841 results
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2. Research paper. The relationship between socioeconomic status and ‘hardcore’ smoking over time - greater accumulation of hardened smokers in low-SES than high-SES smokers.
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Clare, Philip, Bradford, Deborah, Courtney, Ryan J., Martire, Kristy, and Mattick, Richard P.
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SMOKING & psychology , *CONFIDENCE intervals , *RESEARCH funding , *SMOKING , *SURVEYS , *LOGISTIC regression analysis , *SOCIOECONOMIC factors , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
OBJECTIVES: This paper used national survey data to investigate 'hardcore' smoking as predicted by the 'hardening hypothesis', and to examine the relationship between 'hardcore' smoking and socioeconomic status (SES). METHODS: Analyses were performed using data from four waves of the Australian National Drug Strategy Household Survey between 2001 and 2010, a large national survey with a sample size of approximately 24 000 participants per wave. The primary outcome variable was 'hardcore' smoking, comprised of the variables: 'no quit attempt in past 12 months'; 'no plan to quit'; and smoking more than 15 cigarettes per day. The main predictor variables used were SES assessed by the Socio-Economic Indexes for Areas (SEIFA), and survey wave. Other sociodemographic variables were also examined. RESULTS: Overall, 'hardcore' smoking remained stable from 2001 to 2010. However, 'hardcore' smoking declined among high-SES smokers (from 1.8% to 1.0%), but not among low-SES smokers (around 3.4%). 'Hardcore' smoking was strongly associated with SEIFA quintile (p<0.001). There was a significant interaction effect between top and bottom SEIFA quintiles and wave (p=0.025), with a decline in 'hardcore' smoking measures over the four waves among those in the top two SEIFA quintiles, with odds in 2010 of 0.39 (95% CI 0.17 to 0.87; p=0.012), down from 0.64 (95% CI 0.50 to 0.82; p<0.001) in 2001, while 'hardcore' smoking remained stable among those in the bottom two SEIFA quintiles. CONCLUSIONS: The results from high SES smokers suggest 'hardcore' smokers are able to quit, but outcomes among low-SES smokers are less encouraging. [ABSTRACT FROM AUTHOR]
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- 2014
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3. Research paper .Do changes in income, deprivation, labour force status and family status influence smoking behaviour over the short run? Panel study of 15 000 adults.
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Blakely, Tony, van der Deen, Frederieke S., Woodward, Alistair, Kawachi, Ichiro, and Carter, Kristie
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SMOKING & psychology , *CONFIDENCE intervals , *EMPLOYMENT , *FAMILIES , *INCOME , *RESEARCH funding , *LOGISTIC regression analysis , *SOCIOECONOMIC factors , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
BACKGROUND: Improving social circumstances (eg, an increase in income, finding a job or moving into a good neighbourhood) may reduce tobacco use, but robust evidence on the effects of such improvements is scarce. Accordingly we investigated the link between changing social circumstances and changing tobacco smoking using repeated measures data. METHODS: 15 000 adults with at least two observations over three waves (each 2 years apart) of a panel study had data on smoking status, family, labour force, income and deprivation (both neighbourhood and individual). Fixed effects regression modelling was used. FINDINGS: The odds of smoking increased 1.42-fold (95% CI 1.16 to 1.74) for a one log-unit increase in personal income among 15-24-year-olds, but there was no association of increased smoking with an increase in income among 25+ year olds. Moving out of a family nucleus, increasing neighbourhood deprivation (eg, 1.83-fold (95% CI 1.18 to 2.83) increased odds of smoking for moving from least to most deprived quintile of neighbourhoods), increasing personal deprivation and moving into employment were all associated with increased odds of smoking. The number of cigarettes smoked a day changed little with changing social circumstances. INTERPRETATION: Worsening social circumstances over the short run are generally associated with higher smoking risk. However, there were counter examples: for instance, decreasing personal income among young people was associated with decreased odds of smoking, a finding consistent with income elasticity of demand (the less one's income, the less one can consume). This paper suggests that improving social circumstances is not always pro-health over the short run; a more nuanced approach to the social determinants of health is required. [ABSTRACT FROM AUTHOR]
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- 2014
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4. Research paper. Understanding the emergence of the tobacco industry's use of the term tobacco harm reduction in order to inform public health policy.
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Peeters, Silvy and Gilmore, Anna B.
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INTERVIEWING , *RESEARCH methodology , *HEALTH policy , *RESEARCH funding , *SALES personnel , *TERMS & phrases , *TOBACCO , *SYSTEMATIC reviews , *HARM reduction , *THEMATIC analysis , *META-synthesis - Abstract
Objectives To explore the history of transnational tobacco companies' use of the term, approach to and perceived benefits of ‘harm reduction'. Methods Analysis of internal tobacco industry documents, contemporary tobacco industry literature and 6 semistructured interviews. Results The 2001 Institute of Medicine report on tobacco harm reduction appears to have been pivotal in shaping industry discourse. Documents suggest British American Tobacco and Philip Morris International adopted the term ‘harm reduction' from Institute of Medicine, then proceeded to heavily emphasise the term in their corporate messaging. Documents and interviews suggest harm reduction offered the tobacco industry two main benefits: an opportunity to (re-) establish dialogue with and access to policy makers, scientists and public health groups and to secure reputational benefits via an emerging corporate social responsibility agenda. Conclusions Transnational tobacco companies' harm reduction discourse should be seen as opportunistic tactical adaptation to policy change rather than a genuine commitment to harm reduction. Care should be taken that this does not undermine gains hitherto secured in efforts to reduce the ability of the tobacco industry to inappropriately influence policy. [ABSTRACT FROM AUTHOR]
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- 2015
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5. Research paper. What will it take to get to under 5% smoking prevalence by 2025? Modelling in a country with a smokefree goal.
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Takayoshi Ikeda, Cobiac, Linda, Wilson, Nick, Carter, Kristie, and Blakely, Tony
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SMOKING prevention , *CONFIDENCE intervals , *ETHNIC groups , *MAORI (New Zealand people) , *PANEL analysis , *RESEARCH funding , *SMOKING cessation , *HARM reduction , *STATISTICAL models - Abstract
Background New Zealand has a goal of becoming a smokefree nation by the year 2025. Smoking prevalence in 2012 was 17%, but is over 40% for M_aori (indigenous New Zealanders). We forecast the prevalence in 2025 under a business-as-usual (BAU) scenario, and determined what the initiation and cessation rates would have to be to achieve a <5% prevalence. Methods A dynamic model was developed using Census and Health Survey data from 1981 to 2012 to calculate changes in initiation by age 20 years, and net annual cessation rates, by sex, age, ethnic group and time period. Similar parameters were also calculated from a panel study for sensitivity analyses. ‘Forecasts' used these parameters, and other scenarios, applied to the 2011-2012 prevalence. Findings Since 2002-2003, prevalence at age 20 years has decreased annually by 3.1% (95% uncertainty interval 0.8% to 5.7%) and 1.1% (−1.2% to 3.2%) for non-M_aori males and females, and by 4.7% (2.2% to 7.1%) and 0.0% (−2.2% to 1.8%) for M_aori, respectively. Annual net cessation rates from the dynamic model ranged from −3.0% to 6.1% across demographic groups, and from 3.0% to 6.0% in the panel study. Under BAU, smoking prevalence is forecast to be 11% and 9% for non-M_aori males and females by 2025, and 30% and 37% for M_aori, respectively. Achieving <5% by 2025 requires net cessation rates to increase to 10% for non-M_aori and 20% for M_aori, accompanied by halving or quartering of initiation rates. Conclusions The smokefree goal of <5% prevalence is only feasible with large increases in cessation rates. [ABSTRACT FROM AUTHOR]
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- 2015
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6. Research paper. Smoking status, nicotine dependence and happiness in nine countries of the former Soviet Union.
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Stickley, Andrew, Koyanagi, Ai, Roberts, Bayard, Leinsalu, Mall, Goryakin, Yevgeniy, and McKee, Martin
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PSYCHOLOGY of drug addiction , *CONFIDENCE intervals , *FACTOR analysis , *HAPPINESS , *NICOTINE , *POPULATION research , *QUESTIONNAIRES , *RESEARCH funding , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SMOKING , *CROSS-sectional method , *CASE-control method , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
Background The US Food and Drug Administration has established a policy of substantially discounting the health benefits of reduced smoking in its evaluation of proposed regulations because of the cost to smokers of the supposed lost pleasure they suffer by no longer smoking. This study used data from nine countries of the former Soviet Union (fSU) to explore this association in a setting characterised by high rates of (male) smoking and smoking-related mortality. Methods Data came from a cross-sectional populationbased study undertaken in 2010/2011 in Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine. Information was collected from 18 000 respondents aged ≥18 on smoking status (never, ex-smoking and current smoking), cessation attempts and nicotine dependence. The association between these variables and self-reported happiness was examined using ordered probit regression analysis. Results In a pooled country analysis, never smokers and ex-smokers were both significantly happier than current smokers. Smokers with higher levels of nicotine dependence were significantly less happy than those with a low level of dependence. Conclusions This study contradicts the idea that smoking is associated with greater happiness. Moreover, of relevance for policy in the fSU countries, given the lack of public knowledge about the detrimental effects of smoking on health but widespread desire to quit reported in recent research, the finding that smoking is associated with lower levels of happiness should be incorporated in future public health efforts to help encourage smokers to quit by highlighting that smoking cessation may result in better physical and emotional health. [ABSTRACT FROM AUTHOR]
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- 2015
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7. Research paper. The cost of secondhand smoke exposure at home in California.
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Max, Wendy, Hai-Yen Sung, and Yanling Shi
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PASSIVE smoking , *MEDICAL care cost statistics , *CONFIDENCE intervals , *MORTALITY , *RESEARCH funding , *STATISTICS , *DATA analysis , *ENVIRONMENTAL exposure , *DATA analysis software , *STATISTICAL models , *DESCRIPTIVE statistics , *ECONOMICS - Abstract
Objective Healthcare and mortality costs of secondhand smoke (SHS) exposure at home among nonsmokers in California were estimated for the year 2009. Methods Costs were estimated with an epidemiological model using California SHS home exposure rates and published relative risks. Healthcare costs included nine conditions, and mortality was estimated for four perinatal and three adult conditions. Three mortality-related measures were estimated: deaths, years of potential life lost (YPLL) and the value of lost productivity. Results SHS-attributable healthcare costs totalled over $241 million. The most costly conditions for children and adolescents were attention deficit hyperactivity disorder ($7.8 million) and middle ear disease ($5.6 million). For adults, the most costly conditions were ischaemic heart disease (IHD) ($130.0 million) and asthma ($67.4 million). Deaths of 821 Californians were attributable to SHS exposure in the home, including 27 infants whose mothers smoked while pregnant and 700 adults who died from IHD. These deaths represented a loss of over 13 000 YPLL and $119 million in lost productivity. Conclusions The economic impact of SHS exposure in the home totalled $360 million in California in 2009. Policies that reduce exposure to SHS at home have great potential for reducing healthcare and mortality costs. [ABSTRACT FROM AUTHOR]
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- 2015
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8. Research paper. ‘Enter at your own risk': a multimethod study of air quality and biological measures in Canadian waterpipe cafes.
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Bo Zhang, Farzana Haji, Kaufman, Pamela, Muir, Sarah, and Ferrence, Roberta
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STATISTICAL correlation , *INDOOR air pollution , *RESEARCH methodology , *NICOTINE , *PASSIVE smoking , *RESEARCH funding , *T-test (Statistics) , *WATER , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Background Tobacco and non-tobacco-based waterpipe smoking has increased exponentially in many countries in recent decades, particularly among youth and young adults. Although tobacco smoking is banned in many indoor public places, waterpipe smoking, ostensibly non-tobacco, continues in Ontario and other jurisdictions where only tobacco smoking is prohibited. This study assessed air quality and exposure in waterpipe cafes using multiple methods and markers. Methods Indoor (n=12) and outdoor (n=5) air quality was assessed in Toronto, Canada waterpipe cafes from 30 August to 11 October 2012. Real-time measurements of air nicotine, fine particulate matter less than 2.5 microns in diameter (PM2.5) and ambient carbon monoxide (CO) were collected in 2 h sessions. Levels of CO in breath were collected in non-smoking field staff before entering and upon leaving venues. Observations of occupant behaviour, environmental changes and venue characteristics were also recorded. Results In indoor venues, mean values were 1419 mg/m3 for PM2.5, 17.7 ppm for ambient CO, and 3.3 mg/m3 for air nicotine. Levels increased with increasing number of active waterpipes. On outdoor patios, mean values were 80.5 mg/m3 for PM2.5, 0.5 ppm for ambient CO, and 0.6 mg/m3 for air nicotine. Air quality levels in indoor waterpipe cafes are hazardous for human health. Outdoor waterpipe cafes showed less harmful particulate levels than indoors, but mean PM2.5 levels (80.5 mg/m3) were still ‘poor'. Conclusions Staff and patrons of waterpipe cafes are exposed to air quality levels considered hazardous to human health. Results support eliminating waterpipe smoking in hospitality venues indoors and out. [ABSTRACT FROM AUTHOR]
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- 2015
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9. Research paper. Forensic analysis of online marketing for electronic nicotine delivery systems.
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Cobb, Nathan K., Brookover, Jody, and Cobb, Caroline O.
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ADVERTISING , *FORENSIC sciences , *MARKETING , *RESEARCH funding , *SALES personnel , *ELECTRONIC commerce , *JUDGMENT sampling , *ELECTRONIC cigarettes , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Background Electronic nicotine delivery systems (ENDS) are growing in awareness and use in the USA. They are currently unregulated as the Food and Drug Administration has yet to assert jurisdiction under its tobacco authority over these products, and a US Court of Appeals held they cannot be regulated as drugs/ delivery devices if they are not marketed for a therapeutic purpose. Observation of the current online marketplace suggests ENDS, like some nutraceutical products, are being promoted using affiliate marketing techniques using claims concerning purported health benefits. Objective This study performed a forensic analysis to characterise the relationships between online ENDS affiliate advertisements and ENDS sellers, and evaluated descriptive content on advertisements and websites to inform future policy and regulatory efforts. Methods A purposive sampling strategy was used to identify three forms of ENDS advertising. Web proxy software recorded identifiable objects and their ties to each other. Network analysis of these ties followed, as well as analysis of descriptive content on advertisements and websites identified. Results The forensic analysis included four ENDS advertisements, two linked affiliate websites, and two linked seller websites, and demonstrated a multilevel relationship between advertisements and sellers with multiple layers of redirection. Descriptive analysis indicated that advertisements and affiliates, but not linked sellers, included smoking cessation claims. Results suggest that ENDS sellers may be trying to distance marketing efforts containing unsubstantiated claims from sales. A separate descriptive analysis of 20 ENDS seller web pages indicated that the use of affiliate marketing by sellers may be widespread. Conclusions These findings support increased monitoring and regulation of ENDS marketing to prevent deceptive marketing tactics and ensure consumer safety. [ABSTRACT FROM AUTHOR]
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- 2015
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10. Research paper. Youth exposure to in-vehicle second-hand smoke and their smoking behaviours: trends and associations in repeated national surveys (2006-2012).
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Healey, Benjamin, Hoek, Janet, Wilson, Nick, Thomson, George, Taylor, Steve, and Edwards, Richard
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CONFIDENCE intervals , *ETHNIC groups , *HEALTH behavior , *HIGH school students , *PASSIVE smoking , *QUESTIONNAIRES , *RESEARCH funding , *SURVEYS , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio , *CHILDREN - Abstract
Objective To extend the limited international evidence on youth in-vehicle second-hand smoke (SHS) exposure by examining trends in New Zealand, a country with a national smoke-free goal and indoors smoke-free environment legislation. Methods We tracked exposure rates and explored the associations between in-vehicle SHS exposure and smoking behaviours. In-home exposure was also examined for comparative purposes. Data were collected in annual surveys of over 25 000 year 10 school students (14-15-year olds) for a 7-year period (2006-2012). Questions covered smoking behaviour, exposure to smoking and demographics. Results Youth SHS exposure rates in-vehicle and in-home trended down slightly over time (p<0.0001 for both) with 23% exposed in-vehicle in the previous week in 2012. However, marked inequalities in exposure between ethnic groups, and by school-based socioeconomic position, persisted. The strongest association with SHS exposure was parental smoking (eg, for both parents versus neither smoking in 2012: in-vehicle SHS exposure adjusted OR: 7.4; 95% CI: 6.5 to 8.4). After adjusting for seven other factors associated with initiation, logistic regression analyses revealed statistically significant associations of in-vehicle SHS exposure with susceptibility to initiation and smoking. Conclusions The slow decline in SHS exposure in vehicles and the lack of progress in reducing relative inequalities is problematic. To accelerate progress, the New Zealand Government could follow the example of other jurisdictions and prohibit smoking in cars carrying children. Other major policy interventions, beside enhanced smoke-free environments, will also likely be required if New Zealand is to achieve its 2025 smoke-free nation goal. [ABSTRACT FROM AUTHOR]
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- 2015
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11. Research paper. Adult smokers' receptivity to a television advert for electronic nicotine delivery systems.
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Kim, Annice E., Youn Ok Lee, Shafer, Paul, Nonnemaker, James, and Makarenko, Olga
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SMOKING & psychology , *ADVERTISING , *AUDIOVISUAL materials , *CHI-squared test , *CONFIDENCE intervals , *CONSUMER attitudes , *STATISTICAL correlation , *RESEARCH funding , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SURVEYS , *ELECTRONIC cigarettes , *ADULTS - Abstract
Objective The aim of the present work was to examine adult smokers' awareness of and receptivity to an electronic nicotine delivery system (ENDS) television advert, and whether viewing the advert influenced urge to smoke and intention to try ENDS. Methods A television advert for ENDS brand blu eCigs was shown to an online convenience sample of 519 Florida adult smokers. We measured current smokers' awareness of and receptivity to the advert, and whether seeing the advert influenced their thoughts about smoking or quitting, urge to smoke and intention to try ENDS. Results were stratified by prior ENDS use. Results Approximately 62.3% of current smokers were aware of the advert. Smokers found the advert informative (73.8%), attention grabbing (67.5%) and innovative (64.5%), with prior ENDS users rating the advert more favourably than non-users. Seeing the advert elicited an urge to smoke (mean 42.1, SD=1.9) and thoughts about smoking cigarettes (75.8%) as well as quitting (74.6%). Prior END users were significantly more likely than non-users to report thinking about smoking cigarettes after seeing the advert (P<0.05). Most smokers said ENDS were ‘made for people like them' (88.6%) and they would try ENDS in the future (66.0%). Conclusions Smokers are receptive to ENDS television adverts and report intention to try ENDS after viewing the advert. Future studies should monitor ENDS advertising and examine how exposure to ENDS adverts influences smokers' use of ENDS, dual use with cigarettes and cessation behaviour. [ABSTRACT FROM AUTHOR]
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- 2015
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12. Research paper. Association between clean indoor air laws and voluntary smokefree rules in homes and cars.
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Kai-Wen Cheng, Okechukwu, Cassandra A., McMillen, Robert, and Glantz, Stanton A.
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INDOOR air pollution laws , *PASSIVE smoking , *CHI-squared test , *CONFIDENCE intervals , *STATISTICAL correlation , *RESEARCH funding , *STATISTICAL sampling , *STATISTICS , *SURVEYS , *DATA analysis , *DATA analysis software , *DESCRIPTIVE statistics , *PREVENTION - Abstract
Objectives This study examines the influence that smokefree workplaces, restaurants and bars have on the adoption of smokefree rules in homes and cars, and whether there is an association with adopting smokefree rules in homes and cars. Methods Bivariate probit models were used to jointly estimate the likelihood of living in a smokefree home and having a smokefree car as a function of law coverage and other variables. Household data were obtained from the nationally representative Social Climate Survey of Tobacco Control 2001, 2002 and 2004-2009; clean indoor air law data were from the American Nonsmokers' Rights Foundation Tobacco Control Laws Database. Results ‘Full coverage’ and ‘partial coverage’ smokefree legislation is associated with an increased likelihood of having voluntary home and car smokefree rules compared with ‘no coverage’. The association between ‘full coverage’ and smokefree rule in homes and cars is 5% and 4%, respectively, and the association between ‘partial coverage’ and smokefree rules in homes and cars is 3% and 4%, respectively. There is a positive association between the adoption of smokefree rules in homes and cars. Conclusions Clean indoor air laws provide the additional benefit of encouraging voluntary adoption of smokefree rules in homes and cars. [ABSTRACT FROM AUTHOR]
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- 2015
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13. Research paper. The tobacco endgame in Hong Kong: public support for a total ban on tobacco sales.
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Man Ping Wang, Xin Wang, Tai Hing Lam, Kasisomayajula Viswanath, and Chan, Sophia S.
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SMOKING prevention , *CONFIDENCE intervals , *PUBLIC opinion , *RESEARCH funding , *SALES personnel , *STATISTICAL sampling , *SURVEYS , *TOBACCO , *EFFECT sizes (Statistics) , *ODDS ratio - Abstract
Background Tobacco endgame policies are increasingly advocated to end tobacco use. This study investigated public support for a total ban on tobacco sales, use and possession in Hong Kong. Methods A telephone survey was conducted among 1537 randomly selected residents in 2012 to assess their support for a total ban on tobacco sales, usage and possession. Information on sociodemographic characteristics, smoking, and second hand smoke exposure were collected. Logistic regression was used to investigate factors associated with support for a total ban. Results Most of the never smokers (75.3%), ex-smokers (63.9%), and nearly half of current smokers (48.9%) backed some form of a total ban on tobacco. A total ban on tobacco sales was the most popular option among the three groups, with over half (64.8%) of all respondents supporting a ban within 10 years. Current smoking and higher educational attainment were associated with less support for a total ban on tobacco sales. Among current smokers, having quit intentions and attempts to quit were associated with support for a total ban. Conclusions A total ban on tobacco sales was supported by most respondents. Ex-smokers and current smokers also voiced substantial support, although less than never smokers. A total ban on tobacco sales before 2022 should be the goal as it is supported by most of the respondents. Interim tobacco control measures, such as tax increases, expansion of smoking cessation services and plain packaging should be implemented to help current smokers quit and reduce smoking initiation before implementation of the ban. [ABSTRACT FROM AUTHOR]
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- 2015
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14. Research paper. eWhat is the role of tobacco control advertising intensity and duration in reducing adolescent smoking prevalence? Findings from 16 years of tobacco control mass media advertising in Australia.
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White, Victoria M., Durkin, Sarah J., Coomber, Kerri, and Wakefield, Melanie A.
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ADVERTISING , *SMOKING prevention , *CONFIDENCE intervals , *RESEARCH funding , *SURVEYS , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio , *ADOLESCENCE - Abstract
Objective To examine how the intensity and duration of tobacco control advertising relate to adolescent smoking prevalence. Methods Australian students (aged 12-17 years) participating in a national survey conducted triennially between 1993 and 2008 (sample size range 12 314-16 611). The outcome measure was students' smoking in the previous 4 weeks collected through anonymous, self-completed surveys. For each student, monthly targeted rating points (TRPs, a measure of television advertising exposure) for tobacco control advertising was calculated for the 3 and 12 months prior to surveying. For each time period, cumulative TRPs exposure and exposure to three intensity levels (≥100 TRPs/month; ≥400 TRPs/month; ≥800 TRPs/month) over increasing durations (eg, 1 month, 2 months, etc) were calculated. Logistic regression examined associations between TRPs and adolescent smoking after controlling for demographic and policy variables. Results Past 3-month cumulative TRPs were found to have an inverse relationship with smoking prevalence. Low TRPs exposure in the past 12 months was positively associated with adolescent smoking prevalence. However, smoking prevalence reduced with cumulative exposure levels above 5800 cumulative TRPs. Additionally, exposure to ≥400 TRPs/month and ≥800 TRPs/month were associated with reduced likelihood of smoking, although the duration needed for this effect differed for the two intensity levels. When intensity was ≥400 TRPs/month, the odds of smoking only reduced with continuous exposure. When intensity was ≥800 TRPs/month, exposure at levels less than monthly was associated with reductions in smoking prevalence. Conclusions Both antismoking advertising intensity and duration are important for ensuring reductions in adolescent smoking prevalence. [ABSTRACT FROM AUTHOR]
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- 2015
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15. Research paper. Validity of self-reported adult secondhand smoke exposure.
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Prochaska, Judith J., Grossman, William, Young-Wolff, Kelly C., and Benowitz, Neal L.
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ANALYSIS of variance , *STATISTICAL correlation , *LIQUID chromatography , *MASS spectrometry , *QUESTIONNAIRES , *RESEARCH funding , *SELF-evaluation , *SMOKING , *STATISTICS , *WORK environment , *ENVIRONMENTAL exposure , *COTININE , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics , *MANN Whitney U Test ,RESEARCH evaluation - Abstract
Objectives Exposure of adults to secondhand smoke (SHS) has immediate adverse effects on the cardiovascular system and causes coronary heart disease. The current study evaluated brief self-report screening measures for accurately identifying adult cardiology patients with clinically significant levels of SHS exposure in need of intervention. Design and setting A cross-sectional study conducted in a university-affiliated cardiology clinic and cardiology inpatient service. Patients Participants were 118 non-smoking patients (59% male, mean age=63.6 years, SD=16.8) seeking cardiology services. Main outcome measures Serum cotinine levels and self-reported SHS exposure in the past 24 h and 7 days on 13 adult secondhand exposure to smoke (ASHES) items. Results A single item assessment of SHS exposure in one’s own home in the past 7 days was significantly correlated with serum cotinine levels (r=0.41, p<0.001) with sensitivity ≥75%, specificity >85% and correct classification rates >85% at cotinine cut-off points of >0.215 and >0.80 ng/mL. The item outperformed multiitem scales, an assessment of home smoking rules, and SHS exposure assessed in other residential areas, automobiles and public settings. The sample was less accurate at self-reporting lower levels of SHS exposure (cotinine 0.05-0.215 ng/mL). Conclusions The single item ASHES-7d Home screener is brief, assesses recent SHS exposure over a week's time, and yielded the optimal balance of sensitivity and specificity. The current findings support use of the ASHES- 7d Home screener to detect SHS exposure and can be easily incorporated into assessment of other major vital signs in cardiology. [ABSTRACT FROM AUTHOR]
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- 2015
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16. Research paper. A novel approach for monitoring tobacco use in local communities by wastewater analysis.
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Castiglioni, Sara, Senta, Ivan, Borsotti, Andrea, Davoli, Enrico, and Zuccato, Ettore
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SEWAGE analysis , *BIOMARKERS , *MASS spectrometry , *METROPOLITAN areas , *NICOTINE , *RESEARCH funding , *SMOKING , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Objective We propose a novel approach for measuring tobacco use in a community through the chemical analysis of nicotine metabolites in urban wastewater. It offers frequent monitoring and ‘real-time’, ‘evidencebased' estimates of tobacco consumption which may complement epidemiological surveillance systems normally repeated only every few years. Methods Two urinary metabolites of nicotine, namely cotinine and trans-30-hydroxycotinine, were selected as biomarkers of tobacco consumption in urban wastewater. During smoking, a known amount of nicotine is absorbed and after metabolism excreted as metabolites in urine, ending up in the wastewater; quantitative analysis of the metabolites in the wastewater allows back-calculation of the nicotine collectively absorbed by the population producing the sewage and, indirectly, their tobacco use. Representative samples of wastewater were collected from sewage treatment plants in eight Italian cities and analysed by mass spectrometry. Mass loads of the metabolites were used to estimate nicotine consumption. Results Wastewater analysis in the cities under study was used to estimate the number of cigarettes smoked, in order to compare the results of this study with those obtained from population surveys. The number of cigarettes calculated with the two methods were closely comparable and wastewater analysis was sufficiently sensitive to confirm the differences in tobacco consumption between northern and southern Italy, previously described in population surveys. Conclusions The described approach can serve as a supplementary indicator of tobacco consumption in local communities. This approach can provide objective and updated information, which are useful to assess the efficacy of tobacco-control interventions, with the aim of designing and implementing effective tobacco control plans. [ABSTRACT FROM AUTHOR]
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- 2015
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17. Research paper. Differential trends in cigarette smoking in the USA: is menthol slowing progress?
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Giovino, Gary A., Villanti, Andrea C., Mowery, Paul D., Sevilimedu, Varadan, Niaura, Raymond S., Vallone, Donna M., and Abrams, David B.
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SMOKING , *AGE distribution , *CONFIDENCE intervals , *FLAVORING essences , *INTERVIEWING , *QUESTIONNAIRES , *RESEARCH funding , *SEX distribution , *LOGISTIC regression analysis , *TOBACCO products , *DISEASE prevalence , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Introduction Mentholated cigarettes are at least as dangerous to an individual's health as non-mentholated varieties. The addition of menthol to cigarettes reduces perceived harshness of smoke, which can facilitate initiation. Here, we examine correlates of menthol use, national trends in smoking menthol and non-menthol cigarettes, and brand preferences over time. Methods We estimated menthol cigarette use during 2004-2010 using annual data on persons ≥12 years old from the National Surveys on Drug Use and Health. We adjusted self-reported menthol status for selected brands that were either exclusively menthol or nonmenthol, based on sales data. Data were weighted to provide national estimates. Results Among cigarette smokers, menthol cigarette use was more common among 12-17 year olds (56.7%) and 18-25 year olds (45.0%) than among older persons (range 30.5% to 34.7%). In a multivariable analysis, menthol use was associated with being younger, female and of non-Caucasian race/ethnicity. Among all adolescents, the percentage who smoked non-menthol cigarettes decreased from 2004-2010, while menthol smoking rates remained constant; among all young adults, the percentage who smoked non-menthol cigarettes also declined, while menthol smoking rates increased. The use of Camel menthol and Marlboro menthol increased among adolescent and young adult smokers, particularly non-Hispanic Caucasians, during the study period. Conclusions Young people are heavy consumers of mentholated cigarettes. Progress in reducing youth smoking has likely been attenuated by the sale and marketing of mentholated cigarettes, including emerging varieties of established youth brands. This study should inform the Food and Drug Administration regarding the potential public health impact of a menthol ban. [ABSTRACT FROM AUTHOR]
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- 2015
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18. Research paper. How do policy advisors and practitioners prioritise the protection of children from secondhand smoke exposure in a country with advanced tobacco control policy?
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Ritchie, Deborah Doreen, Amos, Amanda, Shaw, April, O’Donnell, Rachel, Semple, Sean, Turner, Steve, and Martin, Claudia
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PASSIVE smoking , *ECONOMICS , *FOCUS groups , *INTERVIEWING , *RESEARCH methodology , *MEDICAL personnel , *PEDIATRICS , *POLICY sciences , *PUBLIC administration , *PUBLIC health , *RESEARCH funding , *QUALITATIVE research , *GOVERNMENT policy , *JUDGMENT sampling , *THEMATIC analysis , *DRUG control , *PREVENTION - Abstract
The article focuses on a study in Scotland, United Kingdom of prioritizing protection of children from secondhand smoke exposure (SHSE) in a private space where smoke-free public places are enforced. It discusses the difficulty of political acceptability in enforcing the issue and the intervention over parental autonomy to smoke in their own home. The article also reports on the findings based on the study used called Reducing Families' Exposure to Secondhand Smoke (REFRESH) project.
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- 2015
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19. Research paper. Effects of the economic crisis on smoking prevalence and number of smokers in the USA.
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Gallus, Silvano, Ghislandi, Simone, and Muttarak, Raya
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SMOKING & psychology , *ECONOMICS , *SMOKING , *EMPLOYMENT , *QUESTIONNAIRES , *REGRESSION analysis , *RESEARCH funding , *TIME , *DISEASE prevalence , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Objective Scanty and controversial information is available on the impact of macroeconomic fluctuations on smoking behaviour. No study has quantified the effects of fiscal crises on smoking prevalence. This study aimed to investigate the effects of the 2007-2008 economic crisis on smoking prevalence and number of smokers in the USA. Methods Using data from the repeated Behavioural Risk Factor Surveillance System (BRFSS) surveys in pre-crisis (2005-2007) and post-crisis (2009-2010) periods on a total of 1 981 607 US adults, we separated the expected (after allowance for the demographic growth of the US population, secular smoking prevalence trends and changes in sociodemographic characteristics) from the unexpected (assumed attributable to the economic crisis) changes in the number of smokers across different employment statuses. Results Joinpoint regression analysis revealed no significant changes in smoking prevalence trends over the period 2005-2010. The crisis resulted in an increase in the number of smokers in the US by 0.6 million. This is largely due to an unexpected decrease of 1.7 million smokers among employed and an increase of 2.4 million smokers among unemployed individuals, whose smoking prevalence also remains extremely high in the post-crisis period (32.6%). Conclusions The 2008 financial crisis had a weak effect on smoking prevalence. The pro-cyclical relationship (ie, the crisis results in a lower number of smokers) found among the employed is offset by the counter-cyclical relationship (ie, the crisis results in a higher number of smokers) found among unemployed individuals. Public health interventions should specifically target those in unemployment, particularly in hard times. [ABSTRACT FROM AUTHOR]
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- 2015
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20. Research paper. The impact of smoke-free legislation on reducing exposure to secondhand smoke: differences across gender and socioeconomic groups.
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Yi-Wen Tsai, Li-Chuan Chang, Hai-Yen Sung, Teh-wei Hu, and Shu-Ti Chiou
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PASSIVE smoking , *SMOKING laws , *CONFIDENCE intervals , *RESEARCH funding , *STATISTICAL sampling , *SEX distribution , *WORK environment , *LOGISTIC regression analysis , *GOVERNMENT policy , *HOME environment , *SECONDARY analysis , *SOCIOECONOMIC factors , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio , *PREVENTION - Abstract
Background On 11 January 2009, Taiwan expanded its smoke-free legislation to all indoor public places and workplaces. This study examined the impact of this policy on secondhand smoke (SHS) exposure in adult non-smokers, across gender and socioeconomic status groups (SES). Methods An annual sample of about 13 000-14 000 non-smokers was drawn from cross-sectional nationwide data of Taiwan Adult Tobacco Behavior Surveys during 2005-2011. Logistic regressions were used to analyse the aggregate data to estimate the association between the 2009 smoke-free legislation and SHS exposures in homes and workplaces. Interaction terms were used to examine the impact of the 2009 smoke-free policy on reducing differences in SHS exposure across gender, education and income groups. Results The 2009 policy reduced the odds of SHS exposure in homes in 2009 (OR=0.76, 95% CI 0.68 to 0.84) and in workplaces (year 2009: OR=0.49, 95% CI 0.39 to 0.62; year 2010: OR=0.79, 95% CI 0.66 to 0.95). The model with interaction terms showed that men were more likely than women to be exposed to workplace SHS (OR=2.02, 95% CI 1.80 to 2.27) but were less likely to be exposed to home SHS (OR=0.79, 95% CI 0.73 to 0.86). SHS exposure in homes was significantly related to lower socioeconomic status, but the 2009 smoke-free policy reduced the difference in SHS exposure across education levels. Conclusions The 2009 smoke-free policy reduced the SHS exposure for non-smokers. However, this impact on home SHS did not persist after 2009, and the effect of protection was unequal across gender and SES groups. Thus, further enforcement of smoking restrictions would be needed to reduce the risk of SHS exposure and improve protection against SHS risk among parts of the population with lower socioeconomic status. [ABSTRACT FROM AUTHOR]
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- 2015
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21. Research paper. An empirical analysis of cigarette demand in Argentina.
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Martinez, Eugenio, Mejia, Raul, and Pérez-Stable, Eliseo J.
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TOBACCO products , *INCOME , *RESEARCH funding , *TAXATION , *TIME series analysis , *COST analysis , *SOCIOECONOMIC factors , *STATISTICAL models , *DESCRIPTIVE statistics , *ECONOMICS - Abstract
Objective To estimate the long-term and short-term effects on cigarette demand in Argentina based on changes in cigarette price and income per person >14 years old. Method Public data from the Ministry of Economics and Production were analysed based on monthly time series data between 1994 and 2010. The econometric analysis used cigarette consumption per person >14 years of age as the dependent variable and the real income per person >14 years old and the real average price of cigarettes as independent variables. Empirical analyses were done to verify the order of integration of the variables, to test for cointegration to capture the long-term effects and to capture the short-term dynamics of the variables. Results The demand for cigarettes in Argentina was affected by changes in real income and the real average price of cigarettes. The long-term income elasticity was equal to 0.43, while the own-price elasticity was equal to −0.31, indicating a 10% increase in the growth of real income led to an increase in cigarette consumption of 4.3% and a 10% increase in the price produced a fall of 3.1% in cigarette consumption. The vector error correction model estimated that the short-term income elasticity was 0.25 and the short-term own-price elasticity of cigarette demand was −0.15. A simulation exercise showed that increasing the price of cigarettes by 110% would maximise revenues and result in a potentially large decrease in total cigarette consumption. Conclusion Econometric analyses of cigarette consumption and their relationship with cigarette price and income can provide valuable information for developing cigarette price policy. [ABSTRACT FROM AUTHOR]
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- 2015
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22. Research paper. The effect of taxation on tobacco consumption and public revenues in Lebanon.
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Salti, Nisreen, Chaaban, Jad, Nakkash, Rima, and Alaouie, Hala
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SMOKING prevention , *TOBACCO laws , *TOBACCO products , *QUESTIONNAIRES , *RESEARCH funding , *TAXATION , *COST analysis , *DESCRIPTIVE statistics , *ECONOMICS - Abstract
BACKGROUND: Tobacco consumption rates in Lebanon are among the highest worldwide. The country ratified the Framework Convention on Tobacco Control in 2005. A law was passed in 2011 which regulates smoking in closed public spaces, bans advertising, and stipulates larger warnings. Despite international evidence confirming that increasing taxation on tobacco products lowers tobacco consumption, no such policy has yet been adopted: a cigarette pack costs on average US$1.50. To date no studies in Lebanon have addressed the welfare and public finance effects of increasing taxes on tobacco products. METHODS: Using the 2005 national survey of household living conditions, we estimate an almost ideal demand system to generate price elasticities of demand for tobacco. Using estimated elasticities and a conservative scenario for expected smuggling, we simulate the consumption and tax revenue effects of a change in the price of tobacco under various tax schemes. RESULTS: Increasing taxes on all tobacco products so as to double the price of imported cigarettes would lower their consumption by 7% and consumption of domestically produced cigarettes by over 90%. Young adults (ages 15-30) are more sensitive: consumption would drop by 9% for imported cigarettes and by 100% for domestic cigarettes. Government revenues would increase by approximately 52%. CONCLUSIONS: The estimated elasticities indicate that an increase in taxes on all tobacco products would lead to a reduction in consumption and an increase in government revenue. Evidence from Lebanon on the effectiveness of increased taxation may help initiate national debate on the need to raise taxes. [ABSTRACT FROM AUTHOR]
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- 2015
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23. Research paper. Racial and non-racial discrimination and smoking status among South African adults 10 years after apartheid.
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Dutra, Lauren M., Williams, David R., Kawachi, Ichiro, and Okechukwu, Cassandra A.
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SMOKING & psychology , *BLACK people , *CHI-squared test , *CONFIDENCE intervals , *DISCRIMINATION (Sociology) , *DOSE-response relationship in biochemistry , *QUESTIONNAIRES , *RACISM , *RESEARCH funding , *STATISTICAL sampling , *WHITE people , *LOGISTIC regression analysis , *DATA analysis , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
BACKGROUND: Despite a long history of discrimination and persisting racial disparities in smoking prevalence, little research exists on the relationship between discrimination and smoking in South Africa. METHODS: This analysis examined chronic (day-to-day) and acute (lifetime) experiences of racial and non-racial (eg, age, gender or physical appearance) discrimination and smoking status among respondents to the South Africa Stress and Health study. Logistic regression models were constructed using SAS-Callable SUDAAN. RESULTS: Both chronic racial discrimination (RR=1.45, 95% CI 1.14 to 1.85) and chronic non-racial discrimination (RR=1.69, 95% CI 1.37 to 2.08) predicted a higher risk of smoking, but neither type of acute discrimination did. Total (sum of racial and non-racial) chronic discrimination (RR=1.46, 95% CI 1.20 to 1.78) and total acute discrimination (RR=1.28, 95% CI 1.01 to 1.60) predicted a higher risk of current smoking. CONCLUSIONS: Racial and non-racial discrimination may be related to South African adults' smoking behaviour, but this relationship likely varies by the timing and frequency of these experiences. Future research should use longitudinal data to identify the temporal ordering of the relationships studied, include areas outside of South Africa to increase generalisability and consider the implications of these findings for smoking cessation approaches in South Africa. [ABSTRACT FROM AUTHOR]
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- 2014
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24. Research paper. Tobacco industry marketing to low socioeconomic status women in the USA.
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Brown-Johnson, Cati G., England, Lucinda J., Glantz, Stanton A., and Ling, Pamela M.
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MARKETING , *BLACK people , *INDUSTRIES , *MILITARY dependents , *RESEARCH funding , *STATISTICAL sampling , *TOBACCO , *WOMEN , *SOCIOECONOMIC factors - Abstract
OBJECTIVES: Describe tobacco companies' marketing strategies targeting low socioeconomic status (SES) females in the USA. METHODS: Analysis of previously secret tobacco industry documents. RESULTS: Tobacco companies focused marketing on low SES women starting in the late 1970s, including military wives, low-income inner-city minority women, 'discount-susceptible' older female smokers and less-educated young white women. Strategies included distributing discount coupons with food stamps to reach the very poor, discount offers at point-of-sale and via direct mail to keep cigarette prices low, developing new brands for low SES females and promoting luxury images to low SES African-American women. More recently, companies integrated promotional strategies targeting low-income women into marketing plans for established brands. CONCLUSIONS: Tobacco companies used numerous marketing strategies to reach low SES females in the USA for at least four decades. Strategies to counteract marketing to low SES women could include (1) counteracting price discounts and direct mail coupons that reduce the price of tobacco products, (2) instituting restrictions on point-of-sale advertising and retail display and (3) creating counteradvertising that builds resistance to psychosocial targeting of low SES women. To achieve health equity, tobacco control efforts are needed to counteract the influence of tobacco industry marketing to low-income women. [ABSTRACT FROM AUTHOR]
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- 2014
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25. Research paper. Smoking and mental illness in the US population.
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Smith, Philip H., Mazure, Carolyn M., and McKee, Sherry A.
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PSYCHIATRIC diagnosis , *SMOKING & psychology , *CONFIDENCE intervals , *LONGITUDINAL method , *RESEARCH funding , *SMOKING , *SMOKING cessation , *LOGISTIC regression analysis , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
OBJECTIVES: Those with any psychiatric diagnosis have substantially greater rates of smoking and are less likely to quit smoking than those with no diagnosis. Using nationally representative data, we sought to provide estimates of smoking and longitudinal cessation rates by specific psychiatric diagnoses and mental health service use. DESIGN AND PARTICIPANTS: Data were analysed from a two-wave cohort survey of a US nationally representative sample (non-institutionalised adults): the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC; 2001-2002, n=43 093; 2004-2005, n=34 653). MAIN OUTCOME MEASURES: We examined smoking rates (lifetime, past year and past year heavy) and cross-sectional quit rates among those with any lifetime or past year psychiatric diagnosis (DSM-IV). Importantly, we examined longitudinal quit rates and conducted analyses by gender and age categories. RESULTS: Those with any current psychiatric diagnosis had 3.23 (95% CI 3.11 to 3.35) times greater odds of currently smoking than those with no diagnosis, and were 25% less likely to have quit by follow-up (95% CI 20% to 30%). Prevalence varied by specific diagnoses (32.4% to 66.7%) as did cessation rates (10.3% to 17.9%). Comorbid disorders were associated with higher proportions of heavy smoking. Treatment use was associated with greater prevalence of smoking and lower likelihood of cessation. CONCLUSIONS: Those with psychiatric diagnoses remained much more likely to smoke and less likely to quit, with rates varying by specific diagnosis. Our findings highlight the need to improve our ability to address smoking and psychiatric comorbidity both within and outside of healthcare settings. Such advancements will be vital to reducing mental illness-related disparities in smoking and continuing to decrease tobacco use globally. [ABSTRACT FROM AUTHOR]
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- 2014
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26. Research paper. State-level tobacco environments and sexual orientation disparities in tobacco use and dependence in the USA.
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Hatzenbuehler, Mark L., Keyes, Katherine M., Hamilton, Ava, and Hasin, Deborah S.
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SMOKING & psychology , *SMOKING , *CHI-squared test , *CONFIDENCE intervals , *DRUG addiction , *ECOLOGY , *FACTOR analysis , *QUESTIONNAIRES , *RESEARCH funding , *HUMAN sexuality , *TOBACCO , *GOVERNMENT policy , *LGBTQ+ people , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
OBJECTIVE: To describe relationships between tobacco-related environments and disparities in smoking by sexual orientation. METHODS: We examined three aspects of state-level tobacco environments, which were derived from the ImpacTeen State Level Tobacco Control Policy and Prevalence Database: (1) tobacco price and tax data and tobacco control funding; (2) tobacco control policies and (3) tobacco prevalence and norms data. This information was linked to individual-level data on sexual orientation, tobacco use and nicotine dependence in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N=34 653; 577 LGB respondents), a cross-sectional, nationally representative survey of adults in the USA. RESULTS: Lesbian, gay and bisexual (LGB) adults in states with more restrictive tobacco environments were less likely to have ever smoked (AOR=0.78, 95% CI 0.62 to 1.00) and to currently smoke (AOR=0.77, 95% CI 0.60 to 0.99) than LGB adults in more permissive tobacco environments. Further, sexual orientation disparities in past and current smoking, as well as in current nicotine dependence, were lower in states with the most restrictive tobacco environments. Results were robust to adjustment for confounders at the individual and state levels. CONCLUSIONS: Restrictive state-level tobacco environments are correlates of smoking behaviours among LGB adults in the USA; such environments could potentially reduce social inequalities in smoking based on sexual orientation. [ABSTRACT FROM AUTHOR]
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- 2014
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27. Research paper. Impact of the Irish smoking ban on sales in bars using a large business-level data set from 1999 to 2007.
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Cornelsen, Laura and Normand, Charles
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SMOKING laws , *SMOKING prevention , *RESTAURANTS & economics , *RESEARCH funding , *RESTAURANTS , *SALES personnel , *WORK environment , *DESCRIPTIVE statistics - Abstract
Background Ireland introduced comprehensive smoke-free workplace legislation in 2004. This study evaluates the economic impact of the workplace smoking ban on the value of sales in bars Methods Data on the value of bar sales were derived from a large, nationally representative, annual business-level survey from 1999 to 2007. The economic impact of the smoking ban was evaluated according to geographical region and bar size. Analysis was based on an econometric model which controlled for background changes in population income and wealth and for investments made by the bars during this period. Results The overall impact of the Irish smoking ban on bar sales appears to be very small. The ban was associated with an increase in sales among medium to large bars in the Border-Midland-West (more rural) region of Ireland, and a small reduction in sales among large bars in the more urban, South-East region. We failed to find any evidence of a change in bar sales in the remaining categories studied. Conclusions The results indicate that although some bars saw positive effects and some negative, the overall impact of the smoking ban on the value of sales in bars was negligible. These findings provide further supporting evidence that comprehensive smoke-free workplace legislation does not harm hospitality businesses while having positive health effects. [ABSTRACT FROM AUTHOR]
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- 2014
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28. Research paper. Assessing the effectiveness of antismoking television advertisements: do audience ratings of perceived effectiveness predict changes in quitting intentions and smoking behaviours?
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Brennan, Emily, Durkin, Sarah J., Wakefield, Melanie A., and Yoshihisa Kashima
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SMOKING prevention , *ADVERTISING , *BEHAVIOR modification , *CHI-squared test , *CONFIDENCE intervals , *INTENTION , *PUBLIC opinion , *RESEARCH funding , *SMOKING cessation , *T-test (Statistics) , *TELEVISION , *LOGISTIC regression analysis , *PRE-tests & post-tests , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
Background Decisions about which antismoking advertisements should be aired are often guided by audience ratings of perceived effectiveness (PE). Given that the usefulness of PE measures depends on their ability to predict the likelihood that a message will have a positive impact on outcomes such as behaviour change, in the current study we used pre-exposure, postexposure and follow-up measures to test the association between PE and subsequent changes in quitting intentions and smoking behaviours. Methods Daily smokers (N=231; 18 years and older) completed baseline measures of quitting intentions before watching an antismoking advertisement. Immediately following exposure, intentions were measured again and PE was measured using six items that factored into two scales: ad-directed PE (ADPE) and personalised PE (PPE). A follow-up telephone survey conducted within 3 weeks of exposure measured behaviour change (reduced cigarette consumption or quit attempts). Results From pre-exposure to postexposure, 18% of smokers showed a positive change in their intentions. Controlling for baseline intentions, PPE independently predicted intention change (OR=2.57, p=0.004). At follow-up, 26% of smokers reported that they had changed their behaviour. PPE scores also predicted the likelihood of behaviour change (OR=1.93, p=0.009). Conclusions Audience ratings of PPE, but not ADPE, were found to predict subsequent intention and behaviour change. These findings increase confidence in the use of PE measures to pretest and evaluate antismoking television advertisements, particularly when these measures tap the extent to which a smoker has been personally affected by the message. [ABSTRACT FROM AUTHOR]
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- 2014
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29. Research paper. The cost-effectiveness of call-back counselling for smoking cessation.
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Lal, Anita, Mihalopoulos, Cathy, Wallace, Angela, and Vos, Theo
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NOSOLOGY , *COUNSELING methodology , *COST effectiveness , *MATHEMATICAL models , *RESEARCH funding , *SMOKING cessation , *TELEPHONES , *THEORY , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
Objective To assess the cost-effectiveness of the Quitline, a call-back counselling service for smoking cessation, in the states of Queensland, Western Australia and the Northern Territory. Methods A cost-effectiveness analysis using a deterministic Markov model, and cost per disability-adjusted life year (DALY) averted over a lifetime as the outcome measure. Population Current smokers, motivated to quit. Results Call-back counselling for smoking cessation provided by the Quitline is an intervention that both improves health with additional quitters, and achieves net cost savings due to the cost offsets being greater than the cost of the intervention. If cost offsets are excluded, the cost per quitter is $A773 (95% uncertainty interval $A769$-$A779), and the incremental cost-effectiveness ratio is $A294 per DALY (95% uncertainty interval $A293-$A298). Conclusions Call-back counselling is a cost-effective intervention for smoking cessation that can be provided by a centralised service for a large population, and to reach people in isolated communities. [ABSTRACT FROM AUTHOR]
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- 2014
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30. Research paper. Public education about the relative harm of tobacco products: an intervention for tobacco control professionals.
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Biener, Lois, Nyman, Amy L., Stepanov, Irina, and Hatsukami, Dorothy
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SMOKING prevention , *EXECUTIVES , *PUBLIC health , *RESEARCH funding , *TOBACCO , *PILOT projects , *PRE-tests & post-tests , *RESEARCH personnel , *HEALTH literacy , *DESCRIPTIVE statistics - Abstract
Background In the USA, new regulations require the collection of information on tobacco constituents by brand and variety and publication of this information in a way not likely to be misconstrued by consumers. Understanding of such information becomes increasingly important as new tobacco products are marketed and modifications are made to reduce the toxicity of some products. This pilot study assessed the current knowledge of tobacco control professionals regarding the relative harmfulness of several tobacco products, and evaluated an online educational intervention aimed at improving understanding of variations in nicotine and tobacco-specific N-nitrosamines (TSNAs). Methods Fifty-two tobacco control professionals participated in an online intervention which presented and discussed the results of constituent analyses of Camel Snus and Marlboro Snus compared to several conventional smokeless tobacco products. Comparisons with cigarettes were also discussed. Pre- and post-intervention questions assessed understanding of the concepts. Results Pre-intervention responses demonstrated that 31% did not know that cigarettes are more harmful than smokeless tobacco, 67% did not know that smokeless products higher in nicotine are likely to be more effective substitutes for cigarettes, 52% did not know TSNAs are the major carcinogens in tobacco and 81% did not know new snus products tend to be lower in TSNAs than conventional spit tobacco. After intervention participation, knowledge increased on all points except one where pretest results were 100% correct. Conclusions Public education campaigns are urgently needed for tobacco control professionals and consumers to increase awareness and understanding of the continuum of risk among tobacco products. [ABSTRACT FROM AUTHOR]
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- 2014
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31. Research paper. Protection from secondhand smoke in countries belonging to the WHO European Region: an assessment of legislation.
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Martínez, Cristina, Martínez-Sánchez, Jose María, Robinson, Gillian, Bethke, Christina, and Fernández, Esteve
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PASSIVE smoking -- Law & legislation , *ALGORITHMS , *BUSINESS , *CONFIDENCE intervals , *HEALTH facilities , *LEGISLATION , *PUBLIC buildings , *PUBLIC health , *RESEARCH funding , *SCHOOLS , *DESCRIPTIVE statistics - Abstract
Objectives Comprehensive smokefree laws, as recommended by the WHO Framework Convention of Tobacco Control (WHO FCTC), are the most effective tool to protect the population from secondhand smoke (SHS) and to ensure healthy environments. Studies evaluating how laws govern SHS protection are scarce. This study assessed the level of protection from SHS of laws from countries belonging to the WHO European Region. Methods A new methodology system was developed to evaluate the smokefree legislation according to the principles provided by the WHO guidelines for the correct implementation of Article 8 of the FCTC. For each law, six main sectors and 28 facilities were evaluated. Results Overall 68 laws from 48 countries from the WHO European Region were reviewed. 'Education' and 'Public transport' were the most protected sectors from SHS. Many WHO European laws do not provide protection from SHS across all public sectors. For example, 48.5% of general health facilities and 71.2% of restaurants are unprotected from SHS. The level of protection provided in the 28 facilities studied was low; many WHO European laws still allow smoking under certain conditions, permitting smoking in designated and/or ventilated areas. Conclusions Nine years after the adoption of the WHO FCTC there are still legal formulas in which smoking is allowed in several facilities, through the inclusion of separated areas, ventilated areas and other conditions. Tobacco control efforts still face the challenge of eradicating the legal clauses that prevent 100% smokefree environments. [ABSTRACT FROM AUTHOR]
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- 2014
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32. Research paper. ‘Zhonghua’ tobacco advertisement in Shanghai: a descriptive study.
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PinPin Zheng, Xin Ge, Haihong Qian, Fan Wang, Hua Fu, Berg, Carla J., and Kegler, Michelle C.
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ADVERTISING , *INTERNET , *NEWSPAPERS , *RESEARCH funding , *TELEVISION , *TOBACCO , *WORLD Wide Web , *JUDGMENT sampling , *GOVERNMENT regulation - Abstract
Objective To document tobacco advertising practices of a popular, high-grade, domestic cigarette in China across a broad spectrum of channels. Methods Media monitoring and direct observations were conducted to assess tobacco advertisements for Zhonghua cigarettes in Shanghai, China, through the following channels: newspapers, TV, internet, outdoor advertisements and point-of-sale advertisements. Results Consistent with the national ban, no direct tobacco advertisements were found in newspapers or on TV. However, statements about counterfeit 'Zhonghua' cigarettes indirectly promoted Zhonghua tobacco through newspapers. Although no tobacco advertisements were found in Shanghai mainstream websites or in channels of national mainstream sites, a great amount of information was communicated about Zhonghua cigarettes via websites, using patriotic themes and associations with Chinese culture. Large outdoor tobacco advertisements of 'Loving my China' were found in downtown Shanghai. Zhonghua tobacco advertisements were present in almost all of the points-of-sale observed (95%). Conclusions Zhonghua cigarettes are promoted directly and indirectly through a variety of channels. This study suggests there is an urgent need to establish comprehensive bans that prohibit all types of tobacco advertisements in China. [ABSTRACT FROM AUTHOR]
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- 2014
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33. Research paper. ‘To quarterback behind the scenes, third-party efforts': the tobacco industry and the Tea Party.
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Fallin, Amanda, Grana, Rachel, and Glantz, Stanton A.
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HISTORY of human rights , *MEDICAL policy -- History , *SMOKING laws , *PRACTICAL politics -- History , *SMOKING , *HEALTH care reform , *INDUSTRIES , *PRACTICAL politics , *RESEARCH funding , *STATISTICAL sampling , *TOBACCO ,UNITED States tax laws ,HISTORY of industries - Abstract
Background The Tea Party, which gained prominence in the USA in 2009, advocates limited government and low taxes. Tea Party organisations, particularly Americans for Prosperity and FreedomWorks, oppose smoke-free laws and tobacco taxes. Methods We used the Legacy Tobacco Documents Library, the Wayback Machine, Google, LexisNexis, the Center for Media and Democracy and the Center for Responsive Politics (opensecrets.org) to examine the tobacco companies' connections to the Tea Party. Results Starting in the 1980s, tobacco companies worked to create the appearance of broad opposition to tobacco control policies by attempting to create a grassroots smokers' rights movement. Simultaneously, they funded and worked through third-party groups, such as Citizens for a Sound Economy, the predecessor of AFP and FreedomWorks, to accomplish their economic and political agenda. There has been continuity of some key players, strategies and messages from these groups to Tea Party organisations. As of 2012, the Tea Party was beginning to spread internationally. Conclusions Rather than being a purely grassroots movement that spontaneously developed in 2009, the Tea Party has developed over time, in part through decades of work by the tobacco industry and other corporate interests. It is important for tobacco control advocates in the USA and internationally, to anticipate and counter Tea Party opposition to tobacco control policies and ensure that policymakers, the media and the public understand the longstanding connection between the tobacco industry, the Tea Party and its associated organisations. [ABSTRACT FROM AUTHOR]
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- 2014
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34. Research paper. Assessment of risk for asthma initiation and cancer and heart disease deaths among patrons and servers due to secondhand smoke exposure in restaurants and bars.
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Ruiling Liu, Bohac, David L., Gundel, Lara A., Hewett, Martha J., Apte, Michael G., and Hammond, S. Katharine
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ASTHMA risk factors , *HEART disease related mortality , *TUMOR risk factors , *CLUSTER analysis (Statistics) , *CONFIDENCE intervals , *CONSUMERS , *PASSIVE smoking , *RESEARCH funding , *RESTAURANTS , *RISK assessment , *STATISTICAL sampling , *DATA analysis software , *STATISTICAL models - Abstract
Background Despite efforts to reduce exposure to secondhand smoke (SHS), only 5% of the world's population enjoy smoke-free restaurants and bars. Methods Lifetime excess risk (LER) of cancer death, ischaemic heart disease (IHD) death and asthma initiation among non-smoking restaurant and bar servers and patrons in Minnesota and the US were estimated using weighted field measurements of SHS constituents in Minnesota, existing data on tobacco use and multiple dose-response models. Results A continuous approach estimated a LER of lung cancer death (LCD) of 18×10−6 (95% CI 13 to 23×10−6 ) for patrons visiting only designated non-smoking sections, 80×10−6 (95% CI 66 to 95×10−6 ) for patrons visiting only smoking venues/sections and 802×10−6 (95% CI 658 to 936×10−6 ) for servers in smoking-permitted venues. An attributable-risk (exposed/ non-exposed) approach estimated a similar LER of LCD, a LER of IHD death about 10−2 for non-smokers with average SHS exposure from all sources and a LER of asthma initiation about 5% for servers with SHS exposure at work only. These risks correspond to 214 LCDs and 3001 IHD deaths among the general non-smoking population and 1420 new asthma cases among non-smoking servers in the US each year due to SHS exposure in restaurants and bars alone. Conclusions Health risks for patrons and servers from SHS exposure in restaurants and bars alone are well above the acceptable level. Restaurants and bars should be a priority for governments' effort to create smoke-free environments and should not be exempt from smoking bans. [ABSTRACT FROM AUTHOR]
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- 2014
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35. Research paper. Testing messages to reduce smokers' openness to using novel smokeless tobacco products.
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Popova, Lucy, Neilands, Torsten B., and Ling, Pamela M.
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MARKETING , *HEALTH promotion , *ADVERTISING , *ANALYSIS of variance , *CHI-squared test , *CONSUMER attitudes , *EXPERIMENTAL design , *FOCUS groups , *INDUSTRIES , *PUBLIC health , *QUESTIONNAIRES , *REGRESSION analysis , *RESEARCH funding , *STATISTICAL sampling , *SMOKELESS tobacco , *STATISTICS , *DATA analysis , *PRE-tests & post-tests , *REPEATED measures design , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Introduction Tobacco manufacturers' aggressive promotion of new smokeless tobacco products such as snus warrants a timely and effective public health response. This study tested potential countermarketing messages to discourage current and former smokers from becoming dual users of smokeless tobacco and cigarettes. Methods In a pretest-post-test experiment, 1836 adult current and recently former smokers from a national sample were randomised to view one of six antismokeless tobacco ads followed by a snus ad, to view a control ad followed by a snus ad; or to view two control ads. Perceived effectiveness of ads and actual changes in attitudes and openness to snus were compared across groups using analyses of variance. Results Some ads that were perceived as most effective did not change attitudes or openness to trying snus, and conversely, some ads not perceived as effective changed attitudes and openness to snus. Ads portraying the negative health effects of smokeless tobacco were perceived as most effective, but ads with antitobacco industry themes significantly decreased favourable attitudes toward snus. Responses to ads were different for smokers who had ever used smokeless tobacco: for this group health effects and humorous/testimonial ads were effective. Conclusions Measures of perceived effectiveness of antitobacco ads need to be augmented with measures of actual effectiveness to assess countermarketing messages. Some of the developed ads, such as ads with anti-industry themes, were effective for the overall population of smokers whereas humorous/testimonial and health effects ads were particularly effective in changing attitudes of past users of smokeless tobacco. [ABSTRACT FROM AUTHOR]
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- 2014
- Full Text
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36. Research paper. The silent salesman: an observational study of personal tobacco pack display at outdoor café strips in Australia.
- Author
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Wakefield, Melanie A., Zacher, Meghan, Bayly, Megan, Brennan, Emily, Dono, Joanne, Miller, Caroline, Durkin, Sarah J., and Scollo, Michelle M.
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LABELS , *ANALYSIS of covariance , *BUSINESS , *HEALTH behavior , *MULTIVARIATE analysis , *SCIENTIFIC observation , *POISSON distribution , *RESEARCH funding , *RESTAURANTS , *STATISTICAL sampling , *STATISTICS , *TOBACCO , *FIELD research , *SOCIOECONOMIC factors , *PSYCHOLOGY - Abstract
Objective We sought to determine the relative frequency and nature of personal display of cigarette packs by smokers in two Australian cities where 30% front-of-pack and 90% back-of-pack health warnings have been used since 2006 and comprehensive tobacco marketing restrictions apply. Methods An observational study counted patrons, active smokers and tobacco packs at cafés, restaurants and bars with outdoor seating. Pack orientation and use of cigarette cases were also noted. Results Overall, 18 954 patrons, 1576 active smokers and 2153 packs were observed, meaning that one out of every 12.0 patrons was actively smoking, and one of every 8.8 patrons displayed a pack. Packs were more frequently observed in lower socio-economic neighbourhoods, reflecting the higher prevalence of smoking in those regions. Packs were displayed less often in venues where children were present, suggesting a greater tendency not to smoke around children. Most packs (81.4%) were oriented face-up, permitting prominent brand display. Only 1.5% of observed packs were cigarette cases, and 4.2% of packs were concealed by another item, such as a phone or wallet. Conclusions Tobacco packs are frequently seen on table-tops in café strips, providing many opportunities for other patrons and passers-by to be incidentally exposed to cigarette brand names and imagery. Use of cigarette cases is rare, suggesting that smokers eventually habituate to pictorial warnings on branded packs and/or find repeated decanting of each newly purchased branded pack into a case to be inconvenient. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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37. Research paper. Newspaper coverage of tobacco issues: an analysis of print news in Chinese cities, 2008-2011.
- Author
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Siwei He, Qin Shen, Xiaoli Yin, Lianjie Xu, and Xiaoyun Lan
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NEWSPAPERS , *CHI-squared test , *CONTENT analysis , *HEALTH behavior , *MOTIVATION (Psychology) , *RESEARCH funding , *STATISTICAL sampling , *STATISTICS , *TOBACCO , *THEMATIC analysis , *INTER-observer reliability , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Objective The purpose of this study was to determine to what extent Chinese media coverage of tobacco issues in 17 Chinese cities comprises messaging known to motivate healthy behaviour. Methods This study involved a content analysis of 4821 articles that contained at least one full paragraph focused on tobacco issues from newspapers published in cities that participated in the Tobacco-Free City—Gates Tobacco Control Project in China between 1 January 2008 and 30 June 2011. Results The number of tobacco-focused articles increased over the study period. The number of articles varied considerably among different newspapers and cities. Education, prevention and cessation programs (35%) were the most frequent theme. There was also considerable variation in the volume of coverage each month. News articles were the most frequent article type (70%). The majority of the articles (72%) were positive for tobacco control. There were significant differences between party newspapers and local newspapers in prominence, article type, slant and fear appeal. One quarter (n=729) of the articles mentioned the severity of tobacco use, while only 10% of the articles referred to susceptibility to the threat. Conclusions The coverage of events was predominantly positive toward tobacco control. However, media reports could better support tobacco control efforts if they did a better job at provoking an emotional response to the harms of tobacco use and promoting a sense among smokers that they can succeed in quitting smoking. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
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38. Identifying best modelling practices for tobacco control policy simulations: a systematic review and a novel quality assessment framework.
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Huang, Vincy, Head, Anna, Hyseni, Lirije, O'Flaherty, Martin, Buchan, Iain, Capewell, Simon, and Kypridemos, Chris
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SUBSTANCE abuse prevention ,COMPUTER simulation ,ONLINE information services ,PSYCHOLOGY information storage & retrieval systems ,CINAHL database ,MEDICAL information storage & retrieval systems ,SYSTEMATIC reviews ,QUALITY assurance ,RESEARCH funding ,TOBACCO products ,MEDLINE - Published
- 2023
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39. Promoting convergence and closing gaps using affordability-based minimum taxes: an illustration using the European Union Tobacco Tax Directive.
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Branston, J. Robert and López-Nicolás, Ángel
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TAXATION economics ,ECONOMIC competition ,GOVERNMENT regulation ,RESEARCH funding ,GOVERNMENT policy ,TOBACCO products ,SMOKING ,POLICY sciences ,LONGITUDINAL method ,TOBACCO - Published
- 2023
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40. Interpreting results, impacts and implications from WHO FCTC tobacco control investment cases in 21 low- income and middle- income countries.
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Mann, Nathan, Spencer, Garrison, Hutchinson, Brian, Ngongo, Carrie, Tarlton, Dudley, Webb, Douglas, and Nugent, Rachel
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MIDDLE-income countries ,POLICY sciences ,GOVERNMENT policy ,TOBACCO ,LABOR productivity ,RESEARCH funding ,SOCIOECONOMIC factors ,EVALUATION of human services programs ,SMOKING ,WORK environment ,COST benefit analysis ,DESCRIPTIVE statistics ,TOBACCO products ,LOW-income countries ,MEDICAL care costs - Published
- 2024
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41. Cigarette prices and smoking among adults in eight sub-Saharan African countries: evidence from the Global Adult Tobacco Survey.
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Filby, Samantha
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RESEARCH funding ,SMOKING ,STATISTICAL sampling ,DESCRIPTIVE statistics ,WORLD health ,SURVEYS ,TOBACCO products ,DATA analysis software ,CONFIDENCE intervals - Published
- 2024
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42. Cigarette excise tax structure and cigarette prices in nine sub-Saharan African countries: evidence from the Global Adult Tobacco Survey.
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Filby, Samantha, Van Walbeek, Corné, and Pan, Liping
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TAXATION economics ,COMMERCIAL statistics ,RESEARCH funding ,T-test (Statistics) ,GOVERNMENT policy ,TOBACCO ,DESCRIPTIVE statistics ,TOBACCO products - Published
- 2024
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43. No smoking gun: tobacco taxation and smuggling in Sierra Leone.
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Gallien, Max and Occhiali, Giovanni
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DRUG laws ,CRIME prevention ,TAXATION ,EVALUATION of medical care ,MIDDLE-income countries ,GOVERNMENT policy ,LOW-income countries ,RESEARCH funding ,TOBACCO products ,TOBACCO - Published
- 2023
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44. Effects of stick design features on perceptions of characteristics of cigarettes.
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Borland, Ron and Savvas, Steven
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MARKETING ,ANALYSIS of variance ,ATTITUDE (Psychology) ,PACKAGING ,SENSORY perception ,QUESTIONNAIRES ,RESEARCH funding ,SEX distribution ,STATISTICS ,TOBACCO ,DATA analysis ,REPEATED measures design ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Objective To examine the extent (if any) that cigarette stick dimension, tipping paper design and other decorative design/branding have on Australian smokers' perceptions of those cigarettes. Methods An internet survey of 160 young Australian adult ever-smokers who were shown computer images of three sets of cigarette sticksdfive sticks of different lengths and diameters (set A), five sticks with different tipping paper design (set B) and four sticks of different decorative design (set C). Branding was a between-subjects randomised condition for set C. For each set, respondents ranked sticks on most and least attractive, highest and lowest quality and strongest and weakest taste. Results Cigarette sticks were perceived as different on attractiveness, quality and strength of taste. Standard stick length/diameter was perceived as the most attractive and highest quality stick, with men more inclined to rate a slim stick as less attractive. A stick with a cork-patterned tipping paper and a gold band was seen as most attractive, of highest quality and strongest in taste compared to other tipping designs. Branded sticks were seen as more attractive, higher in quality and stronger tasting than non-branded designs, regardless of brand, although the effects were stronger for a prestige compared with a budget brand. Conclusions Characteristics of the cigarette stick affect smokers' perceptions of the attributes of those cigarettes and thus are a potential means by which product differentiation can occur. A comprehensive policy to eliminate promotional aspects of cigarette design and packaging needs to include rules about stick design. [ABSTRACT FROM AUTHOR]
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- 2013
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45. Unpacking commercial sector opposition to European smoke-free policy: lack of unity, 'fear of association' and harm reduction debates.
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Weishaar, Heide, Amos, Amanda, and Collin, Jeff
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SMOKING prevention ,CONTENT analysis ,INDUSTRIES ,INTERVIEWING ,RESEARCH methodology ,RESEARCH funding ,TOBACCO ,QUALITATIVE research ,GOVERNMENT policy ,JUDGMENT sampling ,INSTITUTIONAL cooperation ,DATA analysis software - Abstract
Objective Tobacco companies have made extensive efforts to build alliances against comprehensive smoke-free legislation. This article analyses the interaction between actors who opposed the development of the European Council Recommendation on smoke-free environments. Methods Drawing on data from 200 policy documents and 32 semistructured interviews and using qualitative textual analysis and organisational network analysis, opponents' positions on, and responses to, the policy initiative, strategies to oppose the policy, and efforts to build alliances were investigated. Results The non-binding nature of the policy, scientific evidence and clear political will to adopt EU-wide measures combined to limit the intensity of commercial sector opposition to the comprehensive EU smoke-free policy. Most tobacco companies, led by the Confederation of European Community Cigarette Manufacturers (CECCM), voiced reservations against the proposal, criticised the policy process and fought flanking measures on product regulation. However, some companies focused on instigating harm reduction debates. These divergent approaches and the reluctance of other commercial actors to demonstrate solidarity with the tobacco sector prevented the establishment of a cohesive commercial sector alliance. Conclusions The comparatively limited opposition to EU smoke-free policy contrasts with previous accounts of tobacco industry resistance to tobacco control. While context-specific factors can partially explain these differences, the paper indicates that the sector's diminished credibility and lack of unity hampered political engagement and alliance building. Industry efforts to emphasise the benefits of smokeless tobacco during smoke-free policy debates highlight the potential of harm reduction as a gateway for tobacco companies to re-enter the political arena. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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46. Standardising the measurement of e-cigarette taxes in the USA, 2010-2020.
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Cotti, Chad, Nesson, Erik, Pesko, Michael F., Phillips, Serena, and Tefft, Nathan
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TAXATION standards ,TAXATION ,ELECTRONIC cigarettes ,RESEARCH funding - Published
- 2023
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47. A comparison of alternative methods for measuring cigarette prices.
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Chaloupka, Frank J., Tauras, John A., Strasser, Julia H., Willis, Gordon, Gibson, James T., and Hartman, Anne M.
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SMOKING ,TOBACCO products ,QUESTIONNAIRES ,RESEARCH funding ,SALES personnel ,TAXATION ,COST analysis ,DESCRIPTIVE statistics ,ECONOMICS - Abstract
Background Government agencies, public health organisations and tobacco control researchers rely on accurate estimates of cigarette prices for a variety of purposes. Since the 1950s, the Tax Burden on Tobacco (TBOT) has served as the most widely used source of this price data despite its limitations. Purpose This paper compares the prices and collection methods of the TBOT retail-based data and the 2003 and 2006/2007 waves of the population-based Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Methods From the TUS-CPS, we constructed multiple state-level measures of cigarette prices, including weighted average prices per pack (based on average prices for single-pack purchases and average prices for carton purchases) and compared these with the weighted average price data reported in the TBOT. We also constructed several measures of tax avoidance from the TUS-CPS self-reported data. Results For the 2003 wave, the average TUS-CPS price was 71 cents per pack less than the average TBOT price; for the 2006/2007 wave, the difference was 47 cents. TUS-CPS and TBOT prices were also significantly different at the state level. However, these differences varied widely by state due to tax avoidance opportunities, such as cross-border purchasing. Conclusions The TUS-CPS can be used to construct valid measures of cigarette prices. Unlike the TBOT, the TUS-CPS captures the effect of price-reducing marketing strategies, as well as tax avoidance practices and non-traditional types of purchasing. Thus, self-reported data like TUS-CPS appear to have advantages over TBOT in estimating the 'real' price that smokers face. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
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48. Clinical interventions to reduce secondhand smoke exposure among pregnant women: a systematic review.
- Author
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Van T. Tong, Dietz, Patricia M., Rolle, Italia V., Kennedy, Sara M., Thomas, William, and England, Lucinda J.
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PASSIVE smoking ,CINAHL database ,CONFIDENCE intervals ,COUNSELING ,INFORMATION storage & retrieval systems ,MEDICAL databases ,PSYCHOLOGY information storage & retrieval systems ,MEDLINE ,HEALTH outcome assessment ,PATIENT education ,PRENATAL care ,RESEARCH funding ,SYSTEMATIC reviews ,RESEARCH bias ,DESCRIPTIVE statistics ,ODDS ratio ,PREGNANCY ,PREVENTION - Abstract
Objective To conduct a systematic review of clinical interventions to reduce secondhand smoke (SHS) exposure among non-smoking pregnant women. Data sources We searched 16 databases for publications from 1990 to January 2013, with no language restrictions. Study selection Papers were included if they met the following criteria: (1) the study population included non-smoking pregnant women exposed to SHS, (2) the clinical interventions were intended to reduce SHS exposure at home, (3) the study included a control group and (4) outcomes included either reduced SHS exposure of non-smoking pregnant women at home or quit rates among smoking partners during the pregnancy of the woman. Data extraction Two coders independently reviewed each abstract or full text to identify eligible papers. Two abstractors independently coded papers based on US Preventive Services Task Force criteria for study quality (good, fair, poor), and studies without biochemically-verified outcome measures were considered poor quality. Data synthesis From 4670 papers, we identified five studies that met our inclusion criteria: four focused on reducing SHS exposure among non-smoking pregnant women, and one focused on providing cessation support for smoking partners of pregnant women. All were randomised controlled trials, and all reported positive findings. Three studies were judged poor quality because outcome measures were not biochemically-verified, and two were considered fair quality. Conclusions Clinical interventions delivered in prenatal care settings appear to reduce SHS exposure, but study weaknesses limit our ability to draw firm conclusions. More rigorous studies, using biochemical validation, are needed to identify strategies for reducing SHS exposure in pregnant women. [ABSTRACT FROM AUTHOR]
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- 2015
- Full Text
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49. Variations in cigarette brand characteristics: can consumers tell the difference?
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Pennings, Jeroen L. A., Ferris Wayne, Geoffrey, Klerx, Walther N. M., Pauwels, Charlotte G. G. M., and Talhout, Reinskje
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CARBON monoxide ,NICOTINE ,SENSORY perception ,CONSUMER attitudes ,COMMERCIAL product evaluation ,FACTOR analysis ,RESEARCH funding ,TOBACCO products ,SMOKING ,NEW product development - Published
- 2023
- Full Text
- View/download PDF
50. The case for Ofsmoke: the potential for price cap regulation of tobacco to raise £500 million per year in the UK.
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Branston, J. Robert and Gilmor, Anna B.
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TOBACCO laws ,INDUSTRIES ,SMOKING ,PUBLIC administration ,RESEARCH funding ,DESCRIPTIVE statistics ,ECONOMICS - Abstract
Objective A system of price-cap regulation has previously been suggested to address the market failure inherent to the tobacco industry. This would benefit public health directly (eg, by making it extremely difficult for the industry to sell cut-price cigarettes, or use price as a marketing strategy) and indirectly (eg, by reducing the available money the industry has for spending on marketing and lobbying). This paper explores the feasibility of applying such a scheme in the UK. Methods The impact of price-capping is modelled using optimistic and conservative scenarios, each with different assumptions, and using 2009 and 2010 profit data for the major companies selling tobacco in the UK. The models are used to calculate by how much would profit be reduced through the imposition of price caps, and thus, how much revenue could be raised in additional taxes, assuming the end price the consumer pays does not change. Results Tobacco companies enjoy massive profit margins, up to 67%, in the UK. The optimistic scenario suggests a potential increase in UK tobacco tax revenue of £585.7 million in 2010 (£548.4 million in 2009), while the conservative model suggests an increase in revenue of £433.6 million in 2010 (£399.2 million in 2009). This would be approximately enough to fund, twice over, UK-wide antitobacco smuggling measures, and smoking cessation services in England, including the associated pharmacotherapies, to help people stop smoking. Conclusions Applying a system of price-cap regulation in the UK would raise around £500 million per annum (US$750 million). This is likely to be an underestimate because of cautious assumptions used in the model. These significant financial benefits, in addition to the public health benefits that would be generated, suggest this is a policy that should be given serious consideration. INSET: The price cap scheme and the benefits it would bring. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
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