Tobacco Prevention & Cessation最新文献

Introduction: Heated tobacco products (HTPs) are readily available at diverse points of sale (POS) in Egypt. This study aims to assess these advertisements and promotions to provide evidence for policymakers on the need for tobacco control law amendments and enforcement in Egypt.

Methods: A cross-sectional descriptive study was conducted in Cairo and Giza governorates in 2022 through a convenience sample to collect data from 150 POS. The study's data collection tools assessed the availability, display, advertisement, and promotion of HTP at each site.

Results: Price promotions were available at 18% of the visited sites, ranging between bundles and promo code discounts; 75% of the points of sale had some type of advertisement, either inside (67.3%) or outside (36%), stating that HTP are less harmful than traditional cigarettes because they do not burn. HTP display was commonly around the cashier area (87.3%), followed by candy and gum (80.7%) or soda, ice cream, or coffee machines (66%).

Conclusions: The reported advertisement and promotion of HTP at POS and their sale to minors violate the National Tobacco Control Law 52/1981. These violations risk the health of the youth. We call on policymakers to explicitly ban all sorts of advertisement and promotion of tobacco products at POS, and enforce the ban of sale to minors (under 18 years).

Introduction: Certified peer support specialists, recovery coaches and community health workers uniquely connect to individuals who smoke through shared experiences. This study examines peers' perceptions of tobacco cessation supports to enhance policy and intervention opportunities in rural and non-rural communities.

Methods: Peers (n=172) responded to a needs assessment available from 30 November 2023 to 1 February 2024. Peers were asked questions about their perceptions of currently available and additional support for tobacco cessation. We report overall ratings of these services, as well as ratings stratified by rurality.

Results: Over half of peers perceived widely available tobacco cessation services (Quitline, counseling, NRT, medications, peer-to-peer support) as somewhat effective. Peers tended to favor financial accessibility, holistic health approaches, flexible approaches focused on harm reduction, and increased tobacco cessation services awareness, as well as peer support as additional services. When stratified by rurality, more rural-residing peers reported current tobacco cessation services as at least somewhat effective, but called for greater access to these services and/or the need for novel approaches specifically for individuals in rural communities. Rural peers emphasized the importance of more holistic support, cessation services awareness, virtual opportunities, peer-led services, and healthcare provider education for stigma prevention than their urban counterparts.

Conclusions: Most peers view existing supports as somewhat effective, with peer-to-peer support rated highest. Rural-residing peers favored holistic and virtual supports and urban-residing peers emphasized harm reduction and healthcare coverage, suggesting future cessation efforts within the peer workforce should address rural-specific barriers and leverage community-centered, flexible approaches.

Introduction: Implementation of a 100% tobacco-free policy at universities can assist in limiting the potential negative health impacts of tobacco use, such as susceptibility to lung and heart disease, cancer, addiction, and life-long use. This study's goal was to gain the perspective of students and non-students across a large Midwestern university campus on implementation of a 100% tobacco-free policy.

Methods: Students, faculty, and staff of a Midwestern university were recruited to complete a 19-question cross-sectional online survey on tobacco use on campus, awareness of the current tobacco-free policy, and their interest in supporting a 100% smoke-free policy on campus. The survey included open- and close-ended questions, and responses were analyzed qualitatively and quantitatively.

Results: A total of 2389 respondents completed the survey, and 291 (12.2%) reported current tobacco use from April to July 2024. Participants with a higher probability of current tobacco use were associated with having a higher degree of exposure to secondhand aerosols (AOR=1.34; 95% CI: 1.10-1.62), more awareness of the current tobacco policy (AOR=1.19; 95% CI: 1.06-1.32), and disagreed with the petition statement in support of a 100% tobacco-free campus policy (AOR=2.47; 95% CI: 1.48-4.12). Participants that reported a higher degree of exposure to secondhand aerosols (AOR=2.18; 95% CI: 1.19-3.99) and agreed with the statement that a 100% smoke-free campus policy would promote a healthier college campus (AOR=2.18; 95% CI: 1.20-3.96) were significantly associated with supporting the petition for a 100% smoke-free policy on this university campus.

Conclusions: Supporting a 100% tobacco-free policy for a healthier and safer university campus was demonstrated to be associated with secondhand aerosol exposure among survey respondents.

Introduction: Tobacco waste is a costly, widespread blight and environmental toxicant that is not distributed equally across geographical areas. This investigation reports on the prevalence of noticing tobacco litter and potential inequities in tobacco litter exposure among adolescents in California, USA.

Methods: Data from the 2023 Teens, Nicotine, and Tobacco (TNT) Online Survey (N=4910), a statewide, online cross-sectional survey of California adolescents aged 12-17 years, were analyzed for the self-reported frequency of noticing tobacco product litter. All participants were asked to report how often they notice tobacco product litter (closed-ended response options: almost always, sometimes, once in a while, never). Survey-weighted multivariable regression models were fitted to quantify the odds of noticing tobacco litter 'almost always' according to participant characteristics (age, sex, gender/sexual identity, race/ethnicity, location, family finances, and own and household tobacco use). Data were weighted for geographical and demographic representativeness and response quality.

Results: The prevalence of noticing tobacco litter almost always was 44.6% overall and higher among participants who identified as Hispanic/Latino (50.9%) or LGBTQ+ (53.3%), lived in a small town (57.8%), or whose families were financially disadvantaged (52.7%). These inequities persisted in multivariable models, including adjustment for own and household tobacco use. For example, Hispanic/Latino participants had 1.66-times the adjusted odds of almost always noticing tobacco litter (95% CI: 1.32-2.07; reference: non-Hispanic White); the adjusted odds ratio for LGBTQ+ identity was 1.39 (95% CI: 1.04-1.87; reference: non-LGBTQ+).

Conclusions: The pervasive exposure to tobacco litter observed in this study suggests a need for stronger efforts to reduce tobacco waste, with an emphasis on advancing equity.

Geek Bar is an e-cigarette brand that has seen a substantial rise in sales in the past year. During this time, the brand has utilized an extensive experiential marketing campaign targeting music and arts festivals, especially electronic dance music (EDM) events. This campaign utilizes both festival attendance and social media to create associations between the brand and EDM culture. To analyze this campaign, we downloaded and coded 18 months of Instagram posts by Geek Bar for the festivals mentioned and relevant themes. During the last six months of data collection, 39% of all Instagram posts by Geek Bar were about festivals. The account regularly drew connections between the brand and EDM culture, showing artists/DJs performing alongside young, attractive e-cigarette users. Such attempts to create ties between the brand and EDM culture are concerning given the younger age of EDM fans. These techniques will likely continue due to the lack of regulations and enforcement on e-cigarettes and experiential marketing.

Introduction: People with psychiatric and substance use disorders are more likely to smoke and less likely to quit than smokers in the general population. We evaluated the efficacy of e-cigarettes for abstinence from tobacco smoking in people with psychiatric and substance use problems.

Methods: We analyzed data collected in the larger 'Efficacy, Safety, and Toxicology of ENDS as an Aid for Smoking Cessation' (ESTxENDS) trial (n=1246): the intervention group received e-cigarettes and e-liquids, plus standard-of-care smoking cessation counseling (SOC) for 6 months; the control group received SOC and a voucher. The primary outcome was biochemically validated continuous self-reported abstinence at 6 months; secondary outcomes included 6-month and 7-day self-reported abstinence. We calculated adjusted relative risks (ARR) for two subsamples meeting these conditions at the baseline visit: 1) psychotropic medication use; and 2) problematic substance or polysubstance use.

Results: Among the participants using psychotropic medications (n=239), the ARR for validated abstinence was 2.62 (95% CI: 1.40-4.90) in the intervention group versus the control group, 2.95 (95% CI: 1.72-5.07) for 6-month and 2.96 (95% CI: 1.92-4.55) for 7-day self-reported abstinence, while among participants with problematic substance or polysubstance use (n=818), the ARR was 1.57 (95% CI: 1.20-2.04), 1.42 (95% CI: 1.15-1.74), and 1.53 (95% CI: 1.31-1.79), respectively.

Conclusions: Adding e-cigarettes to standard-of-care counseling increased the likelihood that participants with psychiatric and substance use problems would abstain from smoking, but larger studies should test the efficacy and safety of smoking cessation interventions in this often-marginalized population.

Introduction: Rural regions generally report higher smoking rates than urban centers, which increases the risk of tobacco related harms and consequences, and makes promoting smoking cessation in these areas a priority. Mass distribution of nicotine replacement therapy (NRT) by postal mail has been found to increase the odds of successful cessation attempts. Understanding factors that contribute to the use of NRT could help maximize this intervention's effectiveness.

Methods: People who smoke cigarettes and live in rural areas of Canada were recruited from December 2020 to February 2022 using random digit telephone dialing. Participants were either randomized to be mailed a free, 5-week supply of NRT patches (experimental condition; n=252) or not (control condition; n=246). This secondary analysis used data from this randomized controlled trial to conduct an ordinal regression to determine if any variables measured at baseline predicted which participants in the experimental condition used none, some, or all of the NRT patches.

Results: Greater confidence in ability to quit (AOR=1.07; 95% CI: 1.00-1.15) independently predicted more patch use, while living in more remote places (AOR=0.25; 95% CI: 0.07-0.90) and past substance use (compared to having no history) (AOR=0.68; 95% CI: 0.45-1.04) independently predicted less use.

Conclusions: Understanding what contributes to NRT use in rural mass distribution programs could help maximize the odds of successful cessation attempts, personalize treatment recommendations, and target limited rural resources. Future research focused on rural NRT use and smoking cessation is merited.

The illicit trade of tobacco products trade continues to challenge tobacco control efforts in several African countries, including Ghana. Ghana recently ratified the Framework Convention for Tobacco Control (FCTC) Protocol to Eliminate Illicit Trade in Tobacco Products ('the Protocol'). This Protocol aims to eliminate all kinds of illicit tobacco. This study aims to enhance understanding of Ghana's illicit cigarette market size, nature, and contributing factors. In doing so, it will help to inform future tobacco control policy. This study included a desk-based mapping of unpublished data looking at existing documents, reports, and websites (n=24 data sources) from 2012 to 2023 and semi-structured interviews with key informants representing government, civil society organizations, media, and international organizations (n=10). Stakeholders indicated the illicit cigarette market in Ghana to be a cross-border issue, with its extent ranging from 10% to 35% of the total cigarette market. Porous borders, lack of political interest, the tobacco tax structure, industry interference, and poor awareness and capacity of customs officials, were identified as contributing factors. Documents reviewed, highlighted the introduction of tax stamps in 2018, ratification of the Protocol in 2021, and the recent review of tobacco taxes as important steps taken by the government to address the illicit cigarette market. This study provides novel insights into the illicit cigarette market in Ghana and identifies major advances in the government's strategy to address it. However, there remains a need for continuous monitoring of borders, alongside more investment in enforcement, national workshops, and training for customs and government officials on the current tax structure, industry tactics, and full Protocol implementation.

Introduction: In Nigeria, there is very limited evidence on factors that influence shisha smoking, and this hinders effective tobacco control policymaking. We, therefore, aimed to identify factors associated with shisha smoking among the general population adults in Nigeria.

Methods: We conducted a telephone-based, cross-sectional survey between 28 July and 11 September 2022 in 12 states of Nigeria. Our outcome of interest was self-reported current shisha smoking status, and the independent variables included potential behavioral, biological, mental health, environmental, and social determinants of shisha smoking. We performed logistic regression analysis, with adjusted odds ratios (AORs) and 95% confidence intervals (CIs) as the measures of association.

Results: We surveyed 1278 individuals: 611 who currently smoked shisha and 667 who did not. The following increased the likelihood of being a person who currently smokes shisha: being a person who currently smokes cigarettes (AOR=5.54; 95% CI: 2.57-11.90) or consumes alcohol (AOR=3.46; 95% CI: 1.91-6.28); and having a family member (AOR=2.32; 95% CI: 1.23-4.40), or one (AOR=22.81; 95% CI: 9.99-52.06) or more (AOR=78.85; 95% CI: 22.50-276.33) close friends who smoke shisha. The following reduced the likelihood of being a person who currently smokes shisha: being older (AOR=0.92; 95% CI: 0.89-0.95) and screening positive for possible generalized anxiety disorder (AOR=0.60; 95% CI: 0.41-0.88). We found sex differences in the factors associated with shisha smoking, particularly on the effects of household wealth, employment status, having family members who smoke shisha, and mental health.

Conclusions: Strategies to curb shisha smoking need to account for the associated biological, social and behavioral factors, including age, cigarette smoking, alcohol consumption, and having family members or close friends who smoke shisha. They should also account for sex differences, and differences that exist between shisha smoking behavior and the smoking of other tobacco products.

Introduction: The tobacco industry presence in the retail environment ensures its access to current and potential tobacco users. Reduction of tobacco retail is an emerging tobacco control measure. Many policies that would potentially lead to reduction in retail are not covered by international tobacco laws and are individually adopted in some jurisdictions. This study examines public perception on potential effect of suggested policies in one of the few countries where tobacco market is increasing, Egypt.

Methods: A cross-sectional online survey study was implemented in Egypt, June 2023 to March 2024 to assess the perception of the public towards 12 suggested policies that aim to reduce both tobacco availability and purchase by regulating the tobacco retail environment. The survey was disseminated through social media and 320 completed responses were received. Responses on perception followed five-point Likert scales.

Results: Participants felt they could easily access tobacco products around places of residence, work, and study. The largest proportion of participants (53.1%) reported good agreement that the suggested policies would have an impact in reducing tobacco availability and retail, while 39.7% had fair agreement, and only 7.2% had poor agreement.

Conclusions: Most participants believe that policies reducing tobacco availability and sales would be effective. Non-users rated these policies as more effective than tobacco users. Younger adults viewed these policies more favorably than older adults. The study suggests public support for tobacco control measures to address the prevalent tobacco retail environment in Egypt, indicating a need for policymakers to adopt these measures to protect future generations. Additional research using larger randomly selected populations in Egypt is needed to corroborate these results.