Did You Know? – LGBT Smokers Have More Exposure to Tobacco-Related Messages on Social Media?

A newly published study (Nicotine & Tobacco Research, March 2018) study explored whether exposure to tobacco content on traditional and social media is associated with tobacco use among LGBT and non-LGBT. Researchers analyzed data from LGBT (N=1,092) and non-LGBT (N=16,430) respondents to a 2013 nationally representative cross-sectional online survey of US adults (N=17,522).
Findings included:
  • LGBT reported significantly higher rates of past 30-day tobacco media exposure compared to non-LGBT, this effect was strongest among LGBT who were smokers.
  • LGBT more frequently reported exposure to, searching for, or sharing messages related to tobacco couponing, e-cigarettes, and anti-tobacco on new or social media (e.g. Twitter, Facebook, etc.) than did non-LGBT.
  • Non-LGBT reported more exposure from traditional media sources such as television, most notably anti-tobacco messages.
  • LGBT had higher odds of past 30-day use of cigarettes, e-cigarettes, and cigars compared to non-LGBT.

The researchers concluded that LGBT (particularly LGBT smokers) are more likely to be exposed to and interact with tobacco-related messages on new and social media than their non-LGBT counterparts. Recommendations included that tobacco control must work toward reaching LGBT across a variety of media platforms, particularly new and social media outlets.

Source: Emory et al. (2018). Lesbian, gay, bisexual and transgender (LGBT) view it differently than non-LGBT: Exposure to tobacco-related couponing, e-cigarette advertisements, and anti-tobacco messages on social and traditional media. Nicotine & Tobacco Research, Mar 12. doi: 10.1093/ntr/nty049. [Epub ahead of print]

Did You Know? Majority of Youth who Use Electronic Vaping Products Use Advanced Models that Deliver Nicotine More Effectively

Advanced models of electronic vaping products (EVPs) likely pose a greater risk to adolescent health than basic or intermediate models because advanced models deliver nicotine more effectively and heat e-liquid to higher temperatures, producing more harmful chemical emissions. A newly published study (Nicotine & Tobacco Research, December 2017) examined adolescents’ risk factors for using different device types. Researchers used social media to recruit an online sample of 1,508 U.S. adolescents aged 15-17 who reported past 30-day use of e-cigarettes. The study assessed tobacco use, beliefs and knowledge about EVPs, and EVP use behavior, including the device type participantsuse most frequently. 
Findings included:
  • Most respondents usually used modifiable advanced devices (56.8%) rather than basic “cigalike” (14.5%) or pen-style intermediate (28.7%) devices.
  • Use of multiple device types was common, particularly among those who primarily used basic devices.
  • Younger age and less frequent vaping were associated with mainly using basic devices.
  • Adolescents who were older, male, personally bought their main device, and had ever mixed e-liquids were at elevated risk for usually using advanced devices.
The researchers concluded that adolescents who primarily use basic devices may be newer users who are experimenting with multiple devices. Future research should examine which adolescents are most likely to transition to advanced devices in order to develop targeted interventions. Recommendations include that regulators should consider strategies to reduce access to all types of EVPs, such as better enforcement of the current ban on sales to minors.
Source: Pepper et al. (2017). Adolescents’ Use of Basic, Intermediate, and Advanced Device Types for Vaping. Nicotine & Tobacco Research, Dec 23, [Epub ahead of print]

UCSF’s Stan Glantz Appears on NPR to Discuss the Upcoming San Francisco Vote on the Ban of Flavored E-Cigs & Tobacco


Dr. Stan Glantz, who heads the Center for Tobacco Control Research and Education at UCSF, appeared on NPR’s “Weekend Edition” on Sunday, May 6th to discuss San Francisco’s upcoming vote on the ban of flavored tobacco products, which includes the new JUUL product. Click below to listen to the show and read the transcript.

Listen to the Radio Newscast here

Did You Know? Secret Tobacco Industry Documents Show that Tobacco Companies Targeted American Indians/Alaska Natives


A newly published study analyzed tobacco industry promotional efforts specifically targeting American Indians/Alaska Natives and exploiting Tribal lands to understand appropriate policy responses in light of American Indians’/Alaska Natives’ unique sovereign status and culture. Researchers examined previously secret tobacco industry documents available at the Truth Tobacco Documents Library (https://industrydocuments.library.ucsf.edu/tobacco/). The study found that tobacco companies used promotional strategies targeting American Indians/Alaska Natives and exploiting Tribal lands that leveraged the federally-recognized Tribes’ unique sovereign status exempting them from state cigarette taxes and smokefree laws. In addition, tobacco companies exploited some Tribes’ existing traditional uses of ceremonial tobacco and poverty. Tactics included price reductions, coupons, giveaways, gaming promotions, charitable contributions and sponsorships. Additionally, tobacco companies built alliances with Tribal leaders to help improve their corporate image, advance ineffective “youth smoking prevention” programs, and defeat tobacco control policies. The authors concluded that the industry’s promotional tactics likely contribute to disparities in smoking prevalence and smoking-related diseases among American Indians/Alaska Natives. The researchers’ recommendations included that Tribal communities should consider policy interventions to address these disparities including tobacco price increases, cigarette taxes, comprehensive smokefree laws, and industry denormalization campaigns to reduce smoking prevalence and smoking-related disease.

Source: Lempert & Glantz (2018). Tobacco Industry Promotional Strategies Targeting American Indians/Alaska Natives and Exploiting Tribal Sovereignty. Nicotine & Tobacco Research, Mar 12. doi: 10.1093/ntr/nty048. [Epub ahead of print]

Shared Leadership and Equal Contribution of Community and Academic Partnerships Lead to Smoking Cessation Program for Pacific Islanders

Pacific Islanders (PIs) have one of the highest rates of cigarette use, but evidence-based smoking cessation programs designed specifically for PIs are practically nonexistent. A recently published paper reports on the development of a culturally tailored smoking cessation curriculum designed specifically for young adult PIs using a community-based participatory research (CBPR) approach that allowed for the sharing of ideas and knowledge between academics and community members. This paper demonstrates the benefits of shared leadership and equal contribution of community and academic partnerships. As a result of this collaboration, eight educational modules were developed. Information on the dangers of cigarettes, benefits to cessation, and ways to cope with cravings and stress through cognitive behavioral therapy were offered in both narrative and non-narrative formats.
Source: Kwan et al (2017). Development of an Online Smoking Cessation Curriculum for Pacific Islanders: A Community-Based Participatory Research Approach
Progress in Community Health Partnerships: Research, Education and Action, 1(3), 263–274.

Eye-Opening Video & Article on Teen Juuling

From the ABC News Article…

A new video sheds an eye-opening light on teens’ use of e-cigarettes, or what they call juuling.”

The term derives from Juul, a popular vaping device.

“You couldn’t be caught dead with a cigarette right now if you’re a teenager, but with juuling, it’s cool to Juul,” said Jack Waxman, 17, who produced the video.


Read the ABC News article here



Increase Your Leadership and Advocacy Skills in Your Spiritual-Religious Community

We are actively recruiting 12-16 “Fellows” from our spiritual/religious communities to participate in a vigorous 8-week virtual program. As a fellow, you will learn how to help yourself, your community, and your religious institutions increase their capacity to improve the health of our communities. Once successful applicants complete the program they will receive a certificate of completion from the University of California, San Francisco. They will also have ongoing access to a cadre of mentorship and support. We want to help you develop your leadership skills as we guide you through a wide array of opportunities that can help your church community.


For more information about The LOOP Leadership Development Program click the link below for a webinar about it!

In Honor of National Minority Health Month



Throughout the month of April, The LOOP has been celebrating National Minority Health Month by sharing the stories of our Leadership Development Program (LDP) Fellows on our Facebook page. We want to share one of those stories with you here!

Josephine Smedley Photo

Leadership Development Program Fellow, Josephine Smedley

Josephine Smedley, MPA has been involved in tobacco control for nearly a decade. Most recently, she has served as the Youth Program Coordinator for the California Youth Advocacy Network (CYAN) located in Sacramento, California. In this role, she provided training and technical assistance on youth engagement in tobacco control programs to public health professionals and organizations throughout the state of California. 
Prior to joining CYAN, Josephine worked for eight years for Alameda County’s Tobacco-Use Prevention Education (TUPE) Program, a school-based program aimed at preventing youth addiction to tobacco. While at TUPE, she served as a Program Specialist, developing and promoting youth programs, and later as the TUPE Program Manager, implementing and coordinating innovative prevention and youth development programs in schools and districts across Alameda County. Josephine has extensive experience planning, implementing, and facilitating youth development programs as well as engagingyouth as partners in public health.
We are proud to have Josephine join our most recent 2018 cohort of LDP fellows!

Did You Know? Tobacco Control Spending Can Reduce Smoking Among Hispanics


A newly published study examined the impact of three state-level tobacco control policies (cigarette taxation, tobacco control spending, and smoke-free air (SFA) laws) on adult smoking rate overall and separately for adult subgroups in the U.S.

Findings included:

  • State cigarette taxation is the only policy that significantly impacted smoking among the general adult population.
  • Taxation was the only policy that significantly reduced smoking for some adult subgroups, including females, non-Hispanic Whites, adults aged 51 or older, and adults with more than a high school education.
  • Other adult subgroups responded to the other two types of policies, either by mediating the taxation effect or by reducing smoking independently.
  • Specifically, tobacco control spending reduced smoking among young adults (ages 18-25 years) and Hispanics. SFA laws affected smoking among men, young adults, non-Hispanic Blacks, and Hispanics.

The researchers concluded that state cigarette taxation is the single most important policy for reducing smoking among the general adult population. However, adult subgroups’ reactions to taxes are diverse and mediated by tobacco control spending and SFA laws.

Source: Yu et al. (2018). One size fits all? Disentangling the effects of tobacco taxes, laws, and control spending on adult subgroups in the US. Substance Abuse, Mar 7:1-30. doi: 10.1080/08897077.2018.1449050. [Epub ahead of print]