Did You Know: African Americans in Multiunit Housing are Exposed to Higher Levels of Thirdhand Smoke


Secondhand smoke (SHS) is a common indoor pollutant in multiunit housing (MUH). It is also the precursor of thirdhand smoke (THS), the toxic mixture of tobacco smoke residue that accumulates in indoor environments where tobacco has been used. A newly published study examined the levels, distribution, and factors associated with THS pollution in low-income MUH. Interviews were conducted 2016-2018 in a cross-sectional study of N=220 MUH homes in San Diego, California.

Findings included:

  • Nicotine was detected in all homes of nonsmokers with indoor smoking bans and smokers regardless of an indoor ban.
  • Approximately 10% of nonsmokers’ homes with smoking bans showed nicotine levels higher than the average level in homes of smokers without smoking bans from previous studies.
  • Housing for seniors, smoking bans on balconies, indoor tobacco use, difficult to reach surfaces, and self-reported African-American race/ethnicity were independently associated with higher THS levels.
  • Individual cases demonstrated that high levels of surface nicotine may persist in nonsmoker homes for years after tobacco use even in the presence of indoor smoking bans.

The researchers recommend that to achieve MUH free of tobacco smoke pollutants, attention must be given to identifying and remediating highly polluted units to implementing smoking policies that prevent new accumulation of THS.

Source: Matt et al. (2020). Persistent Tobacco Smoke Residue in Multiunit Housing: Legacy of Permissive Indoor Smoking Policies and Challenges in the Implementation of Smoking Bans. Preventive Medicine Reports, April (in press)

Did You Know: Less Than Half of Teachers and Parents Know What a JUUL Looks Like


Electronic cigarette use, including JUUL, has risen to epidemic levels among high school and middle school students in the United States. Schools serve as a key environment for prevention and intervention efforts to address e-cigarette use, yet little is known about the awareness of and response to e-cigarettes in schools. A newly published study of middle and high school teachers and administrators (n = 1,420) measured JUUL awareness, e-cigarette policies, and barriers to enforcement in schools.


Findings included:

  • While two thirds of respondents had heard of a product called JUUL (68%), less than half accurately identified a photo of a JUUL as a vaping device/e-cigarette (47%).
  • Awareness of JUUL (81%) was higher among high school teachers (83%) than among middle school teachers (78%).
  • A large majority of respondents reported that their school had an e-cigarette policy (83%), but less than half of the sample worked in a school with a policy that specifically included JUUL (43%).
  • Those working in a school with an e-cigarette policy in place noted that e-cigarettes’ discreet appearance (66%) and difficulties in identifying origin of vapor or scent (46%) made the policy difficult to enforce.


The researchers concluded that efforts to increase middle and high school staff awareness of the ever-evolving e-cigarette market are essential to help prevent youth use.


Source: Schillo et al. (2019). JUUL in School: Teacher and Administrator Awareness and Policies of E-Cigarettes and JUUL in U.S. Middle and High Schools. Health Promotion Practice, Sept 18. [Epub ahead of print]


Upcoming Webinars You Should Know!

Screen Shot 2020-05-07 at 3.25.05 PM

Spanish Policy Webinar May 12th: Pólizas Y Políticas En Su Comunidad

Pólizas y Políticas en Su Comunidad: Como Involucrase y Reducir el Consumo de Tabaco 

El Centro de Coordinación de Leyes y Pólizas y el Centro de Coordinación para Hispanos y Latinos los invita a participar en nuestro seminario virtual de “Pólizas y Políticas en Su Comunidad”.  Nuestros expertos explicarán los niveles de gobierno de los Estados Unidos, el proceso para formar pólizas al nivel local, y cómo crear soluciones locales que promueven la salud en su comunidad. Los participantes también aprenderán cómo su voz es necesaria para crear soluciones y pólizas locales que controlan y reducen el uso de tabaco en comunidades Latinas. El objetivo de este seminario es desarrollar capacidades y empoderar a los miembros de la comunidad para que se involucren en las actividades de su gobierno local, especialmente para crear comunidades saludables. Este seminario virtual será 100% en español.

12 de Mayo del 2020
10:00am a 11:30am
Registración: https://mitchellhamline.zoom.us/webinar/register/WN_ZJJwnZJPTkSxwMg_i9gfXg

Policy and Politics in Your Community: Community Engagement and Reducing Tobacco Use

Join the Law and Policy Coordinating Center and the Hispanic/Latino Coordinating Center on the “Pólizas y Políticas en Su Comunidad” webinar. This webinar will be 100% in Spanish. Experts will explain the U.S. levels of governments in the local policy making process, and how to address local issues like tobacco use. Participants will also learn how their voice is necessary in the policy making process to help reduce tobacco related disparities in the Latino community. The goal of this webinar is to build capacity and empower community members to get involved in their local government, especially to promote healthy communities.

The target audience for this webinar is Spanish speaking community members but it is also highly encouraged for bilingual advocates who wish to see an example on how to explain local policy in Spanish.
For more information, please contact Karina Camacho, (916) 585-7669

webinar pic

Webinar: Tribal Policy Repository Lessons Learned And Next Steps

Califonia’s Clean Air Project (CCAP)

Please join CCAP for the Tribal Policy Repository Lessons Learned and Next Steps  webinar on Thursday, May 14, 2020  from 10:00 AM – 11:00 AM. This webinar will highlight CCAP’s work in the adoption and implementation of smoke-free policies within tribal lands. Participants will learn about the variations in tribal policy documentation and be able to determine best practices when working with tribes regarding SHS policies.

Register here: https://join-etr.zoom.us/webinar/register/WN_kZpAfuUCRkS78gVzXYJ7Nw


For more information, please contact Manveer Sahota, (831) 440-2114 Ext 115

Did You Know: Nicotine Dependence Is Linked To Cannabis Use Disorder Symptoms In Youth


A recently published study examined if cigarette smoking and/or nicotine dependence predicts cannabis use disorder symptoms among adolescent and young adult cannabis users and whether the relationships differ based on frequency of cannabis use. Data were drawn from seven annual surveys of the NSDUH to include adolescents and young adults (age 12-21) who reported using cannabis at least once in the past 30 days (n = 21,928).


Findings included:

  • Over half of current cannabis users also smoked cigarettes in the past 30 days (55%).
  • Cigarette smoking in the past 30 days was associated with earlier onset of cannabis use, more frequent cannabis use and a larger number of cannabis use disorder symptoms compared to those who did not smoke cigarettes.
  • Nicotine dependence but not cigarette smoking quantity or frequency was positively and significantly associated with each of the cannabis use disorder symptoms, as well as the total number of cannabis symptoms.

The researchers concluded that prevention and treatment efforts should consider cigarette smoking comorbidity when addressing the increasing proportion of the US population that uses cannabis.


Source: Dierker et al. (2018). Nicotine dependence predicts cannabis use disorder symptoms among adolescents and young adults. Drug and Alcohol Dependence, Apr 16;187:212-220. doi: 10.1016/j.drugalcdep.2018.02.037. [Epub ahead of print]

New Racial Data Released in California on COVID Infections

The San Francisco Chronicle published an article on April 9, 2020 that included the following information:
  • Of the 6,306 Californians with the coronavirus for whom demographic information was made available, 37% are white (whites make up 37% of the state’s population); 30% are Latino (Latinos make up 39% of the state’s population); 14% are Asian or Asian American (Asians/Asian Americans make up 15% of the state’s population) and 6% are black (African Americans make up 6% of state’s population). The demographic breakdowns were similar for 172 people who have died and for whom information was released.
  • San Francisco provided demographic data on Tuesday for about two-thirds of 676 cases; the rates of infection closely matched the racial and ethnic breakdowns of the city.
  • Meanwhile, no other Bay Area counties — including Alameda County, which has a large African American population — have provided demographic data.
To read the full article (subscription required), CLICK HERE.

Did You Know: Among Sexual and Gender Minority Youth Smoking May Mean Having Control


A newly published study examined the meanings that sexual and gender minority youth ascribe to their tobacco use and how those meanings are shaped by the circumstances and structures of their everyday lives. This article is based on analysis of 58 in-depth qualitative interviews conducted with sexual and gender minority youth living in the San Francisco Bay area. The narratives illustrate how smoking signifies “control” in a multitude of ways, including taking control over an oppressor, controlling the effects of exposure to traumatic or day-to-day stress, and exerting control over the physical body in terms of protecting oneself from violence or defending one’s mental health. The authors conclude that these findings call into question the universal appropriateness of foundational elements that underlie tobacco control and prevention efforts directed at youth in the USA, specifically the focus on abstinence and future orientation.


Source: Antin et al. (2018). The “here and now” of youth: the meanings of smoking for sexual and gender minority youth. Harm Reduction Journal, May 31;15(1):30. doi: 10.1186/s12954-018-0236-8.

Did You Know? Blacks, Compared to Whites, Are More Likely To Smoke In Mid-Adulthood


Smoking and alcohol use have been posited as possible contributors to racial health disparities, despite higher smoking and alcohol use among non-Hispanic White youth and young adults compared to Blacks. A newly published study assessed variation in alcohol and cigarette use across two distinct points of the life course. Self-report alcohol and cigarette use were collected between age 15-17 and at mean age 50.


Findings included:

  • White participants were more likely to drink regularly and be intoxicated  in adolescence compared with Blacks.
  • In mid-adulthood, Whites remained more likely to currently drink but among drinkers, less likely to binge drink.
  • White participants were less likely to smoke in mid-adulthood but among smokers, were more likely to smoke ≥ ½ a pack per day.


The researchers concluded that Blacks were less likely to engage in drinking across the life course, but, among drinkers, more likely to binge drink in mid-adulthood. Blacks were more likely to smoke in mid-adulthood, but smoked infrequently compared with Whites.


Source: Pamplin et al. (2019). Racial differences in alcohol and tobacco use in adolescence and mid-adulthood in a community-based sample. Social Psychiatry and Psychiatric Epidemiology, Sep 21. [Epub ahead of print]

UCSF Issues Article About How Quitting Smoking & Vaping Can Reduce Your Risk of Corona Virus

Ucsf logo
On March 6, 2020, UCSF’s Stanton A. Glantz, PhD, Director of the Center for Tobacco Research Control & Education, published an article called “Reduce your risk of serious lung disease caused by corona virus by quitting smoking and vaping.”
In the article, Dr. Glantz states that “When someone’s lungs are exposed to flu or other infections the adverse effects of smoking or vaping are much more serious than among people who do not smoke or vape.”
He goes on to say in closing that “This would also be a good time for cities, states private employers and even individual families to strengthen their smokefree laws and policies – including e-cigarettes — to protect nonsmokers from the effects of secondhand smoke and aerosol on their lungs and to create an environment that will help smokers quit.”

Did You Know? Flavors Like Menthol/Mint, Fruit and Candy Appeal to Young Tobacco Users


A recently published study examined youth preference for flavored tobacco products.

Findings included:

  • Prevalence of flavored tobacco product use was highest among youth, followed by young adults and adult 25+.
  • Within each age group, flavored use was greatest among hookah, e-cigarette and snus users.
  • Overall, menthol/mint, fruit and candy/sweet were the most prevalent flavor types at first and past 30-day use across age groups.
  • For past 30-day use, all flavor types except menthol/mint exhibited an inverse age gradient, with more prevalent use among youth and young adults, followed by adults 25+.
  • Prevalence of menthol/mint use was high (over 50% youth, young adults; 76% adults 25+).
  • Brand-categorized and self-reported flavor use measures among adults 18+ were moderately to substantially concordant across most products.


The researchers concluded that these findings can inform tobacco flavor regulations to address flavor appeal especially among youth.


Source: Rose et al. (2019). Flavour types used by youth and adult tobacco users in wave 2 of the Population Assessment of Tobacco and Health (PATH) Study 2014-2015. Tobacco Control, Sep 21. [Epub ahead of print]