Tobacco Prevention & Cessation最新文献

{"title":"Nicotine dependence, awareness of smoking-related health risks and readiness to quit among smoker patients in Government Medical College, Kannur, India: A cross-sectional study.","authors":"Swetha Manoj","doi":"10.18332/tpc/207354","DOIUrl":"https://doi.org/10.18332/tpc/207354","url":null,"abstract":"","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12290922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer screening adherence among e-cigarette users in the United States.","authors":"Areesh Mevawalla, Mujtaba Khalil, Zayed Rashid, Abdullah Altaf, Azza Sarfraz, Timothy M Pawlik","doi":"10.18332/tpc/207098","DOIUrl":"https://doi.org/10.18332/tpc/207098","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco use patterns have dramatically shifted, with electronic cigarettes (e-cigarettes) rapidly increasing in popularity despite uncertainty about their health impacts. This study examines adherence to preventive cancer screening guidelines among cigarette smokers, e-cigarette users, and non-smokers, addressing a critical gap in understanding how tobacco use influences engagement in preventive healthcare.</p><p><strong>Methods: </strong>A total of 445132 adult respondents were queried from the 2022 Behavioral Risk Factor Surveillance System data. Analytic samples were restricted to age- and sex-eligible sub-cohorts for each cancer type, therefore including adults 50-75 years, women 50-74 years, and women 21-65 years for colon, breast and cervical screening, respectively. Within these analytic samples, we assessed the association between socioeconomic characteristics, smoking status, and screening adherence using weighted logistic regression, adjusted for relevant factors.</p><p><strong>Results: </strong>Screening adherence was lowest among cigarette smokers, intermediate among e-cigarette users, and highest among non-smokers. Compared to non-smokers, cigarette smokers had significantly lower odds of adhering to colorectal (AOR=0.75; 95% CI: 0.58-0.81), breast (AOR=0.57; 95% CI: 0.52-0.61), and cervical cancer screening (AOR=0.67; 95% CI: 0.62-0.72). E-cigarette users also showed reduced adherence to colorectal (AOR=0.90; 95% CI: 0.81-0.95) and breast cancer screening (AOR=0.75; 95% CI: 0.70-0.81) but not cervical cancer screening.</p><p><strong>Conclusions: </strong>E-cigarette users exhibited suboptimal adherence to recommended cancer screenings, suggesting that perceptions of reduced risk associated with vaping do not translate into improved preventive healthcare behaviors. Targeted public health initiatives addressing risk misconceptions and healthcare access barriers are necessary to improve screening rates among all tobacco users.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12290923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Greek midwives' knowledge, attitudes, and practices in perinatal smoking: A cross-sectional study.","authors":"Taxiarchoula Delakovia, Paraskevi Katsaounou, Antigoni Sarantaki, Angeliki Bakou, Aikaterini Lykeridou, Athina Diamanti","doi":"10.18332/tpc/205916","DOIUrl":"10.18332/tpc/205916","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking during pregnancy remains a significant global public health concern. Midwives, as frontline healthcare providers, play a crucial role in supporting smoking cessation among pregnant women. This study aimed to explore the factors associated with the implementation of smoking practices by midwives in Greece.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey between December 2022 and December 2023 among 150 midwives working in the 1st and 2nd Health Districts of Greece, as well as in private practices. Data were collected using a self-administered, anonymized questionnaire assessing demographics, knowledge, opinions, perceptions, and smoking cessation practices. Composite scores were calculated for knowledge, opinions, perceptions, and practices. Exploratory factor analysis was applied to examine the structure of midwives' opinions and perceptions. Multivariate linear regression was used to identify independent predictors of smoking cessation practices.</p><p><strong>Results: </strong>Among the respondents, 78% had not received formal education on smoking cessation, although 77.3% expressed a desire for training. Only 35.3% recognized that secondhand smoke affects newborns, and 32.7% felt confident in supporting pregnant women to quit smoking. Factor analysis identified two key dimensions: midwives' contribution to smoking cessation during pregnancy, and information and help to stop smoking during pregnancy, explaining 27.7% and 16.9% of the variance, respectively. Multivariate regression revealed that both factors were independently associated with more frequent implementation of smoking cessation practices (p<0.05).</p><p><strong>Conclusions: </strong>The study underscores the pivotal role of midwives in smoking cessation during pregnancy and highlights the importance of perceptions, self-efficacy, and access to information in shaping their practices. Targeted education and institutional support are essential to strengthen midwives' capacity to deliver effective smoking cessation interventions. These findings can inform policy and training programs aiming to improve maternal and neonatal outcomes by reducing tobacco use during pregnancy.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12284828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-cigarette flavor and device preferences among US pregnant women who smoke: A latent class analysis.","authors":"Emily A Doherty, Kayleigh A Gregory, Yu Lu, Page D Dobbs","doi":"10.18332/tpc/204745","DOIUrl":"10.18332/tpc/204745","url":null,"abstract":"<p><strong>Introduction: </strong>Little is known about e-cigarette device and flavor preferences among pregnant women. The purpose of this study was to identify classes of e-cigarette use based on device and flavor preferences among pregnant women who report dual use of e-cigarettes and cigarettes.</p><p><strong>Methods: </strong>A sample of pregnant women (n=118), aged 18-40 years, living in the US, with dual cigarette and e-cigarette use, completed a cross-sectional online survey. Participants reported e-cigarette characteristics including past 30-day e-cigarette device (cartridge-based, JUUL, tank, and disposable) and flavor use (tobacco, mint, spice, sweet, alcohol, combined), and use of e-cigarettes containing delta-9-tetrahydrocannabinol (THC) in pregnancy. We used latent class analysis to classify subgroups based on e-cigarette preferences in pregnancy and examined the association of sociodemographic variables and cigarette smoking frequency with class membership.</p><p><strong>Results: </strong>We found four distinct classes of e-cigarette preferences: Class 1) tobacco, mint, and sweet JUUL (50.4%); Class 2) THC, all flavors, and JUUL (28.1%); Class 3) THC, all flavors, and all device (12.4%); and Class 4) THC, tobacco, mint, sweet, and tank device (9.1%). Pregnant women who smoked ≥11 cigarettes per day, compared to those who smoked 1-10 per day, were 5.22 (95% CI: 1.85-14.70) and 5.55 times (95% CI: 1.49-20.61) as likely to use THC, all flavors, and JUUL and all devices, respectively, compared with those who used tobacco, mint, and sweet flavors with JUUL.</p><p><strong>Conclusions: </strong>Pregnant dual users of cigarettes and e-cigarettes are a heterogenous group. Device and flavor differences should be considered when developing targeted messaging campaigns and prevention strategies.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do perceptions of harm and addictiveness influence adolescent's willingness to use various tobacco and nicotine products?","authors":"Melissa A Little, Indika Mallawaarachchi, Asal Pilehvari, Ponni Velmurugan, Abigail G Wester, Kara P Wiseman","doi":"10.18332/tpc/204746","DOIUrl":"10.18332/tpc/204746","url":null,"abstract":"<p><strong>Introduction: </strong>The Theory of Reasoned Action has been widely used to explain adolescent tobacco and nicotine product (TNP) use, focusing on intentions and subjective norms. However, the 'reactive pathway', emphasizing situational influences and willingness to use, better predicts TNP use in adolescents. While prior research has examined willingness for cigarettes and e-cigarettes, its application to the broader range of available TNPs is limited. This study investigates adolescent characteristics across varying levels of TNP use willingness. We hypothesized that perceived harm and addictiveness would be associated with willingness to use tobacco.</p><p><strong>Methods: </strong>Secondary school students aged 14-15 years (n=348) completed a survey that assessed demographics and TNP use history, willingness to use TNPs, peer use, and perceived harm and addictiveness of TNPs. Descriptive statistics were used to characterize the population overall and by willingness to use TNPs. Multivariable logistic regression models estimated associations between TNP-specific willingness to use, gender, race, ethnicity, and peer use with TNP-specific perceived harm and addictiveness.</p><p><strong>Results: </strong>Across the TNPs, 22.1% were current users, 23.3% were willing non-users and 54.7% were non-willing non-users. Significant differences in perceived harm by willingness were for cigarettes, e-cigarettes, and hookah, while perceptions of addictiveness varied by willingness group for all TNPs with the exception of cigarillos (all p<0.05). Willing non-users had lower odds of perceived addictiveness (smokeless tobacco, OR=0.29; 95% CI: 0.11-0.81; cigar, OR=0.33; 95% CI: 0.15-0.70) and harm (e-cigarettes, OR=0.38; 95% CI: 0.19-0.76; pipe, OR=0.41; 95% CI: 0.17-0.98; cigarillos/little cigars, OR=0.34; 95% CI: 0.12-0.92; cigars, OR=0.24; 95% CI: 0.11-0.54) compared to non-willing non-users.</p><p><strong>Conclusions: </strong>Adolescents have varying levels of susceptibility to using TNPs. In order to develop effective interventions for adolescents, the diverse range of available TNPs with specific risks and appeal need to be considered.<b>CLINICAL TRIAL REGISTRATION:</b> The study is registered on the official website of ClinicalTrials.gov<b>IDENTIFIER:</b> ID NCT05396911.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of cigarette, e-cigarette, heated tobacco, and alcohol use in solid organ transplant recipients, a pre- versus post-transplant comparison: Survey results from a transplantation center in Poland.","authors":"Zuzanna Marczak, Bartosz Olkowski, Olga Maria Rostkowska, Dorota Miszewska-Szyszkowska, Olga Kozińska-Przybył, Tomasz Warężak, Magdalena Durlik","doi":"10.18332/tpc/204357","DOIUrl":"10.18332/tpc/204357","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking and alcohol consumption are two harmful yet socially accepted habits in Poland. The main focus of this study was to assess patterns of tobacco and alcohol consumption in Polish transplant patients.</p><p><strong>Methods: </strong>A survey was conducted between June and November 2023 at a transplantation center in Poland. The participants in the study were kidney, liver, or pancreas transplant recipients (aged 19-81 years). A structured questionnaire was applied to assess self-reported use of tobacco and alcohol in the pre-transplantation (pre-tx) and post-transplantation (post-tx) periods.</p><p><strong>Results: </strong>Data from 215 eligible transplant recipients were analyzed. The median age was 51 years (IQR: 38.5-60.5), and 56.7% of the patients were male. Most patients (79.1%) received a kidney transplant, 20.5% a liver transplant, and 5.6% a pancreas transplant. In this cohort, tobacco use decreased by 33.7% and alcohol use decreased by 40.5% post-tx compared to pre-tx. Regarding cigarette smoking, 92% of post-tx patients did not smoke at all (vs 81.1% pre-tx). The use of e-cigarettes or heated tobacco remained relatively unchanged, with abstinence declared by 91.5% pre-tx versus 93.9% post-tx (p=0.351). When asked about alcohol consumption within the last year, 67.6% of respondents indicated that they did not consume alcohol at all (vs 50.2% pre-tx), and 26.3% had occasionally consumed alcohol (vs 40% pre-tx). More than half of the participants reported no change in their tobacco and alcohol consumption patterns (65.4% and 57.1%, respectively).</p><p><strong>Conclusions: </strong>The results of our study indicated a decrease in the use of traditional tobacco products and alcohol following transplantation. However, the use of e-cigarettes or heated tobacco remains stable and should be further examined. Therefore, it is important to develop targeted interventions to support tobacco and alcohol cessation among transplant patients.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring social and environmental factors contributing to smoking initiation among Thai adolescents using advanced feature selection techniques.","authors":"Nipotepat Muangkote, Anongnart R Wangchamhan, Tanachapong Wangkhamhan","doi":"10.18332/tpc/205065","DOIUrl":"10.18332/tpc/205065","url":null,"abstract":"<p><strong>Introduction: </strong>The environment plays a significant role in influencing smoking experiments, which contributes to the emergence of new smokers among Thai adolescents. This research aims to identify the relationship between risk behaviors by identifying the predictors of current tobacco usage based on the characteristics of new smokers.</p><p><strong>Methods: </strong>This cross-sectional study analyzed pooled secondary data from nationally representative surveys conducted between 2004 and 2021 by the Tobacco Control Research and Knowledge Management Center (TRC) and the National Statistical Office (NSO) of Thailand. The dataset included anonymous responses from 36067 adolescents aged 15-18 years. Smoking status was the dependent variable, categorized into smokers and non-smokers, while independent variables such as geographical location, family and peer influences, and early exposure to smoking were analyzed to identify factors that influence smoking behavior.</p><p><strong>Results: </strong>The ACBGWO algorithm identified key factors influencing smoking initiation among Thai adolescents aged 15-18 years, including geographical location, family hierarchy, purchasing behavior, environmental exposure, and gender. Smoking prevalence was highest in the Southern region (10.91%) and lowest in the Central region (6.38%). Adolescents who were the third child in a family reported a smoking rate of 8.92%, while those who purchased cigarettes themselves exhibited a 100% prevalence, reflecting weak enforcement of age-related sales regulations. Environmental exposure, such as noticing cigarette butts in fresh food markets, was associated with a prevalence of 11.31%. Gender differences were pronounced, with 15.35% of males smoking compared to 0.37% of females. The algorithm achieved an accuracy of 99.63%, effectively identifying critical predictors, highlighting the need for targeted interventions addressing social, environmental, and regulatory factors.</p><p><strong>Conclusions: </strong>The study identified geographical location, peer and family influence, and early exposure to smoking as critical predictors of smoking initiation among Thai adolescents. These findings underscore the need for targeted interventions addressing these factors to effectively reduce youth smoking initiation in Thailand, despite existing public health measures.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations for updating regulations on advertising, promotion and sponsorship of tobacco and nicotine products in the European Union.","authors":"Helena Koprivnikar, Dolors Carnicer-Pont, Anna M López, Adrián González-Marrón, Gunnar Sæbø, Silvano Gallus, Irene Possenti, Angeliki Lambrou, Efstathios Papachristou, Melinda Pénzes, Sotiria Schoretsaniti, Naia Arteta, Esteve Fernández","doi":"10.18332/tpc/204275","DOIUrl":"10.18332/tpc/204275","url":null,"abstract":"<p><strong>Introduction: </strong>Comprehensive bans on advertising, promotion and sponsorship of tobacco and nicotine products (TAPS) have proven effective in reducing their use. The Joint Action on Tobacco Control 2 (JATC2) aims to identify TAPS gaps in the current European Union (EU) regulations and to provide comprehensive recommendations for updating them.</p><p><strong>Methods: </strong>An online consultation with European TAPS national experts was conducted in 2023. Seventy-seven experts from 27 European countries were contacted and 38 experts from 21 countries participated in the consultation.</p><p><strong>Results: </strong>Significant gaps in current TAPS regulations were identified, particularly in entertainment, online media and points of sale. Citizens are not adequately protected from TAPS, the tobacco industry extensively uses loopholes to circumvent regulations. TAPS-related issues currently affect tobacco and particularly non-therapeutic nicotine products, devices, accessories, products imitations and all marketing channels, entertainment, online media and especially, social networks. To address these challenges, regulations should include bans on internet sales and TAPS at points of sale, licensing, decreased retail availability, plain packaging and ban on corporate social responsibility actions, corporate promotion and 'brand stretching'. These measures should be accompanied by effective monitoring and enforcement, dissuasive sanctions, formalized collaboration among countries and international collaboration, civil society involvement, strong public education, and community awareness programs.</p><p><strong>Conclusions: </strong>There is an urgent need to address the current gaps in the EU TAPS regulations through comprehensive and harmonized TAPS bans across all EU countries. Updated regulations must anticipate emerging industry strategies and new products, ensuring continuous adaptation to counteract them effectively.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rise and Shine: The Smoke-free Homes International Network (SHINE).","authors":"Rachel O'Donnell, Rebecca Howell, Piotr Teodorowski, Olena Tigova, Esteve Fernández, Sean Semple","doi":"10.18332/tpc/203919","DOIUrl":"10.18332/tpc/203919","url":null,"abstract":"","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The initial and ongoing effect of the COVID-19 pandemic on the reach and impact of a US state tobacco quitline.","authors":"Lawrence C An, Karen S Brown, Allison K C Furgal, Mohammed A Saqib, Farid J Shamo","doi":"10.18332/tpc/203869","DOIUrl":"10.18332/tpc/203869","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines the long-term effect of the COVID-19 pandemic on the reach and impact of one US state tobacco quitline while taking into account quitline offers of free nicotine replacement therapy (NRT).</p><p><strong>Methods: </strong>This is a pre-post analysis from January 2017 through June 2023 of the reach and impact of Michigan's tobacco quitline after the start of the COVID-19 pandemic. We assess quitline reach (number of callers per month), effectiveness (self-reported 30-day abstinence at 6 months), and impact (number of new ex-tobacco users per month). We examine the main effects and interactions between pandemic status (i.e. pre vs post March 2020) and quitline offers of free NRT.</p><p><strong>Results: </strong>The COVID-19 pandemic had a persistent negative effect on quitline reach (p=0.002) and impact (p<0.001). Abstinence rates decreased transiently during the first year of the pandemic. Offering free NRT had a positive effect on quitline reach (p<0.001) and impact (p<0.001) before and after the start of the pandemic. For quitline reach, we found a significant interaction between pandemic and free NRT effects with a substantial decrease in the mean number of callers per month after the pandemic during months when free NRT is being offered (750; 95% CI: 545-1033, pre-pandemic vs 302; 95% CI: 233-392, post-pandemic) compared to months when free NRT is not being offered (247; 95% CI: 187-327, pre-pandemic vs 159; 95% CI: 114-221, post-pandemic).</p><p><strong>Conclusions: </strong>There is a critical need to assess and address the ongoing effects of the COVID-19 pandemic on tobacco quitline reach and impact.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}