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2. Impacts of Parental Education on Substance Use: Differences among White, African-American, and Hispanic Students in 8th, 10th, and 12th Grades (1999-2008). Monitoring the Future Occasional Paper Series. Paper No. 70
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University of Michigan, Institute for Social Research, Bachman, Jerald G., O'Malley, Patrick M., Johnston, Lloyd D., and Schulenberg, John E.
- Abstract
The Monitoring the Future (MTF) project reports annually on levels and trends in self-reported substance use by secondary school students (e.g., Johnston, O'Malley, Bachman, & Schulenberg, 2009). The reports include subgroup comparisons, and these have revealed substantial differences among race/ethnicity groups, as well as some differences linked to parental education (as the available indicator of socioeconomic level). These comparisons are complicated by the substantial differences in racial/ethnic composition across levels of parental education. The present paper disentangles the confounding of race/ethnicity with parental education by examining the three largest race/ethnicity groups separately, showing and comparing how parental education is related to three common forms of substance use/abuse among adolescents. The authors show important interaction effects: The negative relationship between parental education and substance use is more pronounced among White adolescents than among those who are African American or Hispanic. They also unmask relationships between parental education and substance use that are clearer for White adolescents than for the total sample. Furthermore, the appendix to this occasional paper compares product-moment correlations and linear regression results for five-year intervals (1999-2003 vs. 2004-2008), and shows that very few regression coefficients differ significantly. This appendix is titled, "Use of Various Drugs by Grade among All Male Respondents, 1999-2008." (Contains 1 table and 10 figures.)
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- 2010
3. Demographic Subgroup Trends for Various Licit and Illicit Drugs, 1975-2009. Monitoring the Future Occasional Paper Series. Paper 73
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University of Michigan, Institute for Social Research, Johnston, Lloyd D., O'Malley, Patrick M., Bachman, Jerald G., and Schulenberg, John E.
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This occasional paper serves as a supplement to one of four annual monographs from the Monitoring the Future (MTF) study, written by the study's investigators and published by the study's sponsor, the National Institute on Drug Abuse. The full 2009 survey results are reported in "Monitoring the Future National Survey Results on Drug Use, 1975-2009: Volume I, Secondary School Students". That monograph contains a description of MTF's design and purposes, as well as extended reporting on substance use of all kinds and a number of related factors such as attitudes and beliefs about drugs, age of initiation, non-continuation of drug use, relevant conditions in the social environment, history of daily marijuana use, and use of drugs for the treatment of ADHD. Appendix D of Volume I contains tabular data on trends in drug use for various demographic subgroups for each of the many drugs under study. The present occasional paper presents those subgroup trends in "graphic" form, because graphic presentations are much easier to comprehend. The graphic presentations have not been included in "Volume I" due both to their length and the cost of printing them in color. Trend data are presented for 12th-grade respondents beginning with 1975, the first year in which a nationally representative sample of high school seniors was surveyed. Trend data for 8th and 10th grades are presented beginning with 1991, when those grade levels were added to the study design. The numerical information upon which these graphics are based is contained in the relevant appendix D tables of Volume I. Detailed definitions of the demographic categories are given in appendix B of that volume. For the reader's convenience, both appendix B and appendix D have also been included in this occasional paper. (Contains 258 figures and 1 footnote.)
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- 2010
4. Smoke Signals: Adolescent Smoking and School Continuation. Working Papers Series. SAN06-05
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Duke Univ., Durham, NC. Terry Sanford Inst. of Public Policy., Cook, Philip J., and Hutchinson, Rebecca
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This paper presents an exploratory analysis using NLSY97 data of the relationship between the likelihood of school continuation and the choices of whether to smoke or drink. We demonstrate that in the United States as of the late 1990s, smoking in 11th-grade was a uniquely powerful predictor of whether the student finished high school, and if so whether the student matriculated in a four-year college. For economists the likely explanation for this empirical link would be based on interpersonal differences in time preference, but that account is called in question by our second finding--that drinking does not predict school continuation. We speculate that the demand for tobacco by high school students is influenced by the signal conveyed by smoking (of being offtrack in school), one that is especially powerful for high-aptitude students. To further develop this view, we present estimates of the likelihood of smoking as a function of school commitment and other, more traditional variables. There are no direct implications from this analysis for whether smoking is in some sense a cause of school dropout. We offer some speculations on this matter in the conclusion. (Contains 9 tables, 3 figures, and 5 footnotes.)
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- 2006
5. Exposure to cigarette taxes as a teenager and the persistence of smoking into adulthood.
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Friedson A, Li M, Meckel K, Rees DI, and Sacks DW
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- Humans, Adolescent, Male, Female, Adult, Adolescent Behavior, Young Adult, United States, Smoking Prevention, Taxes, Smoking economics, Smoking epidemiology, Tobacco Products economics
- Abstract
Are teenage and adult smoking causally related? Recent anti-tobacco policy is predicated on the assumption that preventing teenagers from smoking will ensure that fewer adults smoke, but direct evidence in support of this assumption is scant. Using data from three nationally representative sources and instrumenting for teenage smoking with cigarette taxes experienced at ages 14-17, we document a strong positive relationship between teenage and adult smoking: deterring 10 teenagers from smoking through raising cigarette taxes roughly translates into 5 fewer adult smokers. We conclude that efforts to reduce teenage smoking can have long-lasting consequences on smoking participation and, presumably, health., (© 2024 The Author(s). Health Economics published by John Wiley & Sons Ltd.)
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- 2024
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6. Filter presence and tipping paper color influence consumer perceptions of cigarettes.
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O'Connor RJ, Bansal-Travers M, Cummings KM, Hammond D, Thrasher JF, and Tworek C
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- Adult, Consumer Behavior, Female, Humans, Male, Smoking epidemiology, United States, Young Adult, Advertising, Product Labeling statistics & numerical data, Product Packaging statistics & numerical data, Smoking psychology, Tobacco Products statistics & numerical data
- Abstract
Background: Cigarettes are marketed in a wide array of packaging and product configurations, and these may impact consumers' perceptions of product health effects and attractiveness. Filtered cigarettes are typically perceived as less hazardous and white tipping paper (as opposed to cork) often conveys 'lightness'., Methods: This study examined cigarette-related perceptions among 1220 young adult (age 18-35) current, ever, and never smokers recruited from three eastern U.S. cities (Buffalo NY, Columbia SC, Morgantown WV). Participants rated three cigarette sticks: two filtered cigarettes 85 mm in length, differing only in tipping paper color (cork versus white), and an unfiltered 70 mm cigarette., Results: Overall, the cork-tipped cigarette was most commonly selected on taste and attractiveness, the white-tipped on least dangerous, and the unfiltered on most dangerous. Current smokers were more likely to select white-tipped (OR = 1.98) and cork-tipped (OR = 3.42) cigarettes, while ever smokers more commonly selected the cork-tipped (OR = 1.96), as most willing to try over the other products. Those willing to try the filtered white-tipped cigarette were more likely to have rated that cigarette as best tasting (OR = 11.10), attracting attention (OR = 17.91), and lowest health risk (OR = 1.94). Similarly, those willing to try cork tipped or unfiltered cigarettes rated those as best testing, attracting attention, and lowest health risk, respectively., Conclusions: Findings from this study demonstrate that consumer product perceptions can be influenced by elements of cigarette design, such as the presence and color of the filter tip.
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- 2015
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7. Electronic nicotine delivery systems: executive summary of a policy position paper from the American College of Physicians.
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Crowley RA
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- Adolescent, Advertising legislation & jurisprudence, Air Pollution, Indoor legislation & jurisprudence, Biomedical Research economics, Child, Financing, Government, Humans, Smoking Cessation legislation & jurisprudence, Taxes, United States, United States Food and Drug Administration, Electronic Nicotine Delivery Systems adverse effects, Health Policy, Smoking legislation & jurisprudence, Smoking Cessation methods
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Electronic nicotine delivery systems (ENDS), which include electronic cigarettes, or e-cigarettes, are growing in popularity, but their safety and efficacy as a smoking cessation aid are not well understood. Some argue that they have the potential to reduce tobacco-related morbidity and mortality and could be a useful tool for reducing tobacco-related harm. Others express concern that the health effects of ENDS use are unknown, that they may appeal to young people, and that they may encourage dual use of ENDS and traditional tobacco products. Although ENDS are a new and unregulated product, the U.S. Food and Drug Administration has proposed regulations that would deem ENDS to be subject to the Family Smoking Prevention and Tobacco Control Act, which regulates cigarettes and other tobacco products. In this position paper, the American College of Physicians offers policy recommendations on ENDS regulation and oversight, taxation, flavorings, promotion and marketing, indoor and public use, and research. This paper is not intended to offer clinical guidance or serve as an exhaustive literature review of existing ENDS-related evidence but to help direct the College, policymakers, and regulators on how to address these products.
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- 2015
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8. Rebuttal to the paper by Enstrom.
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Kuller LH
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- Cardiovascular Diseases etiology, Cardiovascular Diseases mortality, Cardiovascular Diseases prevention & control, Cause of Death, Humans, Lung Neoplasms etiology, Lung Neoplasms mortality, Lung Neoplasms prevention & control, Smoking adverse effects, Survival Rate trends, United States epidemiology, Veterans statistics & numerical data, Smoking mortality, Smoking Cessation statistics & numerical data
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- 1999
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9. "Habits of Employees": Smoking, Spies, and Shopfloor Culture at Hammermill Paper Company.
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WOOD, GREGORY
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SMOKING , *BLUE collar workers , *INDUSTRIAL management , *EMPLOYEES , *CONDUCT of life , *INDUSTRIAL relations , *TWENTIETH century , *EMPLOYMENT , *SOCIAL history , *HISTORY of industrial relations - Abstract
An essay is presented on the subject of cigarette smoking among U.S. laborers in factories, corporate spying on workers, and the social culture of shopfloors in the U.S. during the 20th century. It examines the records of Erie, Pennsylvania, paper manufacturer Hammermill Paper Company concerning employee cigarette consumption, how employees attempted to evade corporate surveillance of their smoking, and labor relations in the U.S.
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- 2011
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10. The 1964 US Surgeon General's report on smoking and health.
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Hall W
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- Humans, United States, Smoking Prevention, Tobacco Smoking, Research Report, Smoking, Surgeons
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- 2022
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11. Epidemiological studies on air pollution and health.
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Ferris BG Jr
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- Adult, Age Factors, Aged, Asthma etiology, British Columbia, Bronchitis etiology, Dust analysis, Environmental Exposure, Ethnicity, Female, Humans, Male, Middle Aged, Occupational Diseases, Paper, Respiratory Function Tests, Rural Population, Sampling Studies, Sex Factors, Sulfides analysis, Sulfur Dioxide, United Kingdom, United States, Urban Population, Air Pollution, Respiratory Tract Diseases etiology, Smoking
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- 1968
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12. International Psychological Applications Conference and Trends (InPACT) 2016 (Lisbon, Portugal, April 30-May 2, 2016)
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World Institute for Advanced Research and Science (WIARS) (Portugal), Pracana, Clara, and Wang, Michael
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We are delighted to welcome you to the International Psychological Applications Conference and Trends (InPACT) 2016, taking place in Lisbon, Portugal, from 30 of April to 2 of May, 2016. Psychology, nowadays, offers a large range of scientific fields where it can be applied. The goal of understanding individuals and groups (mental functions and behavioral standpoints), from this academic and practical scientific discipline, is aimed ultimately to benefit society. This International Conference seeks to provide some answers and explore the several areas within the Psychology field, new developments in studies and proposals for future scientific projects. The goal is to offer a worldwide connection between psychologists, researchers and lecturers, from a wide range of academic fields, interested in exploring and giving their contribution in psychological issues. The conference is a forum that connects and brings together academics, scholars, practitioners and others interested in a field that is fertile in new perspectives, ideas and knowledge. There is an extensive variety of contributors and presenters, which can supplement the view of the human essence and behavior, showing the impact of their different personal, academic and cultural experiences. This is, certainly, one of the reasons there are nationalities and cultures represented, inspiring multi-disciplinary collaborative links, fomenting intellectual encounter and development. InPACT 2016 received 332 submissions, from 37 different countries, reviewed by a double-blind process. Submissions were prepared to take form of Oral Presentations, Posters, Virtual Presentations and Workshops. It was accepted for presentation in the conference 96 submissions (29% acceptance rate). The conference also includes: (1) A keynote presentation from Prof. Dr. Richard Bentall (Institute of Psychology, Health & Society of the University of Liverpool, United Kingdom); (2) Three Special Talks, one from Emeritus Professor Carlos Amaral Dias (University of Coimbra, Director of Instituto Superior Miguel Torga, Vice-President of the Portuguese Association of Psychoanalysis and Psychoanalytic Psychotherapy, Private practitioner of psychiatry and psychoanalysis, Portugal) and Prof. Clara Pracana (Full and Training member of the Portuguese Association of Psychoanalysis and Psychoanalytic Psychotherapy, Portugal), another from Emeritus Professor Michael Wang (University of Leicester, United Kingdom), and a third one from Dr. Conceição Almeida (Founder of the Portuguese Association of Psychoanalysis and Psychoanalytical Psychotherapy, and Vice-President of the Board. Member of the Teaching Committee, Portugal); (3) An Invited Talk from Dr. Ana Vasconcelos (SAMS--Serviços de Assistência Médico-Social do Sindicato dos Bancários de Sul e Ilhas, founding member of the Portuguese Association of Psychoanalysis and Psychoanalytic Psychotherapy, and member of NPA-Neuropshycanalysis Association, Portugal). Thus, we would like to express our gratitude to all our invitees. This volume is composed by the abstracts of the International Psychological Applications Conference and Trends (InPACT 2016), organized by the World Institute for Advanced Research and Science (W.I.A.R.S.). This conference addresses different categories inside Applied Psychology area and papers fit broadly into one of the named themes and sub-themes. To develop the conference program six main broad-ranging categories had been chosen, which also cover different interest areas: (1) In CLINICAL PSYCHOLOGY: Emotions and related psychological processes; Assessment; Psychotherapy and counseling; Addictive behaviors; Eating disorders; Personality disorders; Quality of life and mental health; Communication within relationships; Services of mental health; and Psychopathology. (2) In EDUCATIONAL PSYCHOLOGY: Language and cognitive processes; School environment and childhood disorders; Parenting and parenting related processes; Learning and technology; Psychology in schools; Intelligence and creativity; Motivation in classroom; Perspectives on teaching; Assessment and evaluation; and Individual differences in learning. (3) In SOCIAL PSYCHOLOGY: Cross-cultural dimensions of mental disorders; Employment issues and training; Organizational psychology; Psychology in politics and international issues; Social factors in adolescence and its development; Social anxiety and self-esteem; Immigration and social policy; Self-efficacy and identity development; Parenting and social support; and Addiction and stigmatization. (4) In LEGAL PSYCHOLOGY: Violence and trauma; Mass-media and aggression; Intra-familial violence; Juvenile delinquency; Aggressive behavior in childhood; Internet offending; Working with crime perpetrators; Forensic psychology; Violent risk assessment; and Law enforcement and stress. (5) In COGNITIVE AND EXPERIMENTAL PSYCHOLOGY: Perception, memory and attention; Decision making and problem-solving; Concept formation, reasoning and judgment; Language processing; Learning skills and education; Cognitive Neuroscience; Computer analogies and information processing (Artificial Intelligence and computer simulations); Social and cultural factors in the cognitive approach; Experimental methods, research and statistics; and Biopsychology. (6) In PSYCHOANALYSIS AND PSYCHOANALYTICAL PSYCHOTHERAPY: Psychoanalysis and psychology; The unconscious; The Oedipus complex; Psychoanalysis of children; Pathological mourning; Addictive personalities; Borderline organizations; Narcissistic personalities; Anxiety and phobias; Psychosis; Neuropsychoanalysis. The proceedings contain the results of the research and developments conducted by authors who focused on what they are passionate about: to promote growth in research methods intimately related to Psychology and its applications. It includes an extensive variety of contributors and presenters by sharing their different personal, academic and cultural experiences. Authors will be invited to publish extended contributions for a book to be published by inScience Press. We would like to express thanks to all the authors and participants, the members of the academic scientific committee, partners and, of course, to the organizing and administration team for making and putting this conference together. (Individual papers contain references.) [Abstract modified to meet ERIC guidelines.]
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- 2016
13. 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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14. 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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15. Research paper. Key health themes and reporting of numerical cigarette–waterpipe equivalence in online news articles reporting on waterpipe tobacco smoking: a content analysis.
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Jawad, Mohammed
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CONFIDENCE intervals , *CONTENT analysis , *HEALTH , *INTERNET , *PRESS , *PUBLIC opinion , *SMOKING , *INFORMATION resources , *LOGISTIC regression analysis , *TOBACCO products , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
Introduction There is anecdotal evidence that health messages interpreted from waterpipe tobacco smoking (WTS) research are inconsistent, such as comparing the health effects of one WTS session with that of 100 cigarettes. This study aimed to identify key health themes about WTS discussed by online news media, and how numerical cigarette–waterpipe equivalence (CWE) was being interpreted. Methods We identified 1065 online news articles published between March 2011 and September 2012 using the ‘Google Alerts' service. We screened for health themes, assessed statements mentioning CWE and reported differences between countries. We used logistic regression to identify factors associated with articles incorrectly reporting a CWE equal to or greater than 100 cigarettes, in the absence of any comparative parameter (‘CWE ≥100 cigarettes'). Results Commonly mentioned health themes were the presence of tobacco (67%) and being as bad as cigarettes (49%), and we report on differences between countries. While 10.8% of all news articles contained at least one positive health theme, 22.9% contained a statement about a CWE. Most of these (18.6% total) were incorrectly a CWE ≥100 cigarettes, a quarter of which were made by healthcare professionals/organisations. Compared with the Middle East, articles from the USA and the UK were the most significant predictors to contain a CWE ≥100 cigarettes statement. Conclusions Those wishing to write or publish information related to WTS may wish to avoid comparing WTS to cigarettes using numerical values as this is a major source of confusion. Future research is needed to address the impact of the media on the attitudes, initiation and cessation rates of waterpipe smokers. [ABSTRACT FROM AUTHOR]
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- 2015
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16. 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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17. 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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18. Research paper. Estimating the cost of a smoking employee.
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Berman, Micah, Crane, Rob, Seiber, Eric, and Munur, Mehmet
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LABOR productivity , *SMOKING , *MEDICAL care costs , *WORK environment , *COST analysis , *ECONOMICS - Abstract
Objective We attempted to estimate the excess annual costs that a US private employer may attribute to employing an individual who smokes tobacco as compared to a non-smoking employee. Design Reviewing and synthesising previous literature estimating certain discrete costs associated with smoking employees, we developed a cost estimation approach that approximates the total of such costs for US employers. We examined absenteeism, presenteesim, smoking breaks, healthcare costs and pension benefits for smokers. Results Our best estimate of the annual excess cost to employ a smoker is $5816. This estimate should be taken as a general indicator of the extent of excess costs, not as a predictive point value. Conclusions Employees who smoke impose significant excess costs on private employers. The results of this study may help inform employer decisions about tobacco-related policies. [ABSTRACT FROM AUTHOR]
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- 2014
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19. 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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20. The University Environment: A Comprehensive Assessment of Health-Related Advertisements
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Szymona, Katie, Quick, Virginia, Olfert, Melissa, Shelnutt, Karla, Kattlemann, Kendra K., Brown-Esters, Onikia, Colby, Sarah E., Beaudoin, Christina, Lubniewski, Jocelyn, Maia, Angelina Moore, Horacek, Tanya, and Byrd-Bredbenner, Carol
- Abstract
Purpose: Little is known about health-related advertising on university environments. Given the power of advertising and its potential effect on health behaviors, the purpose of this paper is to assess the health-related advertisement environment and policies on university campuses. Design/methodology/approach: In total, ten geographically and ethnically diverse US university campuses that were trained in using the health-related advertisement survey tool participated in the study. Inter-rater reliability with data collectors at each university was established before data commencement began in Spring 2011. The survey tool assessed the types, locations, and prevalence of health-related advertisements and messages (e.g. nutrition, alcohol, tobacco) on campus, and included both advertisements and messages related to any aspect of health by any sponsor. Current campus health-related policies from each institution were collected as well. Findings: The largest proportion of advertisements on all campuses were for diet/nutrition, exercise/fitness, and alcohol. The majority of advertisements promoted positive health behaviors recommended by health professionals. Unbranded advertisements were more likely to promote positive health behaviors than branded advertisements. Diet/nutrition, tobacco, and drug advertisements were more likely to be positive, whereas alcohol-related advertisements tended to be negative. Originality/value: The paper's findings indicate significant gaps in campus health-related policies with regard to healthy eating and physical activity and lack of policies covering health-related advertisement content. Benchmark data like those reported here can help campus stakeholders set priorities and work with campus decision makers to advocate for the development and implementation of healthy campus policies that support healthy environments. (Contains 4 tables.)
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- 2012
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21. Adolescent Substance Use: America's #1 Public Health Problem
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National Center on Addiction and Substance Abuse at Columbia University
- Abstract
This report finds that adolescent smoking, drinking, misusing prescription drugs and using illegal drugs is, by any measure, a public health problem of epidemic proportion, presenting clear and present danger to millions of America's teenagers and severe and expensive long-range consequences for the entire population. This report is a wake-up call for everyone, regardless of whether they seek to win the future by investing in the youth or seek to cut public spending to avoid a back-breaking financial burden on their children and grandchildren. The findings and recommendations in this report offer common ground and opportunity to help achieve both objectives. This report finds that: (1) Three-fourths of high school students (75.6 percent, 10.0 million) have used addictive substances including cigarettes, alcohol, marijuana or cocaine; (2) Almost half of high school students (46.1 percent, 6.1 million) are current users of these substances; and (3) Of high school students who have ever smoked a cigarette, had a drink of alcohol or used other drugs, 19.4 percent have a clinical substance use disorder, as do 33.3 percent of current users. Appendices include: (1) Methodology; (2) 2010 CASA Survey of Parents of High School Students; (3) 2010 CASA Survey of High School Students; (4) 2010 CASA Survey of High School Teachers and School Personnel; (5) Key Informant Interviewees; and (6) Screening, Brief Intervention and Referral to Treatment (SBIRT). A bibliography is included. (Contains 29 tables, 50 figures and 1452 notes.) [Funding for this paper was provided by Legacy[R] and the Michael Alan Rosen Foundation.]
- Published
- 2011
22. Adolescent Substance Use in the U.S.: Facts for Policymakers. Fact Sheet
- Author
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National Center for Children in Poverty, Stagman, Shannon, Schwarz, Susan Wile, and Powers, Danielle
- Abstract
Adolescence is an important period of physical, social, psychological, and cognitive growth. No longer children and not yet adults, adolescents make significant choices about their health and develop attitudes and health behaviors that continue into adulthood. Substance use disorders among adolescents can impede the attainment of important developmental milestones, including the development of autonomy, the formation of intimate interpersonal relationships, and general integration into adult society. Similarly, the use of alcohol and illicit substances by youth often leads to adverse health outcomes. This paper presents: (1) facts about adolescent substance use; (2) factors that make monitoring and decreasing adolescent substance use especially difficult; and (3) recommendations for preventing adolescent substance use. (Contains 2 figures and 26 endnotes.)
- Published
- 2011
23. High School and Youth Trends. NIDA InfoFacts
- Author
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National Institute on Drug Abuse (DHHS/PHS)
- Abstract
Since 1975 the Monitoring the Future (MTF) survey has measured drug, alcohol, and cigarette use and related attitudes among adolescent students nationwide. Survey participants report their drug use behaviors across three time periods: lifetime, past year, and past month; for some drugs, daily use is also reported. Initially, the survey included 12th-graders only, but in 1991 it was expanded to include 8th- and 10th-graders. The MTF survey is funded by the National Institute on Drug Abuse (NIDA) and is conducted by the University of Michigan's Institute for Social Research. The 36th annual study was conducted during 2010. This year's Monitoring the Future survey raises concerns about increases in drug use among the Nation's teens, particularly the youngest. This paper provides the highlights of this year's Monitoring the Future survey. (Contains 2 notes.)
- Published
- 2011
24. 2011 Montana Youth Risk Behavior Survey High School Results and 2011 Comparative Report for: Grades 7-8; American Indian Students on or near a Reservation; American Indian Students in Urban Schools; Nonpublic Accredited Schools; Alternative Schools; Students with Disabilities
- Author
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Montana Office of Public Instruction
- Abstract
The Youth Risk Behavior Survey (YRBS) is an epidemiologic surveillance system that was established by the U.S. Centers for Disease Control and Prevention (CDC) to help monitor the prevalence of behaviors that not only influence youth health, but also put youth at risk for the most significant health and social problems that can occur during adolescence and adulthood. To monitor priority health-risk behaviors in each of these six categories and obesity and asthma among youth and young adults, CDC developed the YRBS. The YRBS has been conducted biennially since 1991 in Montana. The purpose of the YRBS is to assist educators and health professionals in determining the prevalence of the aforementioned health-risk behaviors among youth. This report describes the results of the survey and the methods used to conduct the survey. The results will be used to focus the continuing development of statewide comprehensive health education and to reduce those health behaviors that place Montana youth at risk. Survey results are presented in the following parts: (1) Introduction; (2) Graphs; (3) Frequency Distributions; (4) Native American YRBS Results; (5) Trend Report (1993-2011); and (6) Other Frequency Distributions and Trend Reports. [Funding for this paper was provided by the Montana Board of Crime Control, the Montana Department of Public Health and Human Services, the Billings Area Indian Health Service, and the Montana Department of Transportation.]
- Published
- 2011
25. Influence of Rurality on Oral Cancer Trends among Organisation for Economic Co-Operation and Development (OECD) Member Countries—A Scoping Review.
- Author
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Ramamurthy, Poornima, Sharma, Dileep, Clough, Alan, and Thomson, Peter
- Subjects
HEALTH services accessibility ,PAPILLOMAVIRUS diseases ,MOUTH tumors ,RESEARCH funding ,SOCIOECONOMIC factors ,CINAHL database ,SMOKING ,SYSTEMATIC reviews ,MEDLINE ,RURAL conditions ,LITERATURE reviews ,HEALTH equity ,ONLINE information services - Abstract
Simple Summary: Oral cancer affects the mouth and throat areas. It is a major cause of death for older people in developed countries. This review looked at how living in rural areas influences oral cancer trends in these countries. The studies from these countries showed increasing rates of oral cancer in rural areas of the US, Australia, Canada, and Europe. Older people are more affected by these cancers than younger groups. The main risk factors are tobacco use, alcohol consumption, and HPV infections. People in rural areas often do not know much about HPV-related cancers. They also tend to use more tobacco and alcohol than city dwellers. Even in developed countries, living in rural areas can lead to shorter lifespans for oral cancer patients. This is mainly because it is harder for them to access specialized cancer treatment centres and advanced medical care. In summary, where people live can significantly impact their chances of surviving oral cancer, even in wealthy nations. Oral cancer is the general term used to describe cancers of the oral cavity and oropharyngeal region. These cancers are one of the leading causes of death in elderly residents within the Organisation for Economic Co-operation and Development (OECD) member countries in the 21st century. This scoping review was carried out to assess the influence of rurality on oral cancer trends and patterns among OECD member countries. Four online databases (Medline, PubMed, Scopus, and CINAHL) were searched for studies that reported on oral cancer trends in rural and remote areas in OECD member countries. A total of 1143 articles were obtained initially; among them, 995 papers were screened to include 18 articles for this scoping review. Studies have reported increasing incidence and prevalence in the United States, Australia, Canada, and European countries wherein risk factors such as tobacco, alcohol, and human papilloma virus (HPV) infections were associated with oral and oropharyngeal cancers. Awareness among people living in rural areas about HPV-related cancers was very low, while rates of tobacco and alcohol abuse were noted to be rising more rapidly than among their urban counterparts. Furthermore, the ageing population was most affected compared to the younger age groups of people with oral and oropharyngeal cancer that are prevalent in these regions. Overall, despite living in developed countries, rurality was noted to be a significant factor in the lower life expectancy of oral cancer patients, mainly due to the limited accessibility to tertiary cancer care centres and advanced medical care. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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26. A New Policy on Tobacco Papers.
- Subjects
SMOKING ,TOBACCO industry ,RESEARCH methodology - Abstract
The author reflects on the studies on smoking in the U.S. The author states that the first study uses the internal documents of the tobacco company that provides evidence of the deception strategy use by the tobacco industry and the second study shows that the tobacco industry is distorted by the increased medicalization of smoke stopping. The author also mentions that journals rejected bans on research papers from the authors funded by the tobacco industry.
- Published
- 2010
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27. Parents, Public Policy, and Youth Smoking
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Powell, Lisa M. and Chaloupka, Frank J.
- Abstract
This paper jointly examines the importance of parental influences, prices, and tobacco control policies on the smoking behavior of youths. Data are drawn from the Audits & Surveys (A&S) 1996 survey of high school students across the United States from "The Study of Smoking and Tobacco Use Among Young People" to examine the impact of parental influences on the probability of youth smoking in the context of both specific observable parenting behaviors and in terms of youths' perceptions of the importance of their parents' opinions. The key finding is that specific parental influences (such as communication/bonding (extent of discussions about daily issues between parent/adult and child), limit-setting with regard to free time, home smoking rules, and parental smoking behavior) and the extent to which teenagers value their parents' opinions play a significant role in youth smoking decisions. Our results by age reveal that specific modifications related to improving communication channels and implementing home smoking rules and more general changes that improve the quality of the parent-child relationship so teens place a higher value on their parents' opinions are likely to be particularly effective in the early teen years.
- Published
- 2005
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28. Rationale, design, and protocol for a hybrid type 1 effectiveness-implementation trial of a proactive smoking cessation electronic visit for scalable delivery via primary care: the E-STOP trial.
- Author
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Fahey, Margaret C., Wahlquist, Amy E., Diaz, Vanessa A., Player, Marty S., Natale, Noelle, Sterba, Katherine R., Chen, Brian K., Hermes, Eric D. A., Carpenter, Mathew J., and Dahne, Jennifer
- Subjects
EVALUATION of human services programs ,EXPERIMENTAL design ,BIOCHEMISTRY ,SMOKING cessation ,CLINICAL trials ,COUNSELING ,CARBON monoxide ,MOTIVATION (Psychology) ,PHENOMENOLOGICAL biology ,PSYCHOLOGY ,DISEASES ,MEDICAL protocols ,PRIMARY health care ,TREATMENT effectiveness ,HARM reduction ,CONCEPTUAL models ,SMOKING ,ELECTRONIC health records ,MEDICAL appointments ,VARENICLINE ,ALGORITHMS ,TOBACCO - Abstract
Background: Cigarette smoking remains the leading cause of preventable disease and death in the United States. Primary care offers an ideal setting to reach adults who smoke cigarettes and improve uptake of evidence-based cessation treatment. Although U.S. Preventive Services Task Force Guidelines recommend the 5As model (Ask, Advise, Assess, Assist, Arrange) in primary care, there are many barriers to its implementation. Automated, comprehensive, and proactive tools are needed to overcome barriers. Our team developed and preliminarily evaluated a proactive electronic visit (e-visit) delivered via the Electronic Health Record patient portal to facilitate evidence-based smoking cessation treatment uptake in primary care, with promising initial feasibility and efficacy. This paper describes the rationale, design, and protocol for an ongoing Hybrid Type I effectiveness-implementation trial that will simultaneously assess effectiveness of the e-visit intervention for smoking cessation as well as implementation potential across diverse primary care settings. Methods: The primary aim of this remote five-year study is to examine the effectiveness of the e-visit intervention vs. treatment as usual (TAU) for smoking cessation via a clinic-randomized clinical trial. Adults who smoke cigarettes are recruited across 18 primary care clinics. Clinics are stratified based on their number of primary care providers and randomized 2:1 to either e-visit or TAU. An initial baseline e-visit gathers information about patient smoking history and motivation to quit, and a clinical decision support algorithm determines the best evidence-based cessation treatment to prescribe. E-visit recommendations are evaluated by a patient's own provider, and a one-month follow-up e-visit assesses cessation progress. Main outcomes include: (1) cessation treatment utilization (medication, psychosocial cessation counseling), (2) reduction in cigarettes per day, and (3) biochemically verified 7-day point prevalence abstinence (PPA) at six-months. We hypothesize that patients randomized to the e-visit condition will have better cessation outcomes (vs. TAU). A secondary aim evaluates e-visit implementation potential at patient, provider, and organizational levels using a mixed-methods approach. Implementation outcomes include acceptability, adoption, fidelity, implementation cost, penetration, and sustainability. Discussion: This asynchronous, proactive e-visit intervention could provide substantial benefits for patients, providers, and primary care practices and has potential to widely improve reach of evidence-based cessation treatment. Trial registration: NCT05493254. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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- View/download PDF
29. Global research mapping of substance use disorder and treatment 1971-2017: implications for priority setting.
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Tran, Bach Xuan, Moir, Mackenzie, Latkin, Carl A., Hall, Brian J., Nguyen, Cuong Tat, Ha, Giang Hai, Nguyen, Nam Ba, Ho, Cyrus S. H., and Ho, Roger C. M.
- Subjects
SUBSTANCE-induced disorders ,THERAPEUTICS ,BEHAVIOR therapy ,MOTIVATIONAL interviewing ,COGNITIVE therapy ,DRUGS of abuse - Abstract
Background: Globally, substance use disorders are prevalent and remain an intractable public health problem for health care systems. This study aims to provide a global picture of substance use disorders research.Methods: The Web of Science platform was used to perform a cross-sectional analysis of scientific articles on substance use disorders and treatment. Characteristics of publication volume, impact, growth, authors, institutions, countries, and journals were examined using descriptive analysis and network visualization graphs.Results: Thirteen thousand six hundred eighty-five papers related to illicit drugs (5403), tobacco (4469), and alcohol (2137) use disorders and treatment were published between 1971 and 2017. The number of publications on Mindfulness and Digital medicine topics had the highest increase with more than 300% since 2003-2007 despite later presence than other methods. The number of papers on other non-pharmaceutical therapies (behavioral therapy, cognitive behavioral therapy, skills training or motivational interviewing) grew gradually, however, the growth rate was lower every 5-year period. The United States is the substance use disorder research hub of the world with the highest volume of publications (8232 or 60.2%) and total citations (252,935 or 65.2%), number of prolific authors (25 of top 30 or 83%) and institutions (24 of top 26 or 92%), formed the most international research partnerships (with 96 distinct countries). The international collaboration followed a pattern based on geographic proximity and cultural similarity.Conclusions: This study offers a comprehensive picture of the global trend of publications of substance use disorder. Findings suggest a need for research policy that supports the examination of interventions that culturally adhere to different local contexts to address substance use disorder in communities. [ABSTRACT FROM AUTHOR]- Published
- 2019
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- View/download PDF
30. Improving the representativeness of the tribal behavioral risk factor surveillance system through data integration.
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Chen S, Campbell J, Spain E, Woodruff A, and Snider C
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- Humans, United States, Behavioral Risk Factor Surveillance System, Selection Bias, American Indian or Alaska Native, Population Surveillance methods, Health Status, Smoking
- Abstract
Background: Previous literature showed significant health disparities between Native American population and other populations such as Non-Hispanic White. Most existing studies for Native American Health were based on non-probability samples which suffer with selection bias. In this paper, we are the first to evaluate the effectiveness of data integration methods, including calibration and sequential mass imputation, to improve the representativeness of the Tribal Behavioral Risk Factor Surveillance System (TBRFSS) in terms of reducing the biases of the raw estimates., Methods: We evaluated the benefits of our proposed data integration methods, including calibration and sequential mass imputation, by using the 2019 TBRFSS and the 2018 and 2019 Behavioral Risk Factor Surveillance System (BRFSS). We combined the data from the 2018 and 2019 BRFSS by composite weighting. Demographic variables and general health variables were used as predictors for data integration. The following health-related variables were used for evaluation in terms of biases: Smoking status, Arthritis status, Cardiovascular Disease status, Chronic Obstructive Pulmonary Disease status, Asthma status, Cancer status, Stroke status, Diabetes status, and Health Coverage status., Results: For most health-related variables, data integration methods showed smaller biases compared with unadjusted TBRFSS estimates. After calibration, the demographic and general health variables benchmarked with those for the BRFSS., Conclusion: Data integration procedures, including calibration and sequential mass imputation methods, hold promise for improving the representativeness of the TBRFSS., (© 2023. The Author(s).)
- Published
- 2023
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31. Effects of e-cigarette minimum legal sales ages on youth tobacco use in the United States.
- Author
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Pesko, Michael F.
- Subjects
ELECTRONIC cigarettes ,TOBACCO use ,TOBACCO industry laws ,CIGARS - Abstract
In the United States, individual states established a minimum legal sale age (MLSA) for e-cigarettes between 2010 and 2016 when a federal MLSA came into place. These policies provide a natural experiment from which we can better understand the effect that e-cigarettes have on youth combustible tobacco use. This paper uses National Youth Tobacco Survey data to estimate the effect of the gradual roll-out of e-cigarette MLSAs in the United States on youth e-cigarette use, cigarette use, and cigar use (i.e., cigars, cigarillos, or little cigars). Using an estimator designed to correct for dynamic heterogeneity in treatment effects, e-cigarette MLSAs are estimated to reduce lifetime e-cigarette use by approximately 25% and increase daily cigarette use and daily cigar use by approximately 35%. Therefore, these MLSAs operate as intended in reducing e-cigarette use, although at the expense of more dangerous combustible tobacco use. The Food and Drug Administration should consider the impact of e-cigarette availability in reducing youth combustible tobacco use as an important public health benefit of e-cigarettes in their regulatory activity. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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32. The Adult JUUL Switching and Smoking Trajectories (ADJUSST) Study: Methods and Analysis of Loss-to-Follow-up.
- Author
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Shiffman, Saul, Sembower, Mark A., Augustson, Erik M., Goldenson, Nicholas I., Haseen, Farhana, McKeganey, Neil P., and Russell, Christopher
- Subjects
PATIENT aftercare ,ELECTRONIC cigarettes ,PHYSIOLOGICAL adaptation ,DESCRIPTIVE statistics ,RESEARCH funding ,SMOKING ,RESEARCH bias ,LONGITUDINAL method - Abstract
Objectives: The Adult JUUL System User Switching and Smoking Trajectories (ADJUSST) study assessed the smoking and JUUL use trajectories of adults who purchased JUUL. In this paper, we describe study methods, characterize the sample, and assesses potential for bias due to loss to follow-up. Methods: We entered 55,414 US adults (= age 21) who purchased a JUUL Starter Kit for the first time (online or at retail) in 2018 into a naturalistic, longitudinal observational study, irrespective of baseline smoking status. Participants were invited for follow-ups 1, 2, 3, 6, 9, and 12 months later, focused on assessing past-30-day smoking and JUUL use. Analyses assessed potential bias due to non-response. Results: Over 90% of participants had a history of smoking; 62.8% were past-30-day smokers; 23.3% were former smokers. Participants' average age was 30; 75% were white. Most participants (77.6%) completed some follow-ups; 25% completed all follow-ups. Baseline differences among complete responders (N = 13,729), partial responders (N = 29,252), and complete non-responders (N = 12,433) were small. When recontacted, few 12-month non-responders said their non-response was due to smoking; many reported no past- 30-day smoking. Conclusions: The study may elucidate smoking trajectories of adult JUUL users. The potential for bias due to loss to follow-up in ADJUSST was limited. ACKNOWLEDGMENT & CONFLICT OF INTEREST STATEMENT: Funding for this study was provided by Juul Labs Inc. Through Pinney Associates, Saul Shiffman provides consulting services on tobacco harm reduction on an exclusive basis to Juul Labs Inc. In that role, he acted as internal editor and coordinator for the papers in this special issue. Erik Augustson is a full-time employee of Juul Labs Inc. As Senior Director of Behavioral Affairs at JLI, he oversaw the conduct of the behavioral research reported in this special issue. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
33. Prevalence of ENDS and JUUL Use, by Smoking Status, in National Samples of Young Adults and Older Adults in the U.S.
- Author
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Prakash, Shivaani, Hatcher, Cameron, and Shiffman, Saul
- Subjects
ELECTRONIC cigarettes ,CONFIDENCE intervals ,CROSS-sectional method ,SURVEYS ,DISEASE prevalence ,DESCRIPTIVE statistics ,SMOKING ,DATA analysis software ,ADULTS - Abstract
Objectives: In this paper, we estimate the prevalence of electronic nicotine delivery systems (ENDS) and JUUL brand ENDS use among adults in the US, overall and by smoking history. Methods: We obtained 2019 cross-sectional online surveys assessing smoking, use of any ENDS, and JUUL specifically, in a national probability sample of 11,833 US adults. Data were analyzed for young adults (YA; aged 18-24) and older adults (OA; aged 25+). Results: Past 30-day ENDS prevalence was 8.0% in YA and 4.7% in OA; equivalent JUUL figures were 3.1% and 1.2%. ENDS/JUUL use was more prevalent among current and former smokers than never smokers, where prevalence was = 2% (YA: 2.0%/0.9%; OA: 0.9%/0.1%). JUUL use was higher among recent (< 1 year) quitters than among long-term (= 1 year) quitters. Among those who had ever used both ENDS and other tobacco, strong majorities reported using other tobacco first. Among JUUL users who also had used other tobacco = 95% had used other tobacco first. Conclusions: Past-30-day ENDS use (including JUUL) was = 8% among young adults and = 5% in older adults. Most (> 98%) ENDS and JUUL users were current or former smokers, which is relevant to assessment of the population impact of these products. ACKNOWLEDGMENT & CONFLICT OF INTEREST STATEMENT: Funding for this study was provided by Juul Labs Inc. Through Pinney Associates, Saul Shiffman provides consulting services on tobacco harm reduction on an exclusive basis to Juul Labs Inc. In that role, he acted as internal editor and coordinator for the papers in this special issue. Erik Augustson is a full-time employee of Juul Labs Inc. As Senior Director of Behavioral Affairs at JLI, he oversaw the conduct of the behavioral research reported in this special issue. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
34. Sex disparities in the association between serum cotinine and chronic kidney disease.
- Author
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Jianling Song, Ping Wang, and Hong Li
- Subjects
COTININE ,CROSS-sectional method ,SMOKING ,SEX distribution ,LOGISTIC regression analysis ,FISHER exact test ,KRUSKAL-Wallis Test ,QUESTIONNAIRES ,CHRONIC kidney failure ,SURVEYS ,ODDS ratio ,CONFIDENCE intervals ,DISEASE risk factors - Abstract
INTRODUCTION Despite the existence of numerous studies highlighting the adverse effects of smoking on kidney function, the investigation of the correlation between serum cotinine and chronic kidney disease (CKD) remains inconclusive due to insufficient evidence. Consequently, the primary objective of this study was to ascertain the association between serum cotinine levels and CKD. METHODS This study analyzed data from 10900 Americans participating in the National Health and Nutrition Examination Survey between 2005 and 2016. The independent variable under investigation was log serum cotinine, while the dependent variable was the presence of CKD. To investigate the potential linear and non-linear correlations between serum cotinine and CKD, logistic regression models and generalized additive models (GAM) were employed. Furthermore, stratified analyses and interaction tests were conducted to evaluate potential disparities in the relationship between serum cotinine and CKD, based on sex. RESULTS The median age in the study participants was 49.28 ± 17.96 years, and the median log serum cotinine (ng/mL) was -0.54 ± 1.68. The prevalence of CKD was found to be 17.04%. Multifactorial regression analysis did not show a statistically significant association between log serum cotinine and CKD (OR=1.02; 95% CI: 0.98--1.06, p=0.4387). A statistically significant non-linear association between log serum cotinine and CKD was also not observed in the GAM analysis (p nonlinear value=0.091). Subgroup analyses revealed sex differences in the association between log serum cotinine and CKD. Briefly, males had a positive association between log serum cotinine and incident CKD (OR=1.08; 95% CI: 1.02--1.15, p=0.0049). In females, there was a U-shaped association between log serum cotinine and CKD, with an optimal inflection point for log serum cotinine of -0.30 (serum cotinine=0.5 ng/mL). CONCLUSIONS Cross-sectional analyses of NHANES data showed gender differences in the association between serum cotinine and the development of CKD. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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35. Tobacco products and sensory health: An assessment of taste and smell disorders using 2021 NHIS data.
- Author
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Bin Hamdan, Rahaf H., AlAmri, Waad R., and Aldosari, Muath A.
- Subjects
SUBSTANCE abuse prevention ,TASTE disorders ,ELECTRONIC cigarettes ,MINORITIES ,CONFIDENCE intervals ,CROSS-sectional method ,SELF-evaluation ,MATHEMATICAL models ,HISPANIC Americans ,INTERVIEWING ,SMOKELESS tobacco ,RACE ,NATIONAL health services ,RISK assessment ,SURVEYS ,COMPARATIVE studies ,SMELL disorders ,DISEASE prevalence ,THEORY ,DESCRIPTIVE statistics ,TOBACCO products ,SMOKING ,LOGISTIC regression analysis ,SOCIODEMOGRAPHIC factors ,ODDS ratio ,DISEASE risk factors - Abstract
INTRODUCTION This study aims to assess the relationship between use of tobacco products and taste and smell disorders. METHODS A secondary dataset analysis of cross-sectional data from the National Health Interview Survey (NHIS) 2021 survey cycle, a nationally representative annual cross-sectional interview of non-institutionalized US civilians, was used. Participants' senses of smell and taste are assessed using self-reported questions. Participants were categorized into five groups based on their tobacco use: nontobacco users; cigarettes only; e-cigarettes only; cigar, pipe, or smokeless tobacco; and poly-tobacco product users. Disorders were defined as any self-reported difficulty in smelling, tasting, or reporting unpleasant odors or persistent tastes. Weighting procedures were used to estimate the national prevalence of taste, smell, and other disorders, stratified by tobacco products used. Adjusted logistic regression models were used to determine the association between tobacco products used and taste or smell compared to non-tobacco users. RESULTS A total of 40.2 million US adults reported experiencing smell or taste disorders. Nearly one in 10 adults reported a taste disorder (9.8%), and 13.4% indicated a smell disorder. The prevalence of taste or smell disorder was higher among females (17.5%), Hispanics (19.5%), individuals identified as 'other' racial minorities (21.1%), and lower income groups (21%). Compared to non-tobacco users, the highest odds of experiencing smell or taste disorders were among poly-tobacco product users (adjusted odds ratio, AOR=1.44; 95% CI: 1.31-1.58), followed by e-cigarette-only users (AOR=1.38; 95% CI: 1.02-1.87), cigarette-only smokers (AOR=1.17; 95% CI: 1.04-1.32), and users of cigars, pipes, or smokeless tobacco (AOR=1.15; 1.00; and 1.33; respectively). CONCLUSIONS Tobacco product use was associated with an increased risk of smell and taste disorders. The rising use of e-cigarettes among adolescents and young adults is particularly concerning given the limited understanding of the sensory effects of e-cigarettes and their growing popularity among younger populations. The study findings highlight the need for interventions aimed at reducing tobacco use of all kinds. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
36. Defending legitimate epidemiologic research: combating Lysenkopseudoscience.
- Author
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Enstrom, James E.
- Subjects
EPIDEMIOLOGY ,PSEUDOSCIENCE ,SMOKING ,MORTALITY ,PUBLIC health - Abstract
This analysis presents a detailed defense of my epidemiologic research in the May 17, 2003 British Medical Journal that found no significant relationship between environmental tobacco smoke (ETS) and tobacco-related mortality. In order to defend the honesty and scientific integrity of my research, I have identified and addressed in a detailed manner several unethical and erroneous attacks on this research. Specifically, I have demonstrated that this research is not "fatally flawed," that I have not made "inappropriate use" of the underlying database, and that my findings agree with other United States results on this relationship. My research suggests, contrary to popular claims, that there is not a causal relationship between ETS and mortality in the U.S. responsible for 50,000 excess annual deaths, but rather there is a weak and inconsistent relationship. The popular claims tend to damage the credibility of epidemiology. In addition, I address the omission of my research from the 2006 Surgeon General's Report on Involuntary Smoking and the inclusion of it in a massive U.S. Department of Justice racketeering lawsuit. I refute erroneous statements made by powerful U.S. epidemiologists and activists about me and my research and I defend the funding used to conduct this research. Finally, I compare many aspect of ETS epidemiology in the U.S. with pseudoscience in the Soviet Union during the period of Trofim Denisovich Lysenko. Overall, this paper is intended to defend legitimate research against illegitimate criticism by those who have attempted to suppress and discredit it because it does not support their ideological and political agendas. Hopefully, this defense will help other scientists defend their legitimate research and combat "Lysenko pseudoscience." [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
37. Executive Summary: Screening for Lung Cancer: Chest Guideline and Expert Panel Report.
- Author
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Mazzone PJ, Silvestri GA, Souter LH, Caverly TJ, Kanne JP, Katki HA, Wiener RS, and Detterbeck FC
- Subjects
- Asymptomatic Diseases, Decision Making, Shared, Humans, Lung diagnostic imaging, Lung Neoplasms physiopathology, Lung Neoplasms psychology, Patient Selection, Radiologic Health methods, Risk Assessment, Smoking Cessation methods, United States, Early Detection of Cancer adverse effects, Early Detection of Cancer methods, Lung Neoplasms diagnosis, Smoking epidemiology, Smoking therapy, Tomography, X-Ray Computed methods
- Abstract
Background: Low-dose chest CT screening for lung cancer has become a standard of care in the United States, in large part because of the results of the National Lung Screening Trial (NLST). Additional evidence supporting the net benefit of low-dose chest CT screening for lung cancer, and increased experience in minimizing the potential harms, has accumulated since the prior iteration of these guidelines. Here, we update the evidence base for the benefit, harms, and implementation of low-dose chest CT screening. We use the updated evidence base to provide recommendations where the evidence allows, and statements based on experience and expert consensus where it does not., Methods: Approved panelists reviewed previously developed key questions using the Population, Intervention, Comparator, Outcome format to address the benefit and harms of low-dose CT screening, and key areas of program implementation. A systematic literature review was conducted using MEDLINE via PubMed, Embase, and the Cochrane Library on a quarterly basis since the time of the previous guideline publication. Reference lists from relevant retrievals were searched, and additional papers were added. Retrieved references were reviewed for relevance by two panel members. The quality of the evidence was assessed for each critical or important outcome of interest using the Grading of Recommendations, Assessment, Development and Evaluation approach. Meta-analyses were performed where appropriate. Important clinical questions were addressed based on the evidence developed from the systematic literature review. Graded recommendations and ungraded statements were drafted, voted on, and revised until consensus was reached., Results: The systematic literature review identified 75 additional studies that informed the response to the 12 key questions that were developed. Additional clinical questions were addressed resulting in seven graded recommendations and nine ungraded consensus statements., Conclusions: Evidence suggests that low-dose CT screening for lung cancer can result in a favorable balance of benefit and harms. The selection of screen-eligible individuals, the quality of imaging and image interpretation, the management of screen-detected findings, and the effectiveness of smoking cessation interventions can impact this balance., (Copyright © 2021 American College of Chest Physicians. All rights reserved.)
- Published
- 2021
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38. Overview of tobacco use transitions for population health.
- Author
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Hyland, Andrew, Kasza, Karin A., Borek, Nicolette, Kimmel, Heather L., Taylor, Kristie A., Compton, Wilson M., Day, Hannah, Donaldson, Elisabeth A., Sharma, Eva, Anic, Gabriella, Edwards, Kathryn C., Halenar, Michael J., Hull, Lynn C., Kissin, Wendy, Limpert, Jean, Seaman, Elizabeth L., Bansal-Travers, Maansi, Gardner, Lisa D., Hammad, Hoda T., and Stanton, Cassandra A.
- Subjects
SMOKING ,SMOKING cessation ,TEENAGERS' conduct of life ,GOVERNMENT regulation ,TOBACCO products ,POPULATION health ,ADOLESCENCE - Published
- 2020
- Full Text
- View/download PDF
39. Population-level impact of 'The Real Cost' campaign on youth smoking risk perceptions and curiosity, United Sates 2018-2020.
- Author
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Aldukhail, Shaikha, Alabdulkarim, Abdulaziz, and Agaku, Israel T.
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MARKETING laws ,SMOKING prevention ,RACISM ,CONFIDENCE intervals ,ATTITUDE (Psychology) ,PRACTICAL politics ,MULTIPLE regression analysis ,RISK perception ,SURVEYS ,COMPARATIVE studies ,SMOKING ,ODDS ratio ,TOBACCO ,ADOLESCENCE - Abstract
INTRODUCTION The FDA's 'The Real Cost' tobacco prevention campaign aimed to counter tobacco marketing efforts directed toward children and youths. Our objectives were to explore the associations between exposure to the FDA's campaign and cigarette risk perception among the US adolescent population, and between exposure and cigarette smoking curiosity among adolescents who never smoked cigarettes. METHODS We analyzed 3 cycles of National Youth Tobacco Survey (NYTS 2018-2020, n=53738). Multivariable logistic regression models were fitted to measure the relationship between campaign exposure and cigarettes risk perception (among all), as well as the relationship between campaign exposure and cigarette curiosity (among cigarette never smokers). RESULTS Majority of youths have reported exposure to the campaign 63% between 2018-2020. The odds of youths perceiving cigarettes as risky were 1.6 times higher among exposed compared to those not exposed (adjusted odds ratio, AOR=1.60; 95% CI: 1.43-1.79). There were some racial disparities in risk perceptions among Hispanics and Non-Hispanic Blacks across exposure groups. Exposure was associated with higher cigarettes curiosity odds among Hispanic youths who never smoked (AOR=1.26; 95% CI: 1.10-1.44) compared to their Non-Hispanic White peers. CONCLUSIONS The FDA's 'The Real Cost' campaign had exposure levels deemed essential for population-level perceptions change. Exposure was associated with youths having higher risk perceptions about the negative health outcomes related to cigarette smoking. However, students that never smoked were more curious about smoking with campaign exposure. Therefore, future health communication plans should consider both the potential benefits and possible unintended consequences prior to launching such campaigns. [ABSTRACT FROM AUTHOR]
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- 2023
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40. Early Exposure to County Income Mobility and Adult Individual Health in the United States.
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Daza, Sebastian and Palloni, Alberto
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SOCIAL mobility ,LIFE expectancy ,HEALTH status indicators ,INCOME ,SOCIOECONOMIC factors ,SURVEYS ,SMOKING ,HEALTH equity ,LONGITUDINAL method ,ADULTS ,CHILDREN ,ADOLESCENCE - Abstract
Objectives Previous research in the United States suggests contextual income mobility may play a role in explaining the disparities between life expectancy in the United States and peer countries. This article aims to extend previous research by estimating the consequences of average individual exposure to mobility regimes during childhood and adolescence on adult health. Methods This study draws its data from two longitudinal datasets that track the county of residence of respondents during childhood and adolescence, the Panel Study of Income Dynamics and the National Longitudinal Survey of Youth 1997. We implement marginal structural models to assess the association of the average exposure to county income mobility on five health outcomes and behaviors. Results The results are only partially consistent with a systematic association between exposure to income mobility and health outcomes. Evidence obtained from the National Longitudinal Survey of Youth suggests less income mobility might increase the probability of smoking by age 30. Discussion The paper provides a precise assessment of the hypothesis that childhood exposure to income mobility regimes may influence health status through behavior later in life and contribute to longevity gaps. Only partial evidence on smoking suggests an association between income mobility and health, so we discuss potential reasons for the disparities in results with previous research. [ABSTRACT FROM AUTHOR]
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- 2022
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41. Tobacco growing and tobacco use.
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Martins-da-Silva, Anderson Sousa, Torales, Julio, Becker, Ruth Francyelle Vieira, Moura, Helena F., Waisman Campos, Marcela, Fidalgo, Thiago M., Ventriglio, Antonio, and Castaldelli-Maia, João Mauricio
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SUBSTANCE abuse ,AGRICULTURE ,INDUSTRIES ,MEDICAL protocols ,GOVERNMENT policy ,SMOKING ,TOBACCO ,AGRICULTURAL laborers - Abstract
Tobacco use is associated with an annual global economic cost of two trillion dollars and mortality of half of its regular users. Tobacco leaf cultivation is the starting point of the tobacco cycle. Tobacco farming employs millions of small-scale tobacco farmers around the globe, most of whom are out growers who rely on the tobacco industry. This paper aims to map the regions of greatest tobacco production globally (i.e., the US, Brazil, China, Indonesia, India, and Zambia) and tobacco use rates in these locations. Smoking rates were higher in those areas, except for India, where important population subgroups reported an upward trend for tobacco smoking. In general, there was a relationship between tobacco farming and tobacco smoking. Tobacco farming may lead to a higher risk of tobacco use and lower adherence to tobacco control policies. Therefore, promoting viable alternative livelihoods for tobacco farmers must have dual benefits. Additionally, specific health prevention policies might be necessary for those populations reporting higher tobacco use and lower perception of tobacco-related health risks. [ABSTRACT FROM AUTHOR]
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- 2022
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42. Ad lib Smoking of Black & Mild Cigarillos and Cigarettes.
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Fabian, Lacy A., Canlas, Lauren L., Potts, Jennifer, and Pickworth, Wallace B.
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SMOKING ,CIGARETTES ,CIGARS ,CARBON dioxide ,NICOTINE - Abstract
Introduction: Over the past 20 years, there has been a tripling in the consumption of small cigars and cigarillos, with further increases expected because cigar products are not subject to Food and Drug Administration regulations. Acute toxin exposure from cigar smoking is difficult to assess because unlike cigarettes, cigars vary widely in size, design, composition, and in the smoking behavior of their consumers. For example, a recent practice among urban youth is to remove the paper liner (i.e., “freaking”) of a small cigar in the belief that it is this paper liner that leads to addiction and cancer. Methods: We examined acute exposure (CO and nicotine boosts) and puffing behavior in 12 participants (10 men) who smoked (ad lib) their usual conventional cigarette, a Black & Mild cigar (B&M) and a B&M without the paper liner (i.e., “freaked” [B&Mf]). Results: All products (cigarettes, B&M, and B&Mf) significantly increased heart rate and CO with a trend for plasma nicotine. Nicotine boost was significantly higher after cigarette smoking than both B&M and B&Mf, while CO boost was significantly greater after B&M and B&Mf than cigarettes. The CO boost after B&M was larger than after B&Mf. Conclusions: These findings suggest that small cigar smoking is associated with smoke inhalation that leads to significant exposure to nicotine, CO, and presumably other components of tobacco smoke and that removing the inner liner does not substantially reduce toxin exposure. [ABSTRACT FROM PUBLISHER]
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- 2012
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43. Mathematical Modeling in Tobacco Control Research: Initial Results From a Systematic Review.
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Feirman, Shari P., Donaldson, Elisabeth, Glasser, Allison M., Pearson, Jennifer L., Niaura, Ray, Rose, Shyanika W., Abrams, David B., and Villanti, Andrea C.
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SMOKING cessation ,HEALTH policy ,MEDICAL databases ,MEDICAL decision making ,MATHEMATICAL models ,SYSTEMATIC reviews ,SMOKING prevention ,SUBSTANCE abuse prevention ,SUBSTANCE abuse diagnosis ,DECISION making ,MEDICAL research ,SMOKING ,SUBSTANCE abuse ,THEORY - Abstract
Objectives: The US Food and Drug Administration has expressed interest in using mathematical models to evaluate potential tobacco policies. The goal of this systematic review was to synthesize data from tobacco control studies that employ mathematical models.Methods: We searched five electronic databases on July 1, 2013 to identify published studies that used a mathematical model to project a tobacco-related outcome and developed a data extraction form based on the ISPOR-SMDM Modeling Good Research Practices. We developed an organizational framework to categorize these studies and identify models employed across multiple papers. We synthesized results qualitatively, providing a descriptive synthesis of included studies.Results: The 263 studies in this review were heterogeneous with regard to their methodologies and aims. We used the organizational framework to categorize each study according to its objective and map the objective to a model outcome. We identified two types of study objectives (trend and policy/intervention) and three types of model outcomes (change in tobacco use behavior, change in tobacco-related morbidity or mortality, and economic impact). Eighteen models were used across 118 studies.Conclusions: This paper extends conventional systematic review methods to characterize a body of literature on mathematical modeling in tobacco control. The findings of this synthesis can inform the development of new models and the improvement of existing models, strengthening the ability of researchers to accurately project future tobacco-related trends and evaluate potential tobacco control policies and interventions. These findings can also help decision-makers to identify and become oriented with models relevant to their work. [ABSTRACT FROM AUTHOR]- Published
- 2016
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44. Transitions in device and liquid characteristic groupings among US adults frequently using electronic nicotine delivery systems (ENDS) over three timepoints, 2020-2021.
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Qinghua Nian, Hardesty, Jeffrey J., Crespi, Elizabeth, Sinamo, Joshua K., Kennedy, Ryan D., Welding, Kevin, and Cohen, Joanna E.
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ELECTRONIC cigarettes ,SELF-evaluation ,NICOTINE ,COMPARATIVE studies ,RESEARCH funding ,DESCRIPTIVE statistics ,TOBACCO products ,SMOKING ,DISPOSABLE medical devices ,ADULTS - Abstract
INTRODUCTION Electronic nicotine delivery system (ENDS) and liquid characteristics affect nicotine and toxicant exposure and use behaviors. Little is known about how adults who frequently use ENDS transition between ENDS device/liquid groupings. METHODS A total of 379 US adults (≥21 years) using ENDS frequently (≥5 days/ week) self-reported and uploaded photos of their most used ENDS device and liquid in three waves of online surveys (May 2020 -- November 2021). Device/ liquid grouping was defined by device (i.e. disposable/refillable tank/refillable pod or cartridge/disposable pod or cartridge, adjustable/no adjustable settings) and liquid (i.e. salt/freebase) characteristics. Participants using the same grouping across waves were considered stable users. RESULTS The most prevalent wave (W) 1 grouping was tank (freebase, adjustable settings; 36.8%). From W1 to W3, the number of disposable device (salt, no adjustable settings) users increased 156.4% and the number of disposable pod/cartridge (salt, no adjustable settings) users decreased 15.2%. In W2 and W3, compared to stable users, participants using tank (freebase, adjustable settings) in W1 and another grouping in W2 and/or W3 reported significantly higher nicotine concentrations (mg/mL) (W2: 15.1 vs 5.5, p<0.001; W3: 22.9 vs 5.6, p<0.001) and lower device power (watt) (W2: 46.8 vs 58.7, p=0.02; W3: 34.0 vs 57.2, p<0.001). CONCLUSIONS Over a 1.5-year period, a rapid growth in disposable device (salt, no adjustable settings) use and a decrease in disposable pod/cartridge (salt, no adjustable settings) use were observed. Participants who transitioned from tank (freebase, adjustable settings) to other groupings were more likely to increase liquid nicotine concentration and reduce device power compared to stable users. [ABSTRACT FROM AUTHOR]
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- 2023
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45. Sexual orientation and gender identity differences in perceptions and product appeal in response to e-cigarette advertising.
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Liu, Jessica, Patterson, Joanne G., Keller-Hamilton, Brittney, Donghee N. Lee, Chrzan, Kirsten R., and Stevens, Elise M.
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SEXUAL orientation ,STATISTICS ,FLAVORING essences ,ELECTRONIC cigarettes ,SMOKING cessation ,CONSUMER attitudes ,ADVERTISING ,GENDER identity ,SEX distribution ,SEXUAL minorities ,RESEARCH funding ,TOBACCO products ,SMOKING ,STATISTICAL sampling ,DATA analysis ,HEALTH promotion - Abstract
INTRODUCTION E-cigarette use is disparately high among sexual minoritized populations. As e-cigarette advertising may influence product appeal, this study tested sexual orientation- and gender-based differences in response to e-cigarette advertisement exposure on advertisement perceptions and product appeal. METHODS We recruited 497 adults (mean age=31.9 years, 45.1% women, 54.3% heterosexual, 71.2% Non-Hispanic White) living in the United States via the crowdsourcing platform Prolific. Participants viewed two randomly selected e-cigarette advertisements (from n=173 advertisements). Post-exposure, participants rated the perceived advertisement effectiveness, relevance, and product use intention. Associations between sexual orientation and outcomes were estimated using multivariable linear mixed-effects models. We tested interaction effects between sexual orientation, gender, and advertisement feature (e.g. presence of humans, flavors, and product packaging), and ran Tukey post hoc tests for pairwise comparisons. RESULTS Post-exposure, heterosexual women, sexual minoritized men, and sexual minoritized women (reference group: heterosexual men) rated perceived advertisement effectiveness and relevance lower after viewing advertisements featuring flavors (vs no flavors; all p<0.001). Sexual minoritized men and sexual minoritized women rated perceived advertisement relevance lower after viewing advertisements featuring humans (all p<0.001) or fruit (all p<0.001). Heterosexual women, sexual minoritized men, and sexual minoritized women reported lower product use intention after viewing advertisements featuring an e-liquid bottle (vs no e-liquid bottle; all p<0.05). CONCLUSIONS Sexual minoritized women and men reported lower e-cigarette advertisement appeal and product use intentions than heterosexual men. More evidence is needed to understand advertisement perceptions and product appeal in this group to inform e-cigarette advertising regulations and anti-tobacco messaging campaigns that aim to reduce tobacco-related health inequities. [ABSTRACT FROM AUTHOR]
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- 2023
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46. Comparison of e‐cigarette use prevalence and frequency by smoking status among youth in the United States, 2014–19.
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Tam, Jamie and Brouwer, Andrew F.
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TWENTY-first century ,ELECTRONIC cigarettes ,CONFIDENCE intervals ,CROSS-sectional method ,MIDDLE school students ,SELF-evaluation ,SURVEYS ,DESCRIPTIVE statistics ,SMOKING ,HIGH school students - Abstract
Background and aims: Reports of youth e‐cigarette use often do not disaggregate by underlying smoking status. This study compared annual 2014–19 youth estimates of past 30‐day e‐cigarette use prevalence and frequency by smoking status in the United States. Design Nationally representative, cross‐sectional, school‐based survey [National Youth Tobacco Surveys (NYTS)]. General linear models accounting for complex survey design compared e‐cigarette use prevalence by smoking status by year, overall and stratified by frequency, separately for high school (HS) and middle school (MS) students. The 2019 survey was analyzed separately because of its change in survey methodology. Setting: MSs and HSs in the United States. Participants: A total of 116 704 students from 1268 schools, ages 9–19. Measurements Students self‐reported (paper 2014–18, electronic 2019) ever and past 30‐day (current) use of e‐cigarettes and cigarettes, as well as frequent use (20–30 days of month). Findings From 2014 to 2018, current e‐cigarette use prevalence increased among never, current and former smokers in HS, but only among never and current smokers in MS (each P‐value < 0.001). E‐cigarette use increases for current HS smokers were primarily among frequent e‐cigarette users. In 2018, the absolute number of HS frequent users who were never or former smokers (420 000 combined) surpassed current smokers (370 000). In 2019, current e‐cigarette use prevalence for never, former and current smokers was 17.5% [95% confidence interval (CI) = 16.0–19.0], 53.6% (95% CI = 45.2–61.9) and 85.8% (95% CI = 81.6–89.9) for HS students, respectively, and 6.8% (95% CI = 5.9–7.7), 40.8% (95% CI = 34.7–47.0) and 78.0% (95% CI = 71.9–84.2) for MS students. That year, the number of HS never (420 000) and former smokers (570 000) using e‐cigarettes frequently eclipsed that of current smokers (390 000). Conclusions: E‐cigarette use prevalence and frequency among youth vary by smoking status, with highest levels of use among current smokers. However frequent e‐cigarette use among never smokers and former smokers has increased. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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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
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48. International population-based health surveys linked to outcome data: A new resource for public health and epidemiology.
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Fisher S, Bennett C, Hennessy D, Robertson T, Leyland A, Taljaard M, Sanmartin C, Jha P, Frank J, Tu JV, Rosella LC, Wang J, Tait C, and Manuel DG
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- Adolescent, Adult, Aged, Alcohol Drinking, Canada, Diet, Female, Health Behavior, Humans, Male, Meta-Analysis as Topic, Middle Aged, Population Surveillance, Scotland, United States, Young Adult, Epidemiology, Exercise, Health Surveys, Population Health, Public Health, Smoking
- Abstract
Background: National health surveys linked to vital statistics and health care information provide a growing source of individual-level population health data. Pooling linked surveys across jurisdictions would create comprehensive datasets that are larger than most existing cohort studies, and that have a unique international and population perspective. This paper's objectives are to examine the feasibility of pooling linked population health surveys from three countries, facilitate the examination of health behaviours, and present useful information to assist in the planning of international population health surveillance and research studies., Data and Methods: The design, methodologies and content of the Canadian Community Health Survey (2003 to 2008), the United States National Health Interview Survey (2000, 2005) and the Scottish Health Survey (SHeS) (2003, 2008 to 2010) were examined for comparability and consistency. The feasibility of creating common variables for measuring smoking, alcohol consumption, physical activity and diet was assessed. Sample size and estimated mortality events were collected., Results: The surveys have comparable purposes, designs, sampling and administration methodologies, target populations, exclusions, and content. Similar health behaviour questions allow for comparable variables to be created across the surveys. However, the SHeS uses a more detailed risk factor evaluation for alcohol consumption and diet data. Therefore, comparisons of alcohol consumption and diet data between the SHeS and the other two surveys should be performed with caution. Pooling these linked surveys would create a dataset with over 350,000 participants, 28,424 deaths and over 2.4 million person-years of follow-up., Discussion: Pooling linked national population health surveys could improve population health research and surveillance. Innovative methodologies must be used to account for survey dissimilarities, and further discussion is needed on how to best access and analyze data across jurisdictions.
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- 2020
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49. Tobacco industry and public health responses to state and local efforts to end tobacco sales from 1969-2020.
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McDaniel PA and Malone RE
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- Commerce economics, Commerce history, Commerce legislation & jurisprudence, History, 20th Century, History, 21st Century, Humans, Local Government history, Public Health history, Smoking economics, Smoking history, Nicotiana, Tobacco Industry economics, Tobacco Industry history, Tobacco Products economics, Tobacco Products history, United States, Public Health legislation & jurisprudence, Smoking legislation & jurisprudence, Tobacco Industry legislation & jurisprudence, Tobacco Products legislation & jurisprudence
- Abstract
Background: In June 2019, Beverly Hills, California, became the first American city in the 21st century to pass an ordinance ending the sale of most tobacco products, including cigarettes, and it is unlikely to be the last. Knowledge of previous efforts to ban tobacco sales in the US, both successful and unsuccessful, may help inform tobacco control advocates' approach to future efforts., Methods: We retrieved and analyzed archival tobacco industry documents. We confirmed and supplemented information from the documents with news media coverage and publicly available state and local government materials, such as meeting minutes and staff reports, related to proposed bans., Results: We found 22 proposals to end the sale of cigarettes or tobacco products from 1969-2020 in the US. Proposals came from five states, twelve cities or towns, and one county. Most came from elected officials or boards of health, and were justified on public health grounds. In opposing tobacco sales bans, the tobacco industry employed no tactics or arguments that it did not also employ in campaigns against other tobacco control measures. Public health groups typically opposed sales ban proposals on the grounds that they were not evidence-based. This changed with Beverly Hills' 2019 proposal, with public health organizations supporting this and other California city proposals because of their likely positive health impacts. This support did not always translate into passage of local ordinances, as some city council members expressed reservations about the impact on small businesses., Conclusion: Tobacco control advocates are likely to encounter familiar tobacco industry tactics and arguments against tobacco sales ban proposals, and can rely on past experience and the results of a growing body of retail-related research to counter them. Considering how to overcome concerns about harming retailers will likely be vital if other jurisdictions are to succeed in ending tobacco sales., Competing Interests: I have read the journal's policy and the authors of this manuscript have the following competing interests: PAM: Personal financial interests: Since 2006, I have been a full-time faculty employee of the University of California, San Francisco. My salary is provided by funds from research grants. I have received honoraria from the U.S. Department of Justice (for serving as a tobacco industry documents consultant for United States of America vs. Philip Morris, et al.), and Cancer Research UK (for preparing a report on views of the idea of a tobacco “endgame”). I have participated in tobacco control advocacy. Organizational financial interests: Within the last 5 years I have received grant funding from the California Tobacco-Related Disease Research Program (research funds derived from the state tax on cigarettes), and have worked on projects funded by the National Cancer Institute and California Tobacco Control Program. Interests of related parties: None to declare. REM: Personal financial interests: Since 1997, I have been a full-time faculty employee of the University of California, San Francisco. My salary is provided by funds from the state of California and my research grants. I have received travel/accommodation expenses and consulting fees or honoraria from the U.S. Department of Justice (for serving as a tobacco industry documents consultant for United States of America vs. Philip Morris, et al.), World Health Organization (for serving on the Expert Panel on Tobacco Industry Interference with Tobacco Control), American Legacy Foundation (for serving on an award selection panel), Clearway Minnesota (for serving as a grant proposal reviewer), U.S. Centers for Disease Control (for consulting on a tobacco industry documents research project), NIH (for serving as a grant proposal reviewer) and Cancer Research UK (for preparing a report on views of the idea of a tobacco “endgame”). I own one share each of Philip Morris International, Reynolds American, and Altria stock for research and advocacy purposes and have participated in tobacco control advocacy. I receive an annual honorarium and reimbursement of travel/accommodation expenses from BMJ Publishing Group Ltd (for work as editor-in-chief of Tobacco Control). I have also received travel/accommodation expenses and honoraria for speaking to various public health groups. In addition, I have received funding for reviewing documents as a potential expert witness for plaintiffs’ legal cases involving tobacco industry activities. Organisational financial interests: Within the last 5 years I have received grant funding from the National Cancer Institute, National Institutes of Health, the California Tobacco-Related Disease Research Program (research funds derived from the state tax on cigarettes), and the California Tobacco Control Program. Non-financial interests: I have published or collaborated on research with more than 50 colleagues, postdoctoral fellows and students. I recuse myself from handling or reviewing papers submitted by these colleagues and others from my institution (UCSF). Interests of related parties: None to declare In 2019, both authors provided written informational resources at the request of Beverly Hills city staff and/or representatives and REM provided expert testimony at City Council or Health Commission meetings in Beverly Hills, Manhattan Beach, and Hermosa Beach. We confirm that nothing in those competing interest statements alters our adherence to PLOS ONE policies on sharing data and materials.
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- 2020
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50. Tobacco Product Use and Associated Factors Among Middle and High School Students - United States, 2019.
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Wang TW, Gentzke AS, Creamer MR, Cullen KA, Holder-Hayes E, Sawdey MD, Anic GM, Portnoy DB, Hu S, Homa DM, Jamal A, and Neff LJ
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- Adolescent, Child, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Schools statistics & numerical data, Students statistics & numerical data, United States epidemiology, Smoking epidemiology, Students psychology, Tobacco Products statistics & numerical data
- Abstract
Problem/condition: Tobacco use is the leading cause of preventable disease, disability, and death in the United States. Most tobacco product use begins during adolescence. In recent years, tobacco products have evolved to include various smoked, smokeless, and electronic products., Period Covered: 2019., Description of System: The National Youth Tobacco Survey (NYTS) is an annual, cross-sectional, school-based, self-administered survey of U.S. middle school (grades 6-8) and high school (grades 9-12) students. A three-stage cluster sampling procedure is used to generate a nationally representative sample of U.S. students attending public and private schools. NYTS is the only nationally representative survey of U.S. middle and high school students that focuses exclusively on tobacco use patterns and associated factors. NYTS is designed to provide national data on tobacco product use and has been conducted periodically during 1999-2009 and annually since 2011. Data from NYTS are used to support the design, implementation, and evaluation of comprehensive tobacco use prevention and control programs and to inform tobacco regulatory activities. Since its inception in 1999 through 2018, NYTS had been conducted via paper and pencil questionnaires. In 2019, NYTS for the first time was administered in schools using electronic data collection methods. CDC's Office on Smoking and Health, in collaboration with the U.S. Food and Drug Administration's (FDA's) Center for Tobacco Products, analyzed data from the 2019 NYTS to assess tobacco product use patterns and associated factors among U.S. middle and high school students. Overall, 19,018 questionnaires were completed and weighted to represent approximately 27.0 million students. On the basis of self-reported grade level, this included 8,837 middle school questionnaires (11.9 million students) and 10,097 high school questionnaires (15.0 million students); 84 questionnaires with missing information on grade level were excluded from school-level analyses., Results: In 2019, an estimated 53.3% of high school students (8.0 million) and 24.3% of middle school students (2.9 million) reported having ever tried a tobacco product. Current (past 30-day) use of a tobacco product (i.e., electronic cigarettes [e-cigarettes], cigarettes, cigars, smokeless tobacco, hookahs, pipe tobacco, and bidis [small brown cigarettes wrapped in a leaf]) was reported by 31.2% of high school students (4.7 million) and 12.5% of middle school students (1.5 million). E-cigarettes were the most commonly cited tobacco product currently used by 27.5% of high school students (4.1 million) and 10.5% of middle school students (1.2 million), followed in order by cigars, cigarettes, smokeless tobacco, hookahs, and pipe tobacco. Tobacco product use also varied by sex and race/ethnicity. Among current users of each tobacco product, the prevalence of frequent tobacco product use (on ≥20 days of the preceding 30 days) ranged from 16.8% of cigar smokers to 34.1% of smokeless tobacco product users. Among current users of each individual tobacco product, e-cigarettes were the most commonly used flavored tobacco product (68.8% of current e-cigarette users). Among students who reported ever having tried e-cigarettes, the three most commonly selected reasons for use were "I was curious about them" (55.3%), "friend or family member used them" (30.8%), and "they are available in flavors, such as mint, candy, fruit, or chocolate" (22.4%). Among never users of each individual tobacco product, curiosity and susceptibility (a construct that can help to identify future tobacco product experimentation or use) was highest for e-cigarettes (39.1% and 45.0%, respectively) and cigarettes (37.0% and 45.9%, respectively). Overall, 86.3% of students who reported contact with an assessed potential source of tobacco product advertisements or promotions (going to a convenience store, supermarket, or gas station; using the Internet; watching television or streaming services or going to the movies; or reading newspapers or magazines) reported exposure to marketing for any tobacco product; 69.3% reported exposure to e-cigarette marketing and 81.7% reported exposure to marketing for cigarettes or other tobacco products. Among all students, perceiving no harm or little harm from intermittent tobacco product use (use on some days but not every day) was 28.2% for e-cigarettes, 16.4% for hookahs, 11.5% for smokeless tobacco products, and 9.5% for cigarettes. Among current users of any tobacco product, 24.7% reported experiencing cravings to use tobacco products during the past 30 days and 13.7% reported wanting to use a tobacco product within 30 minutes of waking. Moreover, 57.8% of current tobacco product users reported they were seriously thinking about quitting the use of all tobacco products and 57.5% reported they had stopped using all tobacco products for ≥1 day because they were trying to quit., Interpretation: In 2019, approximately one in four youths (23.0%) had used a tobacco product during the past 30 days. By school level, this represented approximately three in 10 high school students (31.2%) and approximately one in eight middle school students (12.5%). Since 2014, e-cigarettes have been the most commonly used tobacco product among youths. Importantly, more than half of current youth tobacco product users reported seriously thinking about quitting all tobacco products in 2019. However, established factors of use and initiation, including the availability of flavors, exposure to tobacco product marketing, curiosity and susceptibility, and misperceptions about harm from tobacco product use, remained prevalent in 2019 and continue to promote tobacco product use among youths., Public Health Action: The continued monitoring of all forms of youth tobacco product use and associated factors through surveillance efforts including NYTS is important to the development of public health policy and action at national, state, and community levels. Everyone, including public health professionals, health care providers, policymakers, educators, parents, and others who influence youths, can help protect youths from the harms of all tobacco products. In addition, the comprehensive and sustained implementation of evidence-based tobacco control strategies, combined with FDA's regulation of tobacco products, is important for reducing all forms of tobacco product use among U.S. youths., Competing Interests: All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.
- Published
- 2019
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- View/download PDF
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