Tobacco Induced Diseases最新文献

{"title":"Prevalence of tobacco product use and associated factors among healthcare workers in Trabzon, Türkiye: A cross-sectional study.","authors":"Muhammed I Özel, Serdar Karakullukçu","doi":"10.18332/tid/224356","DOIUrl":"10.18332/tid/224356","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco use among healthcare workers is important not only in terms of individual health risks but also regarding the effectiveness of tobacco control services. The aim of this study was to determine the prevalence of tobacco use among healthcare personnel working in public primary, secondary, and tertiary care facilities in Trabzon Province and to assess factors associated with tobacco use.</p><p><strong>Methods: </strong>This cross-sectional study was conducted between July 2025 and February 2026 among healthcare workers aged ≥18 years who were actively employed in public healthcare institutions in Trabzon Province and agreed to participate. Data were collected from 1381 participants through face-to-face interviews. Use of any tobacco product within the past 30 days was considered the primary dependent variable. Nicotine dependence was assessed using the Fagerström test for nicotine dependence (FTND). Logistic regression analysis was performed to identify factors associated with tobacco use and nicotine dependence.</p><p><strong>Results: </strong>The prevalence of current tobacco product use was 25.2% (95% CI: 23.0-27.4). Specifically, 20.9% used only traditional tobacco, 1.5% used only novel nicotine and tobacco products, and 2.8% were dual users. Approximately half of the users exhibited moderate-to-high nicotine dependence. Multivariable analysis showed current use was strongly associated with having a tobacco user in the close environment (AOR=10.40; 95% CI: 5.20-20.81). Male sex (AOR=1.84; 95% CI: 1.33-2.56), shift/on-call work (AOR=1.51; 95% CI: 1.12-2.04), exposure to pro-tobacco social media content (AOR=1.73; 95% CI: 1.31-2.27), and higher stress scores (AOR=1.31; 95% CI: 1.22-1.42) were also associated with current use. Among users, male sex increased the odds of moderate-to-high nicotine dependence (AOR=2.04; 95% CI: 1.23-3.38), whereas living with family was associated with lower odds (AOR=0.47; 95% CI: 0.24-0.92).</p><p><strong>Conclusions: </strong>Tobacco use among healthcare workers remains a significant public health issue. These findings reveal associations between tobacco use and individual, occupational, and psychosocial factors, highlighting the need for longitudinal studies and tailored tobacco control strategies in this population.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707785","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":"Perceptions of vaping addiction and cessation among Australian young adults: A qualitative study.","authors":"Adrian Piotrowski, Reshika Chand, Becky Freeman, Christina Watts, Emily Jenkinson, Ciara Madigan, Bronwyn McGill, Shiho Rose","doi":"10.18332/tid/225412","DOIUrl":"10.18332/tid/225412","url":null,"abstract":"<p><strong>Introduction: </strong>Vape use in Australian young adults (18-24 years) is the highest of all age groups. With long-term health behaviors established during young adulthood, vaping addiction is concerning, as is establishing appropriate cessation supports for this group. Our qualitative study explored the perspectives and experiences of vaping-related addiction and cessation among Australian young adults.</p><p><strong>Methods: </strong>This study was a qualitative study using data from the Generation Vape research study. Twenty semi-structured focus groups were conducted online in February 2023. The Framework Method was used to thematically analyze for key themes and sub-themes.</p><p><strong>Results: </strong>Participants (n=114) were, on average, 21 years old, approximately half were female (51.8%), and most had vaped (78.9%). Our analysis identified three themes: 1) factors facilitating regular vaping; 2) perceptions of vaping addiction; and 3) vaping cessation behaviors. Themes appeared to influence each other and highlighted the nuanced ways young adults understand addiction and reflect on their use. While young adults agreed that vapes were addictive, addiction itself was categorized as habitual (i.e. embedded in daily routine) or compulsive (i.e. an uncontrollable urge) - with varying levels of acceptability. Young adults experiencing addiction to vaping highlighted that this was an unintended outcome, describing cessation challenges of nicotine withdrawal and social temptation. Those not considering cessation felt in control of their use and would avoid addiction, viewing vaping as a transient life-phase.</p><p><strong>Conclusions: </strong>Our findings are timely considering the recent policy changes in Australia. Vaping attitudes and potential misconceptions need to be challenged in young adults who may underestimate addiction. Given that vaping is a socially embedded practice among young adults, support tailored specifically to this group is needed to effectively promote cessation.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707790","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 associations between tobacco exposure and diarrhea within the National Health and Nutrition Examination Survey (NHANES).","authors":"Jiaheng Shao, Chuxuan Huang, Xilin Chen, Houyu Zhao","doi":"10.18332/tid/224313","DOIUrl":"10.18332/tid/224313","url":null,"abstract":"<p><strong>Introduction: </strong>As a common clinical symptom, diarrhea imposes considerable burdens on patients' lives and healthcare. Smoking and secondhand smoke (SHS) exposure, as modifiable risk factors, currently exhibit an uncertain relationship with diarrhea, lacking relative studies to clarify the relationship. The study aims to clarify the relationship between different tobacco exposure situations and diarrhea.</p><p><strong>Methods: </strong>This is a secondary analysis of 2005-2010 NHANES data, following a cross-sectional analytical design. Tobacco exposure in the population was divided into four groups (smokers, ex-smokers, never smokers exposed to SHS, and never smokers not exposed to SHS) based on smoking status and household SHS exposure. Diarrhea was ascertained using the Bristol Stool Form Scale (BSFS). Logistic regression analyses evaluated associations between tobacco exposure and diarrhea, with stratification analysis conducted to validate the robustness of findings. Additionally, we examined the potential mediating role of serum nicotine in this relationship.</p><p><strong>Results: </strong>Compared to never smokers not exposed to SHS, smokers demonstrated a significantly elevated likelihood of diarrhea (AOR=1.56; 95% CI: 1.25-1.93). However, this association was not observed among ex-smokers or never smokers exposed to SHS. Among smokers, those who reported smoking immediately after waking showed an increased likelihood of reporting diarrhea (AOR=1.69; 95% CI: 1.17-2.45). Each additional year of smoking duration was associated with a 2% increase in the likelihood of diarrhea (AOR=1.02; 95% CI: 1.00-1.03) while daily cigarette consumption showed no significant association. Serum cotinine was not a mediator in the relationship between tobacco exposure and diarrhea.</p><p><strong>Conclusions: </strong>Active tobacco exposure is associated with an elevated likelihood of diarrhea, whereas no association was found for either passive smoking or former smoking. Both smoking duration and smoking immediately upon waking exhibit positive associations with heightened diarrhea likelihood, suggesting potential intestinal health benefits from smoking cessation at an earlier stage. Serum cotinine did not mediate this relationship.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707856","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":"Enterprise ownership, workplace culture, and smoking cessation difficulty in China: A cross-sectional data analysis.","authors":"Gang Wang, Kecheng Du","doi":"10.18332/tid/226285","DOIUrl":"10.18332/tid/226285","url":null,"abstract":"<p><strong>Introduction: </strong>Workplaces are important settings for smoke-free protection and cessation support, but enterprise ownership may shape quit attempts. This cross-sectional data analysis examined whether employees of state-owned enterprises experience greater smoking cessation difficulty than employees of private enterprises.</p><p><strong>Methods: </strong>We analyzed cross-sectional self-reported data from an anonymous online questionnaire administered in October 2025. The questionnaire link was distributed through employee WeChat groups in six enterprises in Zhejiang Province, China (three state-owned and three private). Eligible participants were full-time employees aged ≥18 years who had worked in the enterprise for at least six months. The analytic sample comprised 989 employees. Outcomes were workplace cessation culture, indoor workplace secondhand smoke exposure in the past 30 days, quit intention within six months, and past-year quit attempt among current smokers. Ownership-group differences were assessed descriptively and using multivariable linear regression and logistic generalized estimating equations.</p><p><strong>Results: </strong>The sample included 483 state-owned and 506 private enterprise employees. Current smoking was more common in state-owned enterprises (34.8% vs 27.5%, p=0.046). State-owned enterprise employees reported lower cessation culture (3.33 vs 3.64, p<0.001), less cessation support (2.5 vs 3.6, p<0.001), stronger pro-smoking norms (2.90 vs 2.49, p<0.001), and more indoor workplace secondhand smoke exposure (42.0% vs 25.5%, p<0.001). Among current smokers, quit intention (36.9% vs 52.5%, p=0.009) and past-year quit attempts (29.8% vs 57.6%, p<0.001) were less common in state-owned enterprises. After adjustment, private enterprise employment was associated with higher odds of quit intention (adjusted odds ratio, AOR=1.51; 95% CI: 1.05-2.19) and past-year quit attempt (AOR=2.82; 95% CI: 1.65-4.84).</p><p><strong>Conclusions: </strong>State-owned enterprise employees experienced greater cessation difficulty than private enterprise employees. Higher secondhand smoke exposure, stronger pro-smoking norms, weaker cessation support, and lower leadership commitment may contribute to this ownership-related difference.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707804","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":"Peer tobacco use, media exposure, and support for tobacco control policies among medical and public health students in Georgia: A cross-sectional study.","authors":"Tinatin Mamatsashvili, Levan Gabelaia, Levan Baramidze, Nino Kiladze, Nino Gvajaia","doi":"10.18332/tid/226286","DOIUrl":"10.18332/tid/226286","url":null,"abstract":"<p><strong>Introduction: </strong>Health professional students are potential tobacco users and future advocates for tobacco control. Evidence from the Caucasus on factors associated with tobacco use and policy support remains limited. This study examined tobacco use and support for tobacco-control policies among medical and public health students in Georgia.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from June to December 2022 among students at Tbilisi State Medical University using a self-administered online questionnaire; all data were self-reported. Of 1078 randomly invited students, 667 completed the survey. Any past 30-day use of cigarettes, electronic cigarettes, heated tobacco products, cigars, bidis, or hookah was assessed, together with tobacco-related media exposure, peer and household tobacco use, and support for five tobacco-control policies. Multivariable logistic and linear regression examined factors associated with current use and policy support, adjusting for sociodemographic characteristics, media and retail exposures, and social exposures.</p><p><strong>Results: </strong>Overall, 18.6% of students reported past 30-day tobacco or nicotine product use, and mean policy support was 5.45 on a 7-point scale. In adjusted analyses, the number of friends who used tobacco was the factor most strongly associated with current use (adjusted odds ratio, AOR=2.49; 95% CI: 1.81-3.43). Anti-tobacco media exposure was modestly associated with higher odds of use (AOR=1.07; 95% CI: 1.02-1.11), whereas pro-tobacco exposure was inversely associated (AOR=0.92; 95% CI: 0.87-0.97). Current use (adjusted regression coefficient, B= -0.65; 95% CI: -0.94 - -0.35) and male sex (B= -0.41; 95% CI: -0.64 - -0.18) were independently associated with lower policy support.</p><p><strong>Conclusions: </strong>Peer tobacco use was the factor most strongly associated with current tobacco or nicotine product use among medical and public health students in Georgia. Although policy support was generally high, current users expressed weaker support. Additional longitudinal and multi-institutional studies are needed to provide sufficient evidence to inform tobacco-use prevention and the promotion of tobacco-control engagement during health professional training.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697518","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 association between duration of nicotine pouch use and oral mucosal lesions in male dental students and interns: A cross-sectional study.","authors":"Sarah AlFarabi Ali, Deema Sahab, Ayman Bukhari, Malek Baobied, Soulafa AlMazrooa, Sara Akeel","doi":"10.18332/tid/224437","DOIUrl":"10.18332/tid/224437","url":null,"abstract":"<p><strong>Introduction: </strong>The increasing popularity of oral nicotine pouches (ONPs) has raised significant public health concerns regarding their impact on oral health. These products deliver nicotine through mucosal membranes without combustion, prompting the need for comprehensive research into their effects on the oral mucosa. The objective of this study was to investigate the association between duration of nicotine pouch use and oral mucosal lesion severity.</p><p><strong>Methods: </strong>This was a cross-sectional study of a convenience sample of 42 male students and interns at King Abdulaziz University Faculty of Dentistry (KAUFD), Saudi Arabia, who used ONPs. Clinical examinations were conducted to assess the severity of oral mucosal lesions, which were categorized ordinally. Duration of ONP use was measured using a combined index [duration (months) × frequency (pouches/day)]. Ordinal logistic regression was used to evaluate the association between duration of ONP use and severity of oral mucosal lesions, adjusting for age, smoking status, and pouch placement behavior.</p><p><strong>Results: </strong>In adjusted analyses, oral mucosal lesion severity was not significantly associated with duration of ONP use (AOR=1.001; 95% CI: 1.000-1.002, p=0.161), age (AOR=0.77; 95% CI 0.21-2.87, p=0.697), or smoking status (AOR=0.68; 95% CI: 0.20-2.25, p=0.523).</p><p><strong>Conclusions: </strong>Oral mucosal lesion severity was not associated with the duration or frequency of ONP use. Future research should focus on examining the long-term effects of nicotine pouch use on oral health to better understand and mitigate health risks.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697919","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 quality and reliability of short videos about passive smoking on Bilibili and TikTok: A cross-sectional study.","authors":"Weichu Zhang, Danting Zheng, Jun Zhang","doi":"10.18332/tid/225461","DOIUrl":"10.18332/tid/225461","url":null,"abstract":"<p><strong>Introduction: </strong>Passive smoking is associated with substantial morbidity and mortality, yet public awareness of its health risks remains limited. As social media increasingly serves as a source of health information, this study evaluated the quality and reliability of passive smoking-related short videos on two major Chinese platforms, Bilibili and Douyin (TikTok in China).</p><p><strong>Methods: </strong>In this cross-sectional study, the top 100 videos for each Chinese search term ('passive smoking' and 'secondhand smoking') were retrieved from Bilibili and Douyin on 10 June 2026. After excluding duplicates, irrelevant videos, promotional videos, and videos shorter than 30 seconds, eligible videos were analyzed for basic characteristics and engagement metrics. Two independent reviewers assessed video quality using the Global Quality Scale (GQS), modified DISCERN (mDISCERN), Journal of the American Medical Association (JAMA) benchmark criteria, and Video Information and Quality Index (VIQI). Comparisons were performed using non-parametric tests, and correlations were examined using Spearman analyses.</p><p><strong>Results: </strong>A total of 157 videos were included (59 Bilibili, 98 Douyin). Bilibili videos were significantly longer than Douyin videos (median: 130.0 vs 73.0 s, Z= -3.93, p<0.001), whereas Douyin videos received more comments (median: 89.0 vs 27.0, Z= -2.48, p<0.05) and shares (median: 1829.5 vs 72.0, Z= -4.88, p<0.001). Overall, video quality and reliability were moderate. No significant differences were observed between platforms in GQS, mDISCERN, or JAMA. However, Douyin videos achieved significantly higher VIQI scores than Bilibili videos (median: 12.0 vs 11.0, Z= -3.37, p<0.001). Videos produced by science communicators and doctors consistently demonstrated higher quality than those uploaded by lay users. Engagement metrics were not associated with video quality or reliability.</p><p><strong>Conclusions: </strong>Passive smoking-related videos on Douyin and Bilibili provide moderate-quality health information. Videos from science communicators and doctors were of higher quality than those from lay users. Video popularity does not reflect information reliability.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697865","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":"Smoking shapes the relationship between metabolic biomarkers and femoral-neck bone mineral density: A stratified analysis by smoking status.","authors":"Amal M Hassan, Saja A Abdallah, Amal Al-Haidose, Mohammed Al-Hamdani, Atiyeh M Abdallah","doi":"10.18332/tid/221015","DOIUrl":"10.18332/tid/221015","url":null,"abstract":"<p><strong>Introduction: </strong>Bone mineral density (BMD) is a crucial indicator of bone strength and osteoporosis risk. Smoking is known to negatively impact bone health and related bone metabolism biomarkers. However, if and how smoking status influences the relationship between bone metabolism biomarkers and BMD, particularly measured at the femoral neck, remains poorly understood. The objective of this study was to examine the relationship between bone metabolism biomarkers and BMD stratified by smoking status.</p><p><strong>Methods: </strong>Data from 4464 healthy individuals were collected from the Qatar Biobank. The sample was divided into smokers, non-smokers, and ex-smokers, and logistic regression was used to examine relationships between biochemical markers and femoral-neck BMD in the different subgroups.</p><p><strong>Results: </strong>Sex, age, and body mass index consistently influenced BMD across all smoking strata. Males and older individuals were at higher risk of low BMD, while higher BMI was protective. Creatinine levels were positively associated with BMD in all groups. Alkaline phosphate (ALP) was significantly associated with BMD in non-smokers and ex-smokers but not in smokers, while cholesterol levels were negatively associated with BMD in non-smokers and smokers but not in ex-smokers.</p><p><strong>Conclusions: </strong>Smoking status impacts the relationship between metabolism-related biomarkers and BMD, highlighting the need for smoking status-specific bone health guidelines. These findings emphasize the importance of including smoking history in clinical bone health assessments and suggest that personalized approaches may be necessary to mitigate the risk of bone deterioration.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697839","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 motivational interviewing on smoking cessation intention in patients with lung cancer: A randomized controlled trial.","authors":"Sibel Dogru, Sema Aytaç, Özlem Ovayolu","doi":"10.18332/tid/219211","DOIUrl":"10.18332/tid/219211","url":null,"abstract":"<p><strong>Introduction: </strong>This randomized controlled trial investigated the effect of motivational interviewing (MI) on smoking cessation intention in patients diagnosed with lung cancer.</p><p><strong>Methods: </strong>Patients with lung cancer enrolled in the study were divided into intervention (n=21) and control (n=21) groups based on random sampling after power analysis. Patients in the intervention group received two MI sessions through real-time WhatsApp^® video calling, administered by the researcher on day 1 of the study and 15 days later. The control group received standard care. At baseline, both groups completed a baseline questionnaire, the Smoking Cessation Intention Scale (SCIS), the Fagerström test for nicotine dependence (FTND), and the Eastern Cooperative Oncology Group (ECOG) performance status scale. At the end of the study, all scales except the baseline questionnaire were re-administered to both groups.</p><p><strong>Results: </strong>Post-intervention, the control group exhibited significantly lower SCIS scores than the intervention group (17.19 ± 4.7 vs 23.23 ± 4.5, p<0.001). The control group also demonstrated a significant decline in SCIS scores from pre- to post-test (22.90 ± 5.3 vs 17.19 ± 4.7, p<0.001). In the intervention group, mean FTND scores decreased substantially following MI (6.2 ± 2.5 vs 2.5 ± 2.0, p=0.012), whereas the control group showed a small, non-significant reduction in FTND scores (5.6 ± 3.1 vs 4.9 ± 3.2, p=0.178). ECOG performance scores remained stable in both groups across the study period.</p><p><strong>Conclusions: </strong>The findings indicate that two sessions of MI delivered via real-time WhatsApp^® video calling did not improve smoking cessation intention in patients with lung cancer. However, it reduced nicotine dependence levels. These findings support the development of personalized cessation programs to bolster quit intentions in this high-risk population.<b>CLINICAL TRIAL REGISTRATION:</b> The study is registered on the official website of ClinicalTrials.gov<b>IDENTIFIER:</b> NCT06912113.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697891","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":"Awareness and perceptions of nicotine replacement therapy among adults in Saudi Arabia: A cross-sectional study.","authors":"Fatma I Almaghlouth, Hajed M Al-Otaibi, Malik A Althobiani, Abdulaziz Albalawi, Fanar Malibari, Nawaf Alqarni","doi":"10.18332/tid/221483","DOIUrl":"10.18332/tid/221483","url":null,"abstract":"<p><strong>Introduction: </strong>Nicotine replacement therapies (NRTs) are established evidence-based interventions for smoking cessation. In Saudi Arabia, where tobacco use remains a significant public health concern, understanding public awareness, perceptions, and motivations related to NRT use is essential for designing effective cessation strategies. This study aimed to assess awareness, perceptions, motivation to quit smoking, and self-reported nicotine dependence related to NRT use among adults in Saudi Arabia.</p><p><strong>Methods: </strong>Between February and May 2025, a cross-sectional online survey was distributed via social media platforms to adults aged ≥18 years across Saudi Arabia. The survey comprised four domains: demographics, NRT awareness/perception, the Questionnaire on Motivation to Quit (Q-MAT; 4 scored items, range 0-20), and the Nicotine Dependence Syndrome Scale (NDSS; 16 items, 5-point Likert scale). The Q-MAT and NDSS were administered only to current smokers. Internal consistency was assessed using Cronbach's alpha. Chi-squared tests examined associations between demographic variables and NRT awareness. Binary logistic regression identified predictors of NRT awareness. Independent samples t-tests compared NDSS scores by motivation level.</p><p><strong>Results: </strong>Among 425 eligible participants, 72.5% were male, and the largest proportion were aged 25-34 years (43.3%). Overall, 89.1% of the participants were aware of NRTs. However, 49.3% were unsure about the most effective NRT type, and 37.3% were uncertain about its side effects. The Q-MAT (Cronbach's α=0.729) yielded a mean motivation score of 12.3 ± 5.8 (out of 20), with 44.4% classified as highly motivated. The NDSS (α=0.876) revealed moderate-to-high dependence (overall mean 2.94 ± 0.78), with the Drive subscale scoring highest (3.25 ± 1.09). Logistic regression showed male gender was a significant predictor of NRT awareness (OR=1.98; 95% CI: 1.01-3.89; p=0.048). Two-thirds of participants (66.0%) supported NRT integration into academic curricula.</p><p><strong>Conclusions: </strong>While general NRT awareness was high among our sample of Saudi adults, significant knowledge gaps persist regarding its effectiveness and safety. High motivation to quit combined with moderate-to-high nicotine dependence underscores the importance of this area for future investigation. Longitudinal and interventional studies are needed to determine whether targeted education, improved access to cessation support, and integration of smoking cessation content into healthcare training programs can effectively address these gaps.</p>","PeriodicalId":23202,"journal":{"name":"Tobacco Induced Diseases","volume":"24 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697993","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}