Heated tobacco products for smoking cessation and reducing smoking prevalence

Abstract Introduction This study explores patterns of use of non-cigarette tobacco and nicotine products among adult cigarette smokers and recent ex-smokers. Along with cigarette smoking status we explore differences as a function of countries with different product regulations, gender and age. Methods Data came from the ITC Four Country Smoking and Vaping Wave 3 Survey conducted between February-June 2020. The analytic sample consisted of 9112 current cigarette smokers (at least monthly) and 1184 recent ex-smokers (quit cigarettes ≤ 2 years) from Australia, Canada, England, and the US. Respondents were asked about their cigarette smoking and current use of the following non-cigarette products: combustible tobacco (cigars, cigarillos, pipe, waterpipe); non-combustible tobacco (smokeless tobacco, and heated tobacco products (HTPs)); and non-tobacco nicotine products (nicotine vaping products (NVPs), nicotine replacement therapy (NRT), and nicotine pouches)). Results Overall, NVPs (13.7%) and NRT (10.9%) were the most reported nicotine products used, followed by cigars (5.3%), cigarillos (4.2%), and HTPs (3.5%). More than 21% current and recent ex-smokers of cigarettes reported using a non-tobacco nicotine product and non-combustible product, with respondents in England reporting the highest levels of use (>26%). Males, younger respondents, and current non-daily cigarette smokers were more likely to use non-cigarette nicotine products. Notably, 11.6% of ex-cigarette smokers were using other combustible tobacco. Conclusion Considerable percentages of current cigarette smokers and ex-smokers use non-cigarette nicotine products, and there are unexpectedly high levels of use of other combustible products by those recent ex-smokers of cigarettes which is concerning and has important implications for definitions of smoking cessation. Implications The tobacco product market has evolved to include new products which add to existing non-cigarette tobacco products creating a much more diverse nicotine market. This brief report provides a snapshot of use of various combustible and non-combustible nicotine containing products among current cigarette smokers and recent ex-smokers in four western countries. Our results indicate that use of non-cigarette tobacco and nicotine products among these cigarette smokers and recent ex-smokers is not low, particularly among males, younger and non-daily cigarette smokers. Use of other combustible tobacco among respondents that recently quit cigarette smoking is concerning and has important implications for definitions of smoking cessation. Increased emphasis on researching non-cigarette nicotine product use is warranted in tobacco control generally and smoking cessation in particular.

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P016: Feasibility of a nurse-led smoking cessation intervention in the emergency department

CJEM ◽

10.1017/cem.2020.224 ◽

2020 ◽

Vol 22 (S1) ◽

pp. S70-S70

Author(s):

A. Tolmie ◽

R. Erker ◽

A. Donauer ◽

E. Sullivan ◽

T. Graham ◽

...

Keyword(s):

Emergency Department ◽

Smoking Cessation ◽

Cigarette Smoking ◽

Thematic Analysis ◽

Smoking Prevalence ◽

Community Support ◽

Support Programs ◽

Written Responses ◽

Smoking Cessation Counselling ◽

Community Support Programs

Introduction: Cigarette smoking is a leading global cause of morbidity and mortality. Multiple studies internationally have established that cigarette smoking prevalence is higher in emergency department (ED) patients than their respective communities. Previously, we demonstrated the smoking prevalence among Saskatoon ED patients (19.6%) is significantly higher than the provincial average (15.1%), and over 50% of smoking patients would be receptive to ED-specific cessation support. The purpose of this project was to identify nurses’ beliefs regarding smoking cessation in the ED, and barriers to implementing it in the department. Methods: A questionnaire was administered to all nurses employed at St. Paul's Hospital ED in Saskatoon assessing attitudes towards ED cessations, as well as the benefit and feasibility of three potential interventions: brief cessation counselling, referral to community support programs, and distributing educational resources. The questionnaire included Likert scale numerical ratings, and written responses for thematic analysis. Thematic analysis was performed by creating definitions of identified themes, followed by independent review of the data by researchers. Results: 83% of eligible nurses completed the survey (n = 63). Based on Likert scores, ED nurses rarely attempt to provide cessation support, and would be minimally comfortable with personally providing this service. Barriers identified through thematic analysis included time constraints (68.3%), lack of patient readiness (19%), and lack of resources/follow-up (15.9%). Referral to community support programs was deemed most feasible and likely to be beneficial, while counselling within the ED was believed to be least feasible and beneficial. Overall, 93.3% of nurses indicated time and workload as barriers to providing ED cessation support during the survey. Conclusion: Although the ED is a critical location for providing cessation support, the proposed interventions were viewed as a low priority task outside the scope of the ED. Previous literature has demonstrated that multifaceted ED interventions using counselling, handouts, and referrals are more efficacious than a singular approach. While introduction of a referral program has some merit, having professionals dedicated to ED cessation support would be most effective. At minimum, staff education regarding importance of providing smoking cessation therapy, and simple ways to incorporate smoking cessation counselling into routine nursing care could be beneficial.

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Cigar-Smoking-Cessation Interest and Experience among Black Young Adults: A Semi-Structured In-Depth Interview Investigation

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147309 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7309

Author(s):

Aniruddh Ajith ◽

Aaron Broun ◽

Danielle A. Duarte ◽

Bambi Jewett ◽

Lilianna Phan ◽

...

Keyword(s):

Smoking Cessation ◽

Thematic Analysis ◽

Financial Constraints ◽

Qualitative Data ◽

Smoking Prevalence ◽

Healthcare Providers ◽

Easy Access ◽

Black African ◽

Depth Interview ◽

Cigar Smoking

Although Black/African American populations have high cigar-smoking prevalence, little is known about cigar-smoking cessation among this group. This study explored the perceptions and experiences of cigar-smoking cessation and assistance received from healthcare providers among forty Black young-adult cigar smokers (ages 21–29). Semi-structured in-depth phone interviews were transcribed and coded. Qualitative data were analyzed by using thematic analysis. Participants mostly smoked cigarillos, large cigars, and blunts. Overall, many regular cigarillo smokers reported interest in quitting eventually, while large-cigar and blunt smokers shared less interest in quitting because they perceived low harm from smoking these products. The reasons for cigar-smoking cessation were health concerns and financial constraints. Most of the participants who attempted to quit cigars did not use any cessation aids. The reasons for relapse included nicotine withdrawal, stress, and easy access. Additionally, most participants reported their healthcare providers did not ask whether they smoked cigars, and even when they knew, little assistance for cigar-smoking cessation was provided. Informing Black cigar smokers of the harm of cigar smoking and encouraging healthcare providers to screen for and assist with cigar-smoking cessation may alleviate the health burden of cigar smoking in this population.

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Overview of current legislation, experiences and existing scenarios on allowing the sale of tobacco products only in tobacco stores: a scoping review protocol

Research Society and Development ◽

10.33448/rsd-v10i16.21884 ◽

2021 ◽

Vol 10 (16) ◽

pp. e402101621884

Author(s):

Lucas Manoel da Silva Cabral ◽

Fernando Nagib Jardim ◽

Maria José Domingues da Silva Giongo ◽

Andréa Ramalho Reis Cardoso ◽

Maria Raquel Fernandes da Silva ◽

...

Keyword(s):

Scoping Review ◽

Passive Smoking ◽

Smoking Prevalence ◽

Methodological Approach ◽

Open Science ◽

Tobacco Products ◽

Scoping Reviews ◽

Review Protocol ◽

Science Framework

This article presents the scoping review protocol on allowing the sale of tobacco products only in tobacco stores in Brazil. It is based on the hypothesis that limiting the sale of tobacco products only in tobacco shops would significantly prevent initiation and encourage cessation, thus reducing smoking prevalence and passive smoking in Brazil. The protocol aims to document the processes involved in the planning and methodological approach of an extensive scoping review, guided by Joanna Briggs Institute’s manual. The review protocol was prepared following PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. It was registered in the Open Science Framework.

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Changes in smoking prevalence and cessation support, and factors associated with successful smoking cessation in Swedish patients with asthma and COPD

European Clinical Respiratory Journal ◽

10.1080/20018525.2017.1421389 ◽

2018 ◽

Vol 5 (1) ◽

pp. 1421389 ◽

Cited By ~ 2

Author(s):

Marcus Stegberg ◽

Mikael Hasselgren ◽

Scott Montgomery ◽

Karin Lisspers ◽

Björn Ställberg ◽

...

Keyword(s):

Smoking Cessation ◽

Smoking Prevalence ◽

Factors Associated

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Impact of a negative emotional antitobacco mass media campaign on French smokers: a longitudinal study

Tobacco Control ◽

10.1136/tobaccocontrol-2017-053936 ◽

2018 ◽

Vol 27 (6) ◽

pp. 670-676 ◽

Cited By ~ 2

Author(s):

Romain Guignard ◽

Karine Gallopel-Morvan ◽

Ute Mons ◽

Karin Hummel ◽

Viêt Nguyen-Thanh

Keyword(s):

Smoking Cessation ◽

Mass Media ◽

Self Efficacy ◽

Smoking Prevalence ◽

Media Campaign ◽

Perceived Susceptibility ◽

Media Campaigns ◽

Smoking Cessation Services ◽

High Smoking Prevalence ◽

T1 And T2

BackgroundMass media campaigns to encourage smoking cessation have been shown to be effective in a context of comprehensive tobacco control programme. The effectiveness of antismoking ads that evoke negative emotions remains unclear, in particular in countries with high smoking prevalence and among smokers with low perceived susceptibility, low self-efficacy or who are not users of smoking cessation services.ObjectiveTo evaluate short-term and long-term effects of a 1-month French national highly emotional media campaign, with a focus on these specific targets.DesignA 6-month longitudinal survey by Internet. A sample of 3000 smokers were interviewed before the media campaign (T0). They were contacted again just after (T1) and 6 months after the campaign (T2).OutcomesPerceived susceptibility to the risks of smoking, self-efficacy to quit smoking, use of smoking cessation services (quitline and website) and 7-day quitting.MethodsThe analysis was carried out on 2241 individuals who answered at T1 and T2. Multiple logistic regressions were computed to test the association between the change in each outcome at T1 and T2 and the level of exposure based on self-reported recall.ResultsSelf-reported recall was associated with an increase in perceived susceptibility and with use of cessation services. Campaign recall was also associated with higher 7-day quitting immediately after the campaign (OR=1.8 (1.0 to 3.2), P<0.05).ConclusionsFear-appeal mass media campaigns can be effective in encouraging cessation among smokers in a country with high smoking prevalence (France), but should be accompanied by convincing self-efficacy messages.

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Household Smoking Situations and Factors Associated with Smoking Cessation among Adult Men in Coastal Fishing Communities

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.01.11415 ◽

2021 ◽

Vol 104 (1) ◽

pp. 59-67

Keyword(s):

Smoking Cessation ◽

Adult Male ◽

Smoking Prevalence ◽

Smoking History ◽

Community Research ◽

Fishing Communities ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Quitting Smoking

Objective: To investigate household smoking situations and factors associated with cessation, focusing on adult male smokers in low socioeconomic coastal fishing communities in southern Thailand. Materials and Methods: An epidemiological community cross-sectional approach was conducted in 371 adult male smokers aged between 20 and 60 years. A self-administered questionnaire was applied to gather the data. Demographic characteristics, household smoking, smoking history, smoking behaviors, and pulmonary symptom data were collected by the community research assistants. Statistical computing was performed with R studio, and a p-value of less than 0.05 was considered significant. Results: The household smoking prevalence was 23.5%. Most smokers were categorized as having high pack-years, and the lowest age at first smoking was ten years old. Imitation and impetuous behaviors were the major leading causes of becoming a new smoker. The number of cigarettes smoked daily was the highest among individuals with more than 20 pack-years. Eighty-four-point-one percent of smokers desired to quit smoking for personal health reasons. Smokers in the 51 to 60 years age group were 49.62 times as likely as adolescents to cease smoking. Participants who first started smoking when they were older than 17 years of age had a 3.56-times higher chance of quitting smoking than those who started smoking when they were younger than 15 years of age (95% CI 1.51 to 8.37). Conclusion: The smoking situation in the coastal fishing communities of the southernmost provinces of Thailand is a worrisome problem. Smoking prevalence remains high, with prevalence increasing with age, and newer smokers starting at younger ages. A high proportion of smokers intended to cease smoking. Therefore, smoking cessation programs would be essential in the present study area. Keywords: Smoking situation, Cessation, Coastal fishing community, Southernmost Thailand

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Nicotine and Tobacco

ASAM Handbook of Addiction Medicine ◽

10.1093/med/9780197506172.003.0007 ◽

2020 ◽

pp. 149-182

Author(s):

Shadi Nahvi ◽

Darius A. Rastegar

Keyword(s):

Cardiovascular Disease ◽

Carbon Monoxide ◽

Smoking Cessation ◽

Lung Disease ◽

Tobacco Use ◽

Chronic Lung Disease ◽

Electronic Cigarettes ◽

Withdrawal Symptoms ◽

Tobacco Products ◽

Exhaled Carbon Monoxide

Nicotine is responsible for the psychoactive and habit-forming effects of tobacco. Approximately 30% of Americans use tobacco products; half of them are nicotine-dependent. Nicotine has mild stimulant effects. Overdose is rare in experienced users. Some may develop nausea, vomiting, weakness, and dizziness. Withdrawal symptoms include craving, irritability, anxiety, restlessness, and increased appetite. Smokers have elevated exhaled carbon monoxide and serum carboxyhemoglobin levels. Cotinine, a metabolite of nicotine, can be detected in blood and urine. Many medical conditions are associated with tobacco use (particularly smoking), including cardiovascular disease, chronic lung disease, and a variety of malignancies. A number of interventions can help increase smoking cessation rates, including physician advice, counseling, nicotine replacement, varenicline, and bupropion. Electronic cigarettes may help smokers quit or reduce their smoking.

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