Flavored tobacco to E-cigarette’s: How the tobacco industry sustains its product flow

Raj, A. Thirumal; Patil, Shankargouda; Gupta, Archana; Suveetha, G

doi:10.1016/j.oraloncology.2018.07.021

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Certain smokeless tobacco products are deemed culturally and religiously permissive [40]. Targeted tobacco advertising and co-opting of ethnic and cultural symbols along with dubious health claims can attract younger individuals and lead to the initiation of habits [41,42]. Subjective perceptions regarding the appetite-and thirst-suppressing elements of chewing tobacco can lead to wider swaths of society embracing tobacco consumption.…”

Section: Discussionmentioning

confidence: 99%

Dental Caries and Oral Health Status of Psychoactive Substance Abusers

Bahammam

Zidane

Raj

et al. 2022

IJERPH

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Substance-abuse disorders are universally associated with comorbid illness. Tobacco is a widely abused substance across the globe and presents a critical public health problem. The precise correlation between tobacco use and dental caries remains unclear. Thus, the present study aimed to evaluate the correlation between tobacco use and dental caries. Methodology: Based on selection criteria, a total of 270 (age 20–50 years) participants were included in the study, and were categorized as group A (n = 135), consisting of tobacco users, and group B (n = 135), comprising healthy controls (non-users). The Decayed, Missing, and Filled index (DMFT) was used to measure caries status. The Simplified Oral Hygiene index was used to evaluate oral health. Results: The tobacco group reported the use of cigarettes; smokeless tobacco in indigenous forms, such as gutka (areca nut, tobacco, and slaked lime), betel nut chewing; and a combination. Individuals with tobacco habits had a higher prevalence of dental caries (Mean DMFT 4.73 ± 4.32) compared to the non-habit group (Mean DMFT 3.17 ± 3.11 (p = 0.001). The Oral Hygiene index was significantly higher (indicating bad/poor oral hygiene) in tobacco abusers than those of non-users (p = 0.0001). Duration and frequency of tobacco use were correlated with the levels of moderate and severe caries (p = 0.001). Conclusion: Psychoactive substance abuse, such as smoking/smokeless tobacco consumption, is associated with higher prevalence of dental caries.

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Section: Discussionmentioning

confidence: 99%

Dental Caries and Oral Health Status of Psychoactive Substance Abusers

Bahammam

Zidane

Raj

et al. 2022

IJERPH

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“…However, a bigger issue in the space is the targeting of youth. E-cigarettes are available in several flavours and are being specifically targeted at adolescents and young adults who find these flavours attractive (33). There is an increased concern around their ingestion by children, with even deaths being reported in the USA (19) .…”

Section: Enforcing Bans On E-advertising Promotion and Sponsorship Of E-cigarettesmentioning

confidence: 99%

Ethical issues for e-cigarette control policies in Australia

Bhaumik¹

2022

IJME

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Although tobacco smoking in Australia is at a historical low, electronic cigarette (e-cigarette) use, especially among the youth is increasing. Policies around e-cigarette control in Australia are currently evolving, even during the pandemic, thus demonstrating its priority status. The current article discusses ethical issues for e-cigarette control policies in Australia using a public health ethics framework. The article is structured using the domains of the WHO-MPOWER framework of tobacco control to enable a comprehensive coverage of all elements of e-cigarette control policies in Australia. It highlights several ethical issues, from different stakeholder perspectives, and indicates moral and ethical tensions in different public health actions that might be considered in framing policies around e-cigarette control.

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“…On the contrary, the tobacco industry has found innovative means to rejuvenate its sales. The major strategy employed by the tobacco industry included the introduction of newer products, marketed to be safe alternatives to conventional tobacco products ( 27 , 28 ). One such innovation is the electronic cigarette (e-cigarette).…”

Section: Introductionmentioning

confidence: 99%

“…Sustained widespread marketing of e-cigarettes as a safe alternative to conventional tobacco products has large scale repercussions. In addition to conventional smokers shifting to e-cigarettes, even previous non-smokers are predisposed to vaping ( 28 , 29 ). E-cigarettes have been advocated along with nicotine patches as conventional tobacco replacement products, which in turn created a false sense of safety among its users ( 30 - 32 ).…”

Section: Introductionmentioning

confidence: 99%

Reviewing the oral carcinogenic potential of E-cigarettes using the Bradford Hill criteria of causation

Raj¹,

Sujatha²,

Muruganandhan³

et al. 2020

Transl Cancer Res TCR

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The past decade has seen a surge in the use of e-cigarettes, which has prompted the medical community to assess any associated potential health hazards. A major concern was the risk of cancer. Chemical analysis of e-cigarettes has shown the presence of volatile organic compounds with the potential for carcinogenicity. Comparative toxicology analysis has shown e-cigarette to have relatively lower dosages of toxins than conventional combustible cigarettes. Based on comparative analysis, e-cigarettes have been increasingly advocated as a safe alternative to conventional cigarettes. It is vital to recognize that presence of relatively lower toxin level does not preclude carcinogenic potential. The nicotine present in the e-cigarette was presumed to be the major cytotoxic agents, thus nicotine-free e-cigarette was considered as inert. On the contrary, experimental studies on oral cell lines have shown DNA strand breaks on exposure to e-cigarette vapors with or without nicotine. In addition, dysregulations of genes associated with carcinogenic pathways have also been demonstrated in oral tissues exposed to e-cigarette vapors. Despite alarming molecular data, the oral carcinogenic potential of e-cigarette remains unclear, which can be attributed to the lack of long-term prospective and large-scale case-control studies. As e-cigarette users often have other well-established risk factors (conventional cigarette smoking, alcohol, etc.) as associated habits, it is difficult to assess e-cigarette as an independent risk factor for oral cancer. Thus, the present manuscript aims to review the published literature using the Brad Ford Hill criteria of causation to determine the oral carcinogenic potential of e-cigarettes.

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Flavored tobacco to E-cigarette’s: How the tobacco industry sustains its product flow

Cited by 6 publications

References 8 publications

Dental Caries and Oral Health Status of Psychoactive Substance Abusers

Dental Caries and Oral Health Status of Psychoactive Substance Abusers

Ethical issues for e-cigarette control policies in Australia

Reviewing the oral carcinogenic potential of E-cigarettes using the Bradford Hill criteria of causation

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