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Novel Tobacco Products and Tobacco Control: Tobacco Use Surveillance and...
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Novel Tobacco Products and Tobacco Control: Tobacco Use Surveillance and Prevention Policy

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 30 December 2026 | Viewed by 3727

Editors

Prof. Dr. Dorota Kaleta

E-Mail Website
Guest Editor
Department of Hygiene and Epidemiology, Medical University of Lodz, Lodz, Poland
Interests: health promotion; tobacco; sociology of health; tobacco control; health; health education; epidemiology; epidemiology and public health; behavioral health research; metabolic syndrome; tobacco consumption monitoring and determinants; preventive measures and the promotion of tobacco-free lifestyles; smoking cessation; smoke-free legislation; policies aimed at preventing chronic diseases
Special Issues, Collections and Topics in MDPI journals
Dr. Małgorzata Znyk

E-Mail Website
Guest Editor
Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Lodz, Poland
Interests: health public; epidemiology; health education; health promotion; tobacco; novel tobacco products; healthcare; health inequalities

Special Issue Information

Dear Colleagues,

In recent years, alternative forms of nicotine delivery, such as electronic cigarettes (e-cigarettes) and heated tobacco, have gained popularity, especially among young adults. Due to the aggressive marketing activities of the tobacco industry, the number of people, particularly young people (18–30 years old), using different nicotine products has rapidly grown. However, studies assessing the use of nicotine products and potential health effects are rare.

For this Special Issue, we welcome the submission of papers focused on the health effects of exposure to novel tobacco products, product use, changes over time, the characteristics associated with tobacco product use, and particularly use among specific populations.

This Special Issue aims to present the impact of interventions and policies on the use of tobacco and novel tobacco products, in addition to their health/clinical implications or health risks, particularly focusing on the progress made with regards to research in these fields.

In this Special Issue, original research articles and review articles are welcome. 

Prof. Dr. Dorota Kaleta
Dr. Małgorzata Znyk
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • tobacco consumption
  • tobacco control
  • novel tobacco products
  • e-cigarettes use
  • heated tobacco product use
  • behavioral addiction
  • health effects of exposure to tobacco products
  • tobacco regulations
  • tobacco policy and control
  • nicotine therapy
  • epidemiology

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (3 papers)

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Research

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12 pages, 442 KB  
Article
Electronic Cigarette Usage and Psychological Distress: Insights from University Students Amidst the Armed Conflict in Southern Thailand
by Tharntip Sangsuwan, Chonnakarn Jatchavala, Bhawarun Akkaraprasit, Bunyisa Thaoun, Pariyawit Suwancharoen, Piyaphat Udompongpaiboon, Natnicha Ponintawong, Nontapat Lertnukkhid, Passaporn Chothikasatien and Irfan Saleh
Healthcare 2026, 14(10), 1263; https://doi.org/10.3390/healthcare14101263 - 7 May 2026
Viewed by 605
Abstract
Background/Objectives: Electronic cigarettes (e-cigarettes) are an important public health concern, particularly amongst young individuals. This study aimed to assess the attitudes and factors, including mental distress, that influence e-cigarette use amongst university students in Southern Thailand, including in armed conflict areas. Methods [...] Read more.
Background/Objectives: Electronic cigarettes (e-cigarettes) are an important public health concern, particularly amongst young individuals. This study aimed to assess the attitudes and factors, including mental distress, that influence e-cigarette use amongst university students in Southern Thailand, including in armed conflict areas. Methods: A cross-sectional survey was conducted at the Prince of Songkla University across two campuses: Hat yai and Pattani. Data on demographics, attitudes towards e-cigarettes, usage patterns, and mental health (using the 21-item Depression, Anxiety, and Stress Scale) were collected and analysed using R software. Results: Amongst 901 participants (236 men and 665 women), the prevalence of e-cigarette use was 6.9%. Men (OR = 2.65; 95% CI = [1.28, 5.46]), tobacco users (OR = 97.56; 95% CI = [26.77, 355.66]), and those living alone (OR = 13.48; 95% CI = [1.21, 150.47]) were more likely to engage in e-cigarette use. Additionally, Islamic students reported lower usage rates than their Buddhist counterparts (OR = 0.32; 95% CI = [0.11, 0.9]). Conclusions: E-cigarette users exhibited higher scores on the depression, anxiety, and stress subscales than non-users. Smokers perceived e-cigarettes as a means of reducing tobacco consumption, alleviating stress, and enhancing their image. Moreover, non-smokers believed that e-cigarettes should be ‘illegal’ in Thailand. Full article
(This article belongs to the Special Issue Novel Tobacco Products and Tobacco Control: Tobacco Use Surveillance and Prevention Policy)
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18 pages, 411 KB  
Article
Blood Pressure and Salivary Cotinine Levels in Young Adults Using Heated Tobacco Products: A Case–Control Study in Poland
by Małgorzata Znyk, Hanna Jerczyńska, Leokadia Bąk-Romaniszyn and Dorota Kaleta
Healthcare 2026, 14(5), 600; https://doi.org/10.3390/healthcare14050600 - 27 Feb 2026
Viewed by 878
Abstract
Background/Objectives: Heated tobacco products (HTPs) are a gateway to nicotine addiction for non-smokers, especially young people. The short- and long-term health effects of using heated tobacco products are not yet fully understood. The study aimed to assess the effect of heated tobacco [...] Read more.
Background/Objectives: Heated tobacco products (HTPs) are a gateway to nicotine addiction for non-smokers, especially young people. The short- and long-term health effects of using heated tobacco products are not yet fully understood. The study aimed to assess the effect of heated tobacco use on blood pressure and heart rate in young, healthy individuals aged 18–30. The study also assessed exposure to tobacco smoke by measuring salivary cotinine concentration. Methods: The case–control study was conducted in 2022–2025 among 200 healthy individuals aged 18–30 years: 70 I-Quit-Ordinary-Smoking users (IQOS), 65 daily traditional cigarette smokers (DS), and 65 non-smokers (NS). The research tool was a questionnaire containing information on the use of tobacco products. The participants completed a questionnaire and then underwent blood pressure measurements, anthropometric measurements, and saliva collection for cotinine levels. Results: The average age of initiation of IQOS use was 18.5 years, and smoking had continued for an average of 2.3 years. The average age of initiation of smoking traditional cigarettes was 16.3 years, and smoking had continued for 4.4 years. There were no statistically significant differences in median values between systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the IQOS, DS, and NS groups (p > 0.05). High SBP values ≥ 140 mm Hg were observed in 10% of the IQOS users, 18.5% of the daily smokers of conventional cigarettes, and 12.3% of the non-smokers. High DBP values ≥ 90 mm Hg were observed in 11.4% of IQOS, 7.7% of DS, and 7.7% of NS. The cigarette smokers demonstrated significantly higher median cotinine levels compared to the IQOS users and non-smokers: 153.7 vs. 64.3 vs. 0.5 ng/mL (p < 0.01). Salivary cotinine levels were positively correlated (ρ = 0.38; p < 0.01) with the daily number of heated tobacco sticks among IQOS users (weak correlation), as well as among DS (ρ = 0.42; p < 0.01) with a higher daily number of cigarettes (moderate correlation). Conclusions: Long-term studies are needed to determine the health effects of heated tobacco products among young people in Poland. Furthermore, the potential impact of HTP aerosols on passive smokers should be examined. Further studies should consider the use of salivary cotinine as a biomarker. Full article
(This article belongs to the Special Issue Novel Tobacco Products and Tobacco Control: Tobacco Use Surveillance and Prevention Policy)
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Review

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16 pages, 664 KB  
Review
Thirdhand Smoke and Neonatal/Pediatric Health: A Scoping Review on Nursing Implications
by Valentina Vanzi, Marzia Lommi, Alessandro Stievano, Gennaro Rocco, Maurizio Zega and Gabriele Caggianelli
Healthcare 2025, 13(24), 3289; https://doi.org/10.3390/healthcare13243289 - 15 Dec 2025
Cited by 2 | Viewed by 1211
Abstract
Background/Objectives: Thirdhand smoke (THS), residual tobacco pollutants persisting on surfaces, dust, and fabrics, poses specific risks to infants and children, yet its implications for nursing remain underexplored. This scoping review mapped existing evidence on THS in neonatal and pediatric contexts and synthesized [...] Read more.
Background/Objectives: Thirdhand smoke (THS), residual tobacco pollutants persisting on surfaces, dust, and fabrics, poses specific risks to infants and children, yet its implications for nursing remain underexplored. This scoping review mapped existing evidence on THS in neonatal and pediatric contexts and synthesized nursing implications, focusing on nurses’ knowledge, unintentional environmental contamination, and educational roles. Methods: Following JBI methodology and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a three-step search was performed across MEDLINE, CINAHL, Scopus, Web of Science, Cochrane Library, Google Scholar, and OpenGrey. Studies were included if they addressed (1) nurses’ knowledge, beliefs, and attitudes toward THS-related risks in infants and children; (2) nurses’ contribution to unintentional environmental THS contamination; or (3) nurse-led educational or preventive interventions targeting parents or communities. Results: Among 563 records, 8 met inclusion criteria. Four investigated nurses’ awareness and perceptions, revealing limited understanding of THS despite recognition of its harmfulness. One study examined contamination, detecting nicotine residues on nurses’ fingers, suggesting possible in-hospital transmission. No nurse-led interventions specifically targeting THS were found, though broader smoke-exposure education programs showed benefits when supported by nursing staff. Conclusions: Evidence is scarce but underscores significant gaps in nurses’ knowledge, clinical guidance, and educational initiatives concerning THS. Strengthening nursing education and research is essential to mitigate THS exposure in neonatal and pediatric settings and enhance nurses’ preventive and advocacy roles. Full article
(This article belongs to the Special Issue Novel Tobacco Products and Tobacco Control: Tobacco Use Surveillance and Prevention Policy)
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