Tobacco endgame and priority populations: a scoping review

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Puljevic, Cheneal
Feulner, Leah
Hobbs, Maria
Erku, Daniel
Bonevski, Billie
Segan, Catherine
Baker, Amanda
Hefler, Marita
Cho, Ara
Gartner, Coral
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2023
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Abstract

Aim To summarise the research literature on the impacts or perceptions of policies to end tobacco use at a population level (ie, tobacco endgame policies) among people from eight priority population groups (experiencing mental illness, substance use disorders, HIV, homelessness, unemployment or low incomes, who identify as lesbian, gay, bisexual, transgender, queer or intersex (LGBTQI+) or who have experienced incarceration). Methods Guided by JBI Scoping Review Methodology, we searched six databases for original research examining the impacts or perceptions of 12 tobacco endgame policies among eight priority populations published since 2000. We report the results according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Results Of the 18 included studies, one described perceptions of five endgame policies among people on low incomes in Aotearoa (New Zealand), and 17 focused on the effectiveness or impacts of a very low nicotine content (VLNC) cigarette standard among people experiencing mental illness (n=14), substance use disorders (n=8), low incomes (n=6), unemployment (n=1) or who identify as LGBTQI+ (n=1) in the USA. These studies provide evidence that VLNC cigarettes can reduce tobacco smoking, cigarette cravings, nicotine withdrawal and nicotine dependence among these populations. Conclusions Most of the tobacco endgame literature related to these priority populations focuses on VLNC cigarettes. Identified research gaps include the effectiveness of endgame policies for reducing smoking, impacts (both expected and unexpected) and policy perceptions among these priority populations.

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Tobacco Control

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This publication has been entered in Griffith Research Online as an advanced online version.

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Sociology

Epidemiology

Public health

Science & Technology

Life Sciences & Biomedicine

Substance Abuse

Public, Environmental & Occupational Health

End game

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Puljevic, C; Feulner, L; Hobbs, M; Erku, D; Bonevski, B; Segan, C; Baker, A; Hefler, M; Cho, A; Gartner, C, Tobacco endgame and priority populations: a scoping review, Tobacco Control, 2023

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