Evidence map›Paper›PMID 33669394›Full record

ArticleInternational journal of environmental research and public health2021

The Role of Novel (Tobacco) Products on Tobacco Control in Italy.

Silvano Gallus, Elisa Borroni, Anna Odone, Piet A van den Brandt, Giuseppe Gorini, Lorenzo Spizzichino, Roberta Pacifici, Alessandra Lugo

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Recent Trends in Cigarette and HTP Use in Japan: A Scoping Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
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  14. Trends in Adolescent Substance Use: Analysis of HBSC Data for Four Eastern European Countries, 1994-2018.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Cigarette Smoking as a Predictor of Male DUI Recidivism.International journal of environmental research and public health · 2021
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Silvano GallusDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy.ORCID 0000-0002-8967-0400
Elisa BorroniDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy.
Anna OdoneDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy.
Piet A van den BrandtDepartment of Epidemiology, CAPHRI-School for Public Health and Primary Care, Maastricht University Medical Centre, 6211 LK Maastricht, The Netherlands.
Giuseppe GoriniOncologic Network, Prevention and Research Institute (ISPRO), 50139 Florence, Italy.ORCID 0000-0002-1413-5948
Lorenzo SpizzichinoItalian Ministry of Health, Center for Disease Prevention and Control, 00144 Rome, Italy.
Roberta PacificiNational Centre on Addiction and Doping, Istituto Superiore di Sanità, 00161 Rome, Italy.
Alessandra LugoDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy.ORCID 0000-0002-4297-6496

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Italy, electronic cigarettes have spread since 2010 and heated tobacco products (HTP) since 2016. We investigated their public health consequences on conventional cigarette smoking, taking advantage of a series of cross-sectional studies annually conducted between 2001 and 2019 in Italy. Every year, the sample, including around 3000 individuals, was representative of the general Italian population aged ≥15 years. In Italy, smoking prevalence steadily declined from 29.1% in 2001 to 20.6% in 2013, then increased to 22.0% in 2019. In 2017-2019, current electronic cigarette users were 2.1% and in 2019 current HTP users were 1.1%. Among 498 ever electronic cigarette users, 23.2% started or re-started smoking and 15.7% quit smoking after electronic cigarette use; of 49 ever HTP users, 19.1% started or re-started smoking combusted cigarettes and 14.6% quit smoking after HTP use. The availability of novel products in Italy resulted in a halt of the decreasing trend in smoking prevalence. For the first time, we observed an increase of Italians inhaling nicotine, concurrently with the spread of novel (tobacco) products. More importantly, the use of novel products appears to increase-rather than decrease-the likelihood of smoking conventional cigarettes. Considering this evidence, we see no argument to justify the huge fiscal and regulatory benefits these products continue to have, at least in Italy.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsAgedCross-Sectional StudiesHumansItalye-cigaretteharm reductionheated tobacco productsheat-not-burn tobacco productsItalysmoking prevalence

Identifiers

PMID33669394
PMCPMC7920305

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.