Tobacco Induced Diseases最新文献

{"title":"Depression, smoking, and lung cancer vulnerability: Bridging mental-physical comorbidity through population-based evidence.","authors":"Yibo Lu, Hui Chen, Ji Gan, Junlan Cai, Chunnuan Huang, Quanzhi Chen","doi":"10.18332/tid/207913","DOIUrl":"10.18332/tid/207913","url":null,"abstract":"<p><strong>Introduction: </strong>The complex relationship between smoking, depression, and lung cancer remains inadequately understood, particularly regarding smoking's association with depression risk among lung cancer patients. This study examines these interactions in a nationally representative sample.</p><p><strong>Methods: </strong>This secondary dataset analysis used cross-sectional data from 1539 US adults aged ≥20 years from the pooled 2005-2016 National Health and Nutrition Examination Survey (NHANES). We employed survey-weighted logistic regression analyses to assess associations, adjusting for sociodemographic factors and clinical comorbidities.</p><p><strong>Results: </strong>Weighted prevalence estimates were 3.14% (95% CI: 2.78-3.55) for lung cancer, 29.4% for current smoking (95% CI: 28.0-30.9), and 11.18% (95% CI: 10.12-12.34) for clinically significant depression (PHQ-9 ≥10) Females had significantly higher depression prevalence than males (AOR=2.18; 95% CI: 1.63-2.91; p<0.01). Current smokers demonstrated 3.12-fold higher odds of depression compared to non-smokers (AOR=3.12, 95% CI: 2.18-4.47; p<0.001). Recent quitters (<1 year) also showed elevated depression risk (AOR=2.89; 95% CI 1.15-7.25; p=0.024). Among participants with lung cancer, current smokers had a significantly higher prevalence of depression compared to non-smokers (16.82% vs 4.12%; p=0.0008).</p><p><strong>Conclusions: </strong>Smoking was strongly associated with depression in lung cancer patients, with recent cessation representing a high-risk period. Integrated smoking cessation and mental health interventions are needed, particularly for young females.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041266","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":"Effect of tobacco and other habitual dietary staining agents on the optical properties of lithium disilicate molar crowns: A laboratory study.","authors":"Mohammed M Al Moaleem, Arwa Daghrery, Heba Mitwalli, Eman Jabarti, Nassreen Albar, Maysaa Khojah, Waad Khayat","doi":"10.18332/tid/208433","DOIUrl":"10.18332/tid/208433","url":null,"abstract":"<p><strong>Introduction: </strong>The treatment of choice for posterior teeth is full-coverage crowns, but these materials should not be color-affected by external factors such as tobacco use. This laboratory study aimed to evaluate the mean color change (ΔE*) values of lithium aluminum disilicate (LAD) full anatomical ceramic crowns after staining in different adverse materials consumed in different countries worldwide.</p><p><strong>Methods: </strong>Ninety full anatomical crowns in the form of molars were constructed from LAD (Cerec Tessera blocks) with the use of computer-aided design/computerassisted manufacturing system. They were divided equally into nine groups, with 10 crowns for each group. The crowns were immersed for 15 days in different adverse materials (khat, shamma, yerba mate, snuff, soft drinks used daily as a mixture of fruit juice, Coca-Cola, Saudi coffee, and Nescafe). Instructions from the International Commission on Illumination were followed for color parameter measurements. The CIELab color space L* lightness value coordinate, a* red- green coordinate, and b* yellow-blue coordinate, were calculated before and after staining for 2 weeks. ΔE* values were calculated by spectrophotometry. One-way ANOVA followed by <i>post hoc</i> tests were used to assess significance differences between groups. The significance level was set at p<0.05.</p><p><strong>Results: </strong>The ΔE* changed after immersion in all solutions except for the control group. The highest average ΔE* values and standard deviation were observed with yerba mate 6.3 ± 2.0, followed by shammah 4.6 ± 0.9, whereas the lowest ΔE* was recorded for the mixture of fruit juice 3.2 ±1.3. One-way ANOVA test showed a significant difference between the group of yerba mate, with p<0.001. Pearson's correlation coefficient test was used to assess the statistical relationship of ΔE* among groups. A highly positive significant correlation was found between shammah and Nescafe (r=0.798). A medium correlation was found between khat with yerba mate (r=0.520) and snuff and control groups (r=0.474), without significant differences.</p><p><strong>Conclusions: </strong>The overall recorded ΔE* values for LAD full anatomical ceramic crowns following 2 weeks of staining in different staining media were marginally higher than the clinically acceptable values except for the fruit-juice group.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041409","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":"Impact of smoking behaviors on asthma incidence and allcause mortality in middle-aged and older adults: A longitudinal study from China.","authors":"Tingting Fu, Shilong Zhao, Chunling Hu, Jing Gao, Lihua Xing","doi":"10.18332/tid/207912","DOIUrl":"10.18332/tid/207912","url":null,"abstract":"<p><strong>Introduction: </strong>The impact of smoking behaviors on asthma incidence and all-cause mortality among middle-aged and older adults remains understudied. In particular, whether the potential effect of adolescent smoking initiation on late-onset asthma is independent of cumulative tobacco exposure is unclear.</p><p><strong>Methods: </strong>Cox proportional hazards models assessed longitudinal impact of smoking behaviors on asthma incidence and mortality risks using 2011-2018 China Health and Retirement Longitudinal Study (CHARLS) data. Cross-sectional smoking-asthma associations were analyzed with logistic regression. Additionally, restricted cubic splines were used to assess the nonlinear relationships between smoking characteristics and asthma incidence.</p><p><strong>Results: </strong>Smokers had a 65% higher risk of incident asthma compared to non-smokers in middle-aged and older adults (HR=1.65; 95% CI: 1.10-2.46, p=0.015). According to stratified analysis, individuals with smoking duration ≥40 years (HR=1.95; 95% CI: 1.2-3.15, p=0.007), cumulative pack-years under 15 pack-years (HR=1.76; 95% CI: 1.04-2.99, p=0.035), and smoking onset before the age of 18 years (HR=2.31; 95% CI: 1.35-3.96, p=0.002) were at significantly greater risk for asthma. After controlling for cumulative pack-years, early smoking initiation (<18 years) remained an independent and significant predictor of asthma onset in middle and older age (HR=2.56; 95% CI: 1.29-5.06, p=0.007). Subgroup analysis revealed that smoking-related asthma risk was especially elevated among those aged <65 years, females, overweight individuals, and those without baseline comorbidities. Moreover, there was no significant difference in all-cause mortality between the smoking and non-smoking groups in asthma patients.</p><p><strong>Conclusions: </strong>The increased risk of asthma onset among middle-aged and older adults due to adolescent smoking initiation was independent of cumulative smoking pack-years, even though low pack-years and long-term smoking also contribute to increased risk. Targeted smoking cessation programs, especially adolescent prevention, are crucial to reduce asthma burden in this population.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041393","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":"Knowledge, perceptions, and usage patterns of nicotine pouches among Saudi medical students: A cross-sectional study.","authors":"Najim Z Alshahrani","doi":"10.18332/tid/207914","DOIUrl":"10.18332/tid/207914","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco smoking continues to pose a major global public health challenge. Medical students play a crucial role in shaping future smoking cessation practices. Nicotine pouches have recently emerged as a tobacco-free alternative with a potentially reduced harm profile. However, little is known about their use and perception among medical students in Saudi Arabia. This study aimed to assess medical students' knowledge and perceptions of nicotine pouches and to examine usage patterns among those who consume these products.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between April and July 2024 among 295 medical students from three universities in Saudi Arabia. Data were collected through a self-administered electronic questionnaire covering demographics, smoking history, knowledge, perceptions, and usage behaviors. Statistical analyses, including chi-squared tests and logistic regression, were used to identify factors associated with knowledge and usage.</p><p><strong>Results: </strong>Smoking prevalence among participants was 16.3%, with significantly higher rates among males. Overall, 58.6% of students demonstrated good knowledge of nicotine pouches. Higher knowledge scores were associated with male gender, senior academic year, and higher grade point average (GPA). Among users, 62.9% reported quitting smoking, and more than half noted health improvements. The 10 mg nicotine strength was the most commonly used. Social influence, particularly peer pressure, was the primary reason for use. Despite noting harm reduction potential, students expressed concern about nicotine dependence and the need for stronger regulation.</p><p><strong>Conclusions: </strong>Saudi medical students show moderate knowledge of nicotine pouches, influenced by academic and demographic factors. However, concerns about dependence and regulation highlight the need for targeted education and policy development. Integrating this topic into medical curricula may better prepare future physicians to address nicotine use in clinical practice.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016158","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":"Electronic cigarettes and cardiovascular diseases: An updated systematic review and network meta-analysis.","authors":"Amarit Tansawet, Thunyarat Anothaisintawee, Suparee W Boonmanunt, Prapaporn Pornsuriyasak, Kanokporn Sukhato, Natasha Chawala, Patcharanat Inpithuk, Chatuthanai Savigamin, Saharat Liampeng, John Attia, Gareth J McKay, Ammarin Thakkinstian","doi":"10.18332/tid/208065","DOIUrl":"10.18332/tid/208065","url":null,"abstract":"<p><strong>Introduction: </strong>The association between electronic cigarettes (e-cigarettes) and the risk of cardiovascular disease (CVD) remains inconclusive. This study aims to compare CVD risk from the use of e-cigarettes, cigarettes, combined cigarette and e-cigarette use, and non-use.</p><p><strong>Methods: </strong>This study is a systematic review and network meta-analysis (NMA). MEDLINE and Scopus databases (through February 2024) were used to identify eligible studies. Observational studies that investigated the effect of e-cigarettes on the risk of composite CVD, myocardial infarction (MI), or stroke, compared to cigarette, dual use, or non-use, were included. NMA was applied to estimate relative effects (i.e. adjusted odds ratio, AOR) of e-cigarette, cigarette, and dual use, on composite CVD, MI, and stroke outcomes. Risk of bias was assessed using the Joanna Briggs Institute tool for surveys and the Newcastle-Ottawa scale for cohort studies.</p><p><strong>Results: </strong>Eleven adult population studies were eligible for review. E-cigarette, cigarette, and dual use were significantly associated with composite CVD outcomes. Pooled AORs (95% CI) were 1.31 (1.05-1.62) for e-cigarette, 1.57 (1.30-1.88) for cigarette, and 1.67 (1.37-2.03) for dual use. Additionally, former cigarette and former dual use significantly increased the risk of composite CVD outcomes, compared to non-use. The pooled AORs (95% CI) were 1.29 (1.05-1.59) for former cigarette, and 1.46 (1.03-2.08) for former dual use, while former e-cigarette use was not significantly associated with composite CVD endpoints. For MI and stroke outcomes, only cigarette and dual use were significantly associated with these events.</p><p><strong>Conclusions: </strong>Current e-cigarette, cigarette, and dual use were significantly associated with increased risk of composite CVD outcomes, while only cigarette and dual use significantly increased the risk of MI and stroke, compared to non-use. However, these findings were primarily based on cross-sectional data limiting the temporality of effect; additional prospective cohort studies are needed to confirm our findings.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016132","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":"Rural and Appalachian cancer survivors' responses to tobacco use screening and tobacco treatment offer.","authors":"Abigayle R Feather, Brent J Shelton, Courtney Blair, D Bront Davis, Joan Scales, Audrey Darville, Joseph Valentino, Laurie E McLouth, Jessica L Burris","doi":"10.18332/tid/207082","DOIUrl":"10.18332/tid/207082","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking after a cancer diagnosis is associated with poor outcomes whereas smoking cessation improves survival and other outcomes. Although professional societies and practice guidelines call for equitable tobacco treatment delivery in healthcare, disparities in tobacco-related disease burden persist.</p><p><strong>Methods: </strong>In the context of an outpatient US cancer center's population-based tobacco treatment program, this study examines associations between cancer survivors' rural and Appalachian residence status and: 1) current tobacco use status, 2) decision to decline tobacco treatment, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16839 adults: 64.04% female, 88.49% non-Hispanic White, mean age 59.19 ± 14.52 years, 35.97% rural residence, 53.14% Appalachian residence, who sought cancer care in 2019. Descriptive statistics and logistic regression models were applied.</p><p><strong>Results: </strong>The portion of patients that reported current tobacco use was 21.75%. Rural patients had higher odds of tobacco use than urban (OR=1.22; 95% CI: 1.12- 1.34), as did Appalachian patients compared to non-Appalachian (OR=1.41; 95% CI: 1.28-1.54). Neither rural nor Appalachian residence status was significantly associated with responses to tobacco treatment offers (76.65% declined the offer) or reason for declining (65.19% declined because they were 'not ready to quit').</p><p><strong>Conclusions: </strong>Findings highlight continued need for population-level tobacco use screening and proactive tobacco treatment offers, given elevated tobacco use in some minority groups and overall low rates of tobacco treatment acceptance. This large study helps shed light on the association between geographical residence and tobacco-related outcomes among patients with cancer, and underscores room for improvement in tobacco treatment uptake in cancer care.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016155","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":"Lifestyle-attributable burden of young-onset stroke in Chinese and global populations aged 20-54 years: A three decades comparative study (1990-2021) using Global Burden of Disease study data.","authors":"Danrui Yang, Guohan Fan, Jiajia Cheng, Qingzhou Meng, Keyang Liu, Kokoro Shirai, Hiroshi Yatsuya, Ren Chen, Yan Zhang","doi":"10.18332/tid/208007","DOIUrl":"10.18332/tid/208007","url":null,"abstract":"<p><strong>Introduction: </strong>Young-onset stroke represents a growing public health crisis globally along with rapid lifestyle changes. This study investigated the mortality and disability burden of young-onset stroke attributable to modifiable lifestyle factors in China compared with global trends, aiming to identify critical intervention targets.</p><p><strong>Methods: </strong>Utilizing Global Burden of Disease 1990-2021 data, we analyzed age-stratified mortality and disability-adjusted life years for four lifestyle risk factors (tobacco, high alcohol use, dietary risk, and low physical activity). Temporal trends were assessed through joinpoint regression and age-period-cohort modeling, with population-attributable fractions compared between Chinese and global populations over three decades.</p><p><strong>Results: </strong>China demonstrated persistently greater burdens from tobacco and high alcohol use than global averages did, particularly among males, where alcohol-attributable disability-adjusted life years (DALYs) increased 21% faster than mortality rates did. Gender disparities were prominent, with male population attributable fractions (PAFs) for alcohol exceeding female levels by 9.3-fold. Paradoxically, Chinese females presented rising low physical activity-related DALYs despite declining mortality. Midlife adults (aged ≥40 years) showed accelerated risk accumulation, whereas dietary risk reductions in China outpaced global declines by 2.4-fold. Age effects for all risks were weaker than global estimates, although period and cohort patterns aligned closely.</p><p><strong>Conclusions: </strong>The diverging trajectories of mortality and disability burdens underscore China's dual challenge: curbing substance-related mortality in young males while containing midlife disability escalation. Culturally tailored strategies addressing gender-specific risk profiles and alcohol-DALY decoupling are urgently needed. These findings provide pivotal evidence for global stroke prevention in transitioning societies.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970288","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":"Exploring the relationship between secondhand smoke exposure in different indoor environments and depression symptoms among non-smoking adults: A cross-sectional study from NHANES.","authors":"Ying Liu, Jingtao Yu, Fanqiang Meng","doi":"10.18332/tid/207154","DOIUrl":"10.18332/tid/207154","url":null,"abstract":"<p><strong>Introduction: </strong>The existing evidence regarding the relationship between secondhand smoke (SHS) exposure and depression symptoms in non-smoking adults remains inconclusive. This cross-sectional study aims to further investigate this relationship using data from the National Health and Nutrition Examination Survey (NHANES).</p><p><strong>Methods: </strong>SHS exposure was assessed through self-reported passive exposure to indoor tobacco products, such as those encountered at work or in vehicles. Depression symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9) scale. Logistic regression and stratified analyses were conducted to evaluate the association between exposure to seven different indoor sources of SHS and depression symptoms.</p><p><strong>Results: </strong>This study included 6272 never smoker adults from the US. Compared to individuals not exposed to any indoor SHS, exposure to specific types of SHS was positively associated with depression symptoms: exposure to cars (AOR=1.64; 95% CI: 1.17-2.31), exposure to other indoor areas (AOR=2.03; 95% CI: 1.33-3.10), and exposure to e-cigarettes (AOR=1.78; 95% CI: 1.14-2.77). When cumulative SHS exposure was calculated based on the number of SHS environments to which participants were exposed, those exposed to 1-2 sources of SHS were 1.47 times more likely (AOR=1.47; 95% CI: 1.13-1.91) and those exposed to ≥3 sources were 1.96 times more likely (AOR=1.96; 95% CI: 1.17-3.28) than unexposed individuals to experience depression symptoms.</p><p><strong>Conclusions: </strong>Exposure to specific SHS environments, particularly simultaneous exposure to multiple SHS environments, seems to be significantly associated with depression symptoms among US adults. Establishing causality and understanding the health implications of this connection will require future longitudinal investigations.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970267","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":"Concept flavor names from English language ENDS advertising in the USA, 2015-2020.","authors":"Ryan David Kennedy, Lauren Czaplicki, Meghan Bridgid Moran","doi":"10.18332/tid/205762","DOIUrl":"10.18332/tid/205762","url":null,"abstract":"<p><strong>Introduction: </strong>Some manufacturers of electronic nicotine delivery systems (ENDS) and liquids sell products with flavor names that use ambiguous terminology rather than explicitly characterize the product's flavor. These are often referred to as 'concept flavors'. This article presents a sample of ENDS concept flavor names to identify naming conventions the industry uses.</p><p><strong>Methods: </strong>We reviewed 4546 English-language ENDS advertisements that ran in a variety of outlets including magazines, TV, radio, and direct-to-consumer emails, during the period 2015-2020. ENDS flavors in ads were identified and classified as 'concept' if the name contained no explicit characterizing flavor information. All concept flavor names were then reviewed by two coders to identify themes and practices used by ENDS manufacturers.</p><p><strong>Results: </strong>The sample identified 215 unique concept flavor names. We found examples of flavor names that were suggestive of food or drink such as 'Citra Zing', as well as flavor names suggestive of sensations associated with drug use, such as 'Blurred Vision'. Some other concept flavor themes identified included the use of colors ('Red Venom'), numbers ('No 42.'), words associated with mythology ('God Nectar'), tropical imagery (Hawaiian Rainbow), and pop culture ('Miami Vice'). Some naming practices included the creation of flavor names using a portmanteau ('Grappleberry'), flavor names that used intentional misspelling or satiric misspelling, ('Gritz', and 'Cap'n Crunk'), and the use of malapropisms ('ohm sweet ohm').</p><p><strong>Conclusions: </strong>The tobacco industry uses concept flavor names, and these names are presented in advertising in the US. This article identified themes and naming practices for concept flavors. Future work may continue to monitor the use of concept flavors and if concept flavor names are used in response to flavor restrictions. Additionally, future research may explore if concept flavors themes are associated with perceived risk, use intentions and behavior.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970290","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":"The effect of smoking and other tobacco product use on perceptions of skin quality and health, approaches to skin care, and minimally invasive cosmetic procedures: A cross-sectional study.","authors":"Fatma Etgü, Emine Serap Yılmaz","doi":"10.18332/tid/207157","DOIUrl":"https://doi.org/10.18332/tid/207157","url":null,"abstract":"<p><strong>Introduction: </strong>It is well-established that smoking adversely affects the skin. This study aimed to compare skin properties, skin care product usage patterns, and the status of minimally invasive cosmetic procedures and self-evaluated skin quality in active smokers, ex-smokers, and non-smokers.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Department of Dermatology, Faculty of Medicine, Ordu University, Türkiye in 2024, with participants aged 18-65 years. Data were collected through a validated self-administered questionnaire. Categorical data were analyzed using chi-squared or Fisher's exact tests. Intergroup differences were examined using one-way analysis of variance with <i>post hoc</i> Bonferroni tests. Correlations between smoking duration, daily cigarette consumption, and total skin quality scores were assessed using Pearson and Spearman correlation analyses and modeled with linear regression. Receiver Operating Characteristic (ROC) analysis was used to assess the skin quality score's ability to distinguish smokers from non-smokers. Logistic regression analysis was conducted to examine the association between smoking and skin quality. Structural Equation Modeling (SEM) was used to explore the relationships between smoking, age, gender, and skin quality.</p><p><strong>Results: </strong>The study included 286 men and 393 women. Active smokers had worse skin quality, with more wrinkles, spots, and pigmentation (p<0.001). E-cigarette users showed poorer skin in the forehead, around the eyes, mustache, mouth, neck, and back (p=0.007-0.034). Hookah use was linked to worse skin and more spots on the back (p=0.004 and 0.009). Average skin quality scores were 25.47 for active smokers, 27.35 for ex-smokers, and 32.1 for non-smokers. Skin quality declined as smoking duration and daily cigarette count increased (p=0.00). Active smokers more frequently received neurotoxin injections and mesotherapy for skin spots (p=0.006 and 0.026).</p><p><strong>Conclusions: </strong>This study confirms the detrimental effects of smoking - including e-cigarette and hookah use - on skin. These findings may serve as motivation for smoking cessation efforts.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"23 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12371849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970364","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}