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- Associations of Smoking Behaviors and Body Mass Index Among American
Participants of a Clinical Tobacco Cessation Program: A Pilot Study
Authors: Jihyun Jane Min, Bekir Kaplan, Alejandra Ellison-Barnes, Panagis Galiatsatos
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
BackgroundTobacco usage and obesity remain critical public health issues in the United States. This study examined the relationship between smoking behaviors, specifically—cigarettes per day (CPD) and motivations to smoke—and body mass index (BMI). We hypothesized that motivations related to food or stress, as well as a higher CPD, will be positively associated with BMI.MethodologyWe analyzed the electronic medical records of 204 patients from the Johns Hopkins' Tobacco Treatment and Cancer Screening Clinic (TTCSC) between January and April 2022. Demographic information, smoking behavior, CPD, and motivations to smoke were recorded. Multiple linear regression analysis was performed.ResultsWe found no statistical significance between motivations to smoke, CPD, and BMI. However, the age at a patient’s first visit to the TTCSC was negatively associated with BMI (B = −0.152, P < 0.001).ConclusionsSmoking behaviors were not significantly related to BMI in our sample. It is advisable for clinicians working in tobacco cessation clinics to consider the BMI of individuals who present for cessation services, especially for younger individuals who smoke. They may be more likely to have an elevated BMI at presentation.
Citation: Tobacco Use Insights
PubDate: 2024-08-06T06:41:29Z
DOI: 10.1177/1179173X241272359
Issue No: Vol. 17 (2024)
- Marketing Strategies Used by Tobacco Companies Targeting the Queer
Community
Authors: Kendra Lewis, Diamond Cunningham, Pamela Valera
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Background: This study described the marketing strategies tobacco companies use to advertise tobacco products to the Queer community.Methods: In this secondary qualitative analysis, 15 Queer participants were interviewed to explore their life experiences with tobacco product advertisements during the early days of the COVID-19 pandemic.Results: Participants self-reported as male (n = 5), followed by female (n = 4), gender non-binary (n = 4) and, transgender (n = 2). In addition, most participants identified as Black/African American (n = 7) or White (n = 7). Many participants identified as Bisexual (n = 5) or Queer (n = 4). Using narrative analysis, the themes for this study were: (1) tobacco and vaping companies target minoritized and Queer people; (2) tobacco and vape companies maintain their presence by sponsoring local Lesbian, gay, bisexual, transgender, questioning, intersex, asexual, and other community (LGBTQIA+) bars and Pride events, often through giveaways and coupons; and (3) the use of social media influencers represents a new social marketing technique. As a result, Queer participants were more likely to encounter many different types of advertisements from tobacco companies and, most recently, social media influencers.Conclusion: Social media influencers are a new factor that needs further study to understand the new tobacco advertising landscape.
Citation: Tobacco Use Insights
PubDate: 2024-07-21T04:08:40Z
DOI: 10.1177/1179173X241265743
Issue No: Vol. 17 (2024)
- Testing a Brief Quitline Intervention for Tobacco Cannabis Co-Users: A
Randomized Controlled Pilot Study
Authors: Kelly M. Carpenter, Denise D. Walker, Kristina Mullis, Helena M. Berlin, Etta Short, Harold S. Javitz, Beatriz H. Carlini
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Background: Tobacco cannabis co-use is common and becoming more prevalent. Frequent and heavy users of cannabis may struggle to quit smoking. Quitlines offer free cessation treatment in the United States and 25% of quitline callers may also be cannabis users. The present paper describes a randomized pilot study of a tailored intervention for cannabis and cigarette co-users. The intervention combines the quitline smoking cessation treatment with a motivational enhancement therapy-based cannabis intervention. Methods: The randomized pilot study was conducted within four state-funded quitlines with quitline coaches as interventionists. 102 quitline callers who were cannabis and cigarette co-users were randomized to receive treatment as usual (TAU) or the new Quitline Check-Up (QLCU) intervention. Outcomes were collected 90 days post-randomization. Primary outcomes included feasibility and acceptability of delivering the QLCU in the quitline setting. Secondary outcomes included 7-day point prevalence tobacco abstinence, past 30-day cannabis use, and Cannabis Use Disorder Identification Test scores.Results: Study participants were heavy cannabis users, averaging 25 days of use in the past 30; nearly 70% used at a level considered hazardous. Fidelity ratings indicated coaches were successful at delivering the intervention. Treatment engagement was high for both groups (TAU m = 3.4 calls; QLCU m = 3.6 calls) as was treatment satisfaction. Intent-to-treat quit rates (with survey non-responders classified as smokers) were 28.6% for the TAU control group and 24.5% for the QLCU group (P = .45). Discussion: Hazardous cannabis use rates were high in this sample of tobacco cannabis co-users calling quitlines to quit smoking. The intervention for co-users was acceptable and feasible to deliver. No improvements in tobacco cessation outcomes were observed. Pragmatic intervention development within a real-world clinical setting can streamline the intervention development process. More research is needed on tobacco cannabis co-users and who can benefit from a tailored intervention. Registered: ClinicalTrials.gov NCT04737772, February 4, 2021.
Citation: Tobacco Use Insights
PubDate: 2024-06-12T02:19:43Z
DOI: 10.1177/1179173X241261302
Issue No: Vol. 17 (2024)
- Predicting Time to Return to Cannabis Use After a Cessation Attempt:
Impact of Cumulated Exposure to Nicotine-Containing Products
Authors: Natalia Poliakova, Lydia A. Shrier, Sion Kim Harris, Richard E. Bélanger
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Objective: Cannabis is frequently co-used with tobacco/nicotine products, especially among young adults. Little is known about the effects of this co-use on cannabis cessation outcomes. Within a sample of young adults using cannabis frequently (current use of ≥5 days/week in the past 3 months), this study aimed to (a) document sources of exposure to tobacco/nicotine products, whether used simultaneously with cannabis or on different occasions, (b) examine if the level of cumulated exposure to tobacco/nicotine (self-reported or from biochemical testing) could predict time to cannabis lapse during a cannabis abstinence period, and (c) explore the relationship between nicotine/tobacco exposure and time to cannabis lapse according to tobacco cigarette smoking status. Method: Urine cotinine measures and self-reported data on use of different tobacco/nicotine products, collected from 32 participants (aged 19 to 23), were analyzed to predict time to lapse during a 2-week period of attempted abstinence from cannabis, controlling for cannabis dependence and sex. Results: Half of participants (56.3%) used at least one tobacco/nicotine product. Higher urine cotinine, representing higher cumulated tobacco/nicotine exposure, was related to a higher risk of lapsing (Hazard Ratio [HR] = 1.64; 95%CI [1.04, 2.58]). The risk of lapsing was even higher ([HR] = 3.46; 95%CI [1.17, 10.25]) among heavily tobacco/nicotine exposed (>600 ng/mL, urine cotinine) participants than among unexposed (
Citation: Tobacco Use Insights
PubDate: 2024-06-05T09:34:30Z
DOI: 10.1177/1179173X241259603
Issue No: Vol. 17 (2024)
- Tobacco Use and Associated Factors Among Men in Tanzania: Further Analysis
of the 2022 Tanzania Demographic and Health Survey Data
Authors: Christopher Hariri Mbotwa, Linus Paul Rweyemamu
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Background: Tobacco use is a significant public health challenge, contributing to preventable diseases and premature deaths globally. We aimed to determine the prevalence of tobacco use and associated factors among men in Tanzania.Methods: This was a cross-sectional analysis of data from the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey. The study population comprised men aged 15-49 years. Weighted logistic regression was performed to identify factors associated with tobacco use.Results: A total of 5763 men with a mean age of 28.6 ± 10 years were included in the analysis. The overall prevalence of tobacco use was 11.1%, with 95% of users consuming smoked products, 17.1% using smokeless products, and 12.1% using both smoked and smokeless products. Older age was associated with increased odds of tobacco use, with odds of tobacco use increasing with each higher age group. Similarly, alcohol consumption was associated with greater odds of tobacco use. On the other hand, having a secondary education or higher, lack of occupation, being the head of the household, and owning a mobile telephone were associated with lower odds of tobacco use. Geographically, men from the Eastern zone and Zanzibar exhibited greater odds of tobacco use, while those from the Southern highlands zone had lower odds.Conclusion: This study revealed a significant prevalence of tobacco use among Tanzanian men and was associated with different individual, interpersonal, and community factors. The findings underscore the need for targeted interventions considering age-specific risk factors and geographical variations.
Citation: Tobacco Use Insights
PubDate: 2024-06-03T04:41:25Z
DOI: 10.1177/1179173X241259605
Issue No: Vol. 17 (2024)
- Secondhand Smoke and Socio-Demographic Associated Factors: Results From
the Vietnam Population-Based Provincial Global Adult Tobacco Survey in
2022
Authors: Le Thi Thanh Huong, Tran Thi Tuyet Hanh, Le Tu Hoang, Phan Van Can, Thang Nguyen-Tien, Nguyen Quynh Anh, Phan Thi Thu Trang, Nguyen Thi Huong, Dao Le Hoang Minh, Luong Ngoc Khue, Phan Thi Hai, Nguyen Thuy Linh, Duong Tu Anh, Hoang Van Minh
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Background: Secondhand smoke (SHS) has detrimental effects on community health, including coronary heart diseases, stroke, lung cancer etc. This manuscript exploited data from the Vietnam Population-based Provincial Global Adult Tobacco Survey (PGATS) in 2022 to update the prevalence of adult exposure to SHS and associated socio-demographic factors.Methods: With the sample size of 71,981 adults aged 15+ throughout 30 provinces and cities in Vietnam, data was collected using the Global Adult Tobacco Survey (GATS) questionnaire. Bivariate analysis and multivariate logistic regression modelling were performed.Results: In the past 30 days, 44.4% (95% CI: 44.0%-44.9%) adults aged 15+ exposed to SHS at home while 23.1% (95% CI: 22.6%-23.6%) exposed to SHS at work. Female exposure to SHS in the past 30 days was higher at homes but lower at indoor workplaces. Participants aged 15-24 were likely to have higher odds of SHS exposure in the past 30 days to other age groups. Those living in the urban areas had 1.15 times higher odds (95% CI: 1.08-1.22) of exposure to SHS than those in the rural areas. Current smokers tended to have 2.2 times higher odds of exposure to SHS at the indoor workplaces compared to non-smokers (95% CI: 2.05-2.37).Conclusions: The prevalence of exposure to SHS at home was still relatively high amongst the adult population. While there was a significant reduction of SHS exposure at indoor workplaces, there was a higher prevalence of women being exposed to SHS at home. The Government of Vietnam should continue to strictly implement the smoke-free environment resolution at indoor workplaces and appropriate communication campaigns to protect people, especially women from SHS exposure at homes.
Citation: Tobacco Use Insights
PubDate: 2024-05-30T12:48:26Z
DOI: 10.1177/1179173X241257683
Issue No: Vol. 17 (2024)
- Knowledge, Attitude, and Perception of Passive Smoking Among Medical and
Dental Students of Karachi: A Survey-Based Study
Authors: Uzma Naseeb, Muhammad Tauseef Alam, Faariah Pervez, Muhammad Saqlain Mustafa, Umama Azam, Sindhu Laila, Muhammad Ashir Shafique
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
BackgroundPassive smoking, the involuntary inhalation of tobacco smoke, poses significant health risks; however, its prevalence and impact on medical and dental students in Karachi, Pakistan, remain understudied. Therefore, this research aims to understand the knowledge, attitudes, and practices (KAP) regarding passive smoking among medical and dental students and will help shed light on their awareness, perceptions, and behaviours regarding this public health concern.MethodsA cross-sectional study was conducted over 3 months, involving 378 medical and dental students (303 medical and 75 dental students)from various universities in Karachi. Participants completed a questionnaire to gather information on demographics, awareness of passive smoking, perceptions of its health effects, and actions taken in response to exposure.ResultsThe majority of participants demonstrated awareness of passive smoking 320 (84.7%) and believed that it was essentially linked to active smoking 320 (84.7%). Cigarette smoke was identified as the primary contributor to passive smoking 345 (91.3%). A significant proportion of participants believed that children and pregnant women exposed to passive smoking had elevated health risks. In areas where smoking is not permissible, less than half of the participants 173 (45.8%) reminded smokers about the smoking regulations, and a few even referred smokers for counselling 141 (37.3%). Males are usually indifferent to smokers around them, whereas females are found uncomfortable with smoking in their surroundings.ConclusionIn conclusion, our study highlights the persistent prevalence of passive smoking among medical and dental students in Pakistan. Enforcing strict tobacco control policies, integrating passive smoking education into medical curricula, and improving communication strategies for smoking cessation interventions are crucial steps towards creating smoke-free environments and healthier lifestyles nationwide. Despite awareness among medical and dental students about the dangers of cigarette smoking, their reluctance to urge regular smokers to quit underscores the need for improved communication between smokers and non-smokers to foster a cleaner and hazard-free environment.
Citation: Tobacco Use Insights
PubDate: 2024-05-23T11:49:04Z
DOI: 10.1177/1179173X241258347
Issue No: Vol. 17 (2024)
- The Whole Package: A Multi-Component Smoking Cessation Intervention for
Adults With Serious Mental Illness: A Qualitative Study
Authors: Heather Leutwyler, Erin Hubbard, Gary Humfleet, Richard Souza, Dennys Balestra, Margaret Wallhagen
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Introduction: Smoking is one of the most important modifiable risk factors for excess morbidity and mortality in adults with serious mental illness (SMI). Many smokers with SMI are reportedly motivated to quit, however success rates among these smokers remain low and evidence-based treatment targeting this vulnerable group is limited. The purpose of this paper is to report the results of a qualitative inquiry of participants. Methods: We conducted a pilot two-arm randomized controlled trial (RCT) targeting adults with SMI. Our smoking cessation intervention included: (a) group-based physical activity (PA) game intervention (50 minutes, 3X/week for 12 weeks), (b) pharmacotherapy (bupropion or nicotine replacement therapy), and (c) smoking cessation counseling. Upon completion of the program, participants in the active and control groups completed a qualitative semi-structured interview in order to determine how the program impacted their smoking cessation. Grounded Theory methodology guided our data collection and analysis. Results: Twenty participants completed an interview. Participants described how the “whole package” of the 3 components of the intervention were critical to their smoking cessation process. The group-based program provided the structure, resources, and encouragement needed to start the process of quitting. Conclusion: Adults with SMI need support, resources, and engaging activities as they begin quitting and practice the skills needed to quit.
Citation: Tobacco Use Insights
PubDate: 2024-05-21T07:59:02Z
DOI: 10.1177/1179173X241253229
Issue No: Vol. 17 (2024)
- Smoking Policies of Outpatient and Residential Substance Use Disorder
Treatment Facilities in the United States
Authors: Alison G. Holt, Andrea Hussong, M. Gabriela Castro, Kelly Bossenbroek Fedoriw, Allison M. Schmidt, Amy Prentice, Orrin D. Ware
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Tobacco use is associated with morbidity and mortality. Many individuals who present to treatment facilities with substance use disorders (SUDs) other than tobacco use disorder also smoke cigarettes or have a concomitant tobacco use disorder. Despite high rates of smoking among those with an SUD, and numerous demonstrated benefits of comprehensive SUD treatment for tobacco use in addition to co-occurring SUDs, not all facilities address the treatment of comorbid tobacco use disorder. In addition, facilities vary widely in terms of tobacco use policies on campus. This study examined SUD facility smoking policies in a national sample of N = 16,623 SUD treatment providers in the United States in 2021. Most facilities with outpatient treatment (52.1%) and facilities with residential treatment (67.8%) had a smoking policy that permitted smoking in designated outdoor area(s). A multinomial logistic regression model found that among facilities with outpatient treatment (n = 13,778), those located in a state with laws requiring tobacco free grounds at SUD facilities, those with tobacco screening/education/counseling services, and those with nicotine pharmacotherapy were less likely to have an unrestrictive tobacco smoking policy. Among facilities with residential treatment (n = 3449), those with tobacco screening/education/counseling services were less likely to have an unrestrictive tobacco smoking policy. There is variability in smoking policies and tobacco use treatment options in SUD treatment facilities across the United States. Since tobacco use is associated with negative biomedical outcomes, more should be done to ensure that SUD treatment also focuses on reducing the harms of tobacco use.
Citation: Tobacco Use Insights
PubDate: 2024-05-14T01:34:41Z
DOI: 10.1177/1179173X241254803
Issue No: Vol. 17 (2024)
- Smoking Habits and Nicotine Dependence Among the General Lebanese
Population Before and During Both the Economic Crisis and COVID-19
Pandemic
Authors: Nina Rossa Haddad, Charbel B. Aoun, Abdo Mghames, Mustafa Saleh, Mirna N. Chahine
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
ObjectiveSmoking habits have widely changed over time; however, they remain a well-known fashion that risks people’s health. In addition, nicotine addiction depends on the interplay between several factors. Our study aimed to understand the smoking habits and nicotine dependence in the Lebanese population before (September 2019) and during (June 2020) the economic crisis and COVID-19 pandemic.MethodsThis observational cross-sectional survey-based study included 1560 Lebanese individuals aged between 13 and 75 years old from June till October 2020. Data collection was performed through an electronic survey including patients’ demographics and validated instruments to assess addiction to nicotine (CAGE, Four C’s, Fagerström test, and Smoker’s profile scores).ResultsOut of 1560 participants, 794 (50.9%) were males. The mean age was 26.5 ± 11.69 years, and 67.8% were aged between 18 and 25 years old. We found that 865 (55.4%) participants were smokers. In addition, smoking cigarettes or vaping, significantly increased between September 2019 and June 2020. Our smoker group showed a high CAGE positivity (P < .001), marked compulsion (P < .001), and a considerable lack of self-control to surcease smoking (P < .001). Furthermore, the nicotine dependence score (NDS) increased with age (B = .166) and decreased with higher educational levels (B = −.219).ConclusionDuring the economic crisis and the COVID-19 pandemic, the Lebanese population showed an increased prevalence of smoking, a high level of CAGE positivity, strong compulsion, and a significant lack of self-control when it came to quitting smoking. This strongly entails public health measures for smoking cessation through national awareness campaigns.
Citation: Tobacco Use Insights
PubDate: 2024-05-13T05:03:30Z
DOI: 10.1177/1179173X241253962
Issue No: Vol. 17 (2024)
- Characterizing Tobacco Usage in Otolaryngology Patients to Target Smoking
Cessation Efforts
Authors: Pallavi Kulkarni, Joseph Dao, Tonya S. King, Jessica Yingst, Karen Y. Choi
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
ObjectiveSmoking cessation is critical in reducing incidence of head and neck cancers (HNC) and improving postoperative outcomes. Accurate documentation of tobacco usage is necessary to understand prevalence in patients to target smoking cessation. This study aims to characterize tobacco usage documentation, including electronic nicotine delivery systems (ENDS) use, among otolaryngology patients.Study DesignRetrospective chart review.SettingPenn State Health Milton S. Hershey Medical Center (PSHMC).MethodsA retrospective chart review was conducted on adult otolaryngology patients seen from January 1, 2020 – December 31, 2020. Patient demographics, details of alcohol and tobacco usage, including type of tobacco, and subspecialty seen were collected. Associations were evaluated using chi-square tests and a multivariable logistic regression model.ResultsPatients (n = 2137) were an average of 58.4 years old ±18.0, 59.3% female, and 78.0% white. Of participants with documented tobacco history (n = 944), 56.7% were never users, 28.9% were former users, and 14.4% were current users. Among current users (n = 308), 86.4% used cigarettes, and 5.2% used ENDS. The remainder used chew (4.9%) and cigars (3.25%). Odds of tobacco use were 1.5x greater for males (95% CI 1.19-2.00), 1.6x greater for unmarried patients (95% CI 1.24-2.09), 2.1x greater for those with no insurance vs government (95% CI 1.43-3.18), and 2.4x greater for those diagnosed with HNC (95% CI 1.64-3.49).ConclusionMost patients report cigarette smoking when asked about tobacco use. Taking into consideration the rise of ENDS use, our sample showed ENDS use that was higher than the national average. There is significant opportunity for improved history taking, especially within general and head and neck oncology subspecialties for more comprehensive treatment.
Citation: Tobacco Use Insights
PubDate: 2024-05-09T10:50:37Z
DOI: 10.1177/1179173X241251805
Issue No: Vol. 17 (2024)
- Examining the correlates of cigarette smoking, e-cigarette use and dual
use among Canadian post-secondary students
Authors: Matthew James Fagan, Jian Kun Zhan, Kelly B. Wunderlich, Guy Faulkner
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
Many Canadians use nicotine products such as cigarettes and e-cigarettes. A particular subpopulation of concern is post-secondary students given they have a higher prevalence of use. Many correlates of cigarette smoking and e-cigarette use have been identified. However, less focus has been on examining the correlates of cigarette smoking, e-cigarette use and dual use. This study explores the correlates of different nicotine modality use in post-secondary students. Using data from the Canadian Campus Wellbeing Survey (CCWS; n = 27,164), a multi-level nominal regression assessed the correlates of nicotine modality use. In comparison to individuals who were
Citation: Tobacco Use Insights
PubDate: 2024-04-15T10:08:59Z
DOI: 10.1177/1179173X241247414
Issue No: Vol. 17 (2024)
- E-Cigarette Brand Trends in the United States: An Investigation of Data
From a Youth and Young Adult Sample and the E-Cigarette Retail Market
(2022)
Authors: Elizabeth K. Do, Megan C. Diaz, Adrian Bertrand, Shiyang (Michael) Liu, Elizabeth C. Hair
Abstract: Tobacco Use Insights, Volume 17, Issue , January-December 2024.
BackgroundElectronic cigarettes (e-cigarettes) remain the most used tobacco product among young people in the United States (US). Given the need for current data on popular e-cigarette products, the current study leverages data from a rapid surveillance survey of young people and examines whether the top e-cigarette brands identified from this source align with US market data.MethodologyData were obtained from current e-cigarette users (N = 4145) participating in the Truth Continuous Tracker Online (CTO; a cross-sectional tracking survey of 15-24 year-olds sourced from the national Dynata panel) and NielsenIQ retail scanner data, collected in 2022 and aggregated by quarter (Q1, Q2, and Q3). The top 15 e-cigarette brands were determined from respondents’ endorsement in the Truth CTO and ranked total sales in NielsenIQ in nominal dollars.ResultsOverall, 58% of e-cigarette brands overlapped across the Truth CTO and NielsenIQ data (60% for Q1, 47% for Q2 and 67% for Q3). Pod-based (JUUL; VUSE) and disposable (Hyde; Breeze Smoke) brands appeared as top brands in both datasets. Top brands were fairly consistent within and across quarters; though, more variability was found in the Truth CTO, relative to NielsenIQ. Many top brands were disposable.ConclusionsResults suggest that data from rapid surveillance and retail data can be used complementarily to characterize the popular e-cigarette brands currently on the US market. Many of these popular e-cigarette brands have yet to receive marketing granted orders under the US Food and Drug Administration, suggesting the need to continue monitoring e-cigarette brands among young people.
Citation: Tobacco Use Insights
PubDate: 2024-03-05T07:58:41Z
DOI: 10.1177/1179173X241237216
Issue No: Vol. 17 (2024)
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