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Medicina
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Tobacco, Nicotine and Health
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Tobacco, Nicotine and Health

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Epidemiology & Public Health".

Deadline for manuscript submissions: closed (31 March 2021) | Viewed by 19157

Special Issue Editor

Prof. Dr. Manfred Neuberger

E-Mail Website
Guest Editor
Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria
Interests: environmental health; air pollution; tobacco control; smoking prevention

Special Issue Information

Dear Colleagues,

After defeating SARS-CoV-2, medicine will have to return to fighting long-term risks, including tobacco and new nicotine products. WHO started this fight, with FCTC going into force in 2005 and most WHO members ratifying the treaty and the relevant protocols; however, tobacco still kills 8 million humans per year, 1 million estimated from second hand smoke, and lung cancer is still on the increase, especially in women. Please supplement my suggestion for chapters of a Special Issue on Tobacco, Nicotine and Health:

Physical and environmental health effects of smoking and “vaping”;

Interactions of cigarette exposure with other environmental and occupational hazards;

Prevention and cessation of smoking, “vaping”, and nicotine use;

Tackling interference by the tobacco industry and its allies;

Harm reduction for populations and end-game strategies. 

Prof. Dr. Manfred Neuberger
Guest Editor

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 100 words) can be sent to the Editorial Office for announcement on this website.

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-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly 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 2200 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
  • Nicotine
  • Smoking
  • Vaping
  • Addiction
  • Health
  • Environment
  • Tobacco control
  • Smoking prevention
  • Second hand smoke
  • Passive vaping
  • Heated tobacco
  • Oral tobacco
  • Nicotine products
  • Tobacco industry interference
  • End-game of tobacco use

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Published Papers (6 papers)

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Editorial

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3 pages, 245 KiB  
Editorial
Tobacco, Nicotine and Health
by Manfred Neuberger
Medicina 2021, 57(8), 740; https://doi.org/10.3390/medicina57080740 - 22 Jul 2021
Cited by 3 | Viewed by 3303
Abstract
Recent studies have explored improvements in smoking prevention and cessation to reduce smoking prevalence, however, in Europe, only Finland has already set a date to become nicotine free. Studies reporting on central, eastern and southern Europe have mostly focused on combustible cigarettes up [...] Read more.
Recent studies have explored improvements in smoking prevention and cessation to reduce smoking prevalence, however, in Europe, only Finland has already set a date to become nicotine free. Studies reporting on central, eastern and southern Europe have mostly focused on combustible cigarettes up to now. In young people, correlations were found between traditional smoking, the “vaping” of e-cigarettes, experimentation with alcohol intoxication, and the use of illicit drugs. Prevention and cessation should include strategies against active and passive exposures to new nicotine products. This is a prerequisite for a successful public health policy and a future end-game against the business interests of the tobacco industry and its allies. Full article
(This article belongs to the Special Issue Tobacco, Nicotine and Health)

Research

Jump to: Editorial

13 pages, 1979 KiB  
Article
Smoking in Teenagers from the Social Protection System—What Do We Know about It?
by Corina Eugenia Budin, Ruxandra-Mioara Râjnoveanu, Ioana Roxana Bordea, Bianca Liana Grigorescu and Doina Adina Todea
Medicina 2021, 57(5), 484; https://doi.org/10.3390/medicina57050484 - 12 May 2021
Cited by 10 | Viewed by 4281
Abstract
Background and Objectives: The impact of smoking on the young population is an extremely important issue for the public health system. As the prevalence of smoking is considerably increasing amongst the pubescent and adolescent population, the prevention of smoking at this age [...] Read more.
Background and Objectives: The impact of smoking on the young population is an extremely important issue for the public health system. As the prevalence of smoking is considerably increasing amongst the pubescent and adolescent population, the prevention of smoking at this age should be considered of high priority. The primary aim of this observational study was to assess tobacco use in teenagers included in the social protection system. Materials and Methods: 275 foster care teenagers (155 from the Professional Maternal Assistance System (AMP) and 120 from the residential system) from two different counties were enrolled. After a brief interactive session focused on the main consequences of smoking, a self-administered questionnaire was anonymously completed. Results: The mean age of the study group was 14 years, with a significant difference between the residential system and AMP (p = 0.001). Smoking status was significantly higher in participants from family-type houses (36.7%) than in those from the AMP (11.7%) (p < 0.001). The presence of smokers in the family (78.3%) and passive smoking (64.7%) were significantly higher in children from the residential system than in those from the AMP (32.9% and 31.8%, respectively) (p < 0.001). The number of cigarettes consumed daily was associated with the age of the participants (p = 0.01, rho 0.42). In total, 82.3% were cigarette users and 19.4% were e-cigarette users. Smokers bought the majority of their cigarettes from the store (63.2%) or asked a friend (19.3%) or an adult to buy them on their behalf (12.3%). Conclusions: The null hypothesis, according to which children who are abandoned but raised and cared for by professional nursing assistants are predisposed to earlier tobacco activity compared to children raised in a normal familiar environment, is supported. Future education and prevention campaigns conveying the benefits of a healthy long-term lifestyle to this population category are needed. Full article
(This article belongs to the Special Issue Tobacco, Nicotine and Health)
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13 pages, 751 KiB  
Article
Analysis of the Relationship between Tobacco Smoking and Physical Activity in Adolescence: A Gender Specific Study
by Dora Maric, Antonino Bianco, Ivan Kvesic, Damir Sekulic and Natasa Zenic
Medicina 2021, 57(3), 214; https://doi.org/10.3390/medicina57030214 - 27 Feb 2021
Cited by 5 | Viewed by 2598
Abstract
Background and Objective: Although smoking and the physical activity level (PAL) are important determinants of health status in adolescence, there is a lack of information on the relationship between smoking and PAL in early adolescence. The objective of this study was to [...] Read more.
Background and Objective: Although smoking and the physical activity level (PAL) are important determinants of health status in adolescence, there is a lack of information on the relationship between smoking and PAL in early adolescence. The objective of this study was to evaluate the gender-specific relationship between smoking and PAL in 14-to-16-year-old adolescents. Materials and Methods: The sample included 650 adolescents (337 girls, 14.7 ± 0.5 years at first testing wave) from Bosnia and Herzegovina. During the first testing wave, participants were tested using structured questionnaires. Second testing was commenced after approximately 20 months (16.4 ± 0.6 years). The variables were age, gender, socioeconomic status, living environment, cigarette smoking (predictors), and PAL (criterion). Predictors were measured at the first wave, and criterion at the first-wave and second-wave. Results: For girls, smoking was negatively correlated to PAL at the first-wave (OR: 0.75, 95% CI: 0.55–0.95) and at the second-wave (OR: 0.73, 95% CI: 0.71–0.96). No significant association between smoking and PAL was found for boys. Results suggest that adolescent boys and girls do not follow the equal trajectories when it comes to relationships between smoking and PAL. Conclusions: In developing promotional public health actions related to a decrease of smoking and increase of PAL, a gender-specific approach is highly recommended. Further studies analyzing the cause–effect relationship between consumption of other types of psychoactive substances and PAL in this age group are warranted. Full article
(This article belongs to the Special Issue Tobacco, Nicotine and Health)
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10 pages, 289 KiB  
Article
Electronic Cigarette Use and Its Relationship with Smoking and Alcohol and Illicit Drug Consumption among Romanian University Students
by Lucia Maria Lotrean, Milena Man, Cristina Gavrilescu and Mira Florea
Medicina 2021, 57(2), 137; https://doi.org/10.3390/medicina57020137 - 4 Feb 2021
Cited by 9 | Viewed by 2329
Abstract
Background and objectives: This study assesses electronic cigarette (e-cigarette) use and its relationship with smoking and alcohol and illicit drug consumption among Romanian university students. Materials and methods: A cross sectional study using anonymous questionnaire was performed in 2017 among 400 university students [...] Read more.
Background and objectives: This study assesses electronic cigarette (e-cigarette) use and its relationship with smoking and alcohol and illicit drug consumption among Romanian university students. Materials and methods: A cross sectional study using anonymous questionnaire was performed in 2017 among 400 university students from Cluj-Napoca, Romania. Results: 95.5% of the participants had heard about e-cigarettes and 43.7% of these had tried e-cigarettes during their lifetime, while 8.9% declared using cigarettes in the previous month (one out of five students who had tried them during their lifetime). Half of the students had smoked during their lifetime and one third had smoked in the previous month. Eighty-five percent of participants had experimented alcohol intoxication during their lifetime and 45% had done so in the previous month, while illicit drug use during their lifetime and the previous month was 34% and 9.5%, respectively. The results of the linear regression analyses show a positive correlation between e-cigarette use, smoking, experimentation with alcohol intoxication, and the use of illicit drugs. Conclusions: Future studies as well as educational activities should address the complex relationship between e-cigarette and other substance use among Romanian youth. Full article
(This article belongs to the Special Issue Tobacco, Nicotine and Health)
12 pages, 325 KiB  
Article
Perceptions of Practitioners on Telehealth and App Use for Smoking Cessation and COPD Care—An Exploratory Study
by Daniela Haluza, Michaela Saustingl and Kseniya Halavina
Medicina 2020, 56(12), 698; https://doi.org/10.3390/medicina56120698 - 15 Dec 2020
Cited by 7 | Viewed by 3115
Abstract
Background and objectives: With the digitalization of modern healthcare delivery, digital media adoption in clinical practice is increasing. Also, healthcare professionals are more and more confronted with patients using smartphone-based health applications (apps). This exploratory study aimed at surveying perceptions on such apps [...] Read more.
Background and objectives: With the digitalization of modern healthcare delivery, digital media adoption in clinical practice is increasing. Also, healthcare professionals are more and more confronted with patients using smartphone-based health applications (apps). This exploratory study aimed at surveying perceptions on such apps in the context of lung health among a cross section of Austrian practitioners involved in pulmonary care. Materials and Methods: The online questionnaire in German assessed socio-demographic characteristics, telehealth readiness as well as opinions on smoke-free and COPD (chronic obstructive pulmonary disease) apps. We used descriptive statistics to report the finding. Results: We received valid responses from 55 participants (mean age 52.3 years, 69.1% males). Telehealth readiness was medium, indicating existence of certain barriers adversely impacting telehealth use. As for apps targeting smoking cessation and COPD, respondents indicated high relevance for visualization aspects for patients and control/overview features for the treating doctors. Only 40% of participants indicated that they would recommend a COPD app to an older patient. Conclusions: In smoking cessation therapy, doctors commonly adhere to the “5 A’s”: Ask, Advise, Assess, Assist, and Arrange. We suggest adding “App” as sixth A, assuming that in patient follow-up most of the other A’s could also be supported or even replaced by app features in the challenging task to tackle smoking-associated non-communicable diseases. Full article
(This article belongs to the Special Issue Tobacco, Nicotine and Health)
11 pages, 368 KiB  
Article
Levels of Physical Activity in Spanish Asthmatics: A Cross-Sectional Study
by Sheila Sánchez Castillo, Lee Smith, Arturo Díaz Suárez and Guillermo Felipe López Sánchez
Medicina 2020, 56(12), 643; https://doi.org/10.3390/medicina56120643 - 25 Nov 2020
Cited by 11 | Viewed by 2388
Abstract
Background and objectives: 339 million people in the world suffer from asthma. Regular physical activity (PA) could help in its control. Therefore, the aim of this research was to determine the level of PA in Spanish people with asthma considering variation by, age, [...] Read more.
Background and objectives: 339 million people in the world suffer from asthma. Regular physical activity (PA) could help in its control. Therefore, the aim of this research was to determine the level of PA in Spanish people with asthma considering variation by, age, sex, education, marital status, living together, smoking habits, alcohol intake and body mass index (BMI). Materials and Methods: 1014 Spanish people from 15 to 69 years were included in the study. Data of the Spanish Health Survey (year 2017) were analysed. PA levels were measure with the international physical activity questionnaire short version (IPAQ-SF). PA was categorized as low, moderate and high, and analyzed by sample characteristics. Mann-Whitney U test, Kruskall Wallis H and crosstabs were used to calculate statistical significance (p < 0.05). Results: On average, Spanish asthmatics engaged in a weekly volume of 2228.9 metabolic equivalent of task (MET)·min/week. Males revealed significantly higher PA than females (2516.8 vs. 2019.5 MET·min/week; p = 0.005), younger participants (<30 years) compared to people aged 30–60 years and older than 60 years (2699.0; 2243.2; 1619.3 MET·min/week; p < 0.001) and those with tertiary level of education than those without secondary (2368.3 vs. 2168.3 MET·min/week; p = 0.001). Level of PA was lower in those married (p = 0.001) and/or living together (p = 0.010). Alcohol consumers showed a higher level than the participants who did not drink (2378.3 vs. 1907.9 MET·min/week; p = 0.001), but no significant differences were found within current, past and never smokers (p = 0.890). Obese asthmatics engaged in less PA than their normal weight and overweight peers (p < 0.001). Overall, moderate level was significantly the most frequent (47.7%), but 31.6% showed a low level. Conclusions: Three out of ten Spanish people with asthma do not achieve PA recommendations, so PA programs should be executed to make people aware of its benefits in asthma control, focusing on those groups with lower PA levels. Full article
(This article belongs to the Special Issue Tobacco, Nicotine and Health)
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