{"title":"Effectiveness of nurse-run smoking cessation discussions lasting up to 90 minutes: A systematic review and meta-analysis.","authors":"Klas Winell, Juha E Ahonen","doi":"10.18332/tpc/215042","DOIUrl":"https://doi.org/10.18332/tpc/215042","url":null,"abstract":"<p><strong>Introduction: </strong>It is important that nurses are active in smoking cessation. We studied if cessation discussions by nurses, lasting up to 90 minutes, lead to cessation of smoking.</p><p><strong>Methods: </strong>A literature search was made from The Cochrane Central Register of Controlled Trials and MEDLINE. Randomized controlled trials on smoking cessation of adult daily smokers by nurses published from January 1983 to December 2023 were searched with the following defining of intervention: at least once face-to-face contact, a maximum of five contacts, total counselling time of ≤90 minutes, no concurrent cessation medication or physician input. Controls had no nurse counselling. The restricted maximum-likelihood method was used to calculate the odds ratio (OR) without adjustment for individual trials and to estimate the pooled effect. RoB 2 tool was used to assess the bias.</p><p><strong>Results: </strong>Seven studies involving 4443 smokers were included. All studies presented some risk of bias, and three were judged to have high overall risk of bias. The pooled analyses favored the controls but without a statistically significant effect at 12 months, biochemically validated abstinence (4295 smokers, six studies, OR=1.22; 95% CI: 0.83-1.80) and self-reported abstinence (3396 smokers, five studies, OR=1.02; 95% CI: 0.65-1.61). Substantial heterogeneity was observed (I<sup>2</sup>=57% for biochemically validated outcomes; I<sup>2</sup>=73% for self-reported outcomes).</p><p><strong>Conclusions: </strong>Our results of studies on nurse-run counselling lasting ≤90 minutes did not demonstrate effectiveness in promoting smoking cessation. This should be considered while organizing cessation care. Instead, smokers who are interested in using cessation medication should be given more time and offered the possibility to participate in cessation group counselling. Given that many participants in the included studies had long smoking histories and smoking-related illnesses, future RCTs should examine nurse-run cessation interventions in populations with shorter smoking histories and fewer comorbidities.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12941095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327625","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":"Carbonyl emissions from heated tobacco products.","authors":"Efthimios Zervas, Niki Matsouki, Charikleia Tsipa, Zoe Gareiou","doi":"10.18332/tpc/214783","DOIUrl":"https://doi.org/10.18332/tpc/214783","url":null,"abstract":"<p><strong>Introduction: </strong>The scope of this work is to determine the carbonyl emissions from five heated tobacco products (HTPs) and the existence of differences in the emissions based on the brand, on the stick (having a different flavor) and on the puffing regime.</p><p><strong>Methods: </strong>Carbonyls were determined in the mainstream emissions of HTPs. Vapors from 5 commercial HTPs: IQOS, LIL, PULZE, ILUMA and GLO, and fifteen different stick flavors were generated using a peristaltic pump under both ISO and Canadian puffing regimes. Carbonyls were collected in an impinger containing a 2,4-dinitrophenylhydrazine (2,4-DNPH) solution and analyzed using HPLC-UV.</p><p><strong>Results: </strong>All HTPs emit carbonyls. Acetaldehyde, propionaldehyde and butyraldehyde are detected in quantities varying from 34.35 to 72.11 μg/stick, 3.28 to 8.58 μg/stick and 3.07 to 6.20 μg/stick respectively, for the different brands and stick flavors. Formaldehyde and crotonaldehyde are found below the detection limit of the analytical method. Acetone and acrolein co-eluted and cannot be quantified. Under ISO regime, ILUMA emits more acetaldehyde than GLO, more propionaldehyde compared to the other brands and more butyraldehyde compared to PULZE, LIL and GLO. Under Canadian regime, no significant variations were found between the brands, except IQOS that emits more acetaldehyde than GLO. Also, the difference of the sticks, thus having a different flavor, within the same brand, has an impact on the emissions.</p><p><strong>Conclusions: </strong>Although HTPs are promoted as products with reduced risk compared to conventional cigarettes, still the detection of carbonyls in HTPs emissions is a fact and needs further research. All five HTPs used here and all sticks used emit carbonyls. Carbonyls' concentrations are found to vary significantly among the different brands, the difference of the sticks, and concerning flavor, and to increase when changing to a more intense puffing regime.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12914568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228988","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}
Danyi Li, Linyun Fu, Nathan Davies, Steve Sussman, Mary A Pentz
{"title":"Expanding the evidence base: The impact of Tobacco 21 policies on youth tobacco use.","authors":"Danyi Li, Linyun Fu, Nathan Davies, Steve Sussman, Mary A Pentz","doi":"10.18332/tpc/214471","DOIUrl":"10.18332/tpc/214471","url":null,"abstract":"","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12897512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203274","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":"Nicotine pouches: A wolf in sheep's clothing.","authors":"Luis F Gonzalez, Theodore C Friedman","doi":"10.18332/tpc/211847","DOIUrl":"10.18332/tpc/211847","url":null,"abstract":"<p><p>Nicotine pouches are a fast-growing class of tobacco-free nicotine products, marketed for oral absorption and often promoted as cleaner alternatives to traditional tobacco. Regulatory efforts to ban flavors such as menthol have been inconsistent, with the US withdrawal of a proposed menthol ban in 2025 intensifying policy instability and raising concerns over youth use. The aim of this monitoring letter is to examine the development of nicotine pouch markets, regulatory responses, and the need for independent research to guide future policy. Sales of nicotine pouches increased dramatically from their US introduction in 2016, with youth uptake rising alongside aggressive marketing and flavored product availability. ZYN commands nearly 68.7% of the youth market, supported by social media campaigns and influencer endorsement. Despite the FDA's 2025 authorization of select ZYN products, most brands remain unregulated. Research primarily sponsored by industry suggests harm reduction, yet independent studies have found carcinogens and toxic metals in some products, and evidence gaps persist regarding health risks and long-term outcomes. International regulation varies, with France instituting a nationwide ban in 2025, contrasting sharply with the US approach. Nicotine pouches continue to expand in both market reach and youth appeal, driven by flavor options and harm-reduction narratives. Regulatory and scientific oversight remain fragmented, echoing previous challenges faced with e-cigarettes. Coordinated policy action and independent research are urgently needed to prevent a repeat of prior youth and public health concerns.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12870721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126961","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}
Shalini Bassi, Manu Raj Mathur, Monika Arora, Tina Rawal, Rajmohan Panda, Ali Golkari
{"title":"A secondary multivariate decomposition analysis of factors influencing smokeless tobacco cessation across two Global Adult Tobacco Survey waves in India and Bangladesh.","authors":"Shalini Bassi, Manu Raj Mathur, Monika Arora, Tina Rawal, Rajmohan Panda, Ali Golkari","doi":"10.18332/tpc/215183","DOIUrl":"10.18332/tpc/215183","url":null,"abstract":"<p><strong>Introduction: </strong>This study explores patterns and determinants of attempted quitting of smokeless tobacco (AQSLT) in India and Bangladesh, using data from two waves of the Global Adult Tobacco Survey (GATS).</p><p><strong>Methods: </strong>A secondary analysis was conducted using nationally representative data from GATS Wave 1 (2009-2010) and Wave 2 (2016-2017) in India and Bangladesh. Adults who reported using SLT currently or within 12 months at the time of each wave were included. Changes in AQSLT prevalence, associated factors, and contribution of independent variables were assessed using descriptive statistics, logistic regression, and multivariate decomposition analysis.</p><p><strong>Results: </strong>While smokeless tobacco (SLT) use declined from Wave 1 to Wave 2 in both countries, changes in AQSLT prevalence were not statistically significant. In India, multivariate decomposition revealed that increases in the proportion of individuals who received quitting advice from a doctor or healthcare professional, noticed health warnings on SLT products, saw SLT warnings in print media, and were exposed to pro-SLT advertisements, had positive endowment effects on AQSLT. Behavioral changes among those exposed to SLT product warnings had the strongest negative composition effect. In Bangladesh, increased exposure to warnings in print media had positive, while decreased exposure to pro-SLT advertisements had a negative endowment effect on AQSLT. No significant composition effects were observed in Bangladesh.</p><p><strong>Conclusions: </strong>Interventions such as providing advice and health warnings show inconsistent effects on quit behavior. Findings warrant further evaluation of effectiveness of interventions and exploring tested culturally sensitive cessation strategies, that effectively motivate quit attempts among SLT users.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12853378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107150","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 the intention to use e-cigarettes and its influencing factors among Thai non-formal education students: A cross-sectional study.","authors":"Natchaya Palacheewa, Pramote Thangkratok","doi":"10.18332/tpc/211969","DOIUrl":"10.18332/tpc/211969","url":null,"abstract":"<p><strong>Introduction: </strong>Non-formal education students are a vulnerable group due to social influences and varying health literacy. However, evidence on their intention to use e-cigarettes and influencing factors is limited. This study aimed to investigate these intentions and associated factors among students in Bangkok, Thailand.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among non-formal education students in Bangkok, Central Thailand, aged 13-24 years, who had never used e-cigarettes. A total of 116 participants were included in the study. Data were collected between 1 and 15 August 2025 using a self-administered structured questionnaire designed to assess knowledge, attitudes, subjective norms, perceived behavioral control, and intention to use e-cigarettes, based on the Theory of Planned Behavior. Descriptive statistics and multiple linear regression were applied to identify factors associated with the intention to use e-cigarettes.</p><p><strong>Results: </strong>Only 2.6% of participants reported an intention to use e-cigarettes, 6.90% indicated that they might use them in the future, while 90.52% reported no intention to use e-cigarettes. Most participants demonstrated high knowledge of e-cigarettes (62.07%) and negative attitudes toward use (63.79%). Subjective norms were rated high (59.48%), and perceived behavioral control was very high (48.28%). Multiple linear regression analysis showed that attitudes (β=0.223; 95% CI: 0.03-0.41, p=0.025) and subjective norms (β=0.211; 95% CI: 0.02-0.39, p=0.032) had significant positive effects on the intention to use e-cigarettes. Overall, the model explained 15.0% of the variance (R<sup>2</sup>=0.150, adjusted R<sup>2</sup>=0.119; F=4.90, p=0.001).</p><p><strong>Conclusions: </strong>The findings highlight the importance of fostering negative attitudes toward e-cigarette use and reducing the influence of subjective norms among students. However, as this study employed a cross-sectional design, further longitudinal and interventional studies are needed to confirm these relationships and provide stronger evidence for the prevention of e-cigarette use among non-formal education students.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12849790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087579","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}
Alen Josef A Santiago, Samantha J Ackary, Patrik James D L Cabrera, Gabriele Dominique P Domingo
{"title":"Exploring the capacity of smoking cessation services in the Philippines.","authors":"Alen Josef A Santiago, Samantha J Ackary, Patrik James D L Cabrera, Gabriele Dominique P Domingo","doi":"10.18332/tpc/214732","DOIUrl":"10.18332/tpc/214732","url":null,"abstract":"<p><strong>Introduction: </strong>In the Philippines, smoking prevalence among adult smokers is slowly decreasing from 23.8% in 2015 to 19.5% in 2021. Despite this decline, evidence shows that while two-thirds of smokers consider quitting, only half receive quit advice from healthcare providers. This study aims to assess the readiness and capacity of health facilities to deliver smoking cessation services in alignment with Administrative Order (AO) 2021-0031 of the Department of Health (DOH).</p><p><strong>Methods: </strong>This study followed a cross-sectional design. From August to September 2023, we administered an online questionnaire to health facilities nationwide (n=618) in the Philippines to assess the current status of smoking cessation services across all levels of care regarding physical capacity, technical capacity, and availability of resources.</p><p><strong>Results: </strong>In this descriptive study of 618 surveyed facilities, only 346 (55.99%) provide smoking cessation services. Among these (n=346), 52.02% (n=180) have certified basic tobacco intervention (BTI) providers, 21.97% (n=75) have certified intensive counseling providers, 88.73% (n=307) screen for tobacco use, 39.60% (n=137) assess for nicotine dependence, 53.18% (n=184) provide intensive counseling, 14.45% (n=50) prescribe pharmacotherapy, 66.47% (n=230) do not have directories or established referral networks, 54.34% (n=188) are aware of the DOH Quitline, and 7.51% (n=26) are aware of mobile-based cessation (mCessation) programs.</p><p><strong>Conclusions: </strong>This study highlights the limited capacity of health facilities in the Philippines to deliver smoking cessation services. Our findings suggest several areas for strengthening, including developing cessation infrastructure, expanding designated cessation clinics, targeting awareness campaigns to promote existing services, and expanding access to comprehensive cessation services training programs. Further research can explore and evaluate the effectiveness of these measures to create a stronger basis for resource allocation and policy implementation.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12848810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087514","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":"Association between single, dual, poly use of tobacco products and smoking cessation in Korean adult smokers.","authors":"Heajung Lee, Jaeyong Shin, Jae Woo Choi","doi":"10.18332/tpc/214782","DOIUrl":"https://doi.org/10.18332/tpc/214782","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined the association between smoking cessation and different usage combinations of three tobacco products (combustible cigarette [CC], electronic cigarette [EC], heated tobacco product [HTP]) in Korean adults.</p><p><strong>Methods: </strong>We analyzed repeated data from the Korea Health Panel Survey (KHPS), which consisted of nationally representative samples. A total of 1380 Korean adults participated in the study. The outcome of interest was whether the participant succeeded in quitting smoking all types of tobacco products. Participants were classified according to whether they smoked any of the three tobacco products (CCs and/or ECs and/or HTPs) based on their self-reported responses.</p><p><strong>Results: </strong>A total of 211 participants had quit smoking during the follow-up period. After adjusting for potential confounding factors, the adjusted odds ratio (AOR) for smoking cessation was 3.15 (95% CI: 1.66-5.95), and 1.81 (95% CI: 0.63-5.21) for participants who currently smoke only HTPs (HTP-only user) and participants who currently vape only ECs (EC-only user), respectively, compared with participants who currently smoke only CCs (CC-only user). There was no significant association between dual or triple smoking and smoking cessation.</p><p><strong>Conclusions: </strong>HTP-only users had a statistically significant association with smoking cessation, with higher odds of quitting smoking within two years compared to CC-only users. Further studies with a large sample are required to validate our results considering a small number of participants in the comparison groups in this study.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12838446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094555","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}
Hongying Daisy Dai, Chenxi Shi, Sara Reyes, Summer Woolsey
{"title":"Evaluation of vaping cessation infographics among e-cigarette users: A cross-sectional, mixed-methods study.","authors":"Hongying Daisy Dai, Chenxi Shi, Sara Reyes, Summer Woolsey","doi":"10.18332/tpc/214725","DOIUrl":"10.18332/tpc/214725","url":null,"abstract":"<p><strong>Introduction: </strong>This rise in vaping has become a significant public health concern. This mixed-methods study aims to assess the impact of vaping cessation infographics on different cessation motivation and gather feedback regarding how the infographic could be further improved.</p><p><strong>Methods: </strong>Current e-cigarette users completed an online cross-sectional survey in January 2022 through Prolific<sup>®</sup>. Participants evaluated a vaping cessation infographic. Eligible participants were adults aged 19-64 years, US residents, fluent in English, and current e-cigarette users. Participants completed a questionnaire with questions regarding demographics, e-cigarette use, and assessment of the liking of infographics. Poisson regressions were conducted to assess the associations between infographic liking and perceived vaping cessation importance, readiness, and commitment. The open-ended feedback provided in the online survey on the infographic was assessed using content analysis.</p><p><strong>Results: </strong>Among 361 participants who were presented with the cessation infographic, 85.9% of them rated the infographic favorably. The liking of the cessation infographic (e.g. excellent vs fair/poor) was associated with greater perceived quit importance (incidence rate ratio, IRR=2.0, p<0001, quit commitment (IRR=1.6, p=0.005), and readiness to quit (IRR=1.9, p=0.001). The analysis of open-ended feedback resulted in several themes. Participants appreciated the detailed coping strategies, ease of understanding and accessibility, timelines and expectations, support and encouragement, comprehensive information, youth-focused content, and visual and structural appeals. Areas identified for improvement included health information and risks, design and presentation, target audience and content, support and resources, and user engagement.</p><p><strong>Conclusions: </strong>This study highlights the need for tailored vaping cessation interventions. The infographic presented in this study resonated more with African American and Hispanic participants, who reported higher favorability than White participants.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12828820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054320","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}