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Background: Malaria is a significant health challenge in Sierra Leone, particularly affecting pregnant women and children under five years of age. Despite efforts to reduce malaria cases, its prevalence remains high. The Sierra Leone National Malaria Elimination Strategic Plan (NMESP) 2021–2025 aims to reduce the malaria burden significantly through universal access to Insecticide Treated Nets (ITNs). Objective: This study evaluates the knowledge and utilization of ITNs for malaria control in the Moyamba and Bo districts of Sierra Leone (at the Njala University's Main Campus in Moyamba District and Towama Location on Bo Campus in Bo District). It assesses awareness levels, factors associated with ITN use, and the effectiveness of current campaign strategies. Methods: A cross-sectional survey was conducted from July to September 2023, involving 742 participants from the Moyamba and Bo districts. Data were collected using a pretested interview guide covering ITN ownership, usage, and challenges. Descriptive statistics and Pearson's Chi-squared test were used for data analysis. Results: Of the respondents, 84.8% received training on ITN usage, primarily from health workers (46.1%). Most participants (94.7%) understood that ITNs provide protection against mosquitoes, and 84.5% believed in their effectiveness in preventing malaria. Sociodemographic factors like age, sex, education, marital status, and sources of information were significantly associated with ITN knowledge and utilization. Moreover, health workers' campaigns and interpersonal networks (community leaders, plus family and friends) play crucial roles in promoting ITN utilization, while mass media campaigns alone may not suffice. However, 48.2% of the participants found current ITN campaign strategies effective. Conclusion: While awareness and ownership of ITNs are high in the Moyamba and Bo districts, utilization is hindered by various factors, including availability and alternative uses. Enhanced campaign strategies and increased ITN distribution are necessary to improve usage and reduce malaria incidence. [ABSTRACT FROM AUTHOR]

Introduction Minimizing electronic cigarette (e-cigarette) uptake and encouraging vaping cessation have become important components of public health agendas. Given the success of well-designed anti-smoking campaigns, attention has turned to developing health communications that target vaping. Although prior work has identified a range of potentially effective campaign messages, several gaps in the literature remain. We aimed to (1) identify message themes perceived to be effective at minimizing e-cigarette use and (2) elicit opinions on how these message themes could be optimized in terms of message execution and delivery. Aims and Methods Focus groups (FG; n  = 16) were conducted with adolescents (14- to 15- and 16- to 17-year-olds), young adults (18- to 24-year-olds), and adults (25- to 39-year-olds). The groups reported on message themes they believed would assist with minimizing e-cigarette use. They then provided feedback on 14 message themes developed by the research team. Data were analyzed using reflexive thematic analysis. Results Groups discussed a range of message themes they believed would be effective. These included themes focused on the health harms associated with vaping, the chemical ingredients in e-cigarettes, use dependence, and social attitudes to use. Groups discussed the importance of using evidence-based personal testimonies and reported that messages would be most effectively communicated via social media, in public places, and at point of sale. Conclusions Results build on existing research by identifying message themes perceived to be most effective, and how these could best be executed. Results have the potential to inform the development of co-designed health communication campaigns addressing youth vaping. Implications Using a stratified FG methodology, we collected rich and detailed qualitative data on Australians' perceptions of anti-vaping message themes. The themes considered most effective were those that addressed the health harms of vaping, the chemical ingredients in e-cigarettes, the social consequences of use, and the impacts of dependence. We recommend further work to develop and trial a range of specific anti-vaping messages based on the themes identified as having the most potential. This process should include iterative co-design with the target audience to optimize future health communication campaigns. [ABSTRACT FROM AUTHOR]

Despite long-standing efforts to reduce smoking and tobacco use in Turkey, this issue continues to pose a significant public health problem. In this context, public service announcements have been utilized to raise awareness about the adverse health effects of smoking and tobacco use. Analyzing the strategies employed by anti-smoking campaigns in addressing this critical public health concern has become essential for assessing their effectiveness. This study presents an analysis of anti-smoking public service announcements broadcasted in Turkey between 2008 and 2024, framed within the Extended Parallel Process Model (EPPM) and the Elaboration Likelihood Model (ELM). The findings reveal that the persuasive strategies of these campaigns primarily rely on threat and efficacy components. It was found that 90.5% of the campaigns utilized multiple threat components simultaneously, and 95.2% of them associated perceived severity with physical health outcomes. Furthermore, efficacy components were present in 69.05% of the campaigns, supported by self- efficacy messages indicating that quitting smoking is possible. Within the context of ELM, it was observed that 88.1% of the campaigns employed environmental cues to facilitate a superficial processing of messages, while the central route, involving rational arguments, was utilized only 40.5% of the time. Emotional appeals were predominantly based on negative emotions (fear at 52.4%, anxiety at 35.7%), with 90.5% of campaigns aiming to engage the audience through these emotions. Rational appeals were present in 78.6% of the campaigns, with reasoning being the most frequently employed strategy at 50%. These findings indicate that anti-smoking public service announcements in Turkey aim to impact viewers on both emotional and rational levels, while emphasizing threat and efficacy components within the EPPM framework and predominantly utilizing superficial processing strategies based on environmental cues within the ELM framework. [ABSTRACT FROM AUTHOR]

The article "Achieving earlier diagnosis of symptomatic lung cancer" from the British Journal of General Practice highlights the importance of early detection of lung cancer to improve survival rates. It emphasizes the need for targeted screening using low-dose computed tomography (LDCT) and promoting awareness of symptoms to encourage timely medical consultation. The document also discusses the role of chest X-rays (CXR) in diagnosing symptomatic lung cancer and suggests interventions to facilitate prompt investigation and referral for patients with symptoms. Additionally, it addresses the challenges faced by patients who have never smoked in accessing timely diagnosis and treatment. [Extracted from the article]

Purpose: This study aims to determine the frequency of hip fractures and associated risk factors among patients receiving care at the Somalia Turkish Training and Research Hospital in Mogadishu. Patients and Methods: A retrospective study of patients treated at the Somalia Turkish Training and Research Hospital in Mogadishu was carried out. 96 of the 108 patients who were admitted met the inclusion criteria. Analyzing the medical records of individuals diagnosed with hip fractures between January and December 2023 allowed for the collection of data on demographics, hip fracture type, and medical history and also conducted follow-ups to identify other potential contributing factors that may not be available in medical records. The main conclusions have been established using descriptive statistical analysis. Results: About 8.67% of all fracture cases were hip fractures, Elderly people (60+) represented the largest group at 64.6%, followed by younger people (17– 39) and Middle-aged people (40– 59) at 15.6%, and children (3– 16) at 4.2%. Females comprised 56.3% of cases, while males made up 43.8%. Most patients (78.1%) had low physical activity. Falls were the primary cause of fractures (83.3%), followed by other traumas (13.5%), and pathological fractures (7.3%). 32.3% of patients had comorbidities, 8.3% had a family history, and 22.9% had prior fractures. The most prevalent hip fractures (81.3%) were those of the femur neck, followed by subtrochanteric and intertrochanteric fractures (10.4% and 8.3%, respectively). Conclusion: This study emphasizes the frequency of hip fractures in Mogadishu, Somalia, as well as the significance of fall prevention, age, gender, and comorbidity treatment. We suggest comprehensive risk assessments, gender-specific bone health programs, fall prevention programs, focused prevention for the elderly, and public education campaigns to reduce the burden of hip fractures and encourage healthier people in our community by putting these measures into practice. [ABSTRACT FROM AUTHOR]

Introduction: The degree of perceived smoking stigma can differ, based on various factors such as gender; this may influence the effect of smoking cessation interventions, including denormalization. This study investigates the gender differences in smoking stigma recognized by Korean smokers and explores the effect of these differences on the success of smoking cessation messages that aim to initiate an identity crisis among smokers. It aims to contribute to effective smoking cessation intervention strategies for female smokers. Methods: The smoker-gender Implicit Association Test (IAT) was used to measure gender-based smoking stigma; the test comprised photos of people smoking, with positive and negative descriptors. Participants were 120 smokers aged 19-35 years (60 males and 60 females). Participants' cognitive attitudes toward smoking and cessation intentions were assessed at baseline. To investigate the effect of social stigmatization on smokers, participants were asked to watch anti-smoking campaigns that stigmatized either smoking behavior or smokers' self-identity. Cognitive attitudes and cessations intention were used to show differences in gender and message conditions. Results: The IAT D-score showed that female smokers perceived other female smokers significantly more negatively than they did male smokers, suggesting a higher level of smoking stigma. Female smokers in the socially stigmatizing condition reduced their negativity toward smoking less than those who were not stigmatized. Moreover, cessation intentions did not improve when female smokers received identity-threatening messages, indicating that female smokers tended to resist stigmatizing messages. Discussions: These findings provide empirical evidence that the gender of Korean smokers is significantly related to differences in smoking stigma. The negative perception and resistance responses of female smokers shown in this study are consistent with the findings of previous studies on the stigma of substance use disorders and addiction. High smoking stigma can also be a risk factor in anti-smoking interventions, including health communication; therefore, these findings should be interpreted with caution. [ABSTRACT FROM AUTHOR]

Despite progress in reducing youth tobacco use, the epidemic persists as a pressing public health challenge, exacerbated by the rise of vaping and flavored products. This article synthesizes the latest evidence on effective youth tobacco control interventions and presents a detailed examination of the comprehensive initiatives implemented in Mississippi over the past six years. Data from the Mississippi State Department of Health's Office of Tobacco Control program evaluations from 2018-2023 are presented, covering school curricula, community events, peer education, advocacy, media campaigns, and other activities delivered by tobacco-free coalitions, physician groups, and partner organizations statewide. Over this period, these multi-level initiatives reached tens of thousands of youths annually through evidence-based programs like CATCH My Breath® and Tar Wars®, as well as awareness presentations, leadership training, policy advocacy, digital content, and more. Evolving strategies included increased virtual programming and social media engagement during the COVID-19 pandemic. While evaluation limitations exist around long-term impacts, Mississippi's multifaceted approach reflects expertrecommended practices of combining school/community interventions with youth engagement, professional education, media outreach, and policy change. As tobacco landscapes shift, such comprehensive, adaptable strategies remain crucial to protecting the next generation from tobacco, e-cigarette, and vaping addiction's harms. Continued investment in innovative, evidence-based youth tobacco control programming is vital. [ABSTRACT FROM AUTHOR]

Background: The global prevalence of smoking remains a significant public health concern, necessitating the development of effective anti-smoking campaigns to promote smoking cessation and discourage smoking initiation. Understanding the factors that influence individual responses to anti-smoking messages is critical for tailoring campaigns to different populations. Focus of the Article: This study substantially exhibits the concepts of audience segmentation and targeting, informed by theory and formative research, and monitoring and evaluation research in the context of anti-smoking campaigns. Research Question: The article aims to answer how smoking behavior and message framing influence individuals' counterarguing responses to anti-smoking advertisements and the implications for ad effectiveness. Approach: The research investigates the role of smoking behavior (smokers vs. non-smokers) and message framing (positive vs. negative) in shaping individuals' counterarguing responses to anti-smoking advertisements, using two studies involving behavioral and neuroscientific methods. Methods: Study 1 employed an online video task with 1920 participants, examining the effects of smoking behavior and message framing on ad effectiveness. Study 2 used electroencephalography (EEG) to record brain activity from 31 participants while they viewed anti-smoking video advertisements, focusing on the neural correlates of counterarguing and their effect on anti-smoking ad effectiveness. Results: Study 1 found that smokers report lower ad effectiveness compared to non-smokers, and observed an interaction between smoking behavior and message framing. Study 2 found that smoking behavior significantly influenced brain activity in the dorsolateral prefrontal cortex (dlPFC), ventrolateral prefrontal cortex (VLPFC), and anterior cingulate cortex (ACC) regions in response to anti-smoking ads. Additionally, a significant interaction was observed between smoking behavior and ad framing on brain activity in all three regions. Recommendations for Research or Practice: The findings suggest that anti-smoking campaigns should be tailored to the specific needs and attitudes of smokers and non-smokers, with separate campaigns for each group. Future research could explore the role of other individual differences in shaping counterarguing responses, the long-term effects of exposure to different types of anti-smoking messages on smoking behavior, and using more advanced neuroimaging techniques to investigate the neural processes that underlie counterarguing responses to anti-smoking messages for better flow. [ABSTRACT FROM AUTHOR]

The article discusses the potential development of a vaccine to prevent Neisseria gonorrhoeae infections, which have been increasing globally and becoming more resistant to antibiotics. Mathematical models suggest that a vaccine targeting Neisseria meningitidis could also protect against N. gonorrhoeae. Clinical trials are underway to assess the efficacy of such vaccines, with promising results from observational data. The UK Joint Committee on Vaccination and Immunization has recommended offering the vaccine to high-risk individuals, particularly men who have sex with men. [Extracted from the article]

The editorial discusses the impact of smoking on life expectancy, with each cigarette smoked estimated to shorten life by approximately 20 minutes, varying slightly between men and women. Data from British studies show that smokers who do not quit lose around 10-11 years of life expectancy compared to non-smokers. The article emphasizes the cumulative harm of smoking and the benefits of quitting at any age to prolong life and improve health. It also highlights the importance of total cessation rather than just reducing cigarette consumption for maximum health benefits. [Extracted from the article]

ABSTRACT: Smoking remains a significant public health challenge worldwide, with numerous adverse health effects and social consequences. Despite efforts to curb smoking rates through various campaigns and interventions, the battle against smoking continues. In recent years, the application of artificial intelligence (AI) has emerged as a promising approach to enhance the effectiveness of antismoking campaigns. This review paper examines the current landscape of AI applications in campaigns against smoking, highlighting its potential benefits, challenges, and future directions. Through a comprehensive analysis of relevant literature and case studies, this paper provides insights into how AI can be leveraged to design and implement more targeted, personalized, and impactful antismoking initiatives. Additionally, it discusses the ethical considerations and potential limitations associated with AI-driven approaches in this context. [ABSTRACT FROM AUTHOR]

This study investigates methods to develop and test the automatic detection of cigarettes in images using modern deep learning models such as YOLOv5 and YOLOv8. The study's primary aim is to improve the accuracy and reliability of recognizing objects associated with smoking, which could significantly enhance the monitoring of public places, media content analysis, and support for anti-smoking campaigns. Tobacco use poses a serious threat to public health, causing numerous diseases and resulting in millions of deaths annually. Advanced technologies such as computer vision and artificial intelligence offer new opportunities for more effective monitoring and analysis, which can help mitigate the negative effects of tobacco use. The training results are presented, with the YOLOv8 model achieving an accuracy of 87.4% and the YOLOv5 model slightly outperforming it with an accuracy of 89.6%. In conclusion, the article thoroughly explores the use of the YOLOv8 model in images for cigarette identification. It contributes to the existing body of knowledge by presenting a comparative analysis of the performance of the YOLOv8 and YOLOv5 models, thereby providing valuable insights for future research. [ABSTRACT FROM AUTHOR]

Issue Addressed Methods Results Conclusions So What? Physically locating liquor stores near schools can strongly influence the chances of youth accessing and consuming alcohol, and may also increase children's exposure to alcohol advertising. Investigating the association between the presence of a liquor store near a school and the prevalence of outdoor alcohol advertising is crucial from a policy perspective, as it can inform future regulations on the placement of liquor stores and outdoor advertising near educational institutions.All outdoor alcohol advertising within a 500 m radius (audit zone) of 64 randomly selected schools from local government areas across metropolitan Perth was identified by direct observation; recording the size, setting, location and content of each advertisement. Results were compared based on whether the school audit zone contained a liquor store or not.Over half (n = 36, 56%) of all school audit zones had at least one alcohol advertisement, with an average number of 5.9 alcohol advertisements per zone (SD = 10.2). The majority (97.9%) of advertisements were in the 38 audit zones containing a liquor store (average = 9.7, SD = 11.9 per zone), compared to zones without a liquor store (average = .3, SD = .7 per zone).Perth school zones containing a liquor store in their 500 m radius had, on average, 30 times more outdoor alcohol advertising, compared with school zones without a nearby liquor store.The siting of liquor stores and the display of alcohol advertisements around educational settings require combined policy, planning and public health approaches to mitigate children's exposure to alcohol marketing, especially during school transit. [ABSTRACT FROM AUTHOR]

This study evaluated effects of exposure to culturally tailored anti-smoking ads versus control ads on quitting intentions, cigarette purchase intentions, and tobacco industry perceptions among young adult, cisgender and transgender, sexual minority women (SMW). An online randomized controlled experiment with 1-month longitudinal follow-up was conducted. About 2,214 U.S. SMW ages 18–30 were recruited via online survey panels (The PRIDE Study and Prolific), social media ads and posts, and HER dating app ads. Data were collected in 2021–2022. Participants were randomly assigned to receive up to 20 tailored ads containing LGBTQ+ branding versus 20 control ads without LGBTQ+ branding over 4 weeks. Both conditions used identical anti-smoking statements and photographs (including several photographs of individuals who self-identified as SMW). One-month follow-up intention to purchase cigarettes, intention to quit, marketing receptivity, pro-industry attitudes, and pro-industry beliefs were measured. Analyses were conducted in 2022–2023. Linear regression models predicted outcomes at 1-month follow-up with the randomized arm, adjusted for baseline measures of each outcome and stratified by smoking status (those who currently smoked and those who did not smoke). Among those who smoked, follow-up intention to quit increased and intention to purchase cigarettes, marketing receptivity, pro-industry attitudes, and pro-industry beliefs decreased versus baseline in both arms. Follow-up pro-industry beliefs were significantly lower (B=−0.331, 95% CI −0.652, −0.010, p =0.043) in the tailored versus control arm, adjusted for baseline beliefs. Among those who did not smoke, marketing receptivity, pro-industry attitudes, and pro-industry beliefs decreased versus baseline in both arms. Follow-up outcomes did not differ significantly between arms. These findings can inform future anti-smoking campaign development to reduce cigarette smoking-related disparities among young adult, cisgender and transgender, sexual minority women and serve as the basis for developing similar ads for other LGBTQ+ audiences. This study was registered in ClinicalTrials.gov (NCT04812795). [ABSTRACT FROM AUTHOR]

Many nonregulatory interventions targeting children and youth have been implemented at three levels: directed at the individual (e.g., interactive video games), delivered to students at school (e.g., campus bans), and launched in the community (e.g., mass media campaigns). This systematic review aims to synthesize the evidence on the effectiveness of interventions aimed at preventing e-cigarette initiation among children and youth. MEDLINE, CINAHL, Embase, APA PsycINFO, and Web of Science Core Collection were searched for papers published between January 1, 2004 and September 1, 2022 that reported more than one outcome on vaping prevention among individuals aged less than 21-years-old: vaping prevalence/incidence, initiation intentions, knowledge/attitudes, and other tobacco product use prevalence/initiation intentions. Interventions were at the individual, school, or community level. The risk of bias was assessed using ROBINS-I and RoB 1. Thirty-nine publications met the eligibility criteria. Fourteen individually-based (4 parental monitoring, 3 video games, 2 text messages, 3 graphic message themes, 2 healthcare), 19 school-based (14 educational and skill interventions, 5 vape-free policies/bans), and 6 community-based (3 social media, 3 mass media campaigns) interventions were reported. E-cigarette initiation prevention was observed with high perceived parental monitoring; however, the cross-sectional study designs precluded causal claims. There was promising but limited evidence that social-emotional skills curricula and peer leader programming prevented vaping initiation. Some individual- and school-based interventions showed promise for preventing e-cigarette initiation among children and youth. [ABSTRACT FROM AUTHOR]

Issue Addressed: Adolescents are heavily exposed to unhealthy outdoor food advertisements near schools, however, the marketing power of these advertisements among adolescents has not yet been explored. This study aimed to investigate the teen‐directed marketing features present and quantify the overall marketing power of outdoor food advertisements located near schools to explore any differences by content (ie, alcohol, discretionary, core and miscellaneous foods) school type (ie, primary, secondary, K‐12) and area‐level socio‐economic status (SES; ie, low vs high). Methods: This cross‐sectional study audited every outdoor food advertisement (n = 1518) within 500m of 64 randomly selected schools in Perth, Western Australia, using a teen‐informed coding tool to score the marketing power of each advertisement. Results: Outdoor alcohol advertisements around schools had the highest average marketing power score and number of advertising features present. Outdoor advertisements for alcohol and discretionary foods scored significantly higher in marketing power than core food advertisements (P <.001). Outdoor alcohol advertisements around secondary schools scored significantly higher in marketing power than around primary and K‐12 schools (P <.001); and outdoor advertisements for discretionary foods in low SES areas scored significantly higher in marketing power than those in high SES areas (P <.001). Conclusions: This study found outdoor advertisements for unhealthy products, such as alcohol and discretionary foods, were more powerful than advertisements for core foods around schools. So What?: These findings strengthen the need for policies which restrict outdoor advertisements for non‐core foods near schools, to reduce adolescents' exposure to powerful alcohol and discretionary food advertisements. [ABSTRACT FROM AUTHOR]

Background: Obesity is a chronic, multifactorial, and relapsing disease, affecting people of all ages worldwide, and is directly related to multiple complications. Understanding public attitudes and perceptions toward obesity is essential for developing effective health policies, prevention strategies, and treatment approaches. Objective: This study investigated the sentiments of the general public, celebrities, and important organizations regarding obesity using social media data, specifically from Twitter (subsequently rebranded as X). Methods: The study analyzes a dataset of 53,414 tweets related to obesity posted on Twitter during the COVID-19 pandemic, from April 2019 to December 2022. Sentiment analysis was performed using the XLM-RoBERTa-base model, and topic modeling was conducted using the BERTopic library. Results: The analysis revealed that tweets regarding obesity were predominantly negative. Spikes in Twitter activity correlated with significant political events, such as the exchange of obesity-related comments between US politicians and criticism of the United Kingdom's obesity campaign. Topic modeling identified 243 clusters representing various obesity-related topics, such as childhood obesity; the US President's obesity struggle; COVID-19 vaccinations; the UK government's obesity campaign; body shaming; racism and high obesity rates among Black American people; smoking, substance abuse, and alcohol consumption among people with obesity; environmental risk factors; and surgical treatments. Conclusions: Twitter serves as a valuable source for understanding obesity-related sentiments and attitudes among the public, celebrities, and influential organizations. Sentiments regarding obesity were predominantly negative. Negative portrayals of obesity by influential politicians and celebrities were shown to contribute to negative public sentiments, which can have adverse effects on public health. It is essential for public figures to be mindful of their impact on public opinion and the potential consequences of their statements. [ABSTRACT FROM AUTHOR]

Background: Health prevention campaigns often face challenges in reaching their target audience and achieving the desired impact on health behaviors. These campaigns, particularly those aimed at reducing tobacco use, require rigorous evaluation methods to assess their effectiveness. Objective: This study aims to use immersive virtual reality (iVR) to systematically evaluate recall, attitudinal, and craving responses to antitobacco prevention messages when presented in a realistic virtual environment, thereby exploring the potential of iVR as a novel tool to improve the effectiveness of public health campaigns. Methods: A total of 121 undergraduate students (mean age 19.6, SD 3.7 years), mostly female (n=99, 82.5%), were invited to take a guided walk in the virtual environment, where they were randomly exposed to a different ratio of prevention and general advertising posters (80/20 or 20/80) depending on the experimental condition. Participants' gaze was tracked throughout the procedure, and outcomes were assessed after the iVR exposure. Results: Incidental exposure to antitobacco prevention and general advertising posters did not significantly alter attitudes toward tobacco. Memorization of prevention posters was unexpectedly better in the condition where advertising was more frequent (β=–6.15; P <.001), and high contrast between poster types led to a better memorization of the less frequent type. Despite a nonsignificant trend, directing attention to prevention posters slightly improved their memorization (β=.02; P =.07). In addition, the duration of exposure to prevention posters relative to advertisements negatively affected memorization of advertising posters (β=–2.30; P =.01). Conclusions: Although this study did not find significant changes in attitudes toward tobacco after exposure to prevention campaigns using iVR, the technology does show promise as an evaluation tool. To fully evaluate the use of iVR in public health prevention strategies, future research should examine different types of content, longer exposure durations, and different contexts. Trial Registration: Open Science Framework E3YK7; https://osf.io/e3yk7 [ABSTRACT FROM AUTHOR]

Every year, over seven million people die due to tobacco-related diseases. Tobacco and tobacco product consumption are among the leading causes of preventable deaths. Health communication campaigns can inform the public, raise awareness, and educate people about healthy behaviors. Health communication campaigns are targeted communication efforts, whether short- or long-term, based on a process and strategy designed to raise awareness among individuals on health issues and help them acquire and maintain healthy lifestyle habits. The anti-smoking Stoptober campaign conducted in the United Kingdom since 2012 is a good example of a campaign due to its long-term nature, inclusion of positive and cheerful messages, national and local coverage, and its ability to motivate individuals to quit smoking. Each country should prepare and implement anti-smoking campaigns based on its unique conditions, inform the public, and enhance the effectiveness of their efforts through evaluations. [ABSTRACT FROM AUTHOR]

This article provides an overview of the tactics used by the tobacco industry to influence public opinion and disrupt health policy. These tactics include advertising, promotion, and sponsorship; the use of front groups; manipulating the media; funding biased research; political lobbying; and legal challenges. The article suggests countering these tactics through comprehensive advertising bans, plain packaging, and remaining vigilant about industry front groups. It also emphasizes the need for independent research and legislation to regulate electronic nicotine delivery systems (ENDS) like e-cigarettes. The article includes a list of sources related to the tobacco industry and control, as well as information on legal challenges and litigation. [Extracted from the article]

The prevalence of strong brands such as Coca-Cola, McDonald's, Budweiser, and Marlboro in "vice" categories has important implications for regulators and consumers. While researchers in multiple disciplines have studied the effectiveness of antitobacco countermarketing strategies, little attention has been given to how brand strength may moderate the efficacy of tactics such as excise taxes, usage restrictions, and educational advertising campaigns. In this research, the authors use a multiple discrete-continuous model to study the impact of antismoking techniques on smokers' choices of brands and quantities. The results suggest that although cigarette excise taxes decrease smoking rates, these taxes also result in a shift in market share toward stronger brands. Market leaders may be less affected by tax policies because their market power allows strong brands such as Marlboro to absorb rather than pass through increased taxes. In contrast, smoke-free restrictions cause a shift away from stronger brands. In terms of antismoking advertising, the authors find minimal effects on brand choice and consumption. The findings highlight the importance of considering brand asymmetries when designing a policy portfolio on cigarette tax hikes, smoke-free restrictions, and antismoking advertising campaigns. [ABSTRACT FROM AUTHOR]

"Cigarettes and Soviets: Smoking in the USSR" by Tricia Starks is a well-researched and beautifully written study that explores the complex relationship between tobacco consumption and production in the Soviet Union from 1917 to 1991. The book focuses on specific aspects of Soviet smoking, such as early attempts to ban tobacco, state initiatives to boost agricultural and industrial manufacturing, the advertising and promotion of tobacco, cessation treatment efforts, and the role of smoking during World War II. It also examines the influence of Western multinational enterprises on the post-Soviet smoking industry. While the book provides valuable insights into Soviet history, the reviewer suggests that a thematic approach and a broader global perspective could have further enhanced its scope. [Extracted from the article]

Background: Water, sanitation, and hygiene (WASH) interventions, which are specifically targeted towards young children—known as "BabyWASH"—reduce exposure to environmental contamination and prevent microbial burden in their play and feeding environments. The purpose of this endline study was to evaluate the effectiveness and potential sustainability of a multimedia educational intervention in influencing key BabyWASH and diarrhea prevention practices in four hard-to-reach woredas (i.e. administrative districts) of the Afar and Somali regions of Ethiopia. Methods: A mixed-method, comparative cross-sectional study was conducted, which included 457 household surveys, 16 key informant interviews, and 8 focus group discussions. The multimedia educational intervention comprised: broadcasting radio talk shows and radio spot messages, capacity-building training for community health workers and community leaders, community mobilization campaigns, and the distribution of promotional print media materials. Propensity score matching analysis was used to estimate the effect of the multimedia educational intervention on key BabyWASH and diarrhea prevention attitudes and practices, which was then triangulated with qualitative findings. Results: The multimedia intervention had a significant positive impact on good BabyWASH and diarrhea prevention practices, including appropriate practices of child feces disposal (t-test = 5.17; p < 0.001), handwashing with soap or ash (t-test = 8.85; p < 0.001), maintaining separate playgrounds for young children (t-test = 2.83; p < 0.001), washing of child's body, hands, and faces (t-test = 15.78; p < 0.001), and food hygiene practices (t-test = 2.74; p < 0.05). The findings of the qualitative assessment also revealed that the multimedia intervention packages and the approaches used were successful in influencing key BabyWASH and diarrhea prevention behaviors in the intervention implementation woredas. In addition, providing capacity building training to local actors and community leaders and recording radio talk shows and sharing them with community members were recognized as effective intervention implementation strategies. Conclusion: The endline evaluation found that the multimedia educational intervention improved awareness, perception, and practice of BabyWASH and diarrhea prevention behaviors in intervention woredas compared to control woredas. Sanitation and hygiene promotion interventions in pastoralist settings can be effective when using locally and contextually appropriate intervention strategies. However, considerations for integrating both behavioral and structural components in WASH interventions is essential. [ABSTRACT FROM AUTHOR]

Issues Addressed: Energy drinks (EDs) are not recommended for children due to their high caffeine content and adverse health risks. Their popularity among children may be due to children's exposure to ED marketing. This study aimed to identify where children have seen ED marketing and whether they believe ED marketing targets them. Methods: Participant data were drawn from 'AMPED UP: An Energy Drink Study', where 3688 students in grades 7–12 (age 12–17 years) from 25 randomly selected secondary schools in Western Australia were asked if they had ever seen ED advertising on television, posters/signs in shops, online/internet, movies, cars/vehicles, social media, magazines/newspapers, music videos, video games, merchandise and free samples. Participants were also shown three ED advertisements and asked, 'Which age group/s do you think this ad targets?' (12 years or less, 13–17 years, 18–23 years, 24 years or older) and could select multiple age groups for each advertisement. Results: On average, participants saw ED advertising on 6.5 (SD = 2.5) of 11 possible marketing channels, including television (seen by 91% of participants), posters/signs in shops (88%), online/internet (82%) and movies (71%). Participants also perceived ED advertisements targeted children (< 18 years). Conclusions: ED marketing has a high reach among Western Australian children. The voluntary ED advertising pledge to not market EDs to children in Australia does not prevent children from seeing or being targeted by ED marketing. So What?: Stronger regulatory control of ED marketing is needed to better protect children from the appeal and adverse health risks of ED use. [ABSTRACT FROM AUTHOR]

Issue addressed: To examine the potential impact on trends in reported adolescent sugar‐sweetened beverage (SSB) consumption following the adult‐targeted Western Australian (WA) LiveLighter "Sugary Drinks" campaign, which is a television‐led healthy lifestyle promotion and education mass media campaign that aired in multiple bursts between July 2013 and December 2018. Methods: Data were from a repeated cross‐sectional survey of Australian secondary school students aged 12‐17 years conducted nation‐wide in 2009‐2010 (n = 13 790 from 238 schools), 2012‐2013 (n = 10 309 from 196 schools) and 2018 (n = 9102 from 104 schools). Results: Significant declines in high SSB consumption (≥4 cups/week) were observed between 2009‐2010 and 2012‐2013 among students in both WA (27.1% vs 20.3%; odds ratio [OR] = 0.65, 95% confidence interval [CI] = 0.50‐0.84, P =.001) and all other states and territories combined (30.6% vs 21.4%; OR = 0.60, 95% CI = 0.53‐0.68, P <.001). Compared to 2012‐2013, the proportion of students in WA who reported high SSB consumption was significantly lower in 2018 (20.3% vs 9.6%; OR = 0.37, 95% CI = 0.21‐0.65, P =.001), whereas this significant decrease was not observed in all other states and territories combined (21.4% vs 17.8%; OR = 0.81, 95% CI = 0.67‐0.97, P =.024). Interaction testing indicated that the recent decline observed in WA was more pronounced among female than male students. Conclusions: Mass media campaigns targeted towards the Australian adult population may have favourable effects among adolescents with the steeper decline in high SSB consumption observed in WA between 2012‐2013 and 2018 coinciding with the repeated airing of the LiveLighter "Sugary Drinks" campaign in this state. So what?: Government investment in mass media campaigns may hasten declines in adolescents' SSB consumption. [ABSTRACT FROM AUTHOR]

Cigarettes are a risk factor accounting for the high mortality rate of passive smokers in the world. Instagram is one way to disseminate information about the dangers of cigarettes. This research aims to determine the effectiveness of social marketing through Instagram stories in disseminating anti-smoking campaign ads and increasing knowledge about the dangers for smoking amongst new students in the faculty of Public Health, University of Mulawarman. This research was conducted from October 8-10th 2022, using quantitative methods through Instagram polls. Social marketing in the form of anti-smoking campaigns through Instagram stories was used to measure knowledge levels. However, more research is needed to develop health promotion strategies on social media. Additional studies are required to create social media health promotion approaches. [ABSTRACT FROM AUTHOR]

This study explores how and why young people engage with MTV Shuga, a popular mass media campaign in South Africa, to understand what makes effective HIV edutainment. Young MTV Shuga viewers from the Eastern Cape, South Africa and their parents participated in remote individual interviews and focus groups in 2020. Qualitative data were transcribed and analysed using a thematic iterative approach. Young participants engaged with MTV Shuga for relatable, tolerant and complex stories about young people navigating HIV and relationships. These stories, which made viewers aware of sexual health services, inspired young people to reflect on how they might engage with different sexual health scenarios. MTV Shuga initiated conversations among peers, partners and some families about HIV that made them feel supported and equipped to tackle problems in their own lives. Complex, relatable, non-judgemental and youth-centred storylines can make HIV edutainment engaging to youth audiences. This approach allows space for reflection and inspires discussion and debate, turning young people from passive recipients of HIV messaging to active decision-makers. Television-based interventions can disseminate resources and knowledge into communities, however, watching them with parents can expose young people to judgement. HIV edutainment should therefore be available through different mediums so young people can engage in tolerant environments [ABSTRACT FROM AUTHOR]

Cui Zhihai's book, "The United States and Late Qing China, 1894-1911," reevaluates the history of China-US relations during this period. Cui highlights the Boxer Protocol of 1901 as a turning point, leading to significant changes in the Qing government's foreign policy and internal power structure. The book explores the US government's support for modernization reforms in the late Qing, as well as its role in major events such as the anti-smoking campaign and the Wuchang Uprising. Cui's research sheds new light on the complex and special nature of Sino-US relations during this time, providing valuable insights for scholars of modern Chinese history. [Extracted from the article]

Background: Smoking-related behavior including passive smoking poses a major burden on the health status of populations and national economies. This is particularly true for countries that have a high prevalence of smoking like Jordan, which also has an increasing trend of waterpipe smoking: Knowledge of passive smoking and the association of knowledge of smoking as cancer-causing with quitting in addition to characteristics of smokers with denial or ignorance were assessed. Methods: This study is part of a nationwide, cross-sectional survey conducted in Jordan. Respondents (3196) were asked about their knowledge of passive smoking in addition to the association of active, waterpipe, and passive smoking with cancer. Smokers were also asked about the possibility of them developing cancer. Knowledge and perception were correlated to past attempts and future intentions of quitting smoking. Smokers with a denial of developing cancer or lack of knowledge of the association of smoking with cancer were further characterized. Results: Approximately half of the respondents, in general, knew of the term “passive smoking.” Knowledge of the association of smoking-related behavior with cancer was very high (~95%). However, almost 75% of smokers thought that they would develop cancer with a strong association between this perception with previous attempts or future intentions to quit smoking. Whereas smokers in their 20s and 50s, those with decreasing income, and female smokers were more likely to be in denial that they may develop cancer, male smokers and smokers in their 40s, or with intermediate education or increasing income appeared to be ignorant of the association of smoking with developing cancer. Conclusions: These results may aid in the development of more effective and targeted anti-smoking campaigns. [ABSTRACT FROM AUTHOR]

Vaccine hesitancy is a diffused psychological phenomenon that has been increasingly addressed in several studies since the COVID-19 pandemic. Communication campaigns play a pivotal role influencing recipients' perceptions and may affect the likelihood to vaccinate or to show hesitancy. In the context of communicating risks during the COVID-19 pandemic, we hypothesized that highlighting different aspects of data on the effectiveness of vaccines would influence people's willingness and attitudes to vaccinate. In this exploratory study, we administered two versions of a survey to a convenience sample of students from three universities in Italy. In the first version, salience was placed on the effectiveness of the vaccine in terms of reducing the probability of infection. In the second version, salience was placed on the effectiveness of the vaccine in terms of reducing the probability of hospitalization after being infected by COVID-19. The results confirmed our hypothesis: participants reported that they were more willing to become vaccinated when exposed to the hospitalization frame (main dimension). Conversely, we found mixed effects of the frame on the following sub-dimensions: reliability, trust, protection, safety, and confidence. Taken together, we show that it is possible to influence, to some extent, university students' attitudes and perceptions toward COVID-19 vaccination by acting on how information is framed. We discuss the implications of these findings for the development of behaviorally informed policies. [ABSTRACT FROM AUTHOR]

Background: The Nigerian government implemented the National Tobacco Control Act (NTCA) in 2015, which prohibits tobacco advertising, promotion, and sponsorship (TAPS) exposure to children under 18 years of age. This study was conducted to assess the prevalence of attitudes and exposure to TAPS among in-school adolescents in Lagos State, Nigeria, 5 years after the implementation of the Act and to identify the factors associated with TAPS exposure among the adolescents. Materials and Methods: This cross-sectional study was conducted among 968 in-school adolescents selected through multistage random sampling. The data were collected using self-administered questionnaires adapted from the Global Youth Tobacco Survey. Results: Overall, 77% had been exposed to at least one form of TAPS in the past 30 days. The most frequently reported channel of exposure was through product placements, with 62% reporting exposure in films, TV, and videos. Up to 15.2% and 12.6% were exposed to TAPS through promotional activities and sponsorships, respectively. The majority (82.3%) had pro-tobacco attitudes, while about a third (33.1%) had pro-TAPS attitudes. Factors associated with TAPS exposure were having pro-TAPS attitudes (odds ratio [OR]: 3.5, 95% confidence interval [CI]: 2.3-5.3), being female (OR: 2, 95% CI: 1.4-2.7), and residing in a rural area (OR: 1.6, 95% CI: 1.2-2.3). Conclusion: Five years after implementing the NTCA, more than two-thirds of the adolescents reported exposure to TAPS, mainly through films, TV, and videos. This suggests that the NTCA is poorly enforced. Efforts to ensure the effective implementation of comprehensive TAPS bans are warranted. Gender-sensitive strategies that target adolescents' attitudes and school-level factors should be emphasized. [ABSTRACT FROM AUTHOR]

The anti-tobacco advertisements, also known as Anti-Tobacco Health Spots (ATHS), are commonly used mass-media to promote tobacco prevention and control. This study was conducted to assess perceived effectiveness of ATHS used in Indian Cinema. The study also aims to identify factors associated with effectiveness of ATHS. A cross-sectional survey of 454 men aged ≥20 years selected through multi-stage stratified random sampling was conducted. Perceived effectiveness of ATHS was assessed using a six-item scale with 7-point Likert type items. Data were quantitatively analyzed using descriptive statistics and binary logistic regression. Over half of participants (51.54%, n=234) perceived ATHS to be "less effective." The health spots were likely to be more effective when participants perceived them as powerful (OR=4.11; 95% CI=2.47–6.83) and emotional (OR=3.32; 95% CI=1.90–5.79). Among tobacco users, those with better readiness (OR=2.42, 95% CI=1.26–4.65) and higher motivation to quit tobacco (OR=4.08, 95% CI=1.25–13.31) perceived ATHS as more effective. The study findings emphasize the need to improve the Indian anti-tobacco health spots. Specific attributes such as ATHS being emotional, fear evoking and sadness inducing could be explored to make ATHS more effective. [ABSTRACT FROM AUTHOR]

Introduction: Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality for women worldwide, yet they are often unaware of this heavy burden.To assess cardiovascular risk awareness among Italian women.Following World Heart Day 2023, a cardiovascular prevention campaign was conducted in Italian pharmacies to evaluate the effectiveness of screening activities offered by pharmacies and raise awareness of cardiovascular health status among Italian women. Cardiovascular risk profile and perception of CVD burden relative to other common female-specific diseases were assessed. Blood pressure (BP) measurement and ECG recording were performed.A total of 1510 women (84.7% < 70 years), enrolled at 91 pharmacies, were included. The most prevalent cardiovascular risk factor was sedentary lifestyle (57.9%), followed by overweight/obesity (44.3%), hypercholesterolemia (37.9%), hypertension (31.3%), family history of early CVD (28.7%), smoking (20.6%), and diabetes (5%). CVD and/or kidney disease were uncommon (3.6%), but 1 in 4 women was classified as being at increased cardiovascular risk, and 47.5% had some type of ECG abnormalities, requiring further assessments in 18% cases. Less than 1 in 3 women was aware of the burden represented by CVD, being the majority mostly concerned with breast cancer and osteoporosis as potential health threats.The burden of cardiovascular risk factors is high, and the perception of related health threat is low among the examined sample of Italian women, supporting the urgent need to raise awareness of CVD in women as a major health issue and to undertake effective, tailored preventive strategies to reduce such risk in a timely fashion.Aim: Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality for women worldwide, yet they are often unaware of this heavy burden.To assess cardiovascular risk awareness among Italian women.Following World Heart Day 2023, a cardiovascular prevention campaign was conducted in Italian pharmacies to evaluate the effectiveness of screening activities offered by pharmacies and raise awareness of cardiovascular health status among Italian women. Cardiovascular risk profile and perception of CVD burden relative to other common female-specific diseases were assessed. Blood pressure (BP) measurement and ECG recording were performed.A total of 1510 women (84.7% < 70 years), enrolled at 91 pharmacies, were included. The most prevalent cardiovascular risk factor was sedentary lifestyle (57.9%), followed by overweight/obesity (44.3%), hypercholesterolemia (37.9%), hypertension (31.3%), family history of early CVD (28.7%), smoking (20.6%), and diabetes (5%). CVD and/or kidney disease were uncommon (3.6%), but 1 in 4 women was classified as being at increased cardiovascular risk, and 47.5% had some type of ECG abnormalities, requiring further assessments in 18% cases. Less than 1 in 3 women was aware of the burden represented by CVD, being the majority mostly concerned with breast cancer and osteoporosis as potential health threats.The burden of cardiovascular risk factors is high, and the perception of related health threat is low among the examined sample of Italian women, supporting the urgent need to raise awareness of CVD in women as a major health issue and to undertake effective, tailored preventive strategies to reduce such risk in a timely fashion.Methods: Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality for women worldwide, yet they are often unaware of this heavy burden.To assess cardiovascular risk awareness among Italian women.Following World Heart Day 2023, a cardiovascular prevention campaign was conducted in Italian pharmacies to evaluate the effectiveness of screening activities offered by pharmacies and raise awareness of cardiovascular health status among Italian women. Cardiovascular risk profile and perception of CVD burden relative to other common female-specific diseases were assessed. Blood pressure (BP) measurement and ECG recording were performed.A total of 1510 women (84.7% < 70 years), enrolled at 91 pharmacies, were included. The most prevalent cardiovascular risk factor was sedentary lifestyle (57.9%), followed by overweight/obesity (44.3%), hypercholesterolemia (37.9%), hypertension (31.3%), family history of early CVD (28.7%), smoking (20.6%), and diabetes (5%). CVD and/or kidney disease were uncommon (3.6%), but 1 in 4 women was classified as being at increased cardiovascular risk, and 47.5% had some type of ECG abnormalities, requiring further assessments in 18% cases. Less than 1 in 3 women was aware of the burden represented by CVD, being the majority mostly concerned with breast cancer and osteoporosis as potential health threats.The burden of cardiovascular risk factors is high, and the perception of related health threat is low among the examined sample of Italian women, supporting the urgent need to raise awareness of CVD in women as a major health issue and to undertake effective, tailored preventive strategies to reduce such risk in a timely fashion.Results: Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality for women worldwide, yet they are often unaware of this heavy burden.To assess cardiovascular risk awareness among Italian women.Following World Heart Day 2023, a cardiovascular prevention campaign was conducted in Italian pharmacies to evaluate the effectiveness of screening activities offered by pharmacies and raise awareness of cardiovascular health status among Italian women. Cardiovascular risk profile and perception of CVD burden relative to other common female-specific diseases were assessed. Blood pressure (BP) measurement and ECG recording were performed.A total of 1510 women (84.7% < 70 years), enrolled at 91 pharmacies, were included. The most prevalent cardiovascular risk factor was sedentary lifestyle (57.9%), followed by overweight/obesity (44.3%), hypercholesterolemia (37.9%), hypertension (31.3%), family history of early CVD (28.7%), smoking (20.6%), and diabetes (5%). CVD and/or kidney disease were uncommon (3.6%), but 1 in 4 women was classified as being at increased cardiovascular risk, and 47.5% had some type of ECG abnormalities, requiring further assessments in 18% cases. Less than 1 in 3 women was aware of the burden represented by CVD, being the majority mostly concerned with breast cancer and osteoporosis as potential health threats.The burden of cardiovascular risk factors is high, and the perception of related health threat is low among the examined sample of Italian women, supporting the urgent need to raise awareness of CVD in women as a major health issue and to undertake effective, tailored preventive strategies to reduce such risk in a timely fashion.Conclusions: Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality for women worldwide, yet they are often unaware of this heavy burden.To assess cardiovascular risk awareness among Italian women.Following World Heart Day 2023, a cardiovascular prevention campaign was conducted in Italian pharmacies to evaluate the effectiveness of screening activities offered by pharmacies and raise awareness of cardiovascular health status among Italian women. Cardiovascular risk profile and perception of CVD burden relative to other common female-specific diseases were assessed. Blood pressure (BP) measurement and ECG recording were performed.A total of 1510 women (84.7% < 70 years), enrolled at 91 pharmacies, were included. The most prevalent cardiovascular risk factor was sedentary lifestyle (57.9%), followed by overweight/obesity (44.3%), hypercholesterolemia (37.9%), hypertension (31.3%), family history of early CVD (28.7%), smoking (20.6%), and diabetes (5%). CVD and/or kidney disease were uncommon (3.6%), but 1 in 4 women was classified as being at increased cardiovascular risk, and 47.5% had some type of ECG abnormalities, requiring further assessments in 18% cases. Less than 1 in 3 women was aware of the burden represented by CVD, being the majority mostly concerned with breast cancer and osteoporosis as potential health threats.The burden of cardiovascular risk factors is high, and the perception of related health threat is low among the examined sample of Italian women, supporting the urgent need to raise awareness of CVD in women as a major health issue and to undertake effective, tailored preventive strategies to reduce such risk in a timely fashion. [ABSTRACT FROM AUTHOR]

Tobacco use often starts during adolescence, with many adults beginning before 21. This study investigated the patterns and factors associated with tobacco and e-cigarette use among school-aged adolescents in Albania. Data were analyzed from two Albania Global Youth Tobacco Surveys (GYTS) conducted in 2015 and 2020. Participants included 7th-10th grade students (ages 12–16) who completed the survey (n = 9985). Descriptive statistics depicted demographic characteristics, tobacco, and e-cigarette use across survey years. Logistic regression assessed temporal changes and the odds of use across independent variables, adjusting for age and sex. From 2015 to 2020, tobacco and e-cigarette use among students aged 13–15 increased from 12.86 to 14.49% and from 6.8 to 8.8%, respectively. Cigarette smoking declined from 8.4 to 4.3%, but the use of other tobacco products nearly doubled, from 6.4 to 12.3%. Higher odds of use were found among males, older students, and those with more pocket money. Environmental factors like family, peer, and media exposure to smoking increased the likelihood of use. Anti-tobacco messages had no significant impact, while advertising strongly influenced usage. Knowledge of tobacco harms and anti-smoking attitudes correlated with lower odds of use. Increased availability of cigarettes near schools was linked to higher odds of tobacco use. The study highlights gaps in anti-tobacco messaging and the strong influence of advertising, underscoring the need for targeted and effective tobacco control strategies in Albania. [ABSTRACT FROM AUTHOR]

Background: Exposure to alcohol advertising and sponsorship through elite sport is associated with harmful use of alcohol. Owing to strong financial and cultural ties between alcohol and sport in Australia, policy action to restrict alcohol sport sponsorship is unlikely to occur without strong public support for change. This study tested whether exposure to counter-advertising exposing industry marketing of harmful products—a technique shown to be effective in tobacco control—promotes higher support for policy change and less favourable beliefs about the alcohol industry among sport spectators. Methods: A sample of 1,075 Australian adults aged 18–49 years who planned to watch an National Rugby League (NRL) State of Origin series game, featuring prominent alcohol sponsorship, was recruited through an online panel and randomly assigned to one of three conditions: control (neutral advertisement); counter-advertisement exposing alcohol harms; counter-advertisement exposing alcohol sponsorship and harms. Participants completed a pre-test questionnaire and viewed their assigned counter-advertisement multiple times in the 5–7 days before the NRL game. Within four days of watching the game, participants completed post-test measures. Results: Compared to both the control advertisement and the counter-advertisement exposing alcohol harms, participants who viewed the counter-advertisement exposing alcohol sponsorship and harms were significantly more likely to indicate support for each of four policies aimed at restricting sports-related alcohol marketing, including the complete removal of alcohol sponsorship from sport (51% vs. 32% and 37%). They were also significantly less likely to agree with statements such as "alcohol companies should be allowed to sponsor sport since their products are legal" (39% vs. 63% and 60%) and significantly less likely to report liking alcohol companies in general (38% vs. 59% and 54%). There were no significant differences in policy support or industry beliefs between participants who saw the counter-advertisement exposing alcohol harms and those who saw the control advertisement. Conclusion: Counter-advertising employing messages that expose and critique the intent and impact of pervasive alcohol sponsorship in sport has potential to bolster public support for policies targeting alcohol sport sponsorship, diminish beliefs supportive of alcohol industry marketing strategies and enhance negative views of alcohol companies and their marketing practices. [ABSTRACT FROM AUTHOR]

Purpose: Osteoporosis is especially prevalent in the older population and in women. Fractures lead to many health complications, placing an enormous burden on the health system. Improved knowledge will encourage healthy practices that prevent osteoporosis and help community members avoid unhealthy lifestyles and habits. The goal of this study was to evaluate the knowledge, attitudes, and practices relating to osteoporosis among male and female students of the Jazan community. Methods: The Jazan region has 13 governorates and a population of more than 1.5 million. For this study, 440 participants were selected from seven different governorates, and the osteoporosis knowledge assessment tool (OKAT) was used together with five background variables and some questions on attitude and practice. A Chi-squared test was implemented to identify any significant relationships between the background variables and the knowledge and practice scores. A P value of less than 0.05 was considered significant. Results: Of the 440 participants, 53% were men and 47% women. Thirty-three percent of them held government jobs, 73% had completed university, and 50% had a monthly income of less than 5,000 riyals. Regarding the risk factors for osteoporosis, 62 (14%) smoked, 37 (8.4%) used steroids, 184 (41.8%) had a family history of osteoporosis, and 393 (89.3%) had not attended an education campaign on osteoporosis. The highest number of correct answers in the OKAT was to the question "osteoporosis increases the risk of fractures" (423, 96.1%), and the lowest number of correct answers was to the question "osteoporosis is more common in men" (60, 13.6%). Regarding protective behaviors against osteoporosis, namely physical activity, daily intake of dairy products, attending an education campaign, and background characteristics, attending an education campaign was statistically significant, with a P value of 0.003, but marital status, education level, body mass index (BMI), and occupation were not statistically significant. For the risk factors, sex was statistically significant, along with the daily soft drink intake and smoking but not with the use of steroids. Other background characteristics, such as education level and BMI, were not statistically significant as osteoporosis risk factors. Conclusions: The participants' level of knowledge was high, and the risk factors for osteoporosis were still present together with a low level of achievement for protective measures. It is highly recommended that education campaigns be implemented to increase knowledge and encourage improved attitudes and practices. [ABSTRACT FROM AUTHOR]

Introduction: Flavored tobacco sales restrictions (FTSRs) are implemented to reduce access to flavored tobacco products. We examined the association between seven cities with local FTSRs implemented in 2018/2019 and e-cigarette use among high school students in the California Bay Area.Aims and Methods: We analyzed data from the California Healthy Kids Survey using a difference-in-differences (D-I-D) strategy. We compared pre- and post-policy changes one year after implementation in current and ever e-cigarette use among students attending school in a city with a FTSR (exposed) (n = 20 832) versus without (unexposed) (n = 66 126). Other outcomes included ever marijuana use in an e-cigarette and ease of access to e-cigarettes.Results: Pre- to post-policy, the adjusted odds of current and ever e-cigarette use did not significantly change among students exposed and unexposed to a FTSR. In the adjusted D-I-D analysis, the odds of current (aOR: 1.25, 95% CI: 0.95, 1.65) and ever e-cigarette use (aOR: 1.06, 95% CI: 0.89, 1.26) did not significantly change by exposure group. However, one year post-implementation, the odds of ease of access to e-cigarettes significantly increased among exposed (aOR: 1.57, 95% CI: 1.27, 1.95) and unexposed students (aOR: 1.54, 95% CI: 1.39, 1.70). Similarly, the odds of ever using marijuana in an e-cigarette significantly increased among exposed (aOR: 1.35, 95% CI: 1.19, 1.53) and unexposed students (aOR: 1.29, 95% CI: 1.20, 1.39).Conclusions: Local FTSRs in the California Bay Area were not associated with a change in e-cigarette use one year post-implementation. Increased ease of access and marijuana use may be explanatory factors.Implications: FTSRs were not associated with a decrease in current or ever e-cigarette use among high school students in the California Bay Area one-year post-implementation. Potential explanatory factors are that ease of access to e-cigarettes and using marijuana in an e-cigarette increased. More research is needed to understand the influence of these factors on youth access and behaviors. To address the youth e-cigarette epidemic, a comprehensive approach is needed, including policies, media campaigns, education programs, and cessation tools targeted to youth. [ABSTRACT FROM AUTHOR]

Introduction: Widespread commercial promotion of alcohol products in Australia undermines the abstinence message for young people. This study aims to document the frequency of adolescents' exposure to alcohol advertising and examine associations with drinking behaviours. Methods: Students aged 12–17 years (n = 3618) participating in a cross‐sectional survey self‐reported their exposure to alcohol advertising via eight sources. Students also indicated whether they had never consumed alcohol, consumed at least a few sips of alcohol in their lifetime but none in the past month ('irregular drinkers') or consumed more than 10 drinks in their lifetime including at least one drink in the past month ('drinkers'). Multinomial logistic regression analyses examined associations between both single‐channel and cumulative exposure to alcohol advertising and drinking status, controlling for sex, age and education sector. Results: Television (61%), the internet (56%) and at sporting events (50%) were the most common channels through which students reported seeing alcohol advertising. Weekly exposure via each of the eight assessed channels was associated with being a drinker (vs. a non‐drinker or an irregular drinker, respectively), whereas only weekly exposure via television and sporting events was associated with being an irregular drinker (vs. a non‐drinker). As students' level of cumulative exposure to alcohol advertising increased, so too did their likelihood of being a drinker. Discussion and Conclusions: Alcohol advertising exposure is positively associated with drinking among Australian adolescents. Tighter restrictions on alcohol advertising across all media in Australia may reduce adolescent exposure and help de‐normalise alcohol use. [ABSTRACT FROM AUTHOR]

We examine the optimal design of policies directed at regulating tobacco consumption through two types of instruments: taxation and anti-smoking mass media campaigns. We find that the main role of taxation is to correct for the population-average internal costs of smoking, while anti-smoking campaigns serve a complementary role. Namely, they add to the social welfare benefits of tobacco regulation as they are relatively more effective than taxation at discouraging smoking by individuals characterized by low degrees of self-control and high smoke-related health [ABSTRACT FROM AUTHOR]

Introduction: Anti-tobacco media campaigns can prevent youth smoking, but there is little research on how adult-targeted campaigns affect youth. We investigated the association between the Tips From Former Smokers (Tips) campaign and youth smoking behaviors and anti-tobacco attitudes, and variation by sex, race and/or ethnicity, or socioeconomic status.Aims and Methods: We used data from the monitoring of the future study, a nationally representative survey on 8th, 10th, and 12th graders, from 2013-2015. Quartiles of Tips gross rating points (GRPs) were used to estimate exposure. Youth smoking behavior outcomes included smoking prevalence, initiation, and susceptibility. The anti-tobacco attitude outcomes included the extent that anti-tobacco ads made participants (1) less favorable towards smoking or (2) less likely to smoke cigarettes. Modified Poisson regression models estimated average marginal effects; separate additive interactions between Tips GRP exposure and sex, race and/or ethnicity, parents' highest education, and college plans (12th graders only) were used to test for effect modification.Results: Tips GRPs were not associated with smoking behaviors within any grade. However, 12th graders in the highest quartile of Tips had a 7.0 percentage point higher probability (95% CI = 0.023-0.116) of responding that anti-tobacco ads made them less likely to smoke. Tips GRPs were associated with a lower probability of past 30-day smoking prevalence among 10th grade females, but not males (joint P-value = .002). No additional statistically significant interactions were found for any other outcomes for any grade.Conclusions: This study revealed the potential for adult-targeted campaigns to increase youth's anti-smoking attitudes, but campaign exposure was not associated with smoking behaviors.Implications: Few studies have examined the potential for anti-smoking media campaigns to influence audiences outside their targeted audience. In this study, we show the potential for adult-targeted campaigns to impact youth and suggest that Tips exposure may promote anti-smoking attitudes among youth. [ABSTRACT FROM AUTHOR]

Introduction: Communities with more people of color and economically disadvantaged residents are disproportionately exposed to tobacco marketing from tobacco companies. This study examined if banning tobacco retail outlets (TROs) within 1000 ft of schools would reduce these marketing disparities through a greater reduction in the amount of tobacco advertising around schools in these communities.Methods: Data from objectively audited advertisement data from 106 convenience stores and gas stations around 42 middle and high schools located in the four major metropolitan areas of Texas were linked with schools' enrollment data. ArcGIS (Aeronautical Reconnaissance Coverage Geographic Information System) was used to simulate a 1000-ft ban of tobacco sales around the schools. Independent sample T-tests and Mann-Whitney U tests were used to test mean differences where appropriate.Results: Schools with a higher enrollment of Hispanic/Latino (mean = 171.6, SD = 96.9) and economically disadvantaged students (mean = 168.9, SD = 102.3) were surrounded with significantly greater advertising at TROs than schools with lower enrollment of these groups (mean = 82.8, SD = 49.1 and mean = 89.2, SD = 50.6, respectively). A simulated 1000 ft ban of TROs around schools led to greater advertising reduction around schools with a higher enrollment of Hispanic/Latino students (13.3%-29.4% reductions) in comparison to schools with lower Hispanic/Latino student enrollment. However, the more economically disadvantaged schools had a smaller reduction in the number of advertisements (5.9%-21.9% reductions) in comparison to schools with less economically disadvantaged students.Conclusion: The implementation of a ban of tobacco sales at TROs within 1000 ft of schools is one policy approach to reduce youth exposure to tobacco marketing, particularly among students of color.Study Implication: Tobacco retail outlets (TROs) around schools with a higher enrollment of Hispanic/Latino and economically disadvantaged students had significantly more tobacco advertisements in comparison to schools with lower enrollment of these student groups. A simulated ban of TROs within 1000 ft of schools led to greater advertising reduction around schools with a higher enrollment of Hispanic/Latino students. For schools with more economically disadvantaged students, the ban led to a smaller reduction in advertisements in comparison to schools with less economically disadvantaged students. This proposed place-based strategy could be a successful means to reduce tobacco advertising and marketing disparity among communities of color. [ABSTRACT FROM AUTHOR]

In many domains of health risk prevention and management, tailoring messages specifically for different stages of change is critical. In the context of smoking cessation, this research represents an initial attempt to discover stage-specific affective profiles in terms of guilt versus shame. It then examines whether stage-congruent emotional appeals increase the persuasiveness of antismoking campaigns. Study 1 found that participants felt more negative self-conscious emotions as they entered the later stages of smoking cessation, showing more salient emotional states of guilt rather than shame. Study 2 found that stage-emotion compatibility, such as that exhibited by participants in the early stages of change, was not altered by emotional appeals regardless of the emotional type. In contrast, those in the later stages of change perceived guilt rather than shame appeals to be more effective and displayed greater smoking cessation intention. Through this, current research takes an important step toward theoretically identifying the affective states associated with different stages of change for smoking cessation and helps practitioners use emotional appeals effectively and appropriately in public health campaigns. [ABSTRACT FROM AUTHOR]

A healthy and safe public health environment is a fundamental responsibility of government; achieving it requires collaboration across multiple sectors. Public health services include, for example, vaccination and quarantine for infectious diseases; health promotion, such as anti-smoking campaigns for noncommunicable diseases; and health insurance for universal health coverage. All these services require intersectoral actions in which the government must play a fundamental role, either partially or totally. The Taiwanese outlook on governmental public health infrastructure and professionalization of public health is given in this paper. It also describes the national governmental public health measures that were employed during the Covid-19 pandemic and discusses the challenges ahead for the country's governmental public health. Governmental public health is essential and should not be affected by changes in political forms or socioeconomic development. Instead, effective governmental public health will promote these developments while protecting citizens' right to health. [ABSTRACT FROM AUTHOR]

Extensive evidence demonstrates that the Centers for Disease Control and Prevention's multimedia anti-smoking campaign, Tips from Former Smokers, is an effective public health measure. In this essay, Justice explains the rhetorical appeals utilized in the campaign that contribute to its resonance, arguing that the campaign invokes corporeal anxiety, an emotion that emerges from societal aversion to disability. These appeals to corporeal anxiety operate as enthymemes by relying upon an unstated premise: that disability is negative and ought to be avoided to preserve one's normalcy. This analysis treats the campaign messages as a form of bodily rhetoric and visual argument, arguing that the campaign deters smoking through graphic bodily imagery and narratives of lost normalcy that conceptualize disability as tragedy or deficit. The author concludes that the success of the campaign comes at the expense of perpetuating stigma against people with disabilities. [ABSTRACT FROM AUTHOR]

Background: Body Dysmorphic Disorder (BDD) is an obsessive-compulsive-related disorder causing clinically significant distress or impairment in functioning. The objective of this study was to assess the BDD symptoms and factors associated with BDD symptomatology among undergraduate students.Methodology: A cross-sectional study was conducted from November 2019 to March 2020 in six different universities (3 private and 3 public) across Bangladesh. A total of 1204 undergraduate students were selected through the multistage sampling technique. The BDD-YBOCS tool was used to assess the BDD symptomatology.Results: Mild to moderate BDD symptoms was observed among 11.0 % participants, and 1.5 % had severe BDD symptoms. Around 58 % of participants had at least one body defect. Most embarrassments occurred due to acne (12.5 %), followed by thin hair (9.5 %) and scar marks (6.4 %). Males had significantly lower odds of having BDD symptomatology (OR = 0.394; 95%CI = 0.254-0.614) and Participants aged between 20 and 24 years had higher odds (OR = 4.639; 95%CI = 1.024-21.107). Studying in private universities had 1.7 times higher odds in comparison to the public universities (OR = 1.671, 95%CI = 1.052-2.656). Smokers were more prone to have BDD symptomatology than non-smokers (OR = 2.72; 95%CI = 1.571-4.709) and students who had body defects had higher odds (OR = 2.647; CI = 1.723-4.066) of BDD symptomatology.Conclusion: The study has successfully revealed status and predictors of BDD symptomatology among university students. Further nationwide studies would be conducted to know the overall situation of Bangladesh. [ABSTRACT FROM AUTHOR]

Student dropout can be conceptualized as a decision-making process, consisting of different phases. Based on previous literature on student dropout, decision-making, and action-phases, we proposed that the process of developing dropout intentions includes the following phases: non-fit perception, thoughts of quitting/changing, deliberation, information search, and a final decision. In the present cross-sectional study, we empirically investigated if the assumed phases can be distinguished from each other, if the phases follow the presumed order, and whether each phase is associated with certain characteristics. Furthermore, we considered a strict separation between quitting studies completely and changing a major. For this purpose, we analyzed data of N = 1005 students (average age of 23.0 years; 53% female; 47% male) from a German University. By using confirmatory factor analyses, we found the supposed factor structure for the different phases concerning both kinds of dropout, quitting studies, and changing majors. In each process, structural equation modelling indicated positive relations between adjoining phases. The factor values correlated to a substantial amount with an assortment of variables associated with student dropout. On a theoretical level, the conception of different phases of student dropout helps to get a better understanding of regulatory processes in the context of student dropout. [ABSTRACT FROM AUTHOR]