Tobacco Prevention & Cessation最新文献

{"title":"Patient and healthcare system factors associated with participation in municipal smoking cessation programs after hospitalization for atherosclerotic vascular disease in Norway: A prespecified analysis of two randomized controlled trials.","authors":"Vilde Getz, Karin Pleym, Toril Dammen, Einar Husebye, Elise Sverre, Kari Peersen, Costas Papageorgiou, Harald Weedon-Fekjær, John Munkhaugen","doi":"10.18332/tpc/236282","DOIUrl":"https://doi.org/10.18332/tpc/236282","url":null,"abstract":"<p><strong>Introduction: </strong>Persistent smoking after hospitalization for an atherosclerotic vascular event remains common, and only a small proportion attend cardiac rehabilitation or community-based lifestyle support, including smoking cessation programs. This study aimed to identify patient and healthcare system factors associated with participation in a municipal smoking cessation program among patients with atherosclerotic vascular disease included in a smoking cessation trial.</p><p><strong>Methods: </strong>A prespecified secondary analysis was conducted of two randomized cessation trials with patients recruited between 2021 and 2023 at three hospitals in Norway. Hospitalized patients with established atherosclerotic vascular disease who smoked at least one cigarette daily were randomized to motivational counseling with proactive referral to the municipal cessation program (intervention) or brief advice and contact information (control). Data were collected from medical records and self-report questionnaires. Associations between patient and healthcare system factors and program participation were explored using logistic regression analyses, adjusting for age, site and group allocation.</p><p><strong>Results: </strong>In all, 268 of 280 patients were eligible at 6 months (median age 65 years, 39% women). Participation in the cessation program was 42% (56/134) in the intervention and 9% (12/134) in the control group. Among participants, 57% (39/68) quit smoking, compared with 30% (59/200) among non-participants. In the total sample, older age (adjusted odds ratio, AOR=0.65 per 10 year increase; 95% CI: 0.47-0.90), living alone versus with others (AOR=0.30; 95% CI: 0.14-0.65), and lower versus higher education (AOR=0.40; 95% CI: 0.18-0.89) were negatively associated with participation. Analysis restricted to the intervention group yielded consistent findings.</p><p><strong>Conclusions: </strong>Participation in a municipal smoking cessation program among hospitalized patients with atherosclerotic vascular disease remained suboptimal, despite proactive motivational counseling and proactive referral. Older patients, those living alone, and patients with lower level of education were less likely to participate, highlighting the need for targeted referral strategies and tailored support for these groups.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197028","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":"Adherence trajectories to nicotine replacement therapy among people living with HIV in Uganda: A secondary analysis of the Quit4Life<b>+</b> randomized controlled trial.","authors":"Ezekiel Musasizi, David Guwatudde, Elizeus Rutebemberwa, Jim Arinaitwe, Ronald Kusolo, Lynn Atuyambe, Kyra Guy, Heather Wipfli","doi":"10.18332/tpc/226097","DOIUrl":"10.18332/tpc/226097","url":null,"abstract":"<p><strong>Introduction: </strong>Nicotine replacement therapy (NRT) is an evidence-based approach to tobacco cessation, yet little is known about adherence to NRT among people living with HIV (PLWH) in Sub-Saharan Africa. This study aimed to identify NRT adherence trajectories among PLWH in Uganda and examine both baseline predictors and the role of SMS-delivered support in shaping adherence over time.</p><p><strong>Methods: </strong>We conducted a secondary analysis of longitudinal data from 200 PLWH, aged ≥18 years with urine cotinine-verified tobacco use and randomized to receive NRT in the Ugandan sites (West Nile and Karamoja regions) of the Quit4Life+ trial, conducted between September 2023 and March 2026. NRT adherence was measured at weeks 2, 6, and 10 using self-reported days of NRT-patch (non)-use and using group-based trajectory modeling to identify adherence patterns. Multinomial logistic regression was used to examine the predictors of trajectory membership. Cross-lagged panel models were used to assess the temporal relationship between perceived stay-quit support and adherence.</p><p><strong>Results: </strong>Three adherence trajectories emerged: a group with constant adherence (64.1%), a group with improving adherence (13.5%), and a group with worsening adherence (22.4%). High nicotine dependence predicted membership in the group with worsening adherence (adjusted relative risk ratio, ARRR=4.40; 95% CI: 1.92-10.04). Greater perceived stay-quit support was associated with lower odds of worsening-adherence (ARRR=0.39; 95% CI: 0.18-0.86), while more positively perceived message tone was associated with improving-adherence (ARRR=6.60; 95% CI: 1.39-31.26). Cross-lagged analyses showed that early stay-quit support predicted subsequent adherence, whereas adherence did not predict later perceptions of support.</p><p><strong>Conclusions: </strong>Although baseline characteristics can help identify PLWH at risk of suboptimal adherence, the early weeks of treatment emerged as a potentially important window during which perceived SMS support preceded and predicted subsequent adherence. Combining early risk identification with timely, positively framed SMS support may hold promise for sustaining NRT adherence and could inform future adherence interventions.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185047","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":"Global burden and trends of smoking-related low back pain in women of childbearing age and projections to 2032: A secondary dataset analysis of Global Burden of Disease 2021.","authors":"Qiliang Xu, Degen Tian, Chengtian Xiao, Xuecheng Huang, Haoxiong Chen, Guosheng Tang","doi":"10.18332/tpc/218955","DOIUrl":"https://doi.org/10.18332/tpc/218955","url":null,"abstract":"<p><strong>Introduction: </strong>This study used Global Burden of Disease (GBD) data to examine trends in smoking-related low-back pain (LBP) among women of childbearing age (WCBA) and project future trends.</p><p><strong>Methods: </strong>This study is a secondary analysis of the GBD 2021 data. This study analyzes the temporal trends in the disability-adjusted life years (DALYs) caused by smoking-related LBP between 1990 and 2021 across 204 countries and territories. We evaluated the changing trends in the burden of smoking-related LBP in WCBA using the estimated annual percentage change (EAPC) and percentage change and Bayesian age-period-cohort modeling to forecast the burden to 2032.</p><p><strong>Results: </strong>Globally, smoking-related low-back pain DALYs among women of childbearing age declined by 3% from 1990 to 2021, with the age-standardized rate falling from 84.58 to 56.54 per 100000 (EAPC= -1.39%). Regional disparities were pronounced: high-SDI regions accounted for 40.8% of the 2021 burden but saw a 22% decline, whereas low-SDI regions experienced a 54% increase. The largest national increases occurred in Qatar (733.3%) and the UAE (715.4%). Eastern Europe showed the greatest regional EAPC increase (1.85%), while Tropical Latin America declined most sharply (-2.68%). The age group of 45-49 years exhibited the highest 2021 DALY rate (140.2 per 100000), increasing 22% since 1990, contrasting with a 20% decline among those aged 30-34 years. Frontier analysis identified Greece, Chile, and Slovenia as having the greatest improvement potential. BAPC modeling projects a 17.24% decline in the global age-standardized DALY rate by 2032.</p><p><strong>Conclusions: </strong>The burden of smoking-related LBP in WCBA is shifting from high-income to low- and middle-income regions, with middle-SDI countries and older reproductive-age women facing escalating risks.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185098","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":"Social media, depression, and vaping susceptibility: A prospective cohort study of the combined effects in college students.","authors":"Bara S Bataineh, C Nathan Marti, Alexandra Loukas, Melissa B Harrell, Qinghua Yang, Dhiraj Murthy, Seth Schwartz, Anna V Wilkinson","doi":"10.18332/tpc/230939","DOIUrl":"https://doi.org/10.18332/tpc/230939","url":null,"abstract":"<p><strong>Introduction: </strong>Vaping has risen rapidly among Mexican-American college students in the United States (US), raising concerns about the influences of mental health and digital media. Mexican-Americans are the largest Hispanic subgroup in the US and may face unique sociocultural and environmental risk factors that increase the risk of vaping. While depression and problematic social media use (PSMU), characterized by excessive and compulsive use, are known risk factors, little research has examined their combined impact on vaping behavior. This study examined how PSMU and depressive symptoms independently and interactively influence Mexican-American college students' susceptibility to vaping.</p><p><strong>Methods: </strong>Data were from two waves of the vaping, acculturation, and media study, a prospective longitudinal cohort study. Self-reported online survey data were collected from 828 Mexican-American college students (aged 18-29 years), across six Texas universities, who reported never vaping at baseline (Fall 2023) and completed a 1 year follow-up (Fall 2024). Mixed-effects logistic regression models tested direct effects and an interaction term for PSMU and depressive symptoms on vaping susceptibility, adjusting for sociodemographic factors, anxiety, peer vaping, exposure to pro-vaping content, and cannabis use.</p><p><strong>Results: </strong>PSMU significantly predicted greater susceptibility to vaping at follow-up at 1 year (AOR=1.45; 95% CI: 1.18-1.74). A significant negative interaction was observed (AOR=0.81; 95% CI: 0.69-0.97); simple slopes analysis showed that PSMU was associated with greater susceptibility at low (β=0.10, p<0.001) and mean (β=0.07, p<0.001) levels of depressive symptoms, but not at high levels (β=0.04; p=0.102).</p><p><strong>Conclusions: </strong>Findings indicate that the association between PSMU and vaping susceptibility varies by level of depressive symptoms among Mexican-American college students. Culturally tailored prevention strategies that integrate mental health screening with interventions targeting PSMU may help reduce curiosity and willingness to initiate vaping.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13629337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116232","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":"Feasibility and acceptability of strategies aiming to increase smoking cessation rates among people experiencing homelessness: A scoping review.","authors":"Bertrand Redonnet, Giulia Muriago, Solenne Bonneterre, Aurélia Roversi, Alexandre R Gomajee, Camilla Somma, Maria Melchior","doi":"10.18332/tpc/236153","DOIUrl":"https://doi.org/10.18332/tpc/236153","url":null,"abstract":"<p><strong>Introduction: </strong>People experiencing homelessness (PEH) have high smoking rates, limited access to smoking cessation support, and face specific challenges in quitting tobacco. To date, optimal strategies to reduce smoking rates in this marginalized population are not clearly identified. This study aims to identify the feasibility and acceptability of smoking cessation interventions evaluated among PEH.</p><p><strong>Methods: </strong>We assessed evidence regarding the feasibility and acceptability of interventions promoting smoking cessation among persons aged >18 years, experiencing homelessness, and who smoke tobacco. We included primary quantitative, qualitative, and mixed-methods studies informing on PEH's and professionals' attending to their needs, experiences, and perspectives. We searched the scientific literature (PubMed, Web of Science) published up to 1 July 2026.</p><p><strong>Results: </strong>A total of 55 articles and six intervention categories were identified: 1) counseling/motivational interviewing (MI); 2) contingency management (CM); 3) text messaging-based interventions (TMI); 4) e-cigarettes; 5) collaborative professional models; and 6) smoking cessation policies. Most interventions aimed at increasing participants' motivation to quit smoking. Counseling/MI and CM were the most frequently tested programs, showing limited to moderate results. TMI had limited results with regard to smoking relapse. All tested interventions were deemed acceptable by participants. Patient-centered and harm reduction approaches were particularly appreciated.</p><p><strong>Conclusions: </strong>This scoping review shows that counseling/MI and CM, which appear to have limited to moderate effectiveness in terms of smoking cessation support among PEH, are well accepted; however, their feasibility is questionable - especially CM. Other forms of smoking cessation support show lower levels of effectiveness. There is a need for further research on effective and acceptable ways of promoting smoking cessation among marginalized groups such as PEH.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13629338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116214","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":"Predictors of cigarette discontinuation and reduction among adults never planning to quit smoking: Longitudinal findings from the U.S. Population Assessment of Tobacco and Health (PATH) study, 2014/15-2021.","authors":"Karin A Kasza, Martin C Mahoney, Andrew Anesetti-Rothermel, Heather L Kimmel, Eva Sharma, K Michael Cummings, Adam F Benson, Willa Dong, Kathryn C Edwards, Daniela Marshall, Lauren R Pacek, Jacqueline Reuben, Mark Rinella, Candrea Smith, Wondimu Teka, Dorothy Hatsukami, Andrew Hyland","doi":"10.18332/tpc/225322","DOIUrl":"https://doi.org/10.18332/tpc/225322","url":null,"abstract":"<p><strong>Introduction: </strong>E-cigarettes have increased in use prevalence among adults who smoke cigarettes. However, the population-based literature on e-cigarette use and smoking cessation largely still focuses on those planning or attempting to quit smoking. We evaluated predictors of cigarette discontinuation or reduction among adults not planning to ever quit smoking.</p><p><strong>Methods: </strong>We conducted secondary data analyses using the Population Assessment of Tobacco and Health (PATH) Study (2014-2021; Waves 2-6) cohort data collected in the United States. Data were collected using audio computer-assisted in-person or telephone self-interviews. Participants were aged ≥21 years who smoked cigarettes every day, did not plan to ever quit smoking, and did not use e-cigarettes at baseline assessment. Predictors were previous quit attempt, quitting interest, nicotine dependence, cigarette pack-years, e-cigarette uptake (none, non-daily, daily uptake), e-cigarette flavor (tobacco, menthol/mint, fruit/sweet/other, combination flavors), e-cigarette device type (disposable, cartridge, tank/mod). Outcomes were cigarette discontinuation (from daily to no smoking) and cigarette reduction (from daily to non-daily smoking) among those who did not discontinue smoking. Weighted and adjusted generalized estimating equation logistic regression analyses were conducted.</p><p><strong>Results: </strong>Assessment in 2018/19-2021 (vs 2014/15-2015/16) was associated with higher odds of cigarette reduction (adjusted odds ratio, AOR=2.32; 95% CI: 1.01-5.36). Higher nicotine dependence (vs lower) was associated with lower odds of cigarette reduction (2.3% vs 6.7%, AOR=0.48; 95% CI: 0.25-0.90). Uptake of daily e-cigarette use (vs no uptake) was associated with reducing or discontinuing cigarette smoking (53.5% vs 10.0%, AOR=14.58; 95% CI: 5.99-35.50); the rate of daily e-cigarette uptake was 2%.</p><p><strong>Conclusions: </strong>Uptake of daily e-cigarette use was associated with cigarette reduction/discontinuation among people who smoked daily and did not plan to ever quit. Findings add to growing evidence on the role of e-cigarettes in moving adults who smoke down the continuum of risk, particularly among an understudied population at high risk of smoking-attributable morbidity and mortality.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13628602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116244","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":"Tobacco-associated carcinogenesis with nicotine-mediated tumor promotion across the gastrointestinal tract: A narrative review.","authors":"Sanyukta Padmanabhan, Mariyah Khan-Garrard, Bhavya Gupta, Kevin A Carnevale","doi":"10.18332/tpc/225663","DOIUrl":"10.18332/tpc/225663","url":null,"abstract":"<p><p>Nicotine exposure remains prevalent through conventional tobacco products and emerging nicotine delivery systems. Although nicotine is not classified as a classical direct genotoxic carcinogen, accumulating evidence suggests that it functions as a tumor-promoting modulator within tobacco-associated carcinogenesis. While individual studies have described organ-specific effects of nicotine within the gastrointestinal (GI) tract, a consolidated synthesis of nicotine-associated mechanisms across GI organ systems has been limited. The aim of this narrative review is to summarize the relevant nicotine-driven pathways and risk factors involved in GI neoplasms. A structured literature search was conducted using PubMed and Google Scholar to identify studies evaluating nicotine-associated carcinogenic mechanisms within the gastrointestinal tract. Four reviewers screened articles after 1993 for relevance to nicotine-mediated gastrointestinal tumorigenesis. Human epidemiological studies, meta-analyses, animal models, and original research were included to capture both clinical associations and molecular signaling pathways. The final search was performed in December 2025. Articles within the literature search describe how nicotine and nicotine-associated signaling influence tumorigenesis throughout the gastrointestinal tract. Across tissues, nicotine activates nicotinic acetylcholine receptors (nAChRs) and downstream signaling cascades that regulate cellular proliferation, apoptosis resistance, angiogenesis, and inflammatory responses. Common pathways include MAPK/ERK, PI3K/AKT, and JAK/STAT signaling, although organ-specific vulnerabilities modify these effects. Tobacco-specific nitrosamines contribute to mutagenesis in oral and pancreatic tissues; YAP/Hippo signaling is implicated in esophageal carcinogenesis; KRAS-associated adenoma-carcinoma progression influences colorectal and pancreatic malignancies; and pro-angiogenic COX-2-mediated pathways support gastric and hepatobiliary tumor growth. Nicotine-associated immune modulation may further facilitate virus-related malignancies in select contexts. Collectively, available data suggest that nicotine acts as a context-dependent tumor promoter across gastrointestinal tissues by amplifying proliferative and inflammatory signaling within established carcinogenic frameworks. By synthesizing molecular and epidemiological findings across GI sites, this review provides a unified framework for understanding nicotine-associated contributions to gastrointestinal tumorigenesis and highlights areas requiring further investigation.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082293","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":"International best practice in the cessation of vaping and non<b>-</b>combustible nicotine use, and barriers, facilitators and treatment preferences: A rapid review.","authors":"Rory Coyne, Mengyang Zhang, Linda van der Spek, Rishi Tadiparti, Gintare Valentelyte, Paul Kavanagh, Ken Ward, Zubair Kabir, Brian Doyle, Jan Sorensen, Frank Doyle","doi":"10.18332/tpc/226396","DOIUrl":"10.18332/tpc/226396","url":null,"abstract":"<p><strong>Introduction: </strong>Increasing use of e-cigarettes and forms of non-combustible nicotine consumption, especially among children and young people who do not smoke, is an emerging challenge for traditional services oriented to stop smoking care. However, as services struggle to manage these newer presentations, there is a paucity of guidance for supporting cessation. This rapid review sought to evaluate the extent to which interventions for the cessation of vaping and non-combustible nicotine products align with best practice, and to understand what barriers, facilitators and user-reported preferences for service features have been reported.</p><p><strong>Methods: </strong>A systematic search of four electronic databases (MEDLINE, PsycINFO, PsycEXTRA, and Scopus) was conducted on 18 November 2025 to search for vaping and non-combustible nicotine cessation interventions published since 2003. The included interventions were evaluated using a framework to assess the extent to which they aligned with best practice in public health. Information regarding barriers and facilitators to implementation, as well as user-reported preferences for intervention delivery, were extracted and synthesized in a narrative synthesis.</p><p><strong>Results: </strong>Findings from 23 studies (n=10373) revealed that alignment with best practice was highest in the areas of relevance (16/23), replicability (14/23) and effectiveness (12/23). Alignment was poorest in the areas of stakeholder collaboration (3/23) and sustainability (3/23). Interventions which prioritized accessibility, flexibility, and autonomy were noted by authors as facilitators to implementation. Participants demonstrated a preference for digital, low-burden interventions with social support.</p><p><strong>Conclusions: </strong>This rapid review identified opportunities to more effectively embed best practice principles in intervention design and delivery. The findings of this review can be used to inform the development of services which aim to reduce the impact of nicotine addiction fueled by vaping and non-combustible nicotine product use.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13587015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009174","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":"A cognitive dissonance-based mobile app intervention for smoking cessation: A single-arm pilot trial.","authors":"Dana K Smith, Herbert H Severson, Vani N Simmons","doi":"10.18332/tpc/221881","DOIUrl":"10.18332/tpc/221881","url":null,"abstract":"<p><strong>Introduction: </strong>Despite overall declines in the rate of tobacco use in the United States over the past 30 years, nearly 38 million Americans still smoke, posing extremely high risk for long-term health problems and death. Recent reviews note that there has been significant progress in the application of both clinical and public health interventions to help smokers quit; however, they have also concluded that the overall success rate has not significantly improved. There remains a need for novel, theory-driven approaches to enhance quit rates and innovative interventions that increase reach and engagement. In the current pilot study, we evaluated the use of a cognitive dissonance intervention for smoking cessation that was delivered via a mobile app.</p><p><strong>Methods: </strong>The <i>Support2Quit</i> app was evaluated in a single arm pilot study with 72 adult daily smokers who were assessed at baseline, 1 month and 3 months. Feasibility, usability, participant satisfaction, and intervention outcomes were evaluated.</p><p><strong>Results: </strong>The evaluation demonstrated promise that the <i>Support2Quit</i> app could effectively invoke significant increases in cognitive dissonance (average effect r=0.55; a large effect) and significant increases in readiness to quit smoking (average effect r=0.36; a medium effect). Outcomes showed a decrease in the number of cigarettes smoked each day for 41 (72%) of this sample; the non-parametric Wilcoxen signed-rank test showed an overall decrease in the number of cigarettes smoked per day from pretest to posttest (Z-score= -5.64, asymptotic p<0.001). User satisfaction ratings using a 5-point Likert scale indicated that the majority of 87.5% of participants reported liking the app (mean=3.7; SD=1.0) and that 82.5% reported that the app was helpful in reducing or stopping using cigarettes (mean=3.3; SD=1.0).</p><p><strong>Conclusions: </strong>Outcomes suggest that the <i>Support2Quit</i> mobile app was effective at inducing cognitive dissonance and might be a useful tool for reducing or quitting the use of cigarettes.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708070","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":"Secondhand smoke and breast health awareness among Vietnamese American families in California: A mixed-methods study.","authors":"Jimi Huh, Vivian H Tran, Artur Galimov, Ashley N Truong, Rachel C Ceasar, Lawrence A Palinkas, Thu Tran","doi":"10.18332/tpc/224522","DOIUrl":"10.18332/tpc/224522","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco exposure is a preventable breast cancer risk factor. High smoking rates among Vietnamese American (VA) men place VA women at elevated secondhand smoke exposure (SHSe) risk; yet research on the extent to which VA women are aware of SHSe and breast cancer risk is limited.</p><p><strong>Methods: </strong>This community-partnered, mixed-methods, cross-sectional study examined SHSe prevalences, knowledge, attitudes, and beliefs about SHSe as a breast cancer risk factor among VA women (aged 18-65 years) and explored multilevel factors contributing to SHSe within VA families in Southern California, December 2024 - January 2026. We recruited self-identifying VA women (n=179) via a community-based, snowball strategy for a 30 min survey, and then conducted 60 min one-on-one interviews with 22 VA individuals (11 family dyads).</p><p><strong>Results: </strong>Current SHSe prevalence was 43% (vs 25.2% nationally); 52.0% reported indoor SHSe during childhood. Only 63.7% had explicit home smoking rules, despite 99.4% believing SHSe affects children's health and 85.2% linking SHSe to increased breast cancer risk. A Rapid Group Analysis Process of the interview data revealed 3 themes, corroborating survey findings: 1) Religious/spiritual influences led participants to attribute health outcomes to fate or divine will, undermining preventive behaviors and beliefs, 2) A lack of available health information contributed to uncertain/diverging views on breast cancer causes; and 3) Non-smoker women expressing challenges navigating familial smoking-related tension while maintaining relational harmony.</p><p><strong>Conclusions: </strong>Our findings highlight the importance of family-centered communication while accounting for gender-related tension and family roles to promote cessation, breast cancer prevention and smoke-free spaces.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13437965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680323","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}