Nicotine and Tobacco

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.

THE CURRENT SITUATION OF TOBACCO ATTRACTION AND FACTORS RELATED TO TOBACCO CONSULTANT SERVICES, SMOKING CESSATION SERVICES AMONG PATIENTS WITH CHRONIC LUNG DISEASE AT MEDICAL CENTER NGA NĂM, SOC TRANG PROVINCE IN 2020

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Nguyen Thi Dao ◽  
Tran Thi Ngoc Thu ◽  
Phan Ngoc Thuy ◽  
Nguyen Thi Hong Nguyen ◽  
Nguyen Thi Mai Duyen
Keyword(s):  
Smoking Cessation ◽  
Lung Disease ◽  
Chronic Lung Disease ◽  
Medical Center ◽  
Health Sector ◽  
Multivariate Logistic Regression Analysis ◽  
Counseling Services ◽  
Related Factors ◽  
Cross Sectional ◽  
Smoking Cessation Services

Objectives: Determination rate of smoking and some  related factors to the accessibility of counseling and smoking cessation services in patients with chronic lung disease at Nga Nam Medical Center, Soc Trang in 2020. Subjects and research methods: Cross-sectional descriptive study with analysis. The toolkit is based on “The Ministry of Health’s 2018 Tobacco Harm Prevention Guidelines” and related research. Results and discussions: The smoking rate of patients is 59.9%. The number of people accessing tobacco cessation counseling services is lowing with 29.9%. The results of multivariate logistic regression analysis showed that have relationship between the ability to access counseling services, smoking cessation and smoking (OR = 0.042; p < 0.005), gender (OR = 0.067; p < 0.005), occupation (p < 0.005). Conclusions and recommendations: Patients need to actively learn about the harmful effects of smoking as well as smoking cessation methods and services. The health sector needs to develop plans and provide counseling and smoking cessation services for patients. When educating, it is necessary to pay attention to the patient's psychology, gender and occupation.

scholarly journals Concurrent Daily and Non-Daily Use of Heated Tobacco Products with Combustible Cigarettes: Findings from the 2018 ITC Japan Survey

2020 ◽  
Vol 17 (6) ◽  
pp. 2098 ◽  
Author(s):  
Edward Sutanto ◽  
Connor Miller ◽  
Danielle M. Smith ◽  
Ron Borland ◽  
Andrew Hyland ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Use ◽  
Lower Number ◽  
Web Survey ◽  
Tobacco Products ◽  
Concurrent Use ◽  
Frequency Of Use ◽  
Concurrent User ◽  
Nationally Representative ◽  
Almost All

Use of heated tobacco products (HTPs) among current smokers is becoming increasingly popular in Japan. This study aims to compare characteristics and tobacco-related behaviors among concurrent users of HTPs and combustible cigarettes (n = 644) with exclusive smokers (n = 3194) or exclusive HTP users (n = 164). The secondary aim was to explore heterogeneity within concurrent use subgroups. Data were from Wave 1 of the ITC Japan Survey, a nationally representative web survey conducted from February to March 2018. Concurrent cigarette-HTP users were younger and wealthier than exclusive smokers. However, there were no difference in the frequency of smoking, number of cigarettes per day, and smoking cessation behaviors between the two groups, suggesting that HTPs reinforce nicotine dependence. Compared to exclusive HTP users, concurrent cigarette-HTP users reported higher frequency of non-daily HTP use, and lower number of tobacco-containing inserts per day. Almost all concurrent cigarette-HTP users smoked every day (93.9%); 48.4% both smoked and used HTPs daily (dual daily users, n = 396), while 45.5% were daily smokers and non-daily HTP users (predominant smokers, n = 213). Concurrent user subgroups differed from each other on age, tobacco use behaviors, and quit intention. Alongside heterogeneity between concurrent and exclusive product users, differences across concurrent use subgroups highlight the importance of considering frequency of use in characterizing poly-tobacco users.

scholarly journals Beliefs about the Harmfulness of Heated Tobacco Products Compared with Combustible Cigarettes and Their Effectiveness for Smoking Cessation among Korean Adults

2020 ◽  
Vol 17 (15) ◽  
pp. 5591
Author(s):  
Seung Hee Kim ◽  
Seo Young Kang ◽  
Hong-Jun Cho
Keyword(s):  
Higher Education ◽  
Smoking Cessation ◽  
Logistic Regression ◽  
Online Survey ◽  
Electronic Cigarettes ◽  
Regression Analyses ◽  
Tobacco Products ◽  
Korean Adults ◽  
Multivariable Logistic Regression ◽  
Negative Perceptions

Heated tobacco products (HTPs) have been widely used in Korea since their introduction in 2017. In this study, we investigated the perceptions of their relative harmfulness and smoking cessation effects. We performed an online survey in 7000 Koreans in 2018 (2300 males and 4700 females aged 20–69 years) by matching their age, sex, and provincial distribution. To investigate the factors causing HTPs to be perceived as less harmful than combustible cigarettes (CCs) and helpful for smoking cessation, we used multivariable logistic regression analyses. HTPs were less harmful than CCs in 16.8% of participants, particularly among HTP-only users and dual and triple users of HTPs, electronic cigarettes (ECs), or CCs than among CC-only users, those who were aged ≤ 34 years, males, and those with higher incomes. HTPs were reportedly helpful for smoking cessation in 11.2% of participants. Similar perceptions were more likely among HTP-only users, as well as dual and triple users than among CC-only users and adults with higher education/incomes. Although Korean adults generally had negative perceptions of the harmfulness and smoking cessation effects of HTPs compared with CCs, dual and triple users were more likely to have positive perceptions. Monitoring the use of multiple tobacco products and HTPs is a new challenge for Korean policymakers.

scholarly journals Association of Exhaled Carbon Monoxide With Ideal Cardiovascular Health, Circulating Biomarkers, and Incidence of Heart Failure in the Framingham Offspring Study

2020 ◽  
Vol 9 (21) ◽  
Author(s):  
Bradley Tun ◽  
Rachel Ehrbar ◽  
Meghan Short ◽  
Susan Cheng ◽  
Ramachandran S. Vasan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiovascular Disease ◽  
Carbon Monoxide ◽  
Ejection Fraction ◽  
Cardiovascular Health ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Health Score ◽  
Reduced Ejection Fraction ◽  
Exhaled Carbon Monoxide

Background Exhaled carbon monoxide (eCO) is directly associated with traditional cardiovascular disease risk factors and incident cardiovascular disease. However, its relation with the cardiovascular health score and incidence of heart failure (HF) has not been investigated. Methods and Results We measured eCO in 3521 Framingham Heart Study Offspring participants attending examination cycle 6 (mean age 59 years, 53% women). We related the cardiovascular health score (composite of blood pressure, fasting plasma glucose, total cholesterol, body mass index, smoking, diet, and physical activity) to eCO adjusting for age, sex, and smoking. Higher cardiovascular health scores were associated with lower eCO (β=−0.02, P <0.0001), even among nonsmokers. Additionally, C‐reactive protein, plasminogen activator inhibitor‐1, fibrinogen, growth differentiation factor‐15, homocysteine, and asymmetrical dimethylarginine were positively associated with eCO ( P ≤0.003 for all). The age‐ and sex‐adjusted and multivariable‐adjusted heritabilities of eCO were 49.5% and 31.4%, respectively. Over a median follow‐up of 18 years, 309 participants (45% women) developed HF. After multivariable adjustment, higher eCO was associated with higher risk of HF (hazards ratio per SD increment: 1.39; 95% CI, 1.19–1.62 [ P <0.001]) and with higher risk of HF with reduced ejection fraction (N=144 events; hazard ratio per SD increment in eCO: 1.43; 95% CI, 1.15–1.77 [ P =0.001]). Conclusions In our community‐based sample, higher levels of eCO were associated with lower cardiovascular health scores, an adverse cardiovascular biomarker profile, and a higher risk of HF, specifically HF with reduced ejection fraction. Our findings suggest that carbon monoxide may identify a novel pathway to HF development.

scholarly journals The Effects of Tobacco Control Policies on Tobacco Products, Tar, and Nicotine Purchases among Adults: Evidence from Household Panel Data

2016 ◽  
Vol 8 (4) ◽  
pp. 103-123 ◽  
Author(s):  
Chad Cotti ◽  
Erik Nesson ◽  
Nathan Tefft
Keyword(s):  
Carbon Monoxide ◽  
Smoking Cessation ◽  
Smoking Ban ◽  
Tobacco Products ◽  
Compensatory Behavior ◽  
Cigarette Taxes ◽  
Tobacco Policies ◽  
Consumer Panel ◽  
Tobacco Control Policies ◽  
Household Panel Data

We analyze the Nielsen Household Consumer Panel to estimate the effects of tobacco policies on tobacco-related purchases using within-household variation. We also match purchases to cigarette contents from NHANES. Higher cigarette taxes reduce cigarette purchases and increase smoking cessation product purchases, while estimates of smoking ban effects are less precisely estimated. Smokeless tobacco (SLT) taxes lead to reductions in SLT use but also lead to substitution among SLT products. We find evidence that cigarette taxes induce purchases of cigarettes with higher tar, nicotine, and carbon monoxide contents, but this compensatory behavior is overwhelmed by the reduction in cigarettes purchased. (JEL D12, H25, H31, I18, L66)

scholarly journals Uptake and Perceptions of E-cigarette use in Vascular Patients

2018 ◽  
Vol 14 (2) ◽  
pp. 83-87
Author(s):  
Rachael Taylor ◽  
David Sidloff ◽  
Robert D. Sayers ◽  
Matthew J. Bown ◽  
Athanasios Saratzis
Keyword(s):  
Smoking Cessation ◽  
Risk Group ◽  
Electronic Cigarettes ◽  
High Risk Group ◽  
Cigarette Use ◽  
Structured Interviews ◽  
Tobacco Products ◽  
Patterns Of Use ◽  
Initial Interviews

Introduction: Smoking is one of the most important risk factors for cardiovascular disease (CVD). Electronic cigarettes (e-cigarettes) are becoming increasingly popular. However, little is known regarding their patterns of use in patients with established CVD.Aims: We aimed to assess the perceptions and patterns of use of e-cigarettes in patients presenting to a vascular clinic.Methods: We performed a qualitative study to identify perceptions and beliefs about e-cigarettes. Semi-structured interviews of consecutive patients consenting to participate were performed over five-months. Individuals were recruited from a vascular surgery outpatient clinic. Initial interviews were based on a questionnaire. Further structured interviews were conducted with patients currently using e-cigarettes, which were transcribed and analysed to assess perceptions and patterns of use.Results/Findings: Four overarching themes emerged: attraction to e-cigarettes as a harm reduction/smoking cessation strategy; uncertainty regarding the risks of e-cigarettes; use of various types of smoking cessation strategies; dual use and often complete relapse to tobacco products.Conclusions: Patients with established CVD view e-cigarettes as a means of smoking cessation; however, many relapse to tobacco products or use both simultaneously. Further research is necessary regarding the role of e-cigarettes in smoking cessation in this high-risk group.

scholarly journals Electronic cigarettes: the solution or yet another phase of the tobacco epidemic?

2018 ◽  
Vol 49 (2) ◽  
pp. 199-205
Author(s):  
Catherine O Egbe ◽  
Charles DH Parry ◽  
Bronwyn Myers
Keyword(s):  
Public Health ◽  
Tobacco Use ◽  
Electronic Cigarettes ◽  
Tobacco Product ◽  
World Health ◽  
Global Public Health ◽  
Negative Consequences ◽  
Tobacco Products ◽  
Tobacco Epidemic ◽  
The Individual

Tobacco use is the single largest preventable cause of death globally. For years, the tobacco industry sought to create a tobacco product that is less controversial than conventional cigarettes. Electronic cigarettes were created out of the supposed need to supply consumers of tobacco products with a less harmful tobacco product. The question remains, is it really less harmful for consumers of traditional cigarettes and other tobacco products to switch to electronic cigarettes? This article takes a closer look at the overall harm in relation to benefits of using electronic cigarettes for the individual and public health and the unintended negative consequences the introduction of electronic cigarette has had on overall public health. Given the evidence that the use of electronic cigarettes is a gateway to the use of other tobacco products especially among adolescents, we view electronic cigarettes as having the potential to cause a rebound of the tobacco use glut which the global public health community has been succeeding in reversing. We therefore support the World Health Organization’s suggestion that electronic cigarettes should be regulated as other tobacco products since there is, as yet, no harmless tobacco product. In the same vein, we view the new Tobacco Products and Electronic Delivery Systems Bill seeking to regulate electronic cigarettes in South Africa as other tobacco products as a step in the right direction.

scholarly journals Children with Chronic Lung Disease: Facilitating Smoking Cessation for their Caregivers

2014 ◽  
Vol 40 (3) ◽  
pp. 409-413 ◽  
Author(s):  
Aleksandra Bacewicz ◽  
Wei Wang ◽  
Judy Ashouri ◽  
Mai K. ElMallah
Keyword(s):  
Smoking Cessation ◽  
Lung Disease ◽  
Chronic Lung Disease

scholarly journals The Potential Impacts of Obesity on COVID-19

JMS SKIMS ◽  
2020 ◽  
Vol 23 (3) ◽  
Author(s):  
Tasaduk Sultan Khan ◽  
Musadiq Sultan Khan
Keyword(s):  
Cardiovascular Disease ◽  
Severe Acute Respiratory Syndrome ◽  
Lung Disease ◽  
High Mortality ◽  
Chronic Lung Disease ◽  
Previous Experience ◽  
Common Denominator ◽  
Global Pandemic ◽  
The City

Barrow in Furness, UHMBT, LA14 4LF, Cumbria, UK Coronavirus disease 2019 is the outbreak caused by a new strain of coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 1. The outbreak that leads to a global pandemic originated from the city of Wuhan in China 2. According to a CDC report, the commonest underlying conditions among those hospitalized with COVID-19 were diabetes, chronic lung disease, and cardiovascular disease 1. Obesity is a common denominator for cardiovascular disease and diabetes. Previous experience with the H1N1 epidemic showed that obesity is associated with high mortality 3. All of these observations have raised concerns about the impacts that obesity could have on COVID-19.

scholarly journals Evaluating Nicotine Abstinence, Smoking Cessation, Reduction and its Relapsed Among Electronic Cigarettes Single and Dual Malaysian Users: A One Year Observational Study

2021 ◽  
Vol 24 ◽  
pp. 200-209
Author(s):  
Azizur Noor ◽  
Mohamad Haniki Nik Mohamed ◽  
Syed Mahmood
Keyword(s):  
Smoking Cessation ◽  
Adverse Effects ◽  
Electronic Cigarettes ◽  
Self Report ◽  
Safety Issues ◽  
Nicotine Abstinence ◽  
Exhaled Carbon Monoxide ◽  
Different Populations ◽  
One Year ◽  
The One

Purpose: Evidence for the complete nicotine cessation is inadequate among electronic cigarettes (ECs) single users (SUs, use only ECs), and dual users (DUs, use both ECs and conventional cigarettes (CCs). The primary aim of this study was to evaluate the nicotine cessation among SUs and DUs who used ECs over one year. Methods: We observed 70 SUs and 148 DUs for 52 weeks and tested their exhaled carbon monoxide and saliva cotinine to confirm their complete nicotine cessation status through cotinine in saliva. Safety issues were to be identified through self-report. Smoking cessation, CCs reduction of ≥ 50%, and relapsed to CCs smoking and safety issues were also documented. Results: The nicotine cessation rate was higher in SUs then DUs (15.9% vs. 6.8%; P = 0.048; 95% CI (2.328-0.902). A similar result for smoking cessation (34.8% SUs vs. 17.1% DUs; P = 0.005; 95% CI: 2.031-0.787), whereas CCs ≥ 50% reduction was 23.3% DUs vs 21.7% SUs (P = 0.863; 95% CI :1.020-0.964). Relapse to CC smoking was 47.3% in DUs versus 30.4% in SUs (P = 0.026; 95% CI: 1.555-0.757). The adverse effects reported were coughing and breathing problems, whereas craving smoking was documented as a major withdrawal symptom. Smoking-related diseases were also identified, five in DUs and two in SUs, during the one-year study period. Conclusions: Study showed SUs achieved higher complete nicotine and smoking cessation rates as compared to DUs. However, the rates of reduced CC use were not different between both the groups. No serious adverse effects related to the sole use of ECs were detected. However, the safety of the sole use of ECs in absolute terms needs to be further validated in different populations.

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