scholarly journals Evolution of Tobacco and E-cigarette Experimentation and Use Among French Adolescents Aged 15-16 Years From 2018 to 2020: A Cross-sectional Observational Study

2021 ◽  
Author(s):  
André Wamba ◽  
Mabrouk Nekaa ◽  
Lara Leclerc ◽  
Christine Denis-Vatant ◽  
Julien Masson ◽  
...  
Keyword(s):  
Secondary Schools ◽  
Observational Study ◽  
Daily Smoking ◽  
Dual Use ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Quit Smoking

Abstract BackgroundWe assessed and compared the evolution of tobacco and e-cigarette experimentation and use among French adolescents aged 15-16 years.MethodsA descriptive, cross-sectional, observational study conducted in 2018-2020 among 7,883 Year 11 pupils attending 27 public secondary schools of the Loire department, France. ResultsFrom 2018 to 2020, 66.18% of adolescents were “non-vapers and non-smokers”, 19.76% were “vapers and smokers”, 7.90% were “non-vapers and smokers” and 6.15% were “vapers and non-smokers”. E-cigarette experimentation was more prevalent than tobacco experimentation (44.92% vs 41.67%), and daily vaping was less prevalent than daily smoking (5.40% vs 10.24%). More boys than girls were daily vapers or daily smokers. A decrease was observed in tobacco experimentation (from 41.22% in 2018 to 39.73% in 2020) and e-cigarette experimentation (from 50.28% in 2018 to 41.25% in 2020). Current vaping remained stable, with an increase in daily vaping. French adolescent vapers frequently use e-liquids with little or no nicotine or with fruit or sweet flavours.ConclusionsAdolescents used e-cigarettes mainly for experimental and/or recreational purposes. The proportion of “non-vapers and non-smokers” tended to increase. “Non-vapers and smokers” tended to progress to the dual use of vaping and smoked tobacco products, with the likely intention to reduce or quit smoking.

scholarly journals Use of heated tobacco products by people with chronic diseases: The 2019 JASTIS study

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260154
Author(s):  
Chikako Nakama ◽  
Takahiro Tabuchi
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Internet Survey ◽  
Chronic Obstructive ◽  
Dual Use ◽  
Tobacco Products ◽  
Obstructive Pulmonary Disease ◽  
Quit Smoking ◽  
Quitting Smoking ◽  
Internet Study

Heated tobacco products (HTPs) have become popular recently. People with chronic disease, such as diabetes, cardiovascular disease (CVD), chronic obstructive pulmonary disease (COPD) and cancer, should quit smoking for treatment and recurrence of tobacco-related diseases. However, they have difficulty in quitting smoking, and they may start HTPs use to quit smoking. The purpose of this study is to examine the use of HTPs in people with chronic disease. We used data from an internet study, the Japan Society and New Tobacco Internet Survey (JASTIS). We analyzed 9,008 respondents aged 15–73 years in 2019 using logistic regression. Current use of tobacco products was defined as use within the previous 30 days. Prevalence of current HTP use including dual use and dual use with cigarettes was 9.0% and 6.1% respectively in total. By disease: hypertension 10.2% and 7.4%, diabetes 15.9% and 12.3%, CVD 19.2% and 15.7%, COPD 40.5% and 33.3%, and cancer 17.5% and 11.9%. Diabetes, CVD, COPD, and cancer were positively associated with current use of HTPs (odds ratios (ORs) and 95% confidence intervals (CIs): 1.48 (1.06, 2.07), 2.29 (1.38, 3.80), 3.97(1.73, 9.11), and 3.58(1.99, 6.44), respectively) and dual use of cigarettes and HTPs (ORs and 95% CIs: 2.23 (1.61, 3.09), 3.58 (2.29, 5.60), 7.46 (3.76, 14.80), and 2.57 (1.46, 4.55), respectively) after adjusting for confounders. People with chronic disease were more likely to use HTPs and HTPs together with cigarettes. Further research on the smoking situation of HTPs in patients with chronic diseases is necessary.

Dual Burden of Smoked and Smokeless Tobacco Use in India, 2009–2017: A Repeated Cross-Sectional Analysis Based on Global Adult Tobacco Survey

2020 ◽  
Vol 22 (12) ◽  
pp. 2196-2202 ◽  
Author(s):  
Prashant Kumar Singh ◽  
Amit Yadav ◽  
Pranay Lal ◽  
Dhirendra N Sinha ◽  
Prakash C Gupta ◽  
...  
Keyword(s):  
Tobacco Control ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Rural Areas ◽  
Public Awareness ◽  
Intention To Quit ◽  
Dual Use ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Dual Burden

Abstract Introduction The dual use of smoked and smokeless tobacco (SLT) poses a serious challenge to tobacco control efforts. This article examines the trends and patterns of this usage in India during the period 2009–2010 and 2016–2017. Methods Data from two rounds of nationally representative cross-sectional Global Adult Tobacco Survey (GATS) conducted in 2009–2010 and 2016–2017 have been used. Dual use was assessed based on current smokers and SLT users in both rounds. Results Findings reveal that dual use in India has dropped from 5.3% during 2009–2010 to 3.4% during 2016–2017, a decline of nearly 10 million dual users. However, some states have added nearly 4.6 million new dual users during this period. While dual use continues to remain high in rural areas, there has been a manifold increase in urban areas. Findings revealed that intention to quit tobacco was lower among dual tobacco users as compared to single users with considerable difference between urban and rural areas. Conclusion Easy availability and affordability of SLT products compared to smoking products and restrictions on smoking in public places may have pushed current smokers and dual users to take to or intensify their SLT consumption. Measures relating to awareness, pricing, taxation, and enforcement of tobacco control laws should focus on all forms of tobacco, especially targeting high dual burden in rural and urban settings. Implications Dual form of tobacco users represent 12% of all tobacco users in the country. The study reveals that intention to quit tobacco among dual users is significantly lower than that among single tobacco product users. This requires improving public awareness about the morbidity and mortality that arises from the use of all forms of tobacco products. Efforts to restrict the availability of tobacco products should focus on licensing the sale of all tobacco products. Reduction in dual tobacco use will not only result in multiplied health benefits but also help in achieving the Non-Communicable Diseases targets under the United Nations Sustainable Development Goals.

scholarly journals Reasons for Regularly Using Heated Tobacco Products among Adult Current and Former Smokers in Japan: Finding from 2018 ITC Japan Survey

2020 ◽  
Vol 17 (21) ◽  
pp. 8030 ◽  
Author(s):  
Steve S. Xu ◽  
Gang Meng ◽  
Mi Yan ◽  
Shannon Gravely ◽  
Anne C. K. Quah ◽  
...  
Keyword(s):  
Reduction Potential ◽  
Cross Sectional Study ◽  
Social Acceptability ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Web Based ◽  
Market Growth ◽  
Quit Smoking ◽  
Former Smokers

The market growth of heated tobacco products (HTPs), such as IQOS, Ploom TECH, and glo, has increased dramatically in Japan since 2016. Little is known about the reasons why current and former smokers are using HTPs. The data for this cross-sectional study were from the 2018 (Wave 1) International Tobacco Control (ITC) Japan Survey, a national web-based survey of 4500 people, including 658 current HTP users, of whom 549 were concurrently smoking cigarettes and 109 were former smokers. The most common reasons for regularly using HTPs were: beliefs that HTP are less harmful than cigarettes to themselves (90.6%) or to others (86.7%), enjoyment (76.5%), and social acceptability (74.4%). About half of current smokers (55.1%) reported using HTPs because these products might help them quit smoking. However, a near-equal percentage (52.0%) of current smokers reported using HTPs to replace some of the cigarettes they smoked so that they did not have to give up smoking altogether. If smokers are using HTPs to complement rather than quit their smoking, then the harm reduction potential of HTPs suggested by the toxicity studies will be diminished.

scholarly journals Influence of health warnings present on cigarette packets, on motivation to quit smoking, among smokers in a slum of Kolkata

2020 ◽  
Vol 7 (2) ◽  
pp. 652
Author(s):  
Rajesh Kumar Dalal ◽  
Dipanwita Sarkar ◽  
Narendra Kumar Tiwary
Keyword(s):  
Relative Reduction ◽  
Related Factor ◽  
Health Warnings ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Health Warning ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Quitting Smoking ◽  
The Government

Background: The Government of India by National Health Policy 2017 has set the target of relative reduction in prevalence of current tobacco use by 15% and 30% by 2020 and 2025 respectively. The Union health ministry had notified to mandatory display new health warnings to be covering 85% of the principal display area on all tobacco products (1 April 2016).Methods: This was an observational descriptive study with cross sectional in design carried out at Baghbazar slum in Kolkata with objective to study the smoking pattern, knowledge about health warning symbols (HWS) on tobacco products among the study population and to assess their motivation to quit and influence of HWS on their motivation. A total 66 smokers were interviewed using predesigned and pre tested questionnaire and analysis done using SPSS version 1.Results: About 83.3% study subjects were presently smoking and they were smoking daily, about 10 cigarette and bidi was smoked daily (median) and median duration without smoking was 1 month. About 63.6% study subjects were highly motivated to quit smoking. Health warning was definitely motivating them to quit smoking (p=0.01) but it was not resulting in actual quitting smoking (p=1.000). The main reason for motivation for quitting smoking was self-health related factor (84.6%).Conclusions: Health warning on cigarette packets increased the awareness about ill effects of smoking and motivated the smokers to quit smoking but not compelling them to quit smoking. Mostly those who were motivated to quit smoking were actually thinking about quitting due to other reasons.

JUUL use and reasons for initiation among adult tobacco users

2019 ◽  
Vol 28 (6) ◽  
pp. 681-684 ◽  
Author(s):  
Minal Patel ◽  
Alison Cuccia ◽  
Jeffrey Willett ◽  
Yitong Zhou ◽  
Elexis C Kierstead ◽  
...  
Keyword(s):  
Policy Development ◽  
Dual Use ◽  
Cigarette Smokers ◽  
Tobacco Products ◽  
The Past ◽  
Quit Smoking ◽  
Cessation Intervention ◽  
Current Cigarette ◽  
Current Tobacco ◽  
Total Dollar

BackgroundThe electronic nicotine delivery system (ENDS) JUUL has quickly captured the ENDS market, representing 74.6% of the total dollar share for this category as of November 2018. Although JUUL is marketed as an alternative to cigarettes intended for current adult smokers, evidence suggests that a majority of ENDS users are concurrently current cigarette smokers. Little is known about the dual use of JUUL and cigarettes, as well as the reasons for trying JUUL among adult tobacco users.MethodsA survey fielded via web and phone of 1332 current cigarette, cigar, little cigar or cigarillo (CLCC), and ENDS users aged 18–54 years was conducted from March to May 2018. Weighted descriptive and bivariate analyses examined JUUL use and reasons for trying JUUL by demographics, combustible tobacco use, ENDS use and intention to quit.ResultsApproximately 81% of our sample reported current use of two or more tobacco products, including cigarettes, CLCCs or ENDS. Among current tobacco users, 15% ever used JUUL and 12% used JUUL in the past 30 days. Most individuals (74%) reporting ever JUUL use indicated using it for 5 days or fewer in the past 30 days. The most common reason for trying JUUL was trying to quit smoking cigarettes (37%), followed by family, friends or colleagues using the product (32%).ConclusionAlthough some tobacco users may be initiating JUUL to decrease combustible use, most were using the product infrequently and concurrently with other products. Findings have significant implications for cessation intervention efforts and policy development to help smokers quit.

scholarly journals Ban on Sale of Loose Cigarettes: Awareness, Perceptions and Practices among Vendors and Smokers in Karnataka, India

2020 ◽  
Vol 32 (2) ◽  
pp. 394-398
Author(s):  
Eshwari K ◽  
Muralidhar M Kulkarni ◽  
Rohith Bhagawath ◽  
Somya Mullapudi ◽  
Tarun Selvarajan ◽  
...  
Keyword(s):  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Quit Smoking ◽  
The Law ◽  
The Government ◽  
Objective Study ◽  
Lack Of Knowledge

Background: The Government of Karnataka banned loose cigarettes sale effect from September 2017 and is punishable under Cigarettes and Other Tobacco Products Act (COTPA) with fine and imprisonment in case of violation. Aim & Objective: Study aims to assess awareness, perceptions and practices about ban among tobacco vendors and smokers. Methods and Material: Cross sectional survey was carried using pre-tested questionnaire to collect information regarding awareness about ban among vendors and smokers. Data were analyzed using SPSS version 15.0. Results: Ninety-five percent of the tobacco vendors continued to sell loose cigarettes despite the ban. Among vendors, 49.7%, were aware of ban and of them 53.5% knew it is a punishable offense. Vendors opined that they would stop selling loose cigarettes if ban is strictly enforced with frequent checks on periodical basis. One-fourth smokers opined they will reduce cigarettes consumption with few making an attempt to quit. Conclusions: Awareness about ban on sale of loose cigarettes was unsatisfactory among vendors and smokers including lack of knowledge regarding legal actions in case of violation. However, vendors responded favorably towards obeying the law. Smokers are likely to reduce or even quit smoking if the law is strictly enforced which highlights the need for creating awareness drives and strong enforcement of the policy.

scholarly journals Compliance with Statutory Tobacco Guidelines in and around Schools in Mangaluru, India: An Observational Study

2017 ◽  
Vol 8 (1) ◽  
pp. 10-13
Author(s):  
G Rajesh ◽  
Ravi Priyanka ◽  
Ashwini Rao ◽  
Shenoy Ramya ◽  
Pai BH Mithun
Keyword(s):  
Social Sciences ◽  
Observational Study ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Interview Schedule ◽  
Cross Sectional ◽  
Tobacco Products ◽  
The World ◽  
The Government

ABSTRACT Context Tobacco is the foremost cause of preventable death and disease in the world today, and India is the second largest consumer of tobacco products in the world. The Cigarettes and Other Tobacco Products Act (COTPA) promulgated in 2003 by the Government of India, not only mandates ban on the sale of tobacco within a 100-yard radius around schools, but also provides guidelines for tobacco-free schools. Aim To determine if the provisions of the COTPA are being complied with, in Mangaluru, India. Materials and methods A cross-sectional study was conducted among 30 randomly selected schools in Mangaluru, India. Information was collected regarding sale of tobacco at vendor locations within 100-yard radius of these schools. An interview schedule was administered to the representative of the school, pertaining to the guidelines for tobacco-free schools. Statistical analysis used The data were coded and analyzed using the Statistical Package for Social Sciences (SPSS) version 11.5. The level of statistical significance was kept at p < 0.05. Results There were 48 shops located within 100-yard radius of the schools, out of which 46 (95.8%) sold single cigarettes but only one shop displayed surrogate advertisement. Among the 30 schools surveyed, only 3 (10%) displayed signages prohibiting smoking. Although the guidelines for tobacco-free schools explicitly state that all schools must have a copy of the COTPA, only 3 (10.0%) schools maintained a copy. Conclusion This study showed that there was a widespread violation of Section 6 of the COTPA 2003 in Mangaluru, India. How to cite this article Priyanka R, Rao A, Rajesh G, Ramya S, Mithun PBH. Compliance with Statutory Tobacco Guidelines in and around Schools in Mangaluru, India: An Observational Study. World J Dent 2017;8(1):10-13.

scholarly journals Nicotine Dependence and Factors Related to Smoking Cessation among Physicians in Estonia

2020 ◽  
Vol 17 (9) ◽  
pp. 3217 ◽  
Author(s):  
Mariliis Põld ◽  
Kersti Pärna
Keyword(s):  
Smoking Cessation ◽  
Nicotine Dependence ◽  
Smoking Initiation ◽  
Postal Survey ◽  
Daily Smoking ◽  
Cross Sectional ◽  
Study Objective ◽  
Quit Smoking ◽  
Younger Age ◽  
Smoking Withdrawal

Smoking withdrawal can be difficult due to nicotine dependence (ND). The study objective was to describe ND and to analyze the association between ND and factors related to smoking cessation among daily smoking physicians in Estonia. Data was collected in 2014, using cross-sectional postal survey sampling all practicing physicians (n = 5666) in Estonia, of whom 2939 responded (corrected response rate 53.1%). The study sample was restricted to daily smoking physicians (n = 171). Results of the Fagerström Test for Nicotine Dependence (FTND) were described and ND scores calculated. Logistic regression was used to determine the association of ND (at-least-moderate vs. low) with factors related to smoking cessation. Crude and fully adjusted ORs with 95% CIs were calculated. The mean FTND score was 2.8 ± 2.1. The odds of having at-least-moderate ND decreased significantly with each year postponing smoking initiation (OR = 0.82, 95% CI 0.72–0.94). After adjustment, ND was no longer associated with the desire to quit smoking and motives to quit. In conclusion, more than half of daily smoking physicians had low ND. Higher ND was associated with younger age of smoking initiation. Knowledge of ND and factors related to smoking cessation is useful in the prevention of smoking and in development of cessation counselling tailored for physicians.

scholarly journals Awareness and use of heated tobacco products among adult smokers in six European countries: findings from the EUREST-PLUS ITC Europe Surveys

2020 ◽  
Vol 30 (Supplement_3) ◽  
pp. iii78-iii83
Author(s):  
Lucia Maria Lotrean ◽  
Antigona Trofor ◽  
Cornel Radu-Loghin ◽  
Marius Eremia ◽  
Florin Mihaltan ◽  
...  
Keyword(s):  
Electronic Cigarettes ◽  
Smoking Status ◽  
European Countries ◽  
Cross Sectional ◽  
Cigarette Smokers ◽  
Tobacco Products ◽  
Face To Face ◽  
Quit Smoking ◽  
Weighted Data ◽  
Nationally Representative

Abstract Background The study assessed awareness and use of heated tobacco products (HTPs) and factors that influenced these issues among cigarette smokers from six European countries in 2016 (Wave 1) and 2018 (Wave 2). Methods A survey was conducted among a nationally representative sample of cigarette smokers aged 18 years or older from Germany, Greece, Hungary, Poland, Romania and Spain in 2016 (N = 6011) and 2018 (N = 6027; 53% of smokers from the previous wave were retained, regardless of smoking status and dropouts were replaced by a replenishment sample of smokers). Data were collected through face-to-face interviews. Estimates were produced using weighted data. The study presents the cross-sectional results. Results Awareness of HTPs increased from 8% to 17% between the two waves. At Wave 1, 1.1% of the smokers declared having used HTPs at least once during their lifetime; and at Wave 2, this increased to 1.9% (around 1% or less in four countries, except for Greece and Romania where it was around 4%). Factors associated with HTPs use among those who had ever heard about these products at Wave 1 were country of residence, being a daily cigarette smoker and ever use of electronic cigarettes. At Wave 2, ever use of HTPs was significantly higher among those who had tried to quit smoking combustible cigarettes in the last 12 months, had tried electronic cigarettes during lifetime and perceived HTPs as less dangerous than combustible cigarettes; the country of residence was also associated with HTPs use. Conclusion This study offers insights into the behaviours and perceptions of European adult smokers regarding HTPs, an important emerging issue in the field of tobacco control.

scholarly journals Geographic variation in tobacco use in India: a population-based multilevel cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e033178
Author(s):  
Ankur Singh ◽  
Monika Arora ◽  
Rebecca Bentley ◽  
Matthew J Spittal ◽  
Loc G Do ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Dual Use ◽  
Cross Sectional ◽  
Tobacco Products ◽  
Local Areas ◽  
Smokeless Tobacco Use

ObjectiveThis study aims to quantify the extent to which people’s use of tobacco products varies by local areas (city ward and village) across India and the variation in this clustering by tobacco products.DesignCross-sectional study.Setting and participantsData on 73 954 adults across 2547 city wards and villages were available for analysis from 30 states and 2 union territories in India.Primary and secondary outcome measuresWe included as primary outcomes self-reported any tobacco use, current cigarette smoking, current bidi smoking, current smokeless tobacco use and a derived variable for dual use describing respondents who engaged in both smoking and smokeless tobacco use.ResultsThe median risk of an individual using tobacco was 1.64 times greater if a person hypothetically moved from an area of low to high risk of tobacco use (95% CI: 1.60 to 1.69). Area-level partitioning of variation differed by tobacco product used. Median ORs ranged from 1.77 for smokeless tobacco use to 2.53 for dual use.ConclusionsTobacco use is highly clustered geographically in India. To be effective in India, policy interventions should be directed to influence specific local contextual factors on adult tobacco use. Where people live in India influences their use of tobacco, and this association may be greater than has been observed in other settings. Tailoring tobacco control policies for local areas in India may, therefore, provide substantial public health benefits.

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