Tobacco Control最新文献

{"title":"Quantifying differences in teenage vaping across countries: the importance of comparing like with like.","authors":"Elizabeth M Greenhalgh, Maree Scully, Michelle Scollo, Sarah J Durkin","doi":"10.1136/tc-2024-059008","DOIUrl":"https://doi.org/10.1136/tc-2024-059008","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955584","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":"Prospective association of tobacco retailer density and neighbourhood walkability with youth vaping initiation in California, USA.","authors":"Alyssa F Harlow, Laura K Thompson, Sandrah P Eckel, Adam M Leventhal, Danielle F Haley, Megan E Roberts, Myles G Cockburn, Jessica L Barrington-Trimis","doi":"10.1136/tc-2024-058974","DOIUrl":"10.1136/tc-2024-058974","url":null,"abstract":"<p><strong>Background: </strong>Tobacco retailer density might influence youth e-cigarette use due to increased access and exposure to point-of-sale marketing. There is a need for longitudinal investigations on the association of tobacco retailer density with youth e-cigarette use, with consideration of contextual factors such as neighbourhood walkability that could enhance retailer exposure.</p><p><strong>Methods: </strong>Five semi-annual waves (Fall 2021-Fall 2023) of a Southern California school-based cohort of youth who never vaped at baseline (n=3401; mean baseline age=15 years [range=12-17]) were merged with spatial data on tobacco retailers corresponding to each school year. Time-varying measures of retailer exposures included count of retailers within circular home buffers (800 m/1600 m buffers) and retailer density/km² within home census tracts. Discrete-time survival analyses estimated associations of time-lagged and time-varying retailer exposures with vaping initiation at each 6-month follow-up, adjusting for race/ethnicity, parental education, neighbourhood walkability and an Area Deprivation Index. Secondary analyses examined moderation by neighbourhood walkability based on a National Walkability Index.</p><p><strong>Results: </strong>The incident rate of vaping initiation was 3.8% per 6-month follow-up. After covariate adjustment, only associations with census tract retail density were statistically significant (risk ratio (RR) highest vs lowest quartile=1.36, 95% CI=1.01 to 1.84). In moderation analyses, count of retailers within 800 m home buffers was positively associated with vaping initiation for youth who lived in the most walkable neighbourhoods (RR=1.08, 95% CI: 1.01 to 1.16), with no association for youth in less walkable neighbourhoods (RR=1.00, 95% CI:0.95 to 1.05; interaction p-value=0.0238).</p><p><strong>Conclusion: </strong>Findings highlight the potential role of restricting retailer density in preventing youth vaping, particularly in areas characterised by both greater walkability and tobacco retailer density.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955515","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":"Challenges and prospects in implementing the Generational Endgame policy: Malaysia and global perspectives.","authors":"Picholas Kian Ann Phoa, Lei Hum Wee, Yin How Wong, Ching Sin Siau, Caryn Mei Hsien Chan, Chrisminder Dain, Mohamad Haniki Nik Mohamed","doi":"10.1136/tc-2024-058874","DOIUrl":"https://doi.org/10.1136/tc-2024-058874","url":null,"abstract":"<p><p>In Malaysia, tobacco smoking continues to be one of the leading public health concerns; hence, the tobacco control community aims to see a generation free of tobacco use by 2040. Drafted and presented to the parliament, the Malaysian Control of Smoking Products for Public Health Bill 2022 highlighted the Generational Endgame (GEG) policy, which forbids the use and sale of tobacco products and smoking substances to individuals born on or after 1 January 2007. Stakeholders, including government and non-governmental organisations, policymakers, healthcare professionals, tobacco industry representatives and retailers, have expressed differing opinions indicating non-support of the policy. The Attorney General Chamber deemed the policy as 'unconstitutional' for discriminating against those within the implementation age range, which prompted its omission from the revised Control of Smoking Products for Public Health 2023 Bill. This paper discusses the obstacles and possible implications of the GEG policy implementation in Malaysia and details its implementation in other countries. This paper also proposes several recommendations for future directions in tackling the obstacles mentioned more effectively.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955462","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":"Independent companies in the tobacco supply chain: transparency and environmental social governance.","authors":"Fred Dunwoodie Stirton, Rosemary Hiscock, John Mehegan, Allen W A Gallagher, Michael J Bloomfield","doi":"10.1136/tc-2024-058978","DOIUrl":"https://doi.org/10.1136/tc-2024-058978","url":null,"abstract":"<p><strong>Objective: </strong>Previous research has identified that transnational tobacco companies lack transparency and that they hide their harms to health and nature behind environmental, social and governance (ESG) reporting. Our objective was to find whether independent tobacco supply chain companies similarly lack transparency on tobacco-related activities while prominently displaying ESG.</p><p><strong>Methods: </strong>In this cross-sectional study, mentions of tobacco supply chain activities and ESG company official documentation and websites were explored for independent tobacco supply chain companies (n=80) with identified annual reports included in the Tobacco Supply Chain Database. Bivariable statistical analysis tested for differences in the visibility of tobacco supply chain contribution and ESG within official documents and websites. In depth exploration was undertaken for seven case study companies.</p><p><strong>Results: </strong>Independent tobacco supply chain companies were significantly less likely to mention their tobacco supply chain contribution than ESG (31% and 80%, respectively p<0.001) in annual reporting. Tobacco supply chain contribution was also less prominent than ESG on websites (29% and 79%, respectively, mentioned on the home page or a home page menu p<0.001). The companies were making median annual profits of over US$2 million (n=76), with a large variation of revenue from tobacco activity (5-100%) where it was reported (n=9).</p><p><strong>Conclusions: </strong>Independent tobacco supply chain companies undertake ESG activities that they prominently display in official reporting and on websites while often being less transparent about their tobacco supply chain contribution. Potential investors and customers may thus be misled about the companies' true nature. More rigorous reporting requirements are needed.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955507","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-free generation: reflecting on progress globally and its potential feasibility in India.","authors":"Rakesh Gupta, Sonu Goel, Chris Bostic, Garima Bhatt, Deepak Gurung, Alexander Cyril, Opinderpreet K Gill, Prabhakara Prabhakara, Rana J Singh, Marita Hefler","doi":"10.1136/tc-2024-059064","DOIUrl":"https://doi.org/10.1136/tc-2024-059064","url":null,"abstract":"<p><p>Tobacco-free generation (TFG) policies, also conceptualised as smoke-free or nicotine-free generation in some geographies, envision the elimination of tobacco use initiation by preventing tobacco sales to generations born after a specified birth date. This cohort-based policy approach eventually aims to phase out tobacco use. This paper defines TFG, reviews its international developments and explores the feasibility of the TFG policy approach in India, considering the country's federal governance structure with health as a state responsibility, within a national policy framework. Our review suggests that the concept of TFG aligns well with existing tobacco control measures in India, such as the Cigarette and Other Tobacco Products Act (COTPA), the National Tobacco Control Programme, Tobacco-free Educational Institutes and innovations such as tobacco vendor licensing and various tobacco-free campaigns. Amending section 6(a) of COTPA to replace the current prohibition of sale to and by those below 18 years of age with a specific section on TFG would be an effective approach to ensure policy coherence. Supporting grassroots movements countrywide at the state and/or substate level may activate the process within the Ministry of Health and Family Welfare, Government of India to table this proposal as an amendment in Section 6 of COTPA for the Parliament to adopt.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955589","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":"Construction of a 'civilised smoking environment': a novel strategy undermining tobacco control efforts in China.","authors":"Hui Deng, Ling Fang, Yimeng Mao, Yuchen Zhao, Chenyu Qian, Wenjie Guo, Weiyun Zhu, Xiaotao Yan, Sisi Wen, Shuai Zhang, Fan Wang, Pinpin Zheng","doi":"10.1136/tc-2024-058864","DOIUrl":"https://doi.org/10.1136/tc-2024-058864","url":null,"abstract":"<p><strong>Objective: </strong>In 2018, the Chinese tobacco industry initiated the nationwide 'civilised smoking environment' campaign via a 5-year action plan. The goal of this study was to analyse content of reports regarding this topic as evidence to policy-makers to prevent interference from the tobacco industry.</p><p><strong>Methods: </strong>A search of WiseNews, a Chinese media information service provider, for reports regarding the 'civilised smoking environment' between January 2018 and December 2022. Reports were coded separately by two trained researchers using a codebook developed by the team, including four sections with 19 items.</p><p><strong>Results: </strong>A total of 1062 reports were included, of which 66.5% were from general media. Key themes include mention of approaches to promote the civilised smoking environment (59.8%), primarily by establishing civilised smoking areas (86.1%). A majority of reports (72.9%) disclosed key promoters of these initiatives, including the Tobacco Monopoly Administration (69.5%), Tobacco Corporation (52.3%) and other government agencies (20.4%). Funders were mentioned in 252 reports (23.7%), primarily the Tobacco Monopoly Administration (60.3%) and Tobacco Corporation (50.8%). Most reports (92.8%) supported these initiatives, while only 45 (4.2%) opposed it.</p><p><strong>Conclusions: </strong>'Civilised smoking environment' in China was promoted and financed primarily by tobacco industry and widely supported by media. This undermines smoke-free environments and violates the WHO Framework Convention on Tobacco Control. China's government should cease its involvement in these initiatives, and government agencies should refrain from agreeing, supporting, cooperating or participating in these activities.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955488","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":"Historical and political context for Philip Morris International's continuing medical education courses on harm reduction.","authors":"Pamela M Ling, Stanton A Glantz","doi":"10.1136/tc-2024-059015","DOIUrl":"https://doi.org/10.1136/tc-2024-059015","url":null,"abstract":"<p><p>In 2024, Philip Morris International's (PMI) website stated they support 'independent' continuing medical education courses on harm reduction for medical and other healthcare professionals. These courses mirrored industry marketing and political strategies by presenting smokeless tobacco products and e-cigarettes as alternatives to smoking, sometimes without mentioning tobacco cessation. The enactment of the US Family Smoking and Tobacco Control Act gave the US Food and Drug Agency jurisdiction over tobacco products and included the industry's 'continuum of risk' frame, and emboldened tobacco companies to make harm reduction claims about these products, which they had previously avoided for fear of triggering restrictive regulation of cigarettes. Opposition from the medical and public health community in the USA and beyond led one large company that partnered with PMI to offer the US courses to withdraw. The Foundation for a Smoke-Free World (renamed Global Action to End Smoking in 2024) created by PMI also funded a non-profit to develop continuing medical education on harm reduction. US accrediting bodies for healthcare education do not have policies against certifying tobacco-sponsored courses, and there needs to be ongoing vigilance against such efforts around the world as well as efforts to secure policies at accrediting organisations to not accredit such industry efforts.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928240","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":"A battle of heated tobacco sales: transfer discount promotions in Japan.","authors":"Tomoyasu Hirano","doi":"10.1136/tc-2023-058116","DOIUrl":"10.1136/tc-2023-058116","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"133-134"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10057605","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":"How cigarette excise tax pass-through to prices responds to the uptake and evolution of e-cigarettes (ECs).","authors":"Yanyun He, Shaoying Ma, Qian Yang, Ce Shang","doi":"10.1136/tc-2023-058078","DOIUrl":"10.1136/tc-2023-058078","url":null,"abstract":"<p><strong>Background: </strong>How excise taxes are passed through to prices determines whether tax policies will be effective in changing smoking behaviours. Though previous literature has documented that cigarette taxes are overly shifted to prices, there is limited evidence on how cigarette tax pass-through to prices is affected by the uptake and evolution of e-cigarettes (ECs) in the US market.</p><p><strong>Objective: </strong>This study investigates how cigarette excise tax pass-through rate varied by price levels (the 25th, 50th, and 75th percentile prices) and the uptake and evolution of ECs.</p><p><strong>Methods: </strong>Tax pass-through rates were assessed using ordinary least squares regressions while controlling for state, year and month fixed effects. Different trends were then tested for the pre-EC uptake era (2006-2011), EC uptake era (2012-2016) and the evolution of nicotine salt-based ECs era (2017 and later).</p><p><strong>Findings: </strong>Cigarette excise taxes were fully shifted to the 25th and 50th percentile prices and overly shifted to the 75th percentile prices at a 1:1.1 rate. While cigarette excise taxes had a continuous impact on raising prices, the tax pass-through rates were lower for lower priced cigarettes, and states imposed lower taxes.</p><p><strong>Conclusions: </strong>Continuing to raise cigarette taxes may be needed to create financial incentives to encourage people who smoke to switch to ECs. In addition, continuing to raise cigarette taxes and additional pricing policies such as price promotion restrictions are needed to increase retail prices and reduce price minimisation opportunities.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"85-91"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153122","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":"Effect of e-cigarette taxes on e-cigarette and cigarette retail prices and sales, USA, 2014-2019.","authors":"Megan C Diaz, Emily Donovan, John Tauras, Daniel Stephens, Barbara Schillo, Serena Phillips, Frank J Chaloupka, Michael Pesko","doi":"10.1136/tc-2022-057743","DOIUrl":"10.1136/tc-2022-057743","url":null,"abstract":"<p><strong>Objective: </strong>To use a standardised e-cigarette tax measure to examine the impact of e-cigarette taxes on the price and sales of e-cigarettes and cigarettes in the USA.</p><p><strong>Design: </strong>We used State Line versions of NielsenIQ Retail Scanner data from quarter 4 of 2014 through quarter 4 of 2019 to calculate e-cigarette and cigarette prices and sales in 23 US states. We then estimated how these outcomes are associated with standardised state-level e-cigarette taxes, controlling for state fixed effects, quarter-by-year fixed effects, cigarette taxes, other tobacco control policies and other state-level time-varying characteristics.</p><p><strong>Results: </strong>A real $1 increase in the e-cigarette standardised tax increases the price of 1 mL of e-liquid between $0.43 and $0.59 depending on specification. Controlling for fixed effects and cigarette taxes, a 10% increase in e-cigarette taxes is estimated to reduce e-cigarette sales by 0.5% and increase cigarette sales by 0.1%, though both results are attenuated and statistically insignificant in a model with full controls.</p><p><strong>Conclusions: </strong>Our study finds that e-cigarette taxes increase e-cigarette retail prices by approximately half of the tax. Further, e-cigarette taxes are associated with reduced sales of e-cigarettes and increased sales of cigarettes in some specifications. Our estimates are sizably lower than from other studies using sales and survey data.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":"34-40"},"PeriodicalIF":4.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11478753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10227613","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}