Dear LOOP Community,
We are heartbroken by the widespread devastation of the ongoing fires in Northern and Southern California. The Camp Fire in Butte County has claimed many precious lives and is the deadliest and most destructive wildfire in California history. The Woolsey Fire, in Ventura County, is being called one of the largest fires to strike Los Angeles in more than 100 years.
We encourage you to monitor the air quality of your own community on the Environmental Protection Agency’s AirNowsite.
Our thoughts go out to all those affected by these wildfires, especially to those who have lost family and friends, and to those who have been displaced. We also are extremely thankful for the tireless efforts of the many hard-working firefighters, first responders, and volunteers.
We wish for the continued safety of all of our LOOP community members and their families, as well as all Californians.
The LOOP Team
Our LOOP team member, Bettina Friese, was recently awarded the title of “Community Leader”on Partners’ InfoHub for having 100+ posts!!
The LOOP plays an active role in sharing out recent research study abstracts and data as it relates to priority populations on InfoHub. We believe it is important to engage with colleagues around the state by providing information that could be helpful to their tobacco control and prevention efforts.
Check out Bettina’s posts in the Health Equity section of InfoHub across various priority population categories!
Heart disease is the leading cause of death in American Indians (AIs). A newly published study examined cardiovascular risk factors in Northern Plains American Indians undergoing coronary artery bypass grafting surgery. AI patients presented with increased risk factors, including higher rates of diabetes mellitus (AI 63.5% vs. non-AI 38.7%) and smoking/tobacco use (AI 60.8% vs. non-AI 20.0%). The researchers concluded that AIs presented with significantly more risk factors for cardiovascular disease compared with the general population, with especially high rates of insulin-dependent diabetes and active tobacco use.
Source: Anderson et al. (2018). Disparities in Cardiovascular Risk Factors in Northern Plains American Indians Undergoing Coronary Artery Bypass Grafting. Health Equity, Aug 1;2(1):152-160.
A newly published study compared support for secondhand smoke (SHS) restrictions across rural and urban areas. Smoking inside the home was assessed along with attitudes toward smoking in bars, casinos, playgrounds, cars, and cars with kids.
· Urban respondents were significantly more supportive of all SHS policies: (e.g. smoking in bars [57.9% vs. 51.4%]; support for kids in cars [94.8% vs. 92.5%].
· Greatest difference between urban-rural residents was in Mid-Atlantic (bar restrictions) and Southeast (home bans): almost 10% less supportive.
· Rural residents were least likely to support SHS in homes, in cars, on playgrounds and in bars.
· South Central rural residents were significantly less likely to support SHS policies-home bans, smoking in cars with kids, on playgrounds, in bars and casinos; while Heartland rural residents were significantly more supportive of policies restricting smoking in cars, cars with kids and on playgrounds.
Source: Stillman et al. (2018). Variations in support for secondhand smoke restrictions across diverse rural regions of the United States. Preventive Medicine, Sep 24;116:157-165. doi: 10.1016/j.ypmed.2018.09.014. [Epub ahead of print]
Read the paper at: https://www.sciencedirect.com/science/article/pii/S0091743518302925?via%3Dihub
The novel e-cigarette product JUUL has experienced rapid market growth. The online auction site eBay has been mentioned as a source of JUUL access for youth, and the US Food and Drug Administration (FDA) notified eBay to remove JUUL listings in April 2018. A newly published study sought to characterize the sale of JUUL products on eBay prior to the FDA’s request, document the impact of this request and explore ways in which eBay vendors bypassed this effort. The researchers searched eBay for JUUL-branded products sold by US vendors in March 2018, yielding a sample of 197 listings for devices and/or pods. Each listing was coded for product, listing and youth access content. Following FDA action, each listing was revisited to determine its status, and each vendor’s page was searched for JUUL and other vaping content.
- Of 197 eBay listings, 189 were for JUUL kits and 13 were for pods.
- Prices were on average higher than those on the official JUUL store, and language about age restrictions was rare.
- Following FDA contact, most listings were no longer active. However, 3.4% of these vendors still sold JUUL devices or pods and 15.5% were selling other vaporizers or nicotine products.
The researchers concluded that online platforms may lack the will or expertise to effectively monitor content for tobacco products, while vendors quickly adapt to minor changes with simple strategies such as spelling variations. Accurate identification of online e-cigarette vendors is essential to the enforcement of policy and may benefit from cross-sector partnerships.
Source: Laestadius & Wang (2018). Youth access to JUUL online: eBay sales of JUUL prior to and following FDA action. Tobacco Control, Sep 5. pii: tobaccocontrol-2018-054499. doi: 10.1136/tobaccocontrol-2018-054499. [Epub ahead of print]
Read the abstract at: https://www.ncbi.nlm.nih.gov/pubmed/30185531
A newly published article examined stealthy vapor devices, as well as low-odor and low-vapor e-juices, via a comprehensive online search between March and June 2018. As evidence of their popularity, a search for ‘stealth vaping’ on YouTube found 18,200 videos. A variety of cleverly designed vapor devices disguised as USB sticks, pens, remote controls, car fobs, smart phones, sweatshirt drawstrings and even asthma inhalers are on the market. JUUL, which resembles a USB stick, is the archetype of these devices and is especially popular among youth. A search of ‘JUUL’ on YouTube yielded 148 000 videos with 57 videos having >100 000 views. Searches on ‘JUUL at school’ (15 500), ‘JUUL in class’ (6840), ‘hiding JUUL in school’ (2030) and ‘JUUL in school bathroom’ (1040) illustrate the product’s popularity among students. Some e-juices promote themselves as having low visibility plumes while others profess to be of subtle odor to avoid detection. Numerous techniques have been described to hide the exhaled vapor plume such as by swallowing it or blowing it into one’s clothing or into a backpack.
The researchers concluded that the vaping industry has demonstrated much ingenuity in devising discreet vaporizers and de-emphasizing exhaled vapor plumes and their aroma. The US market for vaping devices with stealthy characteristics is anything but inconspicuous, with JUUL alone accounting for 70.5% of sales (July 2018).
Source: Ramamurthi et al. (2018). JUUL and other stealth vaporizers: hiding the habit from parents and teachers. Tobacco Control, Sep 15. pii: tobaccocontrol-2018-054455. doi: 10.1136/tobaccocontrol-2018-054455. [Epub ahead of print]
Tobacco public education campaigns focus increasingly on hard-to-reach populations at higher risk for smoking, prompting campaign creators and evaluators to develop strategies to reach hard-to-reach populations in virtual and physical spaces where they spend time. A newly published study described two novel recruitment strategies (in-person intercept interviews in lesbian, gay, bisexual, and transgender [LGBT] social venues and targeted social media ads) and compares characteristics of participants recruited via these strategies. Researchers recruited LGBT adults aged 18-24 years in the United States via Facebook and Instagram ads or intercept in LGBT social venues for the survey.
- Lesbian or gay women, bisexual men and women, gender minorities, and other sexual minorities were more likely than gay men to be recruited via social media (than intercept).
- Hispanic and other or multiracial, non-Hispanic participants were less likely than white, non-Hispanic participants to be recruited via social media.
- As age increased, odds of recruitment via social media decreased.
- Participants with some college education were more likely than those with a college degree to be recruited via social media.
- Participants who reported past-year pride event attendance were more likely to be recruited via social media.
- Participants who reported using Instagram at least once daily were less likely to be recruited via social media.
- Social media recruitment was faster and less expensive (2.2% of combined social media and intercept recruitment cost) but had greater data quality issues-a larger percentage of social media respondents were lost because of duplicate and low-quality responses compared with intercept respondents lost to interviewer misrepresentation.
The researchers concluded that social media combined with intercept provided access to important LGBT subpopulations (e.g., gender and other sexual minorities) and a more diverse sample. Recruiting hard-to-reach populations via audience-tailored strategies enabled recruitment of one of the largest LGBT young adult samples, suggesting these methods’ promise for accessing hard-to-reach populations.
Source: Guillory et al. (2018). Recruiting Hard-to-Reach Populations for Survey Research: Using Facebook and Instagram Advertisements and In-Person Intercept in LGBT Bars and Nightclubs to Recruit LGBT Young Adults. Journal of Medical Internet Research, Jun 18;20(6):e197. doi: 10.2196/jmir.9461.
It seems that every day that passes there is some type of news report on smoking, news on E-Cigarettes, new tobacco control laws, public health messages, etc… Former smokers are glad they quit and most current smokers wish they could quit and oftentimes feel guilty and under siege. We want you to know that we need you in our movement and there is an opportunity in those headlines – an opportunity to help yourself and your community.
Come join our virtual leadership program and learn about all of the unseen job and career opportunities! Learn how to help protect our children and future generations. This is not a stop smoking class but it will supportively help current smokers view tobacco-related issues in a new light. You will also be able to contribute your opinions and life experience on how to better serve our communities.
APPLY BY OCTOBER 19th TO JOIN THE FALL 2018 LOOP LEADERSHIP DEVELOPMENT PROGRAM!
APPLICATION DEADLINE: October 19, 2018 at 5pm (PST)
Please Address Questions To:
The LOOP Leadership Development Program
Population-based smoking-cessation services tend to preferentially benefit high-SES smokers, potentially exacerbating disparities. Interventions that include proactive outreach, telephone counseling, and free or low-cost cessation medications may be more likely to help low-SES smokers quit. A newly published study evaluated the role of SES in smokers’ response to a population-based proactive smoking-cessation intervention. Researchers analyzed data from the Veterans Victory Over Tobacco Study, a smoking-cessation intervention. Findings included that proactive outreach is associated with higher rates of prolonged abstinence among smokers at all SES levels. Proactive outreach interventions that integrate telephone-based care and facilitated cessation medication access have the potential to reduce socioeconomic disparities in quitting.
Source: Danan et al. (2018). The Equity Impact of Proactive Outreach to Smokers: Analysis of a Randomized Trial. American Journal of Preventive Medicine, Aug 20. pii: S0749-3797(18)31934-2. doi: 10.1016/j.amepre.2018.05.023. [Epub ahead of print]
A newly published study investigated the association between socioeconomic status (SES) (education, income, and employment status) and current and former electronic nicotine delivery system (ENDS) use. Researchers analyzed data from the American Heart Association Tobacco Regulatory and Addiction Center (A-TRAC) online survey.
- College educated persons (vs. those with less than a high school diploma) had a 37% greater prevalence of current ENDS use and a 16% greater prevalence of former ENDS use.
- Persons with household incomes above $90K (vs. less than $20,000) had a greater prevalence of current and former ENDS use.
- Those who were employed (vs. not employed) had a 13% greater prevalence of current ENDS use.
- Higher SES (vs. lower SES) persons were more likely to use ENDS.
Source: Glover et al. (2018). The social patterning of electronic nicotine delivery system use among US adults. Preventive Medicine, Aug 29;116:27-31. doi: 10.1016/j.ypmed.2018.08.038. [Epub ahead of print]