Smoking Tobacco Products Research Articles

Effect of tobacco taxation on smoking prevalence and smoking-attributable deaths in India.

Higher taxes are the single most effective way to encourage tobacco users to quit tobacco use and prevent youth from initiation. The present study aims to estimate the effect of raising the tax on smoked tobacco products on its consumption and smoking-attributable deaths in India. A mathematical model was developed which used the projected population of India, taxation rates on smoked tobacco products, smoking prevalence, and price elasticity of demand of cigarette and bidi from 2017 to 2025. Four scenarios of tax increment (0%, 25%, 50%, and 100%) on smoked tobacco products were created which were modeled to calculate smoking prevalence and smoking-attributable deaths due to respiratory diseases, heart diseases, stroke tuberculosis, and cancer in country till 2025. A relative decrease of 6.2% in the prevalence of smoking was observed between the existing tax rates and its increment to 100% over the last increment of 6%. Similarly, smoking-attributable deaths (SAD) decreased by 6.04% on increasing the tax rates to 100% of the existing taxation rates. There has been a steady increase in SAD in scenario 1 which decreases effectively in scenario 4, which in turn leads to the saving of around 33,000 lives due to tobacco-related diseases by 2025. The consumption of cigarettes and bidis can be reduced by raising the price of these products. The model will help policymakers in deciding to fix the tax and ultimately the price of cigarettes and bidi to reduce its consumption and smoking-attributable mortality.

Radiological Study on Smoke and Smokeless Tobacco: A Concise Review on Health Impacts Assessment

Smokers and users of smokeless tobacco are at risk for fatal illnesses. These could be brought on by the quantity of radioactive, carcinogenic, and harmful to living things, radioactive isotopes from the decay chain of uranium and thorium present. An extensive assessment of the health effects on users was deemed necessary due to the rising intake of both smoke and smokeless tobacco. Particularly, the use of smokeless tobacco has grown significantly as a result of its widespread availability and the false perception that it is less harmful than smoking. The epidemic of tobacco smoking in its many forms has been a serious worldwide health problem with far-reaching effects, and its myriad harmful effects on health have long been documented. In this study, radiological consequences of smoke and smokeless tobacco were researched in the literature for publications up to 2022. Research Gate, Pub Med, and Google Scholar are a few of the literature databases that were searched. The World Health Organization estimates that tobacco-related diseases caused over 8 million deaths in 2017 alone, and if current trends continue, it predicts that this number would rise to about 1 billion in the 21st century. Numerous studies have demonstrated a strong link between tobacco use and debilitating diseases like cancer, insulin resistance, hypertension, acute respiratory sickness, osteoporosis, etc. Increasing amounts of evidence, albeit still sparse, point to its potential role in negatively influencing reproductive capacity and outcomes in women of reproductive age. This article offers a current assessment of the literature on the harmful effects of smoking and using smokeless tobacco on both male and female reproductive health as well as the detrimental impacts on the unborn child. Data now available points to a connection between chronic tobacco use and ovarian shape and function deterioration, oocyte quality, hormonal disruptions, fetal development, and long-term health impacts on the fetus, the risks of smoke and smokeless tobacco products may be better understood as a result of a greater understanding of these issues. Most of the collected data showed that smoke and smokeless tobacco both had increased radioactivity.

Impact of Chewing Bags, E-Cigarettes, and Combustible Cigarettes on Arterial Stiffness and Small Airway Function in Healthy Students.

Several substitute products are discussed as a healthier alternative to smoking, thereunder e-cigarettes and smokeless tobacco products, e.g., chewing bags, which are increasingly used in this context. We investigated the acute effects of chewing bags compared to combustible cigarettes and e-cigarettes with and without nicotine on small airways and arterial stiffness in a head-to-head design. This single-center, four-arm cross-overstudy included 20 healthy occasional smokers (25 ± 0.6 years). On four test days, participants consumed one product per day. Before, during, and after consumption, peripheral and central hemodynamic as well as arterial stiffness parameters were measured by Mobil-O-Graph™ (I.E.M., Germany). Resistance and small airway function were assessed by tremoFlo® c-100 (THORASYS Thoracic Medical Systems Inc.). The combustible cigarette and the e-cigarettes with and without nicotine significantly increased the resistance of the small airways (p < 0.05), while chewing bags had no effect. All nicotine containing products (e-cigarette with nicotine, combustible cigarette, chewing bag) as well as the e-cigarette without nicotine significantly increased parameters of hemodynamic and arterial stiffness. Changes in blood pressure and arterial stiffness were similar after smoking, vaping, and using chewing bags. We conclude that e-cigarettes and combustible cigarettes have similar acute harmful effects on small airway dysfunction. All nicotine containing products are associated with an increased cardiovascular risk compared with no product use.

Prevalence of Smoking Various Tobacco Types in the Kazakhstani Adult Population in 2021: A Cross-Sectional Study.

Tobacco use was the second-leading risk factor for death, accounting for 15.4% of total deaths in 2019. In 2019, 20.4% (2.7 million) of the adult population in Kazakhstan, 36.5% of men, and 6.0% of women smoked tobacco. A cross-sectional study of a random sample (n = 1201) was conducted between October and December 2021 in accordance with the STEPwise approach. The tobacco-use questions were focused on current and previous smoking status, initiation and duration of smoking, amount of tobacco use, exposure to secondhand smoke, and information related to quitting smoking. From 20.8% of smokers, 93.8% of men and 80.2% of women use tobacco products daily, χ2 = 10.983, p-score < 0.001. The earliest initiation of smoking was 6 years old. The prevalence of smoking tobacco products in Kazakhstan is 20.8%, which means that every fifth adult smokes. In addition, the proportion of smokers among men was 38.5%, and among women, it was 10.1%. A total of 93.8% of men and 80.2% of women smoked daily. The role of healthcare professionals in smoking prevention is very low, and only 16.9% of respondents have been advised to quit smoking in the last 12 months. New interventions for tobacco smoking prevention are urgently needed in Kazakhstan.

Seeing beyond the smoke: Selecting waterpipe wastewater chemicals for risk assessments

BackgroundIncreasing use prevalence of waterpipe tobacco products raises concerns about environmental impacts from waterpipe waste disposal. The U.S. Food and Drug Administration (FDA) is required to assess the environmental impact of its tobacco regulatory actions per the National Environmental Policy Act. This study builds on FDA’s efforts characterizing the aquatic toxicity of waterpipe wastewater chemicals. MethodsWe compiled a comprehensive list of waterpipe wastewater chemical concentrations from literature. We then selected chemicals for risk assessment by estimating persistence, bioaccumulation, and aquatic toxicity (PBT) characteristics (U.S. Environmental Protection Agency), and hazardous concentration values (concentration affecting specific proportion of species). ResultsOf 38 chemicals in waterpipe wastewater with concentration data, 20 are listed as harmful or potentially harmful constituents (HPHCs) in tobacco smoke and tobacco products by FDA, and 15 are hazardous waste per U. S. Environmental Protection Agency. Among metals, six (cadmium, chromium, lead, mercury, nickel and selenium) are included in both HPHC and hazardous waste lists and were selected for future risk assessments. Among non-metals, nicotine, and 4-methylnitrosamino-1-(3-pyridyl)− 1-butanone (NNK) were shortlisted, as they are classified as persistent and toxic. Further, N-nitrosonornicotine (NNN), with a low hazardous concentration value (HC50; concentration affecting 50 % of aquatic species) for chronic aquatic toxicity, had high aquatic toxicity concern and is selected. ConclusionsThe presence of multiple hazardous compounds in waterpipe wastewater highlights the importance of awareness on the proper disposal of waterpipe wastewater in residential and retail settings. Future studies can build on the hazard characterization provided in this study through fate and transport modeling, exposure characterization and risk assessments of waterpipe wastewater chemicals.

A Submission on the Tobacco and Other Smoking Products Amendment Bill 2023 (Qld)

A Submission on the Tobacco and Other Smoking Products Amendment Bill 2023 (Qld)

THE IMPACT OF SMOKING ON DISEASES OF THE ORGANS AND SYSTEMS OF THE FEMALE BODY

Aim: To investigate the negative impact of tobacco smoking on women’s health. Materials and Methods: The research involved 100 women who visit beauty salons. The research was conducted in 2020-2022. Research methods: bibliosemantic method, method of system analysis and generalization, medical and sociological method (questionnaire), mathematical and statistical method. The survey was anonymous, conducted according to the authors’ questionnaire and carried out with the prior consent of all research participants. Results: The characteristics of modern tobacco products for women’s smoking, the negative impact of smoking tobacco products on the main systems of the body of women were summarized, the level of well-being of women in the process of smoking was found out and the negative consequences of smoking on their health were revealed, the signs of improvement of women’s health after their quitting smoking were characterized. Conclusions: The body of women is more susceptible to the toxic effects of tobacco, the impact of which leads to poisoning of their body and significant negative consequences for all systems and health in general. The female body is more favorable for the development of tobacco addiction. Women’s refusal to smoke makes it possible to reduce the risk of developing diseases and improve their health.

Risk factors for the development of bronchopulmonary pathology in workers producing synthetic polyacrylonitrile fiber

Aim of the study was to assess the risk of bronchopulmonary pathology in workers of the production of synthetic polyacrylonitrile fiber as a result of exposure to harmful chemicals and smoking tobacco products . Material and methods . During the periodic medical examination , the function of external respiration and adherence to smoking in 137 employees were studied , medical records were analyzed (025/u accounting form ). Hygienic assessment of working conditions was carried out on the basis of the results of in-situ sanitary and hygienic studies . Results and discussions . As a result of a hygienic assessment of working conditions , it was found that workers engaged in the production of polyacrylonitrile fiber are subject to the combined intermittent effects of harmful chemicals of hazard classes 1–3 ( acrylonitrile , methyl acrylate , hydrocyanide , ammonia , sodium rhodanide , sulfuric acid , methanol , isopropyl alcohol , ethylene glycol ), the content of which in the working area exceeded the maximum permissible concentrations in 1.6% of samples . The occupational risk of developing bronchopulmonary diseases in groups of workers who smoke is assessed as unacceptably high , while in people exposed to harmful chemicals , its level is 28.46 times higher than in people who are not exposed to these effects . The risk of the formation of ventilation disorders in groups of smoking workers is unacceptably high , while its level is 2.46 times higher in workers exposed to harmful chemicals than in non-workers in such conditions . In groups of workers exposed to harmful chemicals , the occupational risk of obstructive disorders is unacceptably high , in the group of smokers the risk is 2.32 times higher . Conclusions . Among the employees of the enterprise producing synthetic polyacrylonitrile fiber , the influence of tobacco smoking on the development of bronchopulmonary pathology is higher than the influence of harmful working conditions , and the use of smoking tobacco products significantly increases the negative effect of chemical pollutants .

E-cigarette use by people who smoke or have recently quit, New South Wales, 2016-2020.

To examine e-cigarette use by adults who smoke or have recently quit, and demographic characteristics associated with their use; to assess reasons for using e-cigarettes. The Cancer Institute NSW Tobacco Tracking Survey (CITTS) is an ongoing, serial, cross-sectional telephone survey study (40 interviews each week). This report is based on interviews during 4 January 2016 - 31 December 2020. Randomly selected New South Wales adults who are current smokers (smoked cigarettes, pipes, or other tobacco products daily, weekly, or less often) or recent quitters (smoked tobacco products in the past twelve months but who no longer smoked). E-cigarette use by age group; reasons for using e-cigarettes. CITTS callers rang 1 494 233 randomly selected numbers; in 203 203 answered calls (13.6%), 11 125 people were eligible for the survey (5.5% of answered calls), of whom 10 004 completed the survey interview, including the question about whether they used e-cigarettes (89.9%). Overall e-cigarette use increased from 6.6% of respondents in 2016 to 13.0% in 2020 (adjusted odds ratio, 1.86; 95% confidence interval [CI], 1.47-2.36). The proportion of respondents aged 18-24 years who reported e-cigarette use increased from 18.4% (95% CI, 12.9-23.9%) in 2018 to 27.2% (95% CI, 20.5-33.9%) in 2020, a larger proportion than for any other age group. The leading reasons offered for e-cigarette use were "to help me quit smoking" (33%; 95% CI, 30-37%) and "to cut down on the number of cigarettes I smoke" (25%; 95% CI, 22-28%). The increase between 2016 and 2020 in the proportions of young adults who smoke or have recently quit who use e-cigarettes undermines claims that these products are designed for older smokers who have struggled to quit using other methods.

S39 Use of Electronic Cigarettes in Inflammatory Bowel Disease: A Pilot Study

Background: Inflammatory bowel disease (IBD) is a chronic inflammatory disorder of the gastrointestinal tract likely involving both a genetic predisposition and environmental triggers. Cigarette smoking (CS) has well established links to IBD, as current and former use are risk factors for Crohn’s Disease (CD) and Ulcerative Colitis (UC) respectively. CS may result in increased use of glucocorticoids, immunosuppression and intestinal resection in patients with CD. Nicotine free e-cigarettes can induce gastrointestinal mucosal inflammation, impair the gut mucosal barrier and increase expression of pro-inflammatory cytokines. Data describing the use of e-cigarettes in IBD patients in the US is lacking. We conducted pilot study to determine prevalence and patterns of e-cigarette use in a large academic IBD practice. Methods: This was an IRB-approved study of adult patients with a confirmed diagnosis of IBD. Enrollment occurred in one of 2 arms: (1) MyChart Arm and (2) In-Person Arm. In Arm #1, a query of the electronic medical record (EMR) was performed of all IBD patients (using ICD-10 codes) with a clinic visit between 11/1/2020–10/31/2021. Using the MyChart research functionality within the EMR, eligible patients were directly contacted with a standardized recruitment message. Upon confirming interest, a personalized survey link was created via RedCap (research electronic data capture) and distributed to the patient via e-mail. In-person enrollment (Arm #2) was introduced in August of 2022. Eligible patients were approached by study staff during an existing IBD-related clinic visit. If interested, patients were provided a study information letter and a paper version of the survey to complete. Resulting data was then entered into the RedCap database. Survey questions elicited information regarding: (1) patient demographics, (2) description of current and former use of traditional tobacco products and of e-cigarettes, (3) duration and frequency of use, (4) product preference (5) perception of risk of e-cigarette use, and (6) interest in cessation. Results: A total of 62 patients completed the survey. The majority of our study population was female (n = 41/62; 66.1%), with a mean age of 39.3. Most patients reported a diagnosis of CD (n = 33/62; 53.2%). Approximately 2-thirds of respondents indicated they were “never” cigarette smokers (n = 41/62; 66.1%), and current use of traditional cigarettes was reported at 8.1% (5/62). E-cigarette use (former or current) was reported in 21.7% of patients (n = 13/60), with most beginning as adults (n = 12/13; 92.4%), and using multiple times per day (n = 10/13; 76.9%). Of those reporting e-cigarette use, the majority described their reason for use as “an attempt to quit use of a traditional tobacco product” (n = 7/13; 53.8%). Additionally, of those reporting e-cigarette use, majority considered e-cigarette use to be “less harmful” or “about the same” level of risk compared to CS (12/13; 92.3%). Conclusion(s): This pilot study establishes that e-cigarette use is prevalent in our large volume IBD academic practice, and may in fact be higher than cigarette smoking or other traditional tobacco products. A follow-up project is planned to evaluate implications of e-cigarette use on IBD-related disease outcomes.

The Effects of Tobacco Smoking Status on the Short-term Outcomes of Patient’s Post-acute Myocardial Infarction: A Longitudinal Study

Background: Although cigarette smoking is a risk factor for cardiovascular disease (CVD), smoking cessation has considerable effects on the reduction of mortality and incidence of acute myocardial infarction (AMI). This study was done to examine the effect of tobacco smoking status and its short-term outcomes after AMI. Materials and Methods: In this longitudinal study, 96 patients smoking tobacco products (cigarette and waterpipe) within the age range of 30-70 years who had undergone angiography following the first AMI were evaluated. The patients were evaluated at three time points in terms of tobacco smoking status, additional myocardial infarction (MI), hospitalization due to cardiac events, and some other variables. Data collection was done using a checklist and phone calls. Results: The mean age of the patients was 52.99±9.2 years. Six months following the first MI, more than 60% of the patients had ceased their tobacco smoking, but over time and at the end of the study, this value diminished, especially in waterpipe smokers. The chance of hospitalization among the men younger than 54 years who were not smokers at the baseline was 0.801. On the other hand, this chance for men below 54 years who smoked 1-10 cigarettes per day was 4.75 times higher (OR=4.747, P=0.002). In addition, men younger than 54 years who smoked waterpipe twice or more per day were hospitalized 31 times more frequently compared to the men who did not smoke waterpipe (P=0.001, OR=31.112). Conclusion: Not smoking cigarettes or waterpipe over time would considerably reduce the chance of hospitalization due to CVD.

EPID-22. MATERNAL USE OF TOBACCO, ALCOHOL, AND ILLICIT DRUGS DURING PREGNANCY AND ASSOCIATION WITH CHILDHOOD CANCER SUBTYPES

Abstract OBJECTIVE To investigate the association between maternal prenatal substance use/abuse and diagnosis of childhood cancer subtypes, including childhood brain tumors. To minimize recall bias, we employed a case-only study design in which all respondents had a child diagnosed with cancer. STUDY DESIGN: We deployed a cross-sectional, case-only survey of parents of children diagnosed with cancer regarding prenatal smoking, drinking, and illicit drug use behaviors (scored on 1-7 Likert scale), demographic, gestational, and perinatal factors. Multivariable logistic regression assessed associations of gestational smoking, alcohol, and illicit drug use with childhood cancer subtypes, adjusting for child sex, race/ethnicity, birthweight, and household income. RESULTS 3145 families completed the survey, including 232 with astrocytoma (grades I-IV, including DIPG) and 210 with an embryonal CNS tumor (medulloblastoma, AT/RT, PNET). A minority reported ever smoking tobacco products during pregnancy (Likert score ≥ 2; 14%), ever consuming illicit drugs during pregnancy (Likert score ≥ 2; 4%), or drinking more than a moderate amount of alcohol during pregnancy (Likert score ≥ 5; 2%). Prenatal smoking was associated with lower odds of rhabdomyosarcoma (OR=0.48, P=0.023) and moderately elevated odds of non-Hodgkin lymphoma (OR = 1.52, P=0.098) and AML (OR = 1.52, P = 0.083). Moderate to heavy alcohol consumption was unassociated with cancer subtypes. Prenatal illicit drug use was associated with increased odds of retinoblastoma (OR = 5.03, 95% CI = 1.73-14.7, P = 0.003) and CNS embryonal tumors (OR = 2.56, 95% CI = 1.32-4.99, P = 0.006), with similar effects across subgroups of medulloblastoma, AT/RT, and supratentorial PNETs. CONCLUSIONS Associations between self-reported use of alcohol, tobacco, and illicit drugs during pregnancy and risk of childhood cancer is often biased by differential misreporting among parents of affected children. Consistent with prior reports, we observe elevated odds of hematologic malignancies in association with gestational tobacco smoke exposure and novel association between maternal illicit drug use during pregnancy and elevated odds of retinoblastoma and CNS embryonal tumors.

Factors associated with smokefree rules in the homes of Black/African American women smokers residing in low-resource rural communities

Little is known about the implementation of voluntary policies in the homes of Black/African American women smokers who live in rural areas where health care access is limited. This paper examines 1) the sample's prevalence of comprehensive smoke-free rules; 2) sociodemographic, social, and smoking characteristics of women by home rule type; and 3) the association of social indicators with the outcome complete ban on smoked tobacco use in the home (n = 191). Families Rising to Enforce Smokefree Homes collected baseline data from 2019 to 2021 prior to randomization to an intervention that aimed to increase comprehensive smokefree policies in the homes African American women living in the rural Delta region of Arkansas. The primary outcome was implementation of a complete ban on all smoked tobacco products anywhere inside the home. Results showed that 26% of women had a rule that completely banned all smoked tobacco products in the home. Women who reported having no ban were more likely to be employed part-time (50.0%), while women with a partial (66.9%) or complete ban (60.0%) were more likely to not currently work for pay. Women who indicated that they just meet basic expenses and meet needs with little left had significantly lower odds of having a complete ban on smoked tobacco in the home than women who indicated that they live comfortably. Perceived financial security may be a motivating factor that helps women keep their homes free from all smoked tobacco products (# NCT03476837).

Household expenditure of smokers and ex-smokers across socioeconomic groups: results from a large nationwide Australian longitudinal survey

BackgroundCountries with best practice tobacco control measures have experienced significant reductions in smoking prevalence, but socioeconomic inequalities remain. Spending on tobacco products, particularly by low-income groups can negatively affect expenditure on other goods and services. This study aims to compare the household expenditure of adults who smoke tobacco products and those who formerly smoked across socioeconomic groups.MethodsDaily smokers and ex-smokers were compared using the Household, Income and Labour Dynamics in Australia Survey, over 7 waves. Adults who never smoked were not included. Participants were continuing sample members across waves. Mean number of participants per wave was 2505, 25% were smokers and 75% ex-smokers. The expenditure variables investigated included tobacco products, alcohol, motor vehicle fuel, health practitioners, insurance, education, and meals eaten out. Regression models using the generalized estimating equation technique were employed to compare expenditure data aggregated across the waves by Socioeconomic Index for Areas (SEIFA) quintiles of relative socio-economic advantage/disadvantage while accounting for within-participant autocorrelation. Quintiles are ranked by information such as the income, occupation and access to material and social resources of the residents.ResultsSmokers from all quintiles spent significantly less per year on meals out, education and insurance than ex-smokers (p < 0.001). Smokers from quintiles 2–5 spent less on groceries, medicines, and health practitioners (p < 0.01). Smokers from quintiles 1 and 2 (most disadvantaged), spent less on motor vehicle fuel than ex-smokers ($280;95%CI: $126–$434), ($213;95%CI: $82–$344). Smokers from quintiles 2 and 3 spent more on alcohol ($212;95%CI: $86–$339), ($231.8;95%CI: $94–$370) than ex-smokers. Smokers from the least disadvantaged groups spent less on clothing than ex-smokers ($348;95%CI: $476–$221), ($501; 95%CI: $743–$258). Across the whole sample, smokers spent more than ex-smokers on alcohol ($230;95%CI:$95–$365) and less on meals out ($361;95%CI:$216–$379), groceries ($529;95%CI:$277–$781), education ($456;95%CI:$288–$624), medicine ($71;95%CI:$38–$104), health practitioners ($345;95%CI:$245–$444) and insurance ($318;95%CI:$229–$407).ConclusionsSmoking cessation leads to reallocation of spending across all socioeconomic groups, which could have positive impacts on households and their local communities. Less spending on alcohol by ex-smokers across the whole sample could indicate a joint health improvement associated with smoking cessation.

Correlates and transitions between smoking and smokeless tobacco product use among adults in Bangladesh: Longitudinal findings from the ITC Bangladesh Surveys

Correlates and transitions between smoking and smokeless tobacco product use among adults in Bangladesh: Longitudinal findings from the ITC Bangladesh Surveys

Are smokeless tobacco products less harmful than smoking tobacco products?

Background: The common belief amongst the consumers of smokeless tobacco products is Smokeless Tobacco Products (STPs) are not hazardous as smoking tobacco. Any form of tobacco consumed is addictive and the nicotine absorbed from these products is manifold higher than the nicotine produced and delivered from a cigarette. Aim: The aim of this narrative review is to consolidate and summarize the data from various studies to find out whether smokeless tobacco products are less harmful than smoking tobacco products or vice-versa. Method: A comprehensive literature search was conducted using various databases like EBSCO, Google scholar, Pubmed, Embase from 1957 to 2021. The keywords used for search was 'smokeless tobacco products', 'bacterial population AND smokeless tobacco products', 'water content, pH in STP'. Result: In total, 52 articles were selected to analyze the parameters, which proved increasing carcinogenicity in smokeless tobacco products. Various parameters were analyzed which include pH, water content, manufacturing procedure of STP and microbial population in smokeless tobacco products. Conclusion: The literature search suggests that the microbial population in smokeless tobacco products acts as a cascading series of events in carcinogenesis and other opportunistic infections and concludes that smokeless tobacco products are equally harmful as smoking tobacco products.

The prevalence of tobacco use among industrial workers

Introduction. The relevance of the study is determined by the continuous high prevalence of smoking tobacco products among the working population. The aim is to assess the prevalence of smoking tobacco use among the working population of the Saratov region. Materials and methods. In frames of the cross-sectional study, four hundred fifty three employees of various industrial enterprises of the Saratov region who underwent periodic medical examination at the occupational diseases clinic of the Saratov Hygiene Center of the Federal State Budgetary Institution “MRC (Medical Research Center) of Medical and Preventive Technologies for Public Health Risk Management”, were surveyed, including 280 men (63.8%) and 173 women (38.2%). The average age was 50.5 years. The results of the study were statistically processed using the software Statistica 10. The nonparametric Mann-Whitney method was used to compare two independent samples. Results. The prevalence of tobacco smoking was 38.6% among men and 13.3% among women. More than half of those who used tobacco products belonged to the group of “trained” smokers - 66.7% of men and 56.5% of women, the majority of employees (79.4%) smoked more than 10 cigarettes a day. The main reason for giving up smoking was the state of health (65.2%). 8.7% and 9.9% of non-smoking respondents were found to be exposed to secondhand tobacco smoke at home and at work respectively. The frequency of use of other types of smoking products has been studied. Limitations. The study has regional (Saratov region) and professional (employees of industrial enterprises) limitations. Conclusion. Despite the complex of anti-smoking measures people of working age remain highly committed to the use of tobacco smoking products. Smoking of tobacco products and electronic means of heating tobacco is important to take into account when developing and carrying out preventive measures, including during periodic medical examinations of the able-bodied population.

Trends in Analytical Methods for Analysis of Tobacco Products: An Overview

Abstract. Currently, due to the strong trends in policies to reduce smoking, several concerns related to quality control and regulation of tobacco products have been raised, as a great variety of products are available to consumers in the market. Considering that development of robust and selective analytical methods for tobacco and derivative products has been an important and necessary task over the years, however laborious, due to the complexity of the matrices. This work presents an overview of advances, innovation, and trends in analytical methods, focused on the chromatographic analysis of nicotine, tobacco-specific nitrosamines (TSNAs), humectants, pesticides, polycyclic aromatic hydrocarbons (PAHs) and sugars in different tobacco products. Gas chromatography (GC) coupled with different detectors is widely used to analyze nicotine, humectants and TSNAs in tobacco leaves and derivative products, while liquid chromatography-tandem mass spectrometry (LC-MS/MS) has been frequently used to analyze TSNAs in mainstream cigarette smoke and smokeless tobacco products. Pesticides were mainly analyzed in tobacco using GC or LC coupled with mass detector (MS), while PAHs and sugars were generally analyzed in tobacco and smoke using LC-MS and GC-MS techniques, respectively. In addition to already established methods and despite the lack of a worldwide standardization of methods, significant efforts have been made to develop analytical procedures for a wide variety of tobacco products, with a broad range of innovative chromatographic methods available. In this sense, a potential trend is the possibility of simultaneous determination of multiple components aiming to reduce the analysis time. The present study examined the main works that developed or improved analytical methods for identifying and quantifying priority compounds in different tobacco matrices and aims to contribute to future research with this objective, in addition, to promoting standardization of technical terms used in this analytical area. It is noteworthy that some of the methods mentioned here have not been validated and further studies are needed in order to obtain reproducible analytical methods for regulatory purposes.&#x0D; Keywords: chromatography analyses; tobacco leaves; cigarette; cigarette smoke; smokeless tobacco products.&#x0D;

Comparative Characteristics of Tobacco Smoking among Rural Adolescents Aged 15–17 in the Russian Federation in 2001–2002 and 2016–2017

Rationale. Tobacco smoking remains a serious health risk factor both in the world and in Russia. Special attention is paid to the protection of young generations from exposure to smoking and the harmful effects of tobacco. The purpose of the study based on a comparative analysis of the dynamics of tobacco smoking among rural adolescents in 2001-2017, to assess the changes that have occurred and justify proposals to reduce smoking among minors. Materials and methods. A sample of adolescents in each subject of the Russian Federation was formed by multi-stage selection: typological, random and continuous examination. In 20012002, 16 743 rural teenagers (7468 boys and 9275 girls) were interviewed, in 20162017 18 222 teenagers (8208 boys and 10 014 girls). Statistical development of materials was carried out using the computer program Risk Factors (AnkProc). Results. During the period from 20012002 to 20162017, the prevalence of smoking among boys decreased by 2.7 times, and among girls by 3 times. The number of boys who smoked remained higher than the number of girls who smoked (by 2 times). The proportion of teenagers who smoked based on the emerging addiction (like, out of habit, I cant quit) I grew up among both boys and girls. During the period under review, the predominant motive of the first smoking test, both boys and girls, remained curiosity. The age interval of initiation to tobacco smoking has not changed either (from 10 years to 17 years inclusive). The peak of initiation to smoking in 20012002, and in 20162001 boys accounted for up to 10 years inclusive, and among girls for 1314 years. In 20162017, hookah smoking became popular among rural teenagers. The prevalence rates of hookah smoking were 13.5 per 100 boys and 10.3 per 100 girls. 55.7% of boys and 44.9% of girls smoked hookah with tobacco. Hookah smoking was primarily addressed by teenagers who did not smoke (62.0% of boys and 76.0% of girls). Among hookah smokers, 34.3% of boys and 21.2% of girls smoked tobacco products weekly. Conclusion. A comparative analysis showed a significant decrease in the prevalence of smoking among rural adolescent schoolchildren in the Russian Federation.

Tobacco advertisement, promotion and sponsorship in Arabic media between 2017 and 2019.

Nineteen out of 22 countries in the Eastern Mediterranean region, including the Gulf Cooperation Council countries, have ratified the World Health Organization Framework Convention on Tobacco Control (FCTC) treaty. One of FCTC's provisions prohibits tobacco advertisement, promotion and sponsorship (TAPS). The TAPS provision requires nations to ban direct and indirect tobacco ads in media, as exposure to tobacco use in the media encourages smoking initiation. A limited number of studies have examined TAPS in Arabic media. This study examined the occurrence of tobacco use across Arabic television (TV) series released between January 2017 and December 2019 to assess compliance with the FCTC provision banning TAPS. The content analysis examined incidents of tobacco use in Arabic TV series, types of tobacco products used and the portrayal of second-hand smoking exposure. Out of 92 Arabic TV series (2952 episodes), there were 32 044 incidents of tobacco use. Incidents of tobacco use per episode fluctuated over time. During Ramadan, the median number of tobacco incidents declined from 6 in 2017 to 3 in 2019; however, it increased to 8 in 2018. Regular cigarettes and water pipes were the most common tobacco products used in TV series. While 27% of tobacco use showed characters who smoked tobacco products alone, 13% of the incidents portrayed characters who were smoking in the presence of children. This study concludes that tobacco imagery is not completely banned in Arabic media and its continued representation weakens tobacco control measures.