulted in a shift in consumer behaviour towards e-commerce.</p><p><strong>Methods: </strong>To examine the association between SB-793 implementation and online shopping for tobacco, we collected weekly Google search rates related to online shopping for cigarettes and vaping products in California from January 2018 to May 2023. We compared observed rates of shopping queries after SB-793 implementation to counterfactual expected rates and prediction intervals (PI) calculated from autoregressive iterative moving average models fit to historical trends. Content analysis was performed on the search results to identify websites marketing flavoured vaping products and menthol cigarettes.</p><p><strong>Results: </strong>The week SB-793 was implemented, shopping queries were 194.4% (95% PI 100.8% to 451.5%) and 161.7% (95% PI 81.7% to 367.5%) higher than expected for cigarettes and vapes, respectively. Cigarette shopping queries remained elevated significantly for 11 weeks and vape shopping queries for 6 weeks. All search results contained links to websites that offered flavoured vaping products or menthol cigarettes to Californian consumers.</p><p><strong>Discussion: </strong>These findings raise concerns about potential loopholes in policy enforcement created by the absence of explicit regulations on e-commerce sales in retailer licensing programmes. Strengthening regulations to include e-commerce and monitoring e-commerce compliance are recommended to enhance the impact of laws enforced through retailer licensing programmes.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"523-526"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486441","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":"Geographical differences in the financial impacts of different forms of tobacco licence fees on small retailers in Scotland.","authors":"Roberto Valiente, Helena Tunstall, Amanda Y Kong, Luke B Wilson, Duncan Gillespie, Colin Angus, Alan Brennan, Niamh K Shortt, Jamie Pearce","doi":"10.1136/tc-2023-058342","DOIUrl":"10.1136/tc-2023-058342","url":null,"abstract":"<p><strong>Objective: </strong>Retailer licencing fees are a promising avenue to regulate tobacco availability. However, they face strong opposition from retailers and the tobacco industry, who argue significant financial impacts. This study compares the impacts of different forms of tobacco licence schemes on retailers' profits in Scotland.</p><p><strong>Methods: </strong>We calculated gross profits from tobacco sales in 179 convenience stores across Scotland using 1 099 697 electronic point-of-sale records from 16 weeks between 2019 and 2022. We estimated different fees using universal, volumetric and separate urban/rural schemes. We identified the point at which 50% of retailers would no longer make a gross profit on tobacco sales for each scheme and modelled the financial impact of 10 incremental fee levels. The financial impact was assessed based on changes in retailers' tobacco gross profits. Differences by neighbourhood deprivation and urban/rural status were examined.</p><p><strong>Results: </strong>The gross profit from tobacco per convenience store averaged £15 859/year. Profits were 2.29 times higher in urban (vs rural) areas and 1.59 times higher in high-deprivation (vs low-deprivation) areas, attributable to higher sales volumes. Tobacco gross profit decreased proportionally with increasing fee levels. Universal and urban/rural fees had greater gross profit reductions in rural and/or less deprived areas, where profits were lower, compared with volumetric fees.</p><p><strong>Conclusion: </strong>The introduction of tobacco licence fees offers a potential opportunity for reducing the availability of tobacco retailers. The likely impact of a tobacco licence fee is sensitive to the type of licence scheme implemented, the level at which fees are set and the retailers' location in relation to neighbourhood deprivation and rurality.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"461-471"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703516","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":"First post-COVID World Conference on Tobacco Control: making progress in the 'new normal'.","authors":"Marita Hefler","doi":"10.1136/tc-2025-059696","DOIUrl":"https://doi.org/10.1136/tc-2025-059696","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":"34 4","pages":"423-424"},"PeriodicalIF":4.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761429","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":"Nicotine pouch brands: the new route of auto racing sponsorships worldwide.","authors":"Eugene M Talbot, Ollie Ganz, Patrick V Barnwell, Jon-Patrick Allem, Mary Hrywna, Kevin R J Schroth, Cristine D Delnevo","doi":"10.1136/tc-2025-059516","DOIUrl":"10.1136/tc-2025-059516","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761427","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":"Risk of adolescent cigarette use in three UK birth cohorts before and after e-cigarettes.","authors":"Jessica M Mongilio, Jeremy Staff, Christopher H Seto, Jennifer L Maggs, Rebecca J Evans-Polce","doi":"10.1136/tc-2024-059212","DOIUrl":"10.1136/tc-2024-059212","url":null,"abstract":"<p><strong>Objective: </strong>Longitudinal data from three UK birth cohorts (born in 1958, 1970 and 2001) were used to (1) document the historic decline in adolescent cigarette smoking; (2) examine how e-cigarette use is associated with adolescent cigarette smoking in the most recent cohort; and (3) compare probabilities of cigarette smoking across the cohorts.</p><p><strong>Methods: </strong>The prevalence of adolescent cigarette smoking was assessed in 1974 from 11 969 youth in the National Child Development Study (NCDS), in 1986 from 6222 youth in the British Cohort Study (BCS), and in 2018 from 9733 youth in the Millennium Cohort Study (MCS). Logistic regression models were used to estimate the odds of adolescent smoking (ages 16-17) based on a common set of childhood risk and protective factors; adolescent e-cigarette use was included as a predictor in the more recent MCS.</p><p><strong>Results: </strong>Adolescent cigarette smoking declined from 33% in 1974 to 25% in 1986 and to 12% in 2018. 11% of MCS youth reported current e-cigarette use. Though childhood risk factors for later adolescent smoking were mostly similar across the three cohorts, the risk of cigarette smoking in the MCS varied greatly by e-cigarette use. Among MCS youth, the average predicted probability of smoking ranged from 1% among e-cigarette naïve youth to 33% among youth currently using e-cigarettes.</p><p><strong>Conclusions: </strong>Adolescents who use e-cigarettes have a similar smoking prevalence to earlier generations. Policy and prevention should seek to prevent adolescent nicotine exposure via both electronic and combustible cigarettes.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745150","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}