Tobacco Control最新文献

{"title":"Hookah tobacco smoking among US youth and young adults: regulatory gaps and equity implications for African American communities.","authors":"Mary Rezk-Hanna, Margaret Mahoney, Lorraine Lathen, Carol McGruder","doi":"10.1136/tc-2026-060098","DOIUrl":"https://doi.org/10.1136/tc-2026-060098","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424350","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":"Standardising the measurement of cigar tax rates in the USA, 2010-2024.","authors":"Guthrie Scoblic, Rachel Y L Fung, Abigail S Friedman, Michael F Pesko","doi":"10.1136/tc-2026-060077","DOIUrl":"10.1136/tc-2026-060077","url":null,"abstract":"<p><strong>Background: </strong>State cigar taxes in the USA vary widely in structure and level, unlike cigarette taxes which are typically levied uniformly per pack. This complexity has limited the comparability of cigar tax levels across states, products and time and relative to other tobacco products.</p><p><strong>Methods: </strong>We create and publicly release a database of quarterly state and local cigar taxes from 2010 to 2024, standardised to per unit rates by cigar type. Matching Universal Product Code (UPC)-level cigar sales data from the NielsenIQ Retail Scanner Dataset to state and local tax rates by product type, we develop a method to translate heterogeneous cigar tax structures into standardised per unit equivalent tax rates for little, large and premium cigars over time.</p><p><strong>Results: </strong>As of 1 October 2024, average state-level per unit cigar taxes were US$0.06 for little cigars, US$0.14 for large cigars and US$0.24 for premium cigars, reflecting increases of 31.2%, 19.2% and 8.3%, respectively since 1 October 2010. On a per gram basis, average state taxes range from 77.8% of the cigarette tax for little cigars to 22.9% of the cigarette tax for premium cigars.</p><p><strong>Conclusions: </strong>By facilitating more accurate measurement of cigar taxation, the database presented here enables critical policy evaluations and tobacco control research.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424337","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":"Municipal tobacco control in the Northern Netherlands: a quantitative content analysis of local health policies.","authors":"Tamool Abdulhamid, Lilian L Peters, Laura Viluma, Viola Angelini","doi":"10.1136/tc-2025-059902","DOIUrl":"https://doi.org/10.1136/tc-2025-059902","url":null,"abstract":"<p><strong>Background: </strong>A smoke-free society by 2040 is a key target for Dutch municipalities, mandated by law. Smoking remains a public health issue in Northern Netherlands, where approximately one in four adults still smoke. This study evaluates the content of municipal health policies related to tobacco control and their correlation to regional smoking rates.</p><p><strong>Methods: </strong>We used open-access datasets to assess municipal health policies using a quantitative scoring model inspired by the Dutch Public Health Act. We developed the model using elements from the logic of events theory, which assesses policy impact across four dimensions: Obligations, Goals, Opportunities and Resources. We examined differences across municipalities and regions, exploring correlations between health policy scores, smoking prevalence and municipal-level factors, including socioeconomic status. We created an interactive policy map to visualise the results.</p><p><strong>Results: </strong>Municipalities in the Groningen region achieved the highest health policy score (28 of 33), yet the region also had the highest smoking prevalence (24.68%), compared with Drenthe (20.51%) and Friesland (22.49%). Among the four policy impact determinants, Opportunities differed across regions. At the municipal level, socioeconomic status was negatively correlated with the total health policy score (r=-0.38), with specific correlations for Opportunities (r=-0.36) and Resources (r=-0.33).</p><p><strong>Conclusions: </strong>We developed a reproducible approach to assess regional disparities in tobacco control efforts. Despite high policy scores in some municipalities, smoking prevalence remained high, suggesting barriers to effective implementation, including socioeconomic factors, governance and financial planning.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413027","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":"Cigarette butt recycling in South Korea: environmental policy failure and the limits of extended producer responsibility.","authors":"Jinyoung Kim, Sungkyu Lee","doi":"10.1136/tc-2026-060135","DOIUrl":"https://doi.org/10.1136/tc-2026-060135","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412956","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":"Discreet, versatile and ambiguous: young people's perceptions and use of oral nicotine pouches in Aotearoa New Zealand.","authors":"Amelia Fitton, Jade Fisher, Janet Hoek","doi":"10.1136/tc-2026-060160","DOIUrl":"https://doi.org/10.1136/tc-2026-060160","url":null,"abstract":"<p><strong>Background: </strong>Marketing frames oral nicotine pouches (ONPs) as convenient, pleasurable and compatible with numerous activities without attracting the stigma sometimes associated with smoking or vaping. Regulation of ONPs varies considerably across countries, though tobacco companies have lobbied for their introduction as a harm-reduced alternative to smoking. Probing how young people perceive ONPs and integrate them into their daily lives should inform ONP regulation.</p><p><strong>Methods: </strong>We interviewed 25 young people aged 16-25 and living in Aotearoa New Zealand in late 2025. We recruited participants via social media, community advertising and snowball sampling and probed their awareness, use and perceptions of ONPs. We interpreted the data using reflexive thematic analysis.</p><p><strong>Results: </strong>We identified three themes: ONPs' acceptability and versatility, discretion as an ambiguous attribute and risk calibration. High exposure to social media promotions embedded ONPs within young people's everyday activities, where they enhanced focus, offered pleasure without impinging on others and enabled nicotine consumption without creating a distinctive and stigmatising smoke, aerosol or smell. Product aesthetics and the absence of inhalation led participants to view ONPs as less harmful than smoking or vaping, though some noted oral health concerns and believed ONPs would increase nicotine product use.</p><p><strong>Conclusions: </strong>Sophisticated marketing has framed ONPs as flexible lifestyle accessories. While they may assist some people to stop smoking or vaping, they may also promote poly-use and attract new consumers. Until policy makers have robust independent evidence on safety and cessation efficacy, a precautionary regulatory approach is warranted.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413008","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":"Flavour and brand of nicotine pouches used most often among US adolescents, 2025.","authors":"Louisiana Montserrat Sanchez, Richard A Miech, Dayoung Bae, Junhan Cho, Yi-Chun Chang, Caroline North, Alyssa F Harlow, Ming Li, Steve Sussman, Hongying Daisy Dai, Abbey R Masonbrink, Dae-Hee Han, Leah R Meza, Adam M Leventhal","doi":"10.1136/tc-2026-060115","DOIUrl":"https://doi.org/10.1136/tc-2026-060115","url":null,"abstract":"<p><strong>Background: </strong>ZYN brand and non-tobacco-flavoured products capture most of the US nicotine pouch market. Evidence of which nicotine pouch flavours and brands US youth use is critical for informing youth regulatory protections, but currently lacking.</p><p><strong>Methods: </strong>We analysed data from adolescents reporting lifetime nicotine pouch use in the 2025 Monitoring the Future study, a nationally representative, in-school, cross-sectional annual survey of US 8th-grade, 10th-grade and 12th-grade students. Prevalences of nicotine pouch flavours and brands adolescents reported using most often were estimated in the overall sample and stratified by demographic characteristics and past-30-day pouch use patterns.</p><p><strong>Results: </strong>Among 472 youth who used nicotine pouches in their lifetime, 97.0% (95% CI 94.6% to 98.4%) reported using nicotine pouches with a non-tobacco flavour most often; non-tobacco flavoured pouch use prevalence exceeded 93% across all demographic and past-30-day pouch use-frequency categories studied. Mint was the most commonly reported flavour used (58.6%), followed by fruit (16.0%); use of original/unflavoured pouches was rare (3.0%). ZYN was the most common brand used, reported by 79.7% (95% CI 74.1% to 84.4%) of youth. Use prevalence of ZYN versus other pouch brands was lower among non-Hispanic Black versus non-Hispanic White, but did not vary by sex, grade, population density or pouch use frequency.</p><p><strong>Conclusions: </strong>Among US adolescents reporting lifetime use of nicotine pouches in 2025, use of non-tobacco flavoured pouch products was nearly universal and ZYN was the predominant brand used. Prioritising regulatory policies on flavoured pouches, especially ZYN brand products, merits consideration to reduce youth nicotine pouch use.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148405962","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":"Smoking depictions in the manga 'ONE PIECE' over its 27-year serialisation: a segmented time series analysis of Sanji.","authors":"Hiroko Tobari, Chiharu Shimizu, Shiori Kawamura, Rita Kondo, Masaaki Aizawa","doi":"10.1136/tc-2025-059990","DOIUrl":"10.1136/tc-2025-059990","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigates smoking depictions in the globally popular manga <i>ONE PIECE</i> over its 27-year publication period and its associations with tobacco control measures implemented in Japan.</p><p><strong>Design: </strong>Time-series study.</p><p><strong>Setting: </strong>Volumes 1-110 (1121 episodes) of <i>ONE PIECE</i> published between August 1997 and December 2024.</p><p><strong>Interventions: </strong>Smoking scenes were identified and quantified by panel-based content analysis.</p><p><strong>Main outcome measures: </strong>Prevalence of smoking panels relative to the total number of panels per volume.</p><p><strong>Results: </strong>The overall prevalence of smoking panels was 4.7%, with a significant downward trend (p<0.001). Smoking depictions of Sanji, the only smoker among the 10 core characters in the series, accounted for 54% of the total of 5076, and his smoking portrayal significantly declined over the 27-year publication period (p=0.007). Interrupted time series analyses demonstrated statistically significant slope changes indicating decreasing trends in Sanji's smoking depictions following the implementation of the revised Health Promotion Act (p<0.001).</p><p><strong>Conclusions: </strong>Despite this decline, smoking behaviour and tobacco product depictions continued to appear in the series. Policies with adolescent-focused, legally binding implications for smoking environments were associated with reductions in the smoking depictions of a core character. Given the global reach of Japanese manga among young audiences, strengthening regulations on smoking depictions and enhancing media literacy education for adolescents may be necessary to reduce the risk of smoking initiation.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303277","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":"Waterpipe smoking and health outcomes: review of evidence and road map for an international consortium.","authors":"Fatemeh Toorang, Arash Etemadi, Nazir Ahmad Dar, Amr Soliman, Stephanie Klosterhalfen, Alireza Ansari-Moghaddam, Akram Ghantous, Maya Romani, Maryam Hadji, Angela Punzo, Hamideh Rashidian, Fereshte Lotfi, Monireh Sadat Seyyedsalehi, Andrei Cosmin Siea, Cristiana Caliceti, Sophia El-Gohary, Ahmad Mohd AlMulla, Ahmed Yahia Al Ameer, Reza Malekzadeh, Mohammad Muzaffar Mir, Ghazi S Zaatari, Wasim Maziak, Neal D Freedman, Paolo Boffetta, Kazem Zendehdel","doi":"10.1136/tc-2025-059374","DOIUrl":"10.1136/tc-2025-059374","url":null,"abstract":"<p><p>The prevalence of waterpipe smoking (WPS) is increasingly recognised as a growing global public health concern. Available studies show that WPS exposes users to toxicants at levels similar to or higher than those in cigarette smoke, contributing to respiratory disease, cardiovascular damage and cancer. The WHO has flagged WPS as a growing threat, especially among adolescents and young adults, where use is rapidly increasing. Yet research progress is constrained by small samples, inconsistent exposure measures and inadequate adjustment for confounders. These limitations highlight the need for more rigorous epidemiological, clinical and toxicological studies. Importantly, the persistence and expansion of WPS cannot be explained solely by individual behaviours or perceptions of health risk. A range of socioeconomic, political and commercial forces-including industry marketing, weak regulatory oversight, cultural acceptance, low cost and the spread of waterpipe cafés-continues to drive WPS and shape patterns of use. These structural factors are likely to undermine the impact of current public health measures but remain under-researched. Expanding the evidence based on these upstream determinants is crucial for developing more effective and context-appropriate policies. In response to these challenges, experts from multiple disciplines convened in June 2024 to examine the evolving WPS epidemic. Participants emphasised the need for comprehensive, multisectoral strategies that integrate robust research, strengthen surveillance systems and target public awareness initiatives. The meeting concluded with a set of recommendations outlining priority research areas and a strategic roadmap aimed at addressing the complex and escalating public health threat posed by WPS.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310587","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":"Issues in estimating and interpreting tobacco-attributable deaths by country in the South-East Asia Region: recommendations for research and policy.","authors":"Jagdish Kaur, Arvind Vashishta Rinkoo, Sol Richardson","doi":"10.1136/tc-2025-060045","DOIUrl":"https://doi.org/10.1136/tc-2025-060045","url":null,"abstract":"","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303235","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":"Dual use of tobacco and khat in eastern Ethiopia: a qualitative study.","authors":"Shiferaw Letta, Maleda Tefera, Tara Wilfong, Jennifer H LeLaurin, Rahma S Mkuu, Magda Montague, Dima Bteddini, Abebe Tolera, Damen Haile Mariam, Rima Nakkash, Mustafa al'Absi, Ramzi G Salloum","doi":"10.1136/tc-2025-059800","DOIUrl":"10.1136/tc-2025-059800","url":null,"abstract":"<p><strong>Background: </strong>Tobacco-khat co-use is common in Ethiopia, where khat is cultivated. However, information is limited regarding tobacco-khat co-use among adults in the study setting.</p><p><strong>Aims: </strong>(1) Explore behavioural patterns of tobacco-khat co-use and (2) investigate the factors associated with tobacco-khat co-use in Haramaya district, and Maya City, eastern Ethiopia.</p><p><strong>Methods: </strong>We conducted eight focus groups (FGs) with adult males (n=36, four FGs) and females who use tobacco (n=18, two FGs), and community leaders (n=17, two FGs). Participants were purposively recruited. The interview guide addressed tobacco-khat co-use behaviours and related factors. The data were analysed using thematic analysis.</p><p><strong>Results: </strong>The male participants had a mean age of 37.7 (SD±12.4), while the females had a mean age of 44.9 (SD±15.5) years. Males initiated tobacco and khat use at a younger average age compared with females. All participants acknowledged the widespread co-use of tobacco-khat in the region. Two key themes emerged: (1) Tobacco use is tied to khat consumption, reflecting distinct behavioural patterns of co-use. (2) Multiple drivers of co-use included deeply rooted social and cultural practices, progression from habitual use to dependence and accessibility and affordability.</p><p><strong>Conclusion: </strong>Findings suggest that male participants begin tobacco and khat use at an earlier age, driven by sociocultural norms and gendered expectations. This co-use is sustained by multiple reinforcing drivers: perceived synergistic stimulation between khat and tobacco, deeply rooted social and cultural practices, progression from habitual use to dependence and accessibility and affordability, which perpetuate the behaviour. Thus, effective cessation programmes must address co-use and be adapted to sociocultural realities.</p>","PeriodicalId":23145,"journal":{"name":"Tobacco Control","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303246","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}