Place-based inequities in cigarette smoking across the USA
There are inequities in the way that smoking prevalence has declined across US communities.1 In 2021, the Population Level Analysis and Community Estimates (PLACES)2—a collaboration between the US Centers for Disease Control and Prevention (CDC) and the Robert Wood Johnson Foundation—released estimates of smoking prevalence across all US census tracts, allowing these inequities to be quantified. Using methods developed for analyses of census tracts in the 500 largest US cities,3 we characterised inequities in cigarette smoking both between and within US states and in relation to state smoking prevalence. Method...
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Leas, E. C., Pierce, J. P., Satybaldiyeva, N. Tags: Letter Source Type: research

Characteristics of Cheyenne little filtered cigar Instagram ads, 2019-2020
We examined the characteristics of Instagram posts by Cheyenne—a popular LFC brand—from 2019 to 2020. Methods We conducted a content analysis of 323 images posted in 2019 and 2020. Descriptive statistics were examined, and 2 and Fisher’s exact tests were used to test differences by year. Results Most posts (76.0%) showed ≥1 pack and/or LFC stick, which look highly similar to cigarette packs and sticks. The pack was often flavoured (62.2%). Images of lit LFC sticks increased from 2019 (12.2%) to 2020 (26.7%, p=0.005). Warning labels were present on the ad in 79.9% of posts, but always at the bottom, a...
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Mead-Morse, E. L., Delnevo, C. D., Singh, B., Wackowski, O. A. Tags: Brief report Source Type: research

Public health impact of a US menthol cigarette ban on the non-Hispanic black population: a simulation study
Conclusions A menthol cigarette ban will substantially reduce the smoking-associated health impact on the NHB population, thereby reducing health disparities. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Issabakhsh, M., Meza, R., Li, Y., Yuan, Z., Sanchez-Romero, L. M., Levy, D. T. Tags: Open access Brief report Source Type: research

ENDS advertising expenditures in English language media in the USA, 2015-2020
Conclusions Overall ad expenditures were relatively stable from 2015 to mid-2018 when large expenditures by JUUL and subsequent expenditures by BAT and Imperial Tobacco led to expenditure highs in 2019. E-cigarette and vaping-associated lung injury (EVALI), the JUUL self-imposed ad suspension and COVID-19 likely all played a role in advertising lows in 2020. The absence of popular Puff Bar brand ads from the traditional media channels studied highlights the importance of monitoring direct and indirect advertising on newer media channels like social media. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Welding, K., Marynak, K. L., Trigger, S., Kelley, D., Jewler, L., Kennedy, R. D. Tags: Brief report Source Type: research

Economic research in waterpipe tobacco smoking: reflections on data, demand, taxes, equity and health modelling
We present lessons learnt across five thematic areas: data, demand, taxes, equity and health modelling. We also highlight knowledge gaps to be addressed in future research. Research implications include designing comprehensive assessment tools that investigate heterogeneity in waterpipe smoking patterns; accounting for cross-price elasticity of demand with other tobacco products; exploring the change in waterpipe tobacco smoking in response to a tax increase and analysing the equity impact of waterpipe tobacco control interventions. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Bteddini, D., Nakkash, R. T., Chalak, A., Jawad, M., Khader, Y., Abu-Rmeileh, N. M. E., Mostafa, A., Abla, R., Awawda, S., Salloum, R. G. Tags: Special communication Source Type: research

Emerging ENDS products and challenges in tobacco control toxicity research
Electronic nicotine delivery systems (ENDS) continue to rapidly evolve. Current products pose unique challenges and opportunities for researchers and regulators. This commentary aims to highlight research gaps, particularly in toxicity research, and provide guidance on priority research questions for the tobacco regulatory community. Disposable flavoured ENDS have become the most popular device class among youth and may contain higher nicotine levels than JUUL devices. They also exhibit enhanced harmful and potentially harmful constituents production, contain elevated levels of synthetic coolants and pose environmental con...
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Strongin, R. M., Sharma, E., Erythropel, H. C., El-Hellani, A., Kassem, N. O. F., Mikheev, V. B., Noël, A., Peyton, D. H., Springer, M. L. Tags: Special communication Source Type: research

Assessing use of inhalable nicotine products within complex markets: the dilemma of heated tobacco products
The introduction of electronic inhalable products, such as nicotine vaping products (NVPs) and heated tobacco products (HTPs), has further diversified the nicotine market landscape. This poses unique challenges in measuring self-reported nicotine use behaviours, which have been the hallmark of tobacco surveillance systems. This paper raises concerns of potential measurement error for electronic inhalable product use in surveys due to similarities in product design between NVPs and HTPs, as well as changing trends in cannabis administration. We identify several strategies for addressing this issue (eg, including descriptive...
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Miller, C. R., Xu, S. S., Smith, D. M., Sutanto, E., Goniewicz, M. L., Quah, A. C. K., Fong, G. T. Tags: Open access Special communication Source Type: research

Analysis of mainstream emissions, secondhand emissions and the environmental impact of IQOS waste: a systematic review on IQOS that accounts for data source
Conclusions Our analysis showed agreement between the data sources on nicotine yield from IQOS under the same puffing conditions. Also, both sources agreed that IQOS emits significantly reduced levels of some emissions compared with combustible cigarettes. However, independent studies and examination of PMI’s data showed significant increases in other emissions from and beyond the Food and Drug Administration’s harmful and potentially harmful constituents list. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: El-Kaassamani, M., Yen, M., Talih, S., El-Hellani, A. Tags: Editor's choice Review Source Type: research

Tobacco industry presence and practices in Mozambique: a 'chaotic but worthy market
Conclusions Similar to other tobacco-growing countries, the industry facilitated an increase in tobacco production and continues efforts to increase the tobacco consumption market while engaging in CSR activities focused on social and environmental issues. As in other countries, CSR initiatives in Mozambique enhance industry’s reputation. Importantly, these CSR programmes and partnerships breach national laws and the provisions of the FCTC. The continuation of these programmes suggests limited attention within government to protect public policy from industry interference in compliance with Article 5.3 of the FCTC. (...
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Nguenha, N., Bialous, S., Matavel, J., Lencucha, R. Tags: Original research Source Type: research

Tobacco retailers around schools in 10 cities across China
Conclusion Display of tobacco products is very prevalent near schools in 10 cities across China. In contrast, compliance with posting ‘no sales to minors’ signs is low. Our findings suggest that effective enforcement of prohibiting tobacco retailers around schools and stronger restrictions on tobacco displays and flavoured cigarettes and e-cigarettes are needed to protect youth in China. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Nian, Q., Cohen, J. E., Cui, Y., Zhang, S. Tags: Open access Original research Source Type: research

Tobacco industrys human rights makeover: an archival review of British American Tobaccos human rights rhetorical veneer
Conclusion BAT’s increasing use of human rights rhetoric does not appear to reflect a shift in the company’s human rights positions, particularly with respect to the right to health of consumers and BAT’s lack of impactful measures to eliminate the harms of its tobacco products. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Sircar, N. R., Bialous, S. A. Tags: Original research Source Type: research

Tobacco industry pricing strategies for single cigarettes and multistick packs after excise tax increases in Colombia
Conclusion The pricing strategies identified suggest excise taxes can be increased further, particularly the specific component, to reduce the price gap between brand segments. Brands should be restricted to a single variant along with prohibitions on launching new brands/brand variants. Lastly, since the pricing of single sticks does not match the pattern of packs, more monitoring of their sales and distribution is required, especially since they promote consumption and hinder effective implementation of tobacco tax policies. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Sheikh, Z. D., Branston, J. R., Llorente, B. A., Maldonado, N., Gilmore, A. B. Tags: Open access Original research Source Type: research

Systems and policies to reduce secondhand smoke in multiunit housing in Singapore: a qualitative study
Conclusions Without regulations to limit SHS in multiunit housing, current systems are limited in their enforceability as they treat SHS as a neighbourly nuisance rather than a public health threat. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: van der Eijk, Y., Tan, G. P. P., Teo, O. Tags: Original research Source Type: research

Quantifying and characterising tobacco content in the most in-demand streamed series in 10 low/middle-income countries in 2019
Conclusion The continued prevalence of positively characterised tobacco content in youth-focused streamed content that is in high demand in LMICs poses a risk as a driver of smoking uptake in youth populations. There is an urgent need to better enforce tobacco advertising, promotion and sponsorship legislation in LMICs, and to update WHO FCTC guidance in line with rapidly evolving media platforms and content that is available internationally. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Fitzpatrick, I., Byrne, D., Gilmore, A. B., Hasan, F., Cranwell, J. Tags: Open access Original research Source Type: research

To be honest, Im really scared: perceptions and experiences of intimidation in the LMIC-based tobacco control community
Conclusion This exploratory study suggests that intimidation is a crucial challenge for the tobacco control community. There are several measures the global tobacco control community could take, including establishing an international support mechanism and building capacity to deal with intimidation and draw attention to it. (Source: Tobacco Control)
Source: Tobacco Control - December 13, 2023 Category: Respiratory Medicine Authors: Matthes, B. K., Zatonski, M., Alebshehy, R., Carballo, M., Gilmore, A. B. Tags: Open access Original research Source Type: research