Tobacco Prevention & Cessation最新文献

{"title":"Taxing tobacco for better health and higher public revenues: A simulation-based analysis from Serbia.","authors":"Jovanović Olivera, Zubović Jovan, Strizović Jovana","doi":"10.18332/tpc/221526","DOIUrl":"10.18332/tpc/221526","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco taxation is widely recognized as one of the most effective policy measures for reducing tobacco use and saving lives. The aim of this study is to estimate the fiscal and public health effects of increasing cigarette excise taxes in Serbia, an upper middle-income country with historically high smoking prevalence and increasing affordability in recent years.</p><p><strong>Methods: </strong>A simulation-based analysis was conducted to estimate the effects of an annual increase in the specific excise tax per cigarette pack in Serbia. The baseline year was 2023, with projections for two years. Changes in cigarette consumption were estimated using price elasticity, income elasticity, and cross-price elasticity derived from previous research. The model assessed impacts on cigarette consumption, government revenues, smoking prevalence, smoking-attributable premature mortality, and youth smoking initiation, under assumptions of full price pass-through, a constant illicit market share, and no inflation.</p><p><strong>Results: </strong>An increase in cigarette excise taxes is associated with higher retail prices (10-11%) and reductions in cigarette consumption (-4.7% in the first year and -5.3% in the second year) and smoking prevalence (from 37.9% at baseline to 35.8%). Youth smoking initiation declined across all age groups, with >17000 individuals deterred from initiating smoking. Government revenues from tobacco increased over the observed period, as higher tax revenues per pack outweighed reductions in sales volumes, with excise tax revenues rising by about 7% annually. Declines in smoking prevalence resulted, among other effects, in reductions in premature smoking-attributable mortality, with 320 premature deaths avoided in the first year and 678 in the second year.</p><p><strong>Conclusions: </strong>The findings indicate that increasing cigarette excise taxes in Serbia can yield substantial public health benefits while strengthening government revenues. Further research accounting for substitution toward other tobacco or nicotine products would strengthen the evidence base and provide a more comprehensive assessment of the health and fiscal impacts of tobacco tax policies.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449897","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":"Smoking-attributable gastrointestinal cancer burden in Brazil, Russia, India, China and South Africa (BRICS) and Associated Economies: A Global Burden of Disease study analysis 1990<b>-</b>2023.","authors":"Wei Jiang, Yinglin Wang, Rui Cheng","doi":"10.18332/tpc/221523","DOIUrl":"10.18332/tpc/221523","url":null,"abstract":"<p><strong>Introduction: </strong>BRICS and associated economies have a considerable share of the world's population and cancer burden; however, long-term trends, heterogeneity and inflection points of smoking-attributable gastrointestinal (GI) cancers are still unclear. This retrospective population-based secondary analysis utilized Global Burden of Disease (GBD) 2023 data to investigate the mortality, disability-adjusted life years (DALYs) and age-standardized rates (ASRs) of smoking-attributable GI cancers among 11 BRICS and associated economies in 1990-2023, and to provide data-driven evidence for epidemiological and clinical prevention research on smoking-related GI cancers.</p><p><strong>Methods: </strong>This secondary analysis used 2023 GBD data, which included five main types of GI cancers caused by smoking: esophageal, stomach, colon and rectum, liver and pancreas cancers. Mortality, DALYs and ASRs were analyzed at the global, region and country levels. Joinpoint regression was used to compute annual percentage change (APC) and average annual percentage change (AAPC).</p><p><strong>Results: </strong>The total number of smoking-attributable GI cancer deaths in the study regions rose from 236305.08 in 1990 to 328324.75 in 2023 and total DALYs increased from 6.53 million to 8.08 million; the age-standardized mortality rate (ASMR) and age-standardized DALYs rate (ASDR) decreased with an AAPC of -1.44% and -1.48%, respectively. Brazil and China experienced the greatest declines in ASMR. India, Egypt and Ethiopia showed an increasing trend. Esophageal cancer was still the main cause of death and pancreatic cancer had the highest increase in mortality rate. Age-stratified analysis showed that the 20-29 years age group had a growing disease burden and the 40-64 years group had the largest decrease in DALYs. For people aged >75 years, the decline of disease burden decelerated.</p><p><strong>Conclusions: </strong>The burden of smoking-attributable GI cancers in BRICS and associated economies has increased with rising absolute mortality and DALYs and falling ASRs. Regional disparities, age trends and rising youth risks reveal marked epidemiological differences in GI cancer burden.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449891","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":"Warning and informative messages on e-cigarette package leaflets: A Belgian policy case study for public health policymakers.","authors":"Stijn Everaert, Frieda Matthys, Filip Lardon, Sylvie Gérard, Eline Remue","doi":"10.18332/tpc/217789","DOIUrl":"10.18332/tpc/217789","url":null,"abstract":"<p><p>The EU Tobacco Products Directive specifies the types of information required on e-cigarette package leaflets, but leaves further details and design to the Member States. In practice, however, both aspects are largely determined by the industry. This policy case study presents a comprehensive leaflet proposal developed by the Belgian Superior Health Council in collaboration with national tobacco control stakeholders. This multidisciplinary engagement enhances both the content quality and its acceptance among health professionals. The proposal defines formatting requirements for maximum legibility and comprehension across the general population, and structures evidence-based warning and informative messages into five thematic chapters. It aims to prevent vaping initiation among non-smokers and specific vulnerable groups by highlighting both short- and long-term health risks, while providing adult smokers with balanced information on the potential role of e-cigarettes in smoking cessation, preferably under professional supervision. The content should be updated periodically to reflect new scientific evidence, and complemented with evaluation metrics to assess real-world impact (leaflet reach, reader comprehension, behavioral influence). Given that leaflets are poorly to moderately noticed and rarely read, integration with pictorial warnings is recommended, following the relatively successful Canadian model for cigarette package inserts.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13358470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438330","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":"Evaluation of a proactive outreach strategy for tobacco treatment by a student-run clinic for Asian Americans: A retrospective observational study.","authors":"Conan H Lee, Ryan Lin, Jingyanshan Li, Samantha Wong, Ronald Jan, Elisa K Tong","doi":"10.18332/tpc/217701","DOIUrl":"10.18332/tpc/217701","url":null,"abstract":"<p><strong>Introduction: </strong>Certain Asian American subgroups have higher smoking rates than the general population, contributing to preventable mortality. This study evaluated the implementation and outcomes of a proactive tobacco treatment outreach strategy at Paul Hom Asian Clinic (PHAC), a student-run free clinic serving Asian Americans in Sacramento, California.</p><p><strong>Methods: </strong>We conducted a retrospective observational study of all active PHAC patients from August 2020 to June 2021. Volunteers used the Ask, Advise, Connect framework, which involves assessing tobacco use, advising smokers to quit, and referring them to cessation resources via the Asian Smokers' Quitline (ASQ). Outreach calls were made in patients' preferred languages to collect demographics, smoking status, and referral acceptance. The ASQ provided outcomes for referred patients, including counseling completion, unreachable status, or refusal. Descriptive statistics and exploratory logistic regression identified factors associated with successful contact.</p><p><strong>Results: </strong>Among 1733 patients, 194 (11.2%) had a history of tobacco use or exposure, including 162 current smokers, 27 former smokers, and 5 passive smokers, most being non-English speakers. Proactive outreach reached 23.2% of patients, with a 24.4% referral acceptance rate. Of those referred, 8 out of 11 completed counseling, 2 were unreachable, and 1 declined. Logistic regression indicated that increasing age was associated with lower odds of contact, particularly for patients aged ≥50 years. Sex and language were not significant predictors.</p><p><strong>Conclusions: </strong>Proactive outreach by student volunteers shows promise for promoting tobacco cessation among Asian American patients. Despite barriers, nearly one-quarter accepted referral, with most engaging in counseling. These findings highlight the potential for student-run clinics to deliver culturally and linguistically tailored interventions to underserved populations.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13358469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438339","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 qualitative study to explore perceptions of exercise as a smoking cessation tool among people with HIV who smoke cigarettes.","authors":"Nicholas J SantaBarbara, Joshua St Louis, Warren Scott Comulada, Jennifer Cantrell, Hope A Finlayson, Alysse G Wurcel, Kristine M Erlandson","doi":"10.18332/tpc/221807","DOIUrl":"10.18332/tpc/221807","url":null,"abstract":"<p><strong>Introduction: </strong>Cigarette smoking remains disproportionately prevalent among people with HIV (PWH) and contributes substantially to preventable morbidity and mortality. Although exercise confers many health benefits, little is known about how PWH who smoke perceive exercise as a strategy to support smoking cessation. The purpose of this qualitative study was to explore barriers and facilitators to smoking cessation and exercise engagement, with particular attention to exercise as a potential cessation-support strategy.</p><p><strong>Methods: </strong>Within this qualitative study, PWH were recruited from HIV clinics in Colorado and New England between September 2025 and February 2026, and were eligible if they were aged ≥21 years and current smokers. Guided by the Health Belief Model (HBM) and the Social Ecological Model (SEM), semi-structured interviews were transcribed verbatim and analyzed using a hybrid deductive-inductive framework.</p><p><strong>Results: </strong>Ten PWH (50.6 ± 8.8 years) participated. Participants demonstrated high awareness of smoking-related harms yet described persistent individual and structural barriers to quitting. Exercise was frequently perceived as a supportive strategy that reduced cravings, improved mood, and provided behavioral structure, particularly when embedded in socially supportive contexts. Multilevel barriers included addiction, stress, physical limitations, limited organizational attention to exercise, and resource constraints. Facilitators included peer accountability, structured group exercise, supportive counseling, and environmental incentives. Emergent themes highlighted behavioral substitution and autonomy as important.</p><p><strong>Conclusions: </strong>PWH who smoke perceive exercise not only as a health behavior but as a potential cessation-support strategy when delivered within socially connected and autonomy-respecting environments. Additional work is needed to develop multidisciplinary interventions that may enhance smoking cessation efforts.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13358468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438332","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":"Determinants of smoking cessation program completion and continued tobacco use in a referral program in West Virginia: An EHR data analysis from 2018-2023.","authors":"Maryam Pathan, Marquis Demniak, Sabina O Nduaguba","doi":"10.18332/tpc/221805","DOIUrl":"10.18332/tpc/221805","url":null,"abstract":"<p><strong>Introduction: </strong>Smoking is a risk factor for various comorbidities, yet only a few who attempt to quit are successful. This study examined factors associated with program completion (defined as at least four clinic visits) of a tobacco cessation program in West Virginia and identified predictors of continued tobacco use at the last visit.</p><p><strong>Methods: </strong>An observational retrospective cohort study analyzed electronic health records (2018-2023) collected from a tobacco cessation clinic. Patients aged ≥18 years with a history of tobacco use received individualized treatment combining pharmacological and behavioral therapy. Follow-up visits assessed cessation progress. Logistic regression estimated odds ratios (ORs) and 95% confidence intervals for predictors of program completion and continued tobacco use.</p><p><strong>Results: </strong>Among 407 participants, 85% completed at least four clinic visits, but 81.57% continued tobacco use at the last visit. Cancer (AOR=2.77; 95% CI: 1.36-5.65) and hypertension (AOR=3.26; 95% CI: 1.64-6.47) were associated with higher odds of program completion, whereas alcohol use was associated with lower odds of program completion (AOR=0.52; 95% CI: 0.29-0.93). Continued tobacco use was associated with higher tobacco pack-years (AOR=1.01; 95% CI: 1.0-1.02) and lower number of clinic visits (AOR=0.98; 95% CI: 0.96-0.99).</p><p><strong>Conclusions: </strong>Alcohol use, cancer, and hypertension were predictors of program completion, while continued tobacco use on the last visit was associated with tobacco pack-years and the number of clinic visits. Despite high program completion, most participants continued using tobacco on the last visit, highlighting the persistent challenge with the poor effectiveness of smoking cessation treatments. Integrating tailored cessation strategies and utilizing chronic diseases as motivational tools could improve the effectiveness of interventions in high-prevalence states like West Virginia.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13352313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425198","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":"Cigarette use, secondhand smoke exposure and age-related infertility among US women: A cross-sectional NHANES study.","authors":"Yuyan Li, Ying Zhou, Bingxue Wu, Yan Zhang, Yishi Jiang, Junqing Wu, Yan Che","doi":"10.18332/tpc/217327","DOIUrl":"10.18332/tpc/217327","url":null,"abstract":"<p><strong>Introduction: </strong>While tobacco exposure is linked to infertility, age-specific risks across different exposure groups remain poorly characterized. This study aimed to examine the associations of active cigarette smoking and secondhand smoke (SHS) exposure with female infertility and to assess potential effect modification by age.</p><p><strong>Methods: </strong>This is a cross-sectional secondary analysis of publicly available data from the National Health and Nutrition Examination Survey (NHANES, 2013-2020 cycles). The primary exposures were self-reported active cigarette smoking, SHS exposure (assessed via questionnaire and serum cotinine). The outcome was self-reported infertility. Survey-weighted restricted cubic spline (RCS) and logistic regression models were used to assess the respective associations.</p><p><strong>Results: </strong>This study comprised 4982 women aged 18-49 years. The overall prevalence of self-reported infertility was 12.0% (95% CI: 10.7-13.2), with the highest prevalence observed at approximately 40 years. The association between tobacco smoke exposure and infertility showed a significant negative interaction with age, observed for both self-reported smoking status and serum cotinine levels, and was most pronounced among women aged 18-40 years. In weighted multivariable logistic regression models fitted to the full sample, at age of 18 years, former smokers had significantly higher odds of infertility than never smokers (OR=2.78; 95% CI: 1.30-5.96). Also at this age, when using serum cotinine <0.05 ng/mL as the reference (unexposed), higher odds were observed both in the SHS-exposed group (0.05-10 ng/mL; OR=2.59; 95% CI: 1.25-5.38) and the active-smoking-exposed group (>10 ng/mL; OR=3.79; 95% CI: 1.86-7.69).</p><p><strong>Conclusions: </strong>Among women aged 18-40 years, cigarette smoking and greater tobacco smoke exposure, indicated by serum cotinine, were associated with infertility. Public health efforts should prioritize smoking prevention, cessation, and reduced secondhand smoke exposure to support female reproductive health.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13352491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425191","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":"Factors associated with enrollment, adherence, and retention in a remotely delivered tobacco cessation randomized controlled trial.","authors":"Zhanette Coffee, Chiu-Hsieh Hsu, Christine E Sheffer, Peter Giacobbi, Kari M Marano, Yessenya Barraza, Judith S Gordon","doi":"10.18332/tpc/216719","DOIUrl":"10.18332/tpc/216719","url":null,"abstract":"<p><strong>Introduction: </strong>Remote tobacco cessation trials can expand access, yet enrollment, adherence, and retention remain challenging. This study aimed to identify individual- and neighborhood-level factors associated with enrollment, adherence, and retention in a two-arm, remotely delivered tobacco cessation randomized controlled trial (RCT). We conducted a secondary analysis of data from RCT NCT05277831.</p><p><strong>Methods: </strong>Adults who smoke were recruited between October 2022 and July 2024 through quitlines, recruiting firms, and community outreach conducted in Arizona, New York, and West Virginia. Participants were block-randomized to a behavioral cessation intervention or behavioral plus guided imagery intervention. Data were collected using online, self-reported questionnaires. Outcomes included enrollment (Session 1 completion), adherence (≥4/6 sessions), and 3 month retention, using multivariable logistic regression estimated adjusted odds ratios (AORs) for demographic, clinical, and neighborhood disadvantage covariates.</p><p><strong>Results: </strong>Of 1595 randomized participants, 1209 enrolled (75.8%), 914 (75.6%) were adherent, and 1046(86.5%) were retained at 3 months. The sample (mean age 50 years) was predominantly female (65%) and White (77%); about 35% had high school or lower education. Enrollment was lower among males (AOR=0.76; 95% CI: 0.60-0.97, p=0.03) those with lower education (AOR=0.74; 95% CI: 0.57-0.96, p=0.03), and those from more disadvantaged neighborhoods (AOR=0.99; 95% CI: 0.98-0.99, p=0.02). Adherence was higher with older age (AOR=1.02; 95% CI: 1.01-1.03, p=0.003), but lower with multiple household smokers (AOR=0.90; 95% CI: 0.82-1.00, p=0.05). Non-English primary language (AOR=0.36; 95% CI: 0.14-0.92, p=0.03), having more than one household smoker (AOR=0.88; 95% CI: 0.79-0.98, p=0.02), lack of a high school education (AOR=0.39; 95% CI: 0.23-0.65, p<0.001), and substance use (AOR=0.40; 95% CI: 0.2-0.81, p=0.01) were all associated with lower retention.</p><p><strong>Conclusions: </strong>Sociodemographic factors influenced enrollment, adherence, and retention, highlighting the importance of continued research to better understand and address engagement challenges in remotely delivered cessation studies.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425100","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 Telegram-based behavioral intervention for smoking cessation after myocardial infarction: A study protocol of a pragmatic, single-blind, randomized trial.","authors":"Mikhail Kuznetsov, Artemiy Okhotin, Dmitry Sergeev","doi":"10.18332/tpc/218842","DOIUrl":"10.18332/tpc/218842","url":null,"abstract":"<p><p>Smoking cessation after myocardial infarction (MI) is critical, yet many patients relapse soon after discharge, especially where structured follow-up is limited. Telegram provides a low-cost tool for implementing chatbot-based behavioral support that hospitals can run with minimal technical resources. The aim is to conduct TELEGRAM-MI trial tests to ascertain whether a 6 month Telegram-based chatbot improves cessation outcomes compared with routine discharge advice provided by cardiology staff. This pragmatic, single-blind, randomized trial, starting in 2026 at a regional clinical hospital in Russia, will enroll adult current cigarette smokers hospitalized with acute MI who use Telegram. Participants are randomized 1 : 1 to routine discharge advice plus a passive bot (control) or to the same advice plus an active 6 month behavioral support bot. The intervention includes motivational messages, craving-management tools, an SOS function, weekly check-ins, and relapse-prevention sequences. The primary outcome is 30 day point prevalence abstinence at 6 months, verified by a blinded assessor and a relative. Secondary outcomes include 7 day abstinence at 1 and 3 months, changes in cigarettes/day, nicotine dependence, motivation, engagement, and time to relapse. Analysis will follow intention-to-treat principles. Recruitment begins in January 2026. Results are expected after completion of the 6 month follow-up in October 2026. The intervention could enhance cessation, sustain recovery after MI, and offer a practical way to extend secondary prevention beyond the hospital site.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425183","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":"Restructuring areas, reshaping norms: Denormalizing (e-)cigarette use in Swiss vocational and high schools.","authors":"Anna Morf, Frank Wieber, Dominique Truninger, Gilles Chatelain, Bettina Höchli","doi":"10.18332/tpc/217157","DOIUrl":"10.18332/tpc/217157","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescents often overestimate peer smoking and vaping, increasing the likelihood of initiation. School environments play a central role in shaping these perceptions. This study therefore aimed to examine whether a school-based environmental intervention modifying the school environment can shift adolescents' perceived norms and reduce (e-)cigarette use.</p><p><strong>Methods: </strong>A quasi-experimental pre-post study was conducted in three Swiss secondary schools (March-June 2024; baseline n=664; follow-up n=884). The intervention comprised a multi-component environmental approach, including the relocation of designated smoking areas to less visible locations, accompanying signage, improvements to non-smoking areas, and informational posters. Perceived peer (e-)cigarette use, and self-reported (e-)cigarette use were reported through online surveys at baseline and at one month post-intervention.</p><p><strong>Results: </strong>Effects varied across schools. In School 1, perceived prevalence of (e-) cigarette use decreased (cigarettes: β= -0.44; 95% CI: -0.68 - -0.21; e-cigarettes: β= -0.53; 95% CI: -0.80 - -0.25). In School 2, reductions differed by (e-)cigarette use: never and former users reported lower perceived cigarette prevalence at follow-up, whereas occasional and regular users showed no change. Perceived e-cigarette prevalence decreased (β= -0.42; 95% CI: -0.69 - -0.15). In School 3, changes varied by (e-)cigarette use, with regular users reporting lower perceived cigarette prevalence (interaction: β= -1.60; 95% CI: -2.75 - -0.45). Perceived e-cigarette prevalence did not change. Across schools, the intervention did not affect (e-)cigarette use.</p><p><strong>Conclusions: </strong>A school-based environmental intervention modifying the school environment may influence adolescents' descriptive norms, although effects appear to depend on baseline policies and implementation context.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"12 ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13277420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296676","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}