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This paper aims to overview the need for tobacco harm reduction, the consumer products that facilitate tobacco harm reduction and the barriers to its implementation. The worldwide endemic of tobacco smoking results in the death of over seven million smokers a year. Cigarette quit rates are very low, from 3%–12%, and relapse rates are high, from 75%–80% in the first six months and 30%–40% even after one year of abstinence. In addition, some smokers do not desire to quit. Cigarette substitution in tobacco harm reduction is one strategy that may reduce the burden of morbidity and mortality.

This review examines the displacement of smoking through substitution of non-combustible low-risk products such as snus, heated tobacco products and e-cigarettes.

Toxicological testing, population studies, clinical trials and randomized controlled trials demonstrate the potential reductions in exposures for smokers. Many barriers impede the implementation of product substitution in tobacco harm reduction. These products have been subjected to regulatory bans and heavy taxation and are rejected by smokers and society based on misperceptions about nicotine, sensational media headlines and unsubstantiated fears of youth addiction. These barriers will need to be addressed if tobacco harm reduction is to make the maximum impact on the tobacco endemic.

This review provides the rationale for tobacco harm reduction, evaluates the current products available and identifies the barriers to implementation.

This paper aims to explore smokefree prison policy, from the perspective of people in custody in Scotland.

In total, 77 people in custody in Scotland were interviewed in the period leading up to implementation of a nationwide prison smokefree policy. Data were thematically analysed to identify the diversity of views and experiences.

Participants described a widespread awareness in prisons of plans to implement a smokefree policy from 30 November 2018. Opinions about smokefree prisons varied among participants based on perceptions of the fairness, and anticipated positive and negative consequences of removing tobacco from prisons. At the time of the interviews, people in custody were responding to the impending smokefree policy, either by proactively preparing for the smokefree rule change or by deploying avoidance strategies. Participants described opportunities and challenges for implementing smokefree policy in prisons across three main themes: the role of smoking in prison, prison smoking cessation services and motivations for quitting smoking among people in custody.

This study exploring smokefree prisons from the perspectives of people in custody has several novel features which extend the evidence base. The findings highlight measures for jurisdictions to consider when planning to prohibit smoking in their prisons in the future. These include the need for evidence-based smoking cessation support in advance of smokefree policy, effective communication campaigns, consideration of broader structural determinants of health in prison and ongoing measures to reduce rates of return to smoking post release.

A large increase in robberies of convenience stores in New Zealand (NZ) in 2016 and 2017 was anecdotally attributed to persistent and substantial increases in excise tax on tobacco products. This study aims to explore the validity of that claim by examining the characteristics of the robberies through the lens of online news coverage.

Google, Bing and main online NZ news outlets were searched for news reports between 2009 and 2018 of tobacco-related store robberies. Content analysis was used to extract characteristics such as date of robbery, type of store, items targeted or stolen and demographic profile of offenders. The prevalence of reported robberies by socioeconomic level of the surrounding community was assessed using nearest primary school decile rating. Descriptive statistics and statistical analysis were used to discuss trends and key findings in the data.

Reports on 572 robberies were unevenly distributed across the years with a large increase in 2016 and 2017, followed by a substantial decrease in 2018. Local community convenience stores were primarily hit – more so in lower socioeconomic communities. Robberies occurred nationwide and disproportionately so during colder months in lower socioeconomic communities. Many robberies were aggravated resulting in serious injury to shopkeepers. Tobacco and cash were predominantly targeted.

The large increase in robberies that occurred in 2016–2017 likely resulted from tax-driven tobacco price hikes combined with reduced duty-free tobacco coming into NZ with travellers. Installation of security in stores, news fatigue and other explanations are potential reasons for the 2018 decrease in reported robberies despite tobacco prices increasing. Frequent robberies of local stores, many including violence, should be a public health concern as destruction of community well-being can be a determinant of other health problems. The negative consequences for communities, particularly lower socioeconomic communities, need to be factored into the cost benefit analysis of raising the tax on tobacco.

This study provides much needed detail on the negative health and social consequences of tobacco-related store robberies.

Health promotion strategies often attempt to change people’s behavior through targeting their risk perceptions. These perceptions may, however, be moderated by other factors. This study therefore aimed at investigating the trustworthiness and consistency of risk information, as well as respondent perceptions of the adequacy of amount received among a representative sample of former smokers, and how this information is related to gender, age, education level and whether using nicotine or not.

The respondents are part of a seven-year follow-up of former smokers in Sweden. Initially, 1400 respondents were contacted, whereof 705 (response rate 50%) answered a Web-survey. The majority (85 %) was still nicotine-free but some made use of nicotine in different forms. The data analysis includes descriptive statistics and logistic regressions.

Most respondents trusted risk information whether offered by the public authorities or came from other sources such as media, and generally perceived that there was an adequate amount. However, there were some differences between the products, where quite a few distrusted information on Nicotine Replacement Therapies (NRTs) and some perceived the information on snus and NRTs as contradictory and too little.

Knowledge about how former smokers perceive information regarding negative aspects of cigarette use may facilitate more effective risk communication with current smokers, and it may also be important for communicating information about other nicotine products to those who are trying to or who already have quit smoking.

This article provides evidence of a long-term structural relationship between demand for heated tobacco products (HTPs) and for combustible cigarettes in a Marshallian demand framework, using data from the Italian market.

A cointegration-based approach allows to capture the substitution effects between the two products arising for reasons (possibly) other than price.

The authors find that such a relationship exists and is sufficiently strong to constitute a cointegration.

Since a fully consolidated consensus on reduced harm from smokeless tobacco products is absent, symmetric policies on both markets are therefore necessary in terms of regulation and excise incidence to minimize the social cost of substitution and to maximize government revenues, which are a necessary counterpart to negative externalities that arise with smoking both products.

This paper focuses on the Italian market with product specific volume and price data, both for cigarettes and HTPs. Because of the detected relationship, a regulatory trade-off arises in case of a relatively mild regulation on heated-tobacco products: benefits from decreasing demand for combustible cigarettes may be offset by the social cost of increasing consumption of heated tobacco products. Moreover, a milder regulation makes price related policies to curb smoking less effective.

Although knowledge sharing in online communities has been studied for many years, little is known about the determinants for individuals' knowledge sharing in online health communities (OHCs) surrounding smoking cessation. Examining the determinants of knowledge sharing in such OHCs from the social capital perspective may prove particularly enlightening.

A questionnaire-based online user survey of two smoking cessation OHCs, one based in Finland and one based in China, was performed. Performing data analysis with partial least squares (SmartPLS 3.0), the authors developed a model conceptualizing the structural, cognitive and relational dimensions of social capital as drivers for knowledge sharing in smoking cessation OHCs, with users' stage in giving up smoking as a moderator.

The results show that structural capital (social ties) and relational capital (reciprocity) are important motivators behind knowledge sharing in smoking cessation OHCs, and the authors found a moderating effect of the stage in quitting on the antecedents' relationship with knowledge sharing in these OHCs.

The study enriches understanding of knowledge sharing in smoking cessation OHCs, contributing to theory and identifying practical implications for such groups' administration.

The purpose of this study describes how individuals; healthcare providers and the government can reduce the burden of noncommunicable diseases (NCDs) in Nigeria.

This commentary paper combines extensive literature searches and experience from public health physicians.

Noncommunicable diseases are chronic diseases. They result from a combination of genetic, physiological, environmental and behavioral factors. NCDs are divided into four classes: cardiovascular diseases, cancers, chronic respiratory diseases and diabetes.

Noncommunicable diseases are responsible for about a quarter of total deaths in Nigeria. These deaths are unnecessary as most NCDs can be prevented if the risk factors are dealt with. Dealing with these risk factors involves everyone (Individuals, government, interdisciplinary and multidisciplinary researchers, policymakers, government, etc.).

Major risk factors for NCDs are tobacco use, harmful use of alcohol, unhealthy diet and physical inactivity. The solution to NCDs, therefore, lies in dealing with these factors, which, fortunately, are modifiable since they have to do with lifestyle practices. There is evidence to support the claim that a reduction of the risks of NCDs can be achieved by engaging in healthy lifestyle practices.

The purpose of this paper is to intelligibly demonstrate the effectiveness of face mask wearing as a means to prevent COVID-19 transmission. Through understanding the benefits of wearing masks, it is hoped to facilitate the change of societal behavior and more people are willing to wear face mask.

The paper investigates the 50 states in the United States of America (U.S.) and Washington, D.C. that implemented the mask mandates before September 30, 2020, which are divided into four groups: (1) those implemented the statewide mask mandates before June 5, 2020 when World Health Organization (WHO) recommended mask wearing; (2) those implemented statewide mask mandates after June 5, 2020; (3) those implemented partial mandates affecting 30 percent or more of the state’s population; and (4) those implemented partial mandates affecting less than 30 percent. Simple descriptive statistics are analyzed.

For the 50 U.S. states and Washington, D.C., the higher the mask wearing rate, the lower the number of COVID-19 cases (correlation coefficient: −0.69 (p<0.001)). For the 23 states with mobility reduction of less than 15 percent, the higher the proportion of population required to wear masks, the lower the number of cases. This can be seen from the difference in the number of cases among the four groups by ANOVA (p = 0.013).

The positive effect of wearing masks is shown based on simple descriptive statistics for intuitive and intelligible understanding, which may lead people to comprehend the importance of wearing masks, and break through their custom, culture, and norms, and wear masks.

The emerging disintegrative processes of transitional economies are influencing companies’ business models in terms of consumer behaviour, especially food markets, which offer usual, common and traditional consumer products. Beyond investigating potential consumer misbehaviour, a further aim of this study is the building of a theoretical-descriptive model for consumer misbehaviour in food markets, which could influence the contextual complexity in business relationships, as well as the management of raw materials, services acquisition and final product sales. The research applies the “input-output” model (Ferrero, 1968) to some specific marketing theories, adopting an interdisciplinary approach for understanding the relationships between consumer behaviour and a company’s business model.

The research is both qualitative and quantitative in nature. In the first phase, the research was conducted among representatives of grocery stores using an exploratory approach; thus, an in-depth interview method was used. In the second phase, direct research among consumers was conducted using an online survey. After the verification of correctness, validity and reliability, a final 1,200-questionnaire dataset was analysed

The most common consumer misbehaviour in food markets concerns the theft of foodstuff or the adoption of bad behaviour towards grocery stores employees. Market and store representatives have highlighted a large scale of pathological consumer misbehaviour, mostly due to psychological conditions at the individual (habits, lifestyle or personality) and collective (family or other social groups) levels. According to previous studies, consumer misbehaviour in food markets seems to be substantially affected by three factors: motivation, capacity and opportunity. These factors strongly impact the input-output model through which the company interacts with the context.

The three-factor model reveals advantages and applications, allowing for a simple explanation of consumer misbehaviour in food markets and stores. It can contribute to scientific theory development (especially theories related to consumer behaviour, customer relationship management, partnership marketing and supply chain management) and generate support for understanding complex relations among consumers, food producers, factories and food stores. In this direction, the management of knowledge about consumers and their behaviour is indispensable.

The purpose of this paper is to outline how personal health budgets and a universal, integrated model of support, can positively transform the way in which individuals with a learning disability experience their health and support needs.

The review recognises that Integrated Personal Commissioning, as a policy approach, provides the framework to offer personalised care, and enables people to live an independent, happy, healthy and meaningful life.

Evidence suggests that a personalised and integrated approach to both health and social care not only offers better outcomes on all levels for the individual, but also benefits the system as a whole.

The study reveals that a personalised care leads to people to have choices and control over decisions that affect in better health and wellbeing outcomes for people.