Tobacco Induced Diseases最新文献

Introduction: Smoking has become a leading preventable cause of premature death and morbidity worldwide, with 8 million people dying each year because of tobacco. In Malaysia, a 24-week standard smoking cessation program is available to help smokers. Teleconsultation was introduced into this program during the COVID-19 pandemic by using internet-based video counseling to reduce the number of clinic visits. This study aimed to evaluate the outcomes of hybrid virtual consultation for smoking cessation programs among patients with nicotine dependence.

Methods: A retrospective cross-sectional study was conducted where all the active smokers registered in the smoking cessation program from 2018 to 2023 were recruited. They were grouped into face-to-face interventions and hybrid virtual consultations. All data were obtained from the smoking cessation program registry. The primary outcome was point abstinence (PA) at week 7 (1-month post-quit date), biochemically verified with carbon monoxide (CO) Smokerlyzer for both face-to-face and hybrid groups.

Results: A total of 156 participants were included in this study, including face-to-face (99 participants) and hybrid virtual consultation (57 participants). The mean age of face-to-face and hybrid group participants was 51 and 48 years, respectively. In general, hybrid virtual consultation was more feasible, as evidenced by a lower defaulter rate and a higher rate of participants graduating at the end of the program than face-to-face consultation. The effectiveness of smoking cessation was also higher in hybrid consultation, with a higher abstinence rate at weeks 4 and 7, with percentages of 42.1% and 56.1%, respectively. Additionally, the hybrid group maintained a high continuous abstinence rate (CAR) from week 7 to 24, with a percentage of 56.1%.

Conclusions: Hybrid virtual consultation was more effective, as evidenced by higher smoking cessation at week 7 (1-month post-quit date) and CAR from week 7 to week 24 compared to the face-to-face group. Telemedicine or teleconsultation should be easily available for smoking cessation programs, and healthcare providers should consider incorporating hybrid models into them to fully utilize the program and improve outcomes.

Introduction: This study used quantitative analysis to explore the current landscape of thirdhand smoke (THS) research by identifying gaps and emerging trends. Despite growing evidence of health risks associated with THS, research remains sparse, and no public policies address THS exposure. This analysis aimed to inform future studies and policies, in order to mitigate THS-related health risks.

Methods: Using a bibliometric approach, our literature search identified 227 academic articles and reviews indexed in PubMed between 2009 and 2023. We used Biblioshiny, a bibliometrix R package, VOSviewer, and Excel to analyze the bibliographic data.

Results: Since 2009, an average growth of 14.09% annually has been observed in THS-related publications. Additionally, we found that US institutions are major contributors to THS research. At the country level, studies conducted in the US, China, Spain, Italy, and South Korea are the most prevalent in the THS literature. Our findings indicate that THS research mainly focuses on human participants, health promotion, nicotiana/chemistry, air pollution/indoor analysis, tobacco smoke pollution, adolescent health, odorants/analysis, surface properties, carcinogens, and disease models/animals.

Conclusions: We analyzed THS research trends and identified the most impactful authors, journals, institutions, and countries. Considering the findings of this study, policymakers should continue policy development and implementation efforts to address THS exposure. The findings of this study can serve as basic reference material for scholars to guide future research directions regarding THS research.

Introduction: Based on the results extracted from the Global Burden of Disease (GBD) 2021, the objective of this research is to examine the spatiotemporal trends of bladder cancer attributable to smoking from 1990 to 2021, and to make projections up to the year 2046.

Methods: This study conducted a secondary dataset analysis of smoking-attributable bladder cancer data extracted from GBD 2021. Bladder cancer was classified using the International Classification of Diseases 10th Revision (ICD-10) in GBD, and smoking exposure was defined as both current and past use of smoked tobacco products. By employing a Bayesian age-period-cohort (BAPC) model, the average annual percentage change (AAPC) was determined to examine trends over time.

Results: From 1990 to 2021, the number of deaths and disability-adjusted life years (DALYs) due to smoking-attributable bladder cancer increased significantly. The age-standardized death rate (ASDR) decreased, with an AAPC of -1.54 (95% CI: -1.62 - -1.46). The age-standardized DALY rate (ASDLR) also showed a decline, with an AAPC of -1.68 (95% CI: -1.81 - -1.56). The regions that experienced the most significant age-standardized rate (ASR) burden were Central Europe and Western Europe. Regions with high-medium sociodemographic index (SDI) values had the highest number of deaths and DALYs, as well as the highest ASR for both indicators. The heaviest global disease burden is concentrated among males and individuals aged ≥70 years. Smoking-attributable bladder cancer deaths are projected to rise over the next 25 years, reaching 90021.45 by 2046.

Conclusions: Despite a decrease in the ASRs of smoking-attributable bladder cancer, the absolute burden has increased and is expected to continue growing. Therefore, continuous and targeted tobacco control measures and medical strategies are needed, especially for developed regions, the elderly, and male populations. And due to the unique mechanisms by which tobacco causes disease, the youth and female populations should not be neglected.

Introduction: Smoking remains a significant public health issue globally, despite efforts to reduce tobacco use. In Japan, smoking persists, particularly among certain groups.

Methods: This study investigates smoking attitudes, self-reported practices, and COPD knowledge among Japanese adults aged 20-59 years to identify intervention targets for reducing smoking prevalence and improving public health. Data from the 2020 'Community Empowerment and Well-Being and Healthy Long-term Care: Evidence from a Cohort Study (CEC)' project were analyzed, including 537 participants categorized as smokers, former smokers, or non-smokers.

Results: This study shows that gender (male) is a strong predictor of current smoking across all age groups. Individuals with higher smoking awareness are less likely to smoke, especially in older adults. While COPD awareness is significantly associated with smoking only in the 20-29 age group. Among smokers who attempted to quit, 27.7% expressed willingness to quit, but only 3.0% were interested in cessation programs.

Conclusions: A proportion of participants had a smoking history, highlighting tobacco use prevalence. Despite widespread support for anti-smoking measures, a disconnection between attitudes and behaviors persists. While most participants had heard of COPD, deeper knowledge of the disease and its symptoms was limited. These findings emphasize the need for anti-smoking policies targeting educational interventions and improving COPD awareness to promote behavior change and reduce smoking prevalence.

Introduction: Secondhand smoke (SHS) has long been identified as a significant risk factor for lung cancer, yet the precise magnitude of its contribution to the global lung cancer burden remains unclear. Our study aims to elucidate the harms associated with lung cancer caused by secondhand smoke while emphasizing the importance of avoiding SHS.

Methods: The annual deaths and disability-adjusted life years (DALYs) data were obtained from the Global Burden of Disease Study (GBD) 2021 for this secondary dataset analysis. Trends in mortality and DALYs were evaluated, along with correlations with the sociodemographic index (SDI). Projections from 2021 to 2036 utilized a Bayesian age-period-cohort model.

Results: In 1990, SHS-related lung cancer was responsible for approximately 0.058 million deaths and 1.599 million DALYs, globally. By 2021, these numbers had increased to approximately 0.098 million deaths and 2.356 million DALYs worldwide. Between 1990 and 2021, SHS-related lung cumulatively caused 2.428 million deaths and 62.785 million DALYs. From 1990 to 2021, deaths and DALYs increased significantly, while age-standardized mortality rates (ASMR) and age-standardized DALY rates (ASDR) decreased. Specifically, ASMR decreased from 1.45 to 1.14, and ASDR dropped from 38.40 to 26.93. The high-middle SDI region bore the largest burden, accounting for nearly 40% of global deaths and DALYs. East Asia held the highest burden of lung cancer attributable to secondhand smoke in 2021, while Oceania had the lowest burden. Projections suggest that male ASMR will decline to 1.18 by 2036, while female ASMR is expected to rise to 0.91 by 2029 before decreasing to 0.89 by 2036.

Conclusions: The considerable burden of lung cancer attributable to secondhand smoke underscores the urgent need for targeted public health interventions, particularly in high-risk demographics and regions. To mitigate disparities and enhance global health outcomes, it is crucial to prioritize the avoidance of SHS and the establishment of smoke-free environments.

Introduction: Tobacco farming plays a crucial role in the livelihoods of many rural communities in Pakistan, particularly in Khyber Pakhtunkhwa (KPK). However, this agricultural practice is associated with severe environmental degradation and significant health risks to workers during cropping.

Methods: This study evaluates the ecological and health impacts of tobacco farming in Pakistan, employing both quantitative (surveys) including 200 respondents (farmers and field workers/laborers) and qualitative methods (in-depth interviews) involving 10 respondents (farmers, policy experts, agriculturist and environmental specialists). The research focuses on Swabi, a key tobacco-growing region, and highlights the negative effects of excessive pesticide use, fertilizer application, and deforestation, which contribute to soil erosion, water pollution, and biodiversity loss.

Results: Regression analysis shows that pesticide use (β=0.65, p<0.001) and deforestation (β=0.82, p<0.001) are the leading contributors to ecological degradation. The relationship between tobacco yield and environmental degradation, although showing a trend (p=0.062), is statistically negligible and unlikely to have practical significance (β= -0.15). Health risks are equally concerning, with farmworkers (labor hired for farming, farmers, landlords) exposed to harmful agrochemicals and nicotine absorption leading to respiratory diseases, skin conditions, and green tobacco sickness (GTS). Pesticide exposure (β=0.71, p<0.001) and contact with tobacco leaves (β=0.53, p<0.001) significantly impact workers' health, while using personal protective equipment (PPE) helps mitigate these risks (β= -0.43, p=0.001). The study also reveals that many farmers are interested in transitioning to alternative crops like maize or cotton, but they face financial and informational barriers.

Conclusions: The growing of tobacco in Pakistan entails significant ecological and health dangers, emphasizing the immediate need for the implementation of sustainable farming strategies to mitigate environmental harm and enhance the socio-economic conditions of farmers. Government support through financial incentives, educational programs, and sustainable farming techniques is essential to reduce the environmental damage and improve public health.

Introduction: Youth smoking and passive exposure is a serious public health problem. This study examined the prevalence of tobacco use and passive exposure to smoke among adolescent athletes.

Methods: This cross-sectional study was conducted in Ankara, Türkiye, in 2023. It was based on the survey data from 201 licensed athletes, of whom 36.3% were female and 63.7% were male, aged 13-14 years, residing in Ankara province. The respondents were asked to complete a questionnaire regarding their use of tobacco products and exposure to secondhand smoke.

Results: The mean age of the respondents was 13.4 ± 0.5 years, with a mean sports age of 3.2 ± 2.0 years. Among the athletes, 92% (n=185) reported they never used tobacco products, 7.0% (n=14) tried, 0.5% (n=1) quit using tobacco products, and 0.5% (n=1) currently smoke tobacco. Among the adolescents, 59.2% reported passive exposure to tobacco smoke inside and 71.1% outside the home. The rates of daily secondhand smoking (≥1 h or <1 h) did not differ by gender (p>0.05), but weekly passive exposure was significantly higher in male athletes (67.0% vs 33.0%, p<0.05), as was no exposure (female: 34.1%, male: 65.9%, p<0.05). Among all athletes, 46.7% reported that at least one of their parents smoked, while 19.9% reported that both parents smoked.

Conclusions: Tobacco use among adolescent athletes in Türkiye is minimal, yet passive smoking is a significant concern. Given the high prevalence of passive smoke exposure reported among adolescent athletes, particularly at home and in outdoor settings, further attention to reducing such exposure is warranted. The low prevalence of active tobacco use in this population suggests that preventive measures may be effective in maintaining low smoking rates as these adolescents age. Significantly lower prevalence of active smoking among the respondents could be attributed to their active engagement in sports and their young 13-14 years age.

Introduction: Developing effective intervention programs to lower adolescent smoking requires a thorough understanding of the sources and methods of youth tobacco product acquisition. This study aimed to identify the sources of cigarettes and related variables among adolescent smokers in Malaysian schools using the latest national data from the National Health and Morbidity Survey: Adolescents Health (NHMS: AHS) 2022.

Methods: We conducted the NHMS 2022: AHS to obtain a representative sample of school-age teenagers via a cross-sectional study design and a multi-stage sampling approach. We selected 1934 school-going adolescents aged 13-17 years who have smoked at least once in the previous 30 days from a total of 33523 respondents in the study. Data were collected from the participants using a pre-validated self-administered questionnaire. The analysis involved calculating adjusted odds ratios (AORs) with 95% confidence intervals (95% CIs). Furthermore, we examined potential two-way interactions between the independent variables.

Results: The study found that 6.2% (95% CI: 5.9-6.6) of teenagers in schools are currently smoking, with a notably higher percentage of male to female current smokers (10.8% vs 1.6%). Approximately 23.1% of current smokers are frequent smokers. Almost three-quarters of current smokers obtained their cigarettes from fixed premises (38.9%), and that friends (34.9%) were the primary sources of cigarettes among adolescents. The data show that more than half (59.7%, 95% CI: 57.0-62.4) of current smokers obtained cigarettes from commercial sources.

Conclusions: The study found that a notably more significant proportion of adolescent smokers obtained their cigarettes from commercial vendors compared to their friends. These finding implies that increased law enforcement and health promotion programs are needed to lower the incidence of adolescent smoking in Malaysia.

Introduction: Secondhand smoke (SHS) exposure poses significant risks to children's health, yet global research on this issue requires further analysis to facilitate a comprehensive exploration of knowledge production and topic trends. This study aims to analyze the research outputs, cooperation and evolution on children's exposure to secondhand smoke.

Methods: A scientometric approach was employed to analyze global research on adolescent secondhand smoke exposure. Data were gathered from scholarly databases and analyzed using CiteSpace software, which was used to assess publication trends, citation patterns, and research collaborations. The study examined publications, citations, interdisciplinary collaboration across countries, institutions, authors, and disciplines, as well as identifying research hotspots and emerging trends using burst detection and co-citation network analysis.

Results: The analysis revealed significant growth in research on adolescent SHS exposure over recent decades, with the United States, United Kingdom, and China being the most productive countries in this field. Key journals in the substance abuse field serve as the primary venues for publishing relevant studies. Interdisciplinary collaborations have increased, particularly between health, policy, and social science disciplines. Research hotspots include the impact of SHS on children's physical and mental health, with a particular focus on behavioral and developmental issues. Additionally, e-cigarette and heated tobacco products have emerged as new concerns in recent research.

Conclusions: The study highlights the rapid expansion of research on SHS exposure among children, underscoring the growing recognition of its widespread health impacts. Interdisciplinary research collaborations are becoming more prevalent, and significant efforts are needed to address emerging issues such as e-cigarette exposure. These results underscore the need for further research to explore and address these evolving issues.

Introduction: With Indonesia ranking top in the Association of Southeast Asian Nations for the number of smokers aged 13-15 years, this study aims to analyze the factors associated with smoking prevention behavior among students of senior high school.

Methods: This cross-sectional pilot study, conducted in 2022 with 90 samples of grade 10-11 students at SMA Negeri 1 Taman Sidoarjo East Java Indonesia, examined variables such as perceived vulnerability (the belief about the risk of experiencing a health issue), severity (the belief about the seriousness of the health issue), benefits (the belief in the benefit of taking preventive actions), barriers (the perceived obstacles to performing preventive behaviors), self-efficacy (the confidence in one's ability to perform preventive behaviors successfully), and cues to action (factors that trigger the decision to engage) in relation to health behaviors. Data were analyzed using the chi-squared test.

Results: The chi-squared analysis showed significant associations between several factors and smoking prevention behavior. For perceived susceptibility, 34.4% with high susceptibility had good behavior, and 13.3% had not good behavior (p=0.000). For perceived severity, 33.3% with high severity exhibited good behavior, and 21% had not good behavior (p=0.002). Regarding perceived benefits, 28.9% with high benefits showed good behavior, while 22.6% had not good behavior (p=0.018). Self-efficacy indicated 36.7% with high self-efficacy demonstrated good behavior versus 25.8% with not good behavior (p=0.001). Cues to action revealed that 28.9% with high cues had good behavior, and 18.9% did not have good behavior (p=0.003). No association was found for perceived barriers (p=0.386).

Conclusions: The level of smoking prevention behavior is influenced by perceived susceptibility, severity, benefits, self-efficacy, and cues to action. Therefore, more intensive and targeted efforts are needed to promote awareness of the dangers of smoking and to enhance adolescents' self-efficacy in preventing smoking.