Tobacco Induced Diseases最新文献

{"title":"China's cigarette health warning labels: Undermined by branding.","authors":"Qinghua Nian, Katherine C Smith, Kevin Welding, Jennifer L Brown, Zhehan Wang, Pinpin Zheng, Chunlin Ren, Joanna E Cohen","doi":"10.18332/tid/209788","DOIUrl":"10.18332/tid/209788","url":null,"abstract":"<p><strong>Introduction: </strong>In China, health warning labels (HWLs) on cigarette packs are text-only with two messages in rotation. We examined China's HWLs as they appear on packs, focusing on elements of design and branding that may undermine their effectiveness.</p><p><strong>Methods: </strong>We used a systematic protocol to purchase 488 unique cigarette packs in 2023 from five major Chinese cities. The study sample consisted of the 471 packs that displayed the current HWLs mandated by China. A detailed codebook was developed to assess design elements in the HWL area (color/pattern schemes, text to background contrast, branding, etc.) and pack characteristics (brand family). Two trained coders who were native Chinese speakers independently double-coded the packs. We examined the prevalence of identified design elements and compared differences across brand families.</p><p><strong>Results: </strong>Colors/patterns that appeared on the pack overlapped with the HWL area on almost all packs (90%). About one-quarter (27%) of packs featured branding directly below the HWLs; significant differences were observed across brand families (p<0.05). On 11% of packs, the HWL text lacked contrast against its background. Other concerning design elements included the use of multiple colors in HWL text and background, and split HWLs.</p><p><strong>Conclusions: </strong>The prevalence of appealing branding and design elements that overlap the HWL on cigarette packs, potentially diminishes the effectiveness of HWLs and makes the Chinese HWLs less prominent compared to best practices. To enhance the effectiveness of HWLs and align with FCTC Article 11, China could implement stricter HWL regulations prohibiting branding within HWLs.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating current and temporal variation in municipal youth smoking rates in the Netherlands: A multivariable regression analysis.","authors":"Sophie J A Jooren, Jeroen Bommelé, Ben Wijnen, Wouter den Hollander, Jessica Baars, Maria W J Jansen, Marc C Willemsen","doi":"10.18332/tid/209127","DOIUrl":"10.18332/tid/209127","url":null,"abstract":"<p><strong>Introduction: </strong>Variations in smoking prevalence rates exist across different regions. While most research tends to study demographic, cultural or social determinants of smoking, few studies have looked into whether municipal-level variables are associated with smoking rates, especially among the younger population. We examined which municipal-level factors explain differences in youth smoking rates in the Netherlands.</p><p><strong>Methods: </strong>We conducted linear regression analyses to examine municipal-level smoking behavior among the population aged 12-16 years. Main outcomes were the proportion of youth within municipalities that had ever smoked or weekly smoked in 2021, and trend differences in ever smoking and weekly smoking between 2015 and 2021. Independent variables were population density, level of urban density, proportion of people with a migration background, proportion of elderly residents, and proportion of adults with a low level of education. We examined municipalities' involvement in the Smoke-free Generation campaign, their tobacco control policies, the number of smoke-free outdoor areas implemented, and their self-assessed tobacco control scores.</p><p><strong>Results: </strong>Dutch municipalities show great variation in smoking prevalence (2021: ever smoking 3.0-21.8% and weekly smoking 1.4-11.1%). Smoking has decreased in almost all municipalities in recent years; 108 of the 113 municipalities had a decrease in ever smoking, while 89 of the 100 municipalities showed a decrease in weekly smoking prevalence. Municipalities with a higher proportion of individuals with a migration background had lower ever (β= -0.08, p=0.021) and weekly (β= -0.06, p=0.013) youth smoking prevalence rates in 2021.</p><p><strong>Conclusions: </strong>Considering that municipality-specific variables were not associated with levels of youth smoking prevalence, the question remains why some municipalities have much higher smoking rates than others, after having been exposed to the same national level tobacco control policy measures.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of OAF and smoking initiation in COPD risk: Insights from Mendelian randomization.","authors":"Feng You, Kai Xu, Gengzhong Chen, Siwen Chen, Qiheng Yuan, Bianjin Sun","doi":"10.18332/tid/210379","DOIUrl":"10.18332/tid/210379","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic Obstructive Pulmonary Disease (COPD) is a complex condition influenced by both genetic and environmental factors. This study aims to identify potential biomarkers and explore the associations between specific maker genes, smoking initiation, and COPD.</p><p><strong>Methods: </strong>We used Mendelian randomization (MR) with inverse variance weighting (IVW) to identify significant associations (p<0.05). Genetic instruments for smoking initiation (Genome-Wide Association Study [GWAS]: ieu-b-4877) and Out at First (OAF) (cis-expression Quantitative Trait Locus [eQTL] GWAS) were selected based on single nucleotide polymorphisms (SNPs) with p<5×10^-8. COPD GWAS data served as the outcome. Two-sample MR analysis estimated causal effects of smoking initiation/OAF on COPD. Mediation analysis explored the role of 731 immune cell phenotypes in these associations.</p><p><strong>Results: </strong>We identified OAF as a key genetic marker associated with COPD risk, with the eQTL analysis yielding an odds ratio (OR) of 1.09 (95% CI: 1.02-1.17, p=0.01). The IVW analysis for smoking initiation-COPD indicated an OR of 1.89 (95% CI: 1.69-2.11, p<0.001). Mediation analysis revealed that the immune cell phenotype CD14- CD16- absolute count (AC) (GCST90001581) accounted for 30.16% and 4.27% of the mediation in the OAF-COPD and smoking initiation-COPD associations, respectively.</p><p><strong>Conclusions: </strong>The MR results suggest that OAF may be a genetic risk factor for COPD, with immune cell phenotypes, particularly CD14-CD16-AC, potentially playing a mediating role in COPD development. Smoking initiation is also positively correlated with COPD, playing an important role in its pathogenesis.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing quit interest and the correlates and preferred ways of quitting snus in Norway: A cross-sectional study.","authors":"Gunnar Sæbø, Ingeborg Lund","doi":"10.18332/tid/209194","DOIUrl":"10.18332/tid/209194","url":null,"abstract":"<p><strong>Introduction: </strong>Snus is currently the most used tobacco product in Norway. This study aims to identify the overall cessation interest among Norwegian snus users, the preferred quitting aids, and correlates of cessation interest.</p><p><strong>Methods: </strong>Survey data were collected by the Norwegian Directorate of Health through a nationwide web panel, with respondents completing an online questionnaire. Three time points (two in 2018, one in 2019) were pooled, resulting in n=820 snus users. Descriptive statistics and adjusted multinomial logistic regression were applied to identify the extent of snus cessation behavior and factors associated with overall cessation interest.</p><p><strong>Results: </strong>In all, 58.5% had attempted to quit snus, while 52.7% expressed current plans to quit. Of all snus users, 26.6% had never tried to quit and did not intend to quit in the future; 35.7% had either previously tried to quit but held no current quit plans, or they had never attempted to quit but were willing to try in the future. The remaining 37.7% had both tried to quit and intended to try again. Frequently preferred quitting aids were: quit on my own, mobile app, and nicotine-free snus. Higher interest in quitting was associated with younger age (AOR=0.94, p<0.001), living in western (AOR=2.27, p=0.019) or northern (AOR=2.60, p=0.022) Norway, perceiving snus use as hazardous to health (AOR=2.37, p<0.001), using snus daily (AOR=2.83, p<0.001), and non-smoking (AOR=0.53, p=0.033). Cessation behavior was not statistically associated with education level or income, after controlling for covariates.</p><p><strong>Conclusions: </strong>The majority of snus users are interested in quitting, especially those who are young and worry about their own health. We found no evidence of a social gradient in cessation interest.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of online tobacco control education: A cross-sectional study among healthcare professionals.","authors":"Yu Chen, Si Chen, Jing Xu, Li Xu, Ziliang Wang, Shiyu Liu, Yujiang Cai, Zining Wang, Xinjie Zhao, Xinyao Yu, Xinrui Yang, Na Zhang, Kin-Sun Chan","doi":"10.18332/tid/209148","DOIUrl":"10.18332/tid/209148","url":null,"abstract":"<p><strong>Introduction: </strong>Online education platforms offer promising solutions for tobacco control capacity building. This study evaluated an online tobacco control course's effectiveness on healthcare professionals' knowledge, attitudes, and behavioral intentions.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among healthcare workers and medical students (n=719) in a Chinese city, January 2023. Participants were categorized as course participants (n=387) or non-participants (n=332). The validated survey instrument (Cronbach's α=0.963) assessed tobacco-related knowledge, attitudes, and behavioral intentions using 5-point Likert scales. Statistical analyses included t-tests, effect size, and multivariable regression.</p><p><strong>Results: </strong>Course participants demonstrated significantly higher knowledge scores across multiple domains compared to non-participants. Regarding specific tobacco harms, participants showed greater awareness that smoking causes stroke (4.21 ± 0.90 vs 3.86 ± 1.04, p<0.001, Cohen's d=0.37), heart disease (4.27 ± 0.85 vs 3.93 ± 1.03, p<0.001, d=0.36), and erectile dysfunction (4.05 ± 0.97 vs 3.72 ± 1.12, p<0.001, d=0.32). For secondhand smoke, participants better recognized risks of adult cardiovascular disease (4.26 ± 0.81 vs 4.04 ± 0.90, p=0.001, d=0.26) and pediatric respiratory illness (4.37 ± 0.73 vs 4.15 ± 0.83, p<0.001, d=0.28). Participants also showed more positive attitudes toward tobacco control policies and greater behavioral intentions for tobacco control advocacy. In multivariable analysis adjusting for demographics and smoking status, course participation remained significantly associated with higher knowledge scores (β=0.28; 95% CI: 0.18-0.38, p<0.001), more positive attitudes (β=0.22; 95% CI: 0.12-0.32, p<0.001), and stronger behavioral intentions (β=0.31; 95% CI: 0.19-0.43, p<0.001).</p><p><strong>Conclusions: </strong>The online tobacco control course significantly improved participants' knowledge of tobacco harms and strengthened their support for tobacco control measures. These findings suggest that digital health education platforms may be valuable tools for tobacco control capacity building, though further longitudinal studies are needed to establish causal relationships and assess long-term effectiveness.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of secondhand smoke exposure and harm awareness among non-smoking individuals aged 15-44 years in Jilin Province: A cross-sectional study.","authors":"Wenling Li, Jianying Jiang, Ruolin Li, Ling Zhang, Bing Jia, Qiao Zhang, Xiaobo Qian","doi":"10.18332/tid/208809","DOIUrl":"10.18332/tid/208809","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, alongside the Healthy China Initiative, extensive nationwide efforts have been undertaken to enhance the health literacy of the population. Health knowledge dissemination has emerged as a key approach within these efforts. This study focused on non-smokers aged 15-44 years in Jilin Province, China. It analyzed their patterns of secondhand smoke (SHS) exposure and their level of awareness regarding its risks.</p><p><strong>Methods: </strong>The study selected non-smoking permanent residents aged 15-44 years from the 2020 Jilin Province Adult Tobacco Survey database as its subjects. Following the requirements of the China Adult Tobacco Survey Protocol, the project employed a multistage stratified cluster random sampling method. This involved: selecting 10 surveillance sites from all of the province's districts or counties; choosing 3 sub-districts/townships within each surveillance site; selecting 2 neighborhood or village committees within each sub-district or township; and randomly sampling 120 households from each neighborhood or village committee. This resulted in a total sample of 7200 households province-wide. One resident aged ≥15 years was randomly selected from each household for a face-to-face in-home interview. The present analysis utilized eligible questionnaires from individuals within the target age group 15-44 years.</p><p><strong>Results: </strong>The prevalence of secondhand smoke (SHS) exposure among surveyed non-smoking residents in Jilin Province was 59.16% (95% CI: 52.87-65.17). Awareness rates of specific SHS health risks were as follows: 76.16% (95% CI: 59.77-87.30) knew SHS causes lung cancer in adults; 61.95% (95% CI: 52.26-70.77) knew SHS causes lung diseases in children; and 49.21% (95% CI: 34.99- 63.56) knew SHS causes heart disease in adults. However, only 42.26% (95% CI: 32.60-52.56) were aware that SHS causes all three conditions (heart disease in adults, lung diseases in children, and lung cancer in adults). SHS exposure rates varied significantly by location: restaurants had the highest exposure rate (50.85%) , homes (37.72%), and public transport (5.01%).</p><p><strong>Conclusions: </strong>SHS exposure prevalence among residents aged 15-44 years in Jilin Province remained high, while comprehensive awareness of its associated health risks was relatively low. A discrepancy existed between possessing knowledge about SHS harms and translating that knowledge into protective behaviors or reduced exposure. Intervention efforts should focus on priority venues, intensify the dissemination of core knowledge on tobacco hazards, implement targeted health promotion activities for key populations, and foster supportive smoke-free environments.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in global research on tobacco use among sexual and gender minorities: A bibliometric analysis, 1984-2024.","authors":"Lei Qiu, Zhang Shirui, Muyuan Luo","doi":"10.18332/tid/208740","DOIUrl":"10.18332/tid/208740","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, sexual and gender minorities (SGM) exhibit significantly higher tobacco use rates than their cisgender heterosexual counterparts, a persistent health disparity that has garnered increasing attention in public health research.</p><p><strong>Methods: </strong>We conducted a bibliometric analysis of 704 SGM tobacco use-related publications from the Web of Science Core Collection. First, we examined publication trends, key contributors, and collaborative networks. Second, we performed co-citation network analysis to identify disciplinary characteristics and research hotspots. Finally, we applied keyword burst detection and clustering techniques to assess emerging trends and frontier areas.</p><p><strong>Results: </strong>From 1984 to 2024, research on SGM tobacco use demonstrated consistent growth. The US accounted for the majority of publications (82.52%), with institutions such as the University of California System serving as key hubs for research collaboration. Research hotspots clustered around five key themes: 1) the effects of novel tobacco products, 2) subgroup differences in tobacco use, 3) tobacco-related health disparities, 4) smoking cessation research, and 5) social and psychological mechanisms.</p><p><strong>Conclusions: </strong>Using data mining and visualization techniques, this study constructed a comprehensive knowledge map of research on SGM tobacco use. Our findings elucidate evolving patterns and emerging trends while offering valuable perspectives to guide future investigations.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of tobacco smoke exposure on earlyonset osteoarthritis: A cross-sectional analysis of secondary data from the National Health and Nutrition Examination Survey (NHANES), 1999-2020.","authors":"Yanchao Li, Xiangmin Wan, Wei Long","doi":"10.18332/tid/208426","DOIUrl":"10.18332/tid/208426","url":null,"abstract":"<p><strong>Introduction: </strong>There is evidence that exposure to tobacco smoke is associated to a number of chronic diseases, but the evidence for an association with osteoarthritis (OA) is sparse and inconclusive. The aim of this study was to investigate whether exposure to tobacco smoke for an adult is associated with developing OA at a young age, and to assess dose-response patterns.</p><p><strong>Methods: </strong>We conducted a pooled, cross-sectional analysis of secondary data from the National Health and Nutrition Examination Survey (NHANES) 1999-2020 among US adults aged 20-54 years (n=26145). Tobacco smoke exposure was quantified by serum cotinine. Multivariable logistic regression, restricted cubic splines, and threshold analyses were used to estimate the dose-response relationship between cotinine and self-reported physician-diagnosed early-onset OA.</p><p><strong>Results: </strong>Overall, 1086 participants (4.2%) reported early-onset OA. After full adjusted odds ratio (AOR), serum cotinine ≥3 ng/mL was associated with a 52% increase in odds of early-onset OA (AOR=1.52; 95% CI: 1.30-1.79), compared with <0.05 ng/mL. A non-linear, positively saturated relationship was observed between the cotinine levels after the natural logarithm (LN) transformation and early-onset OA, with an inflection point at approximately 2.90 ng/mL (AOR=1.38; 95 % CI: 1.17-1.63, p=0.00). Subgroup analyses confirmed the robustness of this association across demographic and clinical strata.</p><p><strong>Conclusions: </strong>This study, based on a nationally representative sample from the United States, suggests that high levels of tobacco smoke exposure significantly increase the likelihood of early-onset OA, highlighting the need for further research into factors associated with early-onset OA.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of e-cigarette users in the Medina region of Saudi Arabia.","authors":"Noof Aloufi, Renad M Alhamawi, Shahad N Alalwani, Wateen K Alrefaei, Hana A Aljohani, Mayan M Ali, Fahad H Alahmadi","doi":"10.18332/tid/209586","DOIUrl":"10.18332/tid/209586","url":null,"abstract":"<p><strong>Introduction: </strong>Electronic cigarettes are battery-operated devices that allow users to 'vape' flavored solutions including nicotine. The prevalence of users of e-cigarettes with different flavors, is not known in the Medina region in Saudi Arabia. Thus, the study aimed to assess the prevalence and characteristics of e-cigarette smokers in Medina region. Additionally, this study aimed to determine the popular flavors and the most common reasons for smoking e-cigarettes among young adults.</p><p><strong>Methods: </strong>This cross-sectional study was conducted between 1 February and 19 March 2024 using an online questionnaire via convenience sampling. The total number of participants was 388, including males and females aged ≥18 years.</p><p><strong>Results: </strong>The study findings showed that 78.2 % of the e-cigarette smokers were young adults, while 58.4 % of the participants aged 18-29 years preferred fruit flavors. Additionally, the majority of young adults used e-cigarettes for reducing stress and enjoyment, corresponding to 40.6 % and 31.7 % of participants, respectively.</p><p><strong>Conclusions: </strong>Our study is useful for identifying the preferences towards e-cigarette usage within a population and monitoring emerging trends, particularly among young adults. Researching regional preferences for e-cigarette flavors might help to direct future studies into the health effects of various flavorings.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A protection motivation theory-based scale for e-cigarette use assessment among Chinese college students: Development and validation.","authors":"Yu Chen, Zining Wang, Jing Xu, Xindou Chen, Yujiang Cai, Si Chen, Kin-Sun Chan","doi":"10.18332/tid/209411","DOIUrl":"10.18332/tid/209411","url":null,"abstract":"<p><strong>Introduction: </strong>Electronic cigarettes (e-cigarettes) have gained increasing popularity among young adults worldwide, particularly among college students who represent a key target population for e-cigarette marketing. Understanding cognitive factors that influence e-cigarette use susceptibility is critical for developing effective prevention strategies. This study aimed to develop and validate a scale based on the Protection Motivation Theory (PMT) to assess cognitive factors related to e-cigarette use susceptibility among Chinese college students for prevention purposes.</p><p><strong>Methods: </strong>A cross-sectional survey design was employed and data were collected among 303 students aged 18-24 years from universities in China during February 2023. A 21-item PMT scale was adapted from a previous study on Chinese youth tobacco use. Construct validity was assessed using confirmatory factor analysis (CFA). Internal consistency reliability was evaluated using Cronbach's α. Structural equation modeling was used to examine associations between PMT constructs and e-cigarette use susceptibility. Statistical significance was set at p<0.05, and all tests were 2-tailed. Power calculations indicated adequate sample size for the planned analyses. Concurrent validity was examined by correlating PMT constructs with e-cigarette use susceptibility.</p><p><strong>Results: </strong>After removing one item, the final 20-item scale demonstrated good model fit in the CFA (GFI=0.917, CFI=0.933, RMSEA=0.055). Internal reliability was acceptable to good (Cronbach's α=0.52-0.83). The overall Cronbach's α coefficient was 0.831. All PMT constructs were significantly correlated with e-cigarette use susceptibility in the expected directions (p<0.05).</p><p><strong>Conclusions: </strong>The PMT-based scale is a valid and reliable measure to investigate e-cigarette use related cognitions among Chinese college students, and can be used as a tool to guide prevention efforts. The study supports the utility of applying PMT to e-cigarette research in different socio-cultural contexts.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}