Turkish Journal of Tobacco Control
type: channel
publisher: The Society for Health Promotion and Tobacco Control
language: en
publication name: Turkish Journal of Tobacco Control
issn: 3108-589X
copyright: This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
items: Digital tedavinin küresel düzeyde tütün kullanımını azaltmaya katkısı
items: Changes in tobacco use and associated risk factors: An evaluation of findings from the Türkiye household health survey on noncommunicable disease risk factor prevalence 2017-2023 (WHO steps)
items: Medical students’ tobacco product and e-cigarette usage habits: An assessment of their relationship with types of addiction and depression
items: Evaluation of scientific studies on electronic cigarettes in the last five years
items: Bibliometric analysis of studies on the concept of third-hand smoke
items: Online smoking cessation outpatient clinic: A case study from Şişli Hamidiye Etfal Training and Research Hospital Family Medicine Clinic
items: Assessment of psychological tobacco dependence among medical students: a cross-sectional study
items: Preface
items: Sağlıklı nesil, sağlıklı gelecek
items: The effect of secondhand smoke exposure on treatment outcomes in children hospitalized for community-acquired pneumonia
items: The relationship between smoking and sociodemographic and biochemical characteristics in hemodialysis patients
items: Cardiovascular disease and chronic nicotine addiction: A qualitative analysis of smoking behaviour after post-cardiac event
items: https://tjtc.org/article/view/32
items: Hemoptysis following e-cigarette inhalation: A toxicological concern in vaping-related lung injury
items: The relationship between oral health status and passive smoking and related factors in children aged 3–10 years
items: Küresel sigara pazarı: DSÖ Bölgelerine göre satış eğilimleri, fiyatlandırma ve fiyat esnekliği (2008-2022)
items: Bilgiyle, Kararlılıkla, Dayanışmayla: Tütünsüz Bir Geleceğe Doğru
items: Evaluation of the relationship between smoking status at home and health literacy
items: Effect of COVID-19 pandemic on cigarette sales: The case of Türkiye
items: Relationships between smoking and sleep quality, depression, and anxiety among medical students: A cross-sectional study in Türkiye
items: Parents’ awareness of third-hand smoke and smoking behaviors
items: Editorial
items: Sigarasız Toplum
items: Mükemmel Bir Uygulama Örneği: Türkiye Tütün Kontrol Programı

Digital tedavinin küresel düzeyde tütün kullanımını azaltmaya katkısı
type: item
subject: Literature Review
  topic: section
creator: Nazmi Bilir
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
starting page: 162
ending page: 162
doi: 10.64511/TJTC.2025.45

Changes in tobacco use and associated risk factors: An evaluation of findings from the Türkiye household health survey on noncommunicable disease risk factor prevalence 2017-2023 (WHO steps)
type: item
description: Background: Tobacco and other addictive substances are among the leading preventable causes of mortality worldwide. In Turkey, the Household Health Survey on Noncommunicable Disease Risk Factor Prevalence (The WHO STEPwise approach to NCD risk factor surveillance, STEPS) was first conducted in 2017, providing standardized monitoring of risk factors associated with noncommunicable diseases (NCDs). The repetition of the survey in 2023 offered an opportunity to assess temporal changes in tobacco, alcohol, and illicit drug use, as well as passive exposure and public attitudes toward tobacco control legislation. Methods: This study compared the 2017 and 2023 STEPS data for Turkey, supported by Turkish Statistical Institute (TurkStat) datasets. Descriptive statistical analyses were performed, and Microsoft Excel and OpenEpi were used, with the significance level set at p<0.05. Findings were analyzed by sex and age groups under the headings of tobacco use, alcohol use, illicit drug use, passive exposure at home and in the workplace, and attitudes toward tobacco control legislation. Results: Tobacco use increased from 31.5% in 2017 to 34.8% in 2023. The increase was 15.1% in men and 30.3% in women, with a significant sex difference (p<0.001). Alcohol consumption rose from 8.0% to 10.2%, with the highest increase observed among women aged 30–44 years (112.2%). The prevalence of not using illicit drugs increased from 97.0% to 97.4%, with a greater rise among men. Passive exposure to tobacco smoke at home rose from 27.5% to 37.8%, and workplace exposure increased from 21.9% to 29.1%, with higher exposure particularly among younger age groups. Support for tobacco control legislation remained high (88.1% in 2017 and 88.5% in 2023) but was relatively lower among younger groups. Conclusions: This study revealed increasing trends in tobacco and alcohol use, widespread passive exposure to tobacco smoke, and consistently high support for tobacco control legislation in Turkey, while h…
subject: Research Article
  topic: section
subject: WHO
  topic: keywords
subject: STEPS
  topic: keywords
subject: tobacco
  topic: keywords
subject: alcohol
  topic: keywords
subject: illicit drugs
  topic: keywords
subject: passive exposure
  topic: keywords
subject: legislation
  topic: keywords
creator: Rahşan Arslan
creator: Toker Ergüder
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
starting page: 134
ending page: 144
doi: 10.64511/TJTC.2025.27

Medical students’ tobacco product and e-cigarette usage habits: An assessment of their relationship with types of addiction and depression
type: item
description: Background: Tobacco use remains one of the leading preventable causes of disease and death, while the rising use of e-cigarettes among young adults creates new public health challenges. Medical students, as future physicians, are a key group in which tobacco-related behaviors, addiction patterns, and psychological correlates should be examined. This study aimed to determine the prevalence of tobacco and e-cigarette use among medical students, assess associated sociodemographic and lifestyle factors, and evaluate addiction profiles and depression. Methods: A cross-sectional survey was conducted among 496 medical students at the Gülhane Faculty of Medicine in 2025. Data were collected through a structured questionnaire including sociodemographic characteristics, tobacco and e-cigarette use, self-reported addiction, and the Beck Depression Inventory. In the data analysis, Student’s t-test or Mann–Whitney U test was used for numerical variables, while Pearson’s chi-square, Yates’ corrected chi-square, and Fisher’s exact tests were used for categorical variables. A multivariable binary logistic regression analysis was conducted to determine independent predictors of tobacco use. p<0.05 accepted as statistically significant. Results: The mean age of participants was 22.6 years; 50% were male. Overall, 26% reported current tobacco use and 5.2% reported e-cigarette use. Cigarettes (98.4%) and e-cigarettes (20.2%) were the most common products. Tobacco use was significantly higher in males and those with higher BMI or family history of tobacco use. All tobacco users described themselves as addicted. The most frequent reasons for e-cigarette use were pleasant taste and the desire to quit smoking. Chronic disease prevalence was higher among e-cigarette users. Median depression scores indicated minimal symptoms, with no significant difference between users and non-users. Conclusions: Tobacco and e-cigarette use remain widespread among medical students and are strongly linked to…
subject: Research Article
  topic: section
subject: tobacco
  topic: keywords
subject: e-cigarette
  topic: keywords
subject: medical students
  topic: keywords
subject: addiction
  topic: keywords
subject: depression
  topic: keywords
creator: Ahmet Arslan
creator: Ercan Koral
creator: İrem Öztürk
creator: İbrahim Sefa Güneş
creator: Çağrı Özbeyaz
creator: Ece Nur Özmen
creator: Hatice Aygar
creator: Hülya Şirin
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-11-28
publication date: 2025-11-28
starting page: 108
ending page: 123
doi: 10.64511/TJTC.2025.29

Evaluation of scientific studies on electronic cigarettes in the last five years
type: item
description: Electronic cigarettes are not as harmless as claimed and contain substances known to be hazardous to human health. E-cigarettes include chemicals similar to those found in conventional cigarettes, such as formaldehyde, acetaldehyde, acrolein, diethylene glycol, nickel, chromium, and lead. In recent years, their use has become increasingly widespread in Türkiye, as in many other countries. The characteristics of these devices, their effects on human health, and their potential role in smoking cessation have attracted global attention. In this context, general information about e-cigarette devices and their usage, as well as studies conducted on these devices, have been reviewed. The studies in this area include surveys, clinical observational studies, and both clinical and interventional research investigating potential harmful effects. Currently, there is insufficient scientific evidence regarding the safety of e-cigarettes. Although it is often claimed that these products do not contain tobacco, they do contain nicotine, which is known to cause addiction. The aim of this review article is to highlight the characteristics of electronic cigarettes, their impact on human health, their global use, and to provide an objective perspective by examining the existing literature on the subject.
subject: Review
  topic: section
subject: electronic cigarette
  topic: keywords
subject: tobacco
  topic: keywords
subject: human health
  topic: keywords
subject: smoking
  topic: keywords
subject: tobacco cigarette
  topic: keywords
creator: Nurhan Meydan Acımış
creator: Simge Peşdere
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-11-28
publication date: 2025-11-28
starting page: 145
ending page: 158
doi: 10.64511/TJTC.2025.24

Bibliometric analysis of studies on the concept of third-hand smoke
type: item
description: Aim: Studies on thirdhand smoke (THS) have been steadily increasing in the literature. This study aimed to examine the scientific development of the THS concept, as well as the prominent authors, journals, and research trends. Methods: This bibliometric study was conducted using the Web of Science Core Collection database. The search strategy included the combinations: “third hand smoking,” “thirdhand smoking,” “third-hand smoking,” “thirdhand smoke,” “third-hand smoke,” and “third hand smoke.” Only articles and review articles written in English were included. A total of 316 publications on THS, authored by 251 researchers from 43 countries, were identified between 2009 and 2025. Data were analyzed and visualized using VOSviewer. Results: The concept first appeared in 2009. The highest number of publications was in 2021 (n = 41), while the lowest was in 2009 (n = 2). These publications received 6888 citations in total, excluding 4529 self-citations. The average number of citations per publication was 21,8, with an H-index of 41. Nicotine & Tobacco Research published the most THS-related articles (n = 19), whereas Tobacco Control was the most cited journal (n = 105; TLS = 4343). The United States, China, and Türkiye were the leading contributors. The most cited author was Matt, G.E. (n = 92; TLS = 3385). Common keywords co-occurring with THS included “tobacco”, “secondhand smoke”, “passive smoking”, “oxidative stress” and “smoking”. Conclusion: Research on THS has grown significantly over the past 15 years. It is recommended that future studies on tobacco control address the concept of thirdhand smoke.
subject: Research Article
  topic: section
subject: smoke
  topic: keywords
subject: tobacco
  topic: keywords
subject: tobacco smoke pollution
  topic: keywords
subject: third hand smoke
  topic: keywords
creator: Nurbanu Odacı
creator: Meva Nur Çürük
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-11-28
publication date: 2025-11-28
starting page: 124
ending page: 133
doi: 10.64511/TJTC.2025.25

Online smoking cessation outpatient clinic: A case study from Şişli Hamidiye Etfal Training and Research Hospital Family Medicine Clinic
type: item
subject: Letter to the editor
  topic: section
creator: Güzin Zeren Öztürk
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
starting page: 159
ending page: 161
doi: 10.64511/TJTC.2025.26

Assessment of psychological tobacco dependence among medical students: a cross-sectional study
type: item
description: Introduction: Smoking addiction is a multidimensional process resulting from the combination of many factors that mutually influence and reinforce each other. Physical addiction to cigarettes progresses through stages of craving, longing, and need, with increased addiction levels making cigarette cravings more difficult to resist. This progression in physical dependence is accompanied by a corresponding increase in heightened psychological dependence, which constitutes an additional dimension of tobacco addiction. The stressful environment of medical education necessitates examining the nicotine dependence of students. In our study, we aimed to assess nicotine dependence in medical students by examining both the physical and psychological dimensions of smoking behavior within this population. Methods: This is a cross-sectional study conducted with 169 medical students enrolled at a medical school in Turkey. Data were collected using a questionnaire including sociodemographic information, the Fagerström Test for Nicotine Dependence (FTND), and the Test to Assess the Psychological Dependence on Smoking (TAPDS). Categorical variables are reported as n (%), and continuous variables as mean ± SD or median (IQR). The Kolmogorov-Smirnov test was employed to assess the normality of the distribution. For group comparisons based on normal distribution, independent samples t-test, one-way ANOVA, Mann-Whitney U test, and Kruskal-Wallis test were used. Multiple linear regression analysis was performed to identify independent predictors of the TAPDS score. Results: The median score on the FTND was 3.0 (IQR 1.0-6.0). The mean TAPDS score was 49.40 ± 9.98.The age at smoking initiation was significantly higher in females compared to males (p=0.039), while the number of cigarettes smoked per day was significantly lower (p=0.015).A moderate positive correlation was found between FTND and TAPDS scores (r=0.459, p<0.001). In the multiple linear regression model including number of cigar…
subject: Research Article
  topic: section
subject: smoking
  topic: keywords
subject: addiction
  topic: keywords
subject: psychological dependence
  topic: keywords
subject: medical students
  topic: keywords
creator: Aleyna Aslan
creator: Osman Kurt
creator: Burak Avcu
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-11-28
publication date: 2025-11-28
starting page: 95
ending page: 107
doi: 10.64511/TJTC.2025.20

Preface
type: item
subject: Preface
  topic: section
creator: Muhammed Atak
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
starting page: xxiv
ending page: xxv

Preface
type: item
subject: Preface
  topic: section
creator: Muhammed Emin Demirkol
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
starting page: xxi
ending page: xxiii
doi: 10.64511/TJTC.2025.48

Sağlıklı nesil, sağlıklı gelecek
type: item
subject: Preface
  topic: section
creator: Mehmet Dinç
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
starting page: xix
ending page: xx

The effect of secondhand smoke exposure on treatment outcomes in children hospitalized for community-acquired pneumonia
type: item
description: Background: Secondhand smoke exposure remains a major yet preventable contributor to pediatric respiratory illness, especially in low- and middle-income countries. Despite public regulations limiting tobacco use, secondhand smoke exposure within homes remains a persistent threat to children’s health. This study aimed to assess the impact of secondhand smoke exposure on clinical outcomes among children hospitalized for community-acquired pneumonia. Methods: A cross-sectional observational study was conducted at Adana City Training and Research Hospital, enrolling 563 pediatric patients aged 1 month to 18 years hospitalized with community-acquired pneumonia between July 2019 and June 2020. Secondhand smoke exposure was defined as the presence of at least one smoker in the child’s household. The primary outcome was length of hospital stay. Secondary outcomes included admission to the pediatric intensive care unit, use of invasive or non-invasive mechanical ventilation, PICU length of stay, and history of hospitalization due to lower respiratory tract infection. Results: Among the patients, 70.3% were exposed to secondhand smoke at home, and 41.4% lived with two or more smokers. Secondhand smoke exposed children had significantly longer hospital stays (p=0.023), increased rates of pediatric intensive care unit admission (12.1% vs. 6.6%, p=0.032), and a higher frequency of past hospitalizations for lower respiratory tract infection (p<0.001) compared to unexposed peers. However, no statistically significant differences were found in pediatric intensive care unit length of stay or need for mechanical ventilation between the two groups. Exposure to secondhand smoke during pregnancy was also associated with a higher risk of severe respiratory outcomes. Conclusions: Secondhand smoke exposure in household settings is associated with worse clinical outcomes in pediatric patients hospitalized with CAP. These findings underscore the urgent need for targeted public health interve…
subject: Research Article
  topic: section
subject: children
  topic: keywords
subject: community-acquired pneumonia
  topic: keywords
subject: secondhand smoke exposure
  topic: keywords
creator: Ali Rıza Uzgelir
creator: Asena Ünal
creator: Songül Kaçak
creator: Emine Sumru Gökşen
creator: Orkun Tolunay
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: 47
ending page: 54
doi: 10.64511/TJTC.2025.8

The relationship between smoking and sociodemographic and biochemical characteristics in hemodialysis patients
type: item
description: Background: This study was conducted to determine the prevalence of smoking among patients receiving hemodialysis in a state hospital, to compare the sociodemographic characteristics of smokers and non-smokers, and to evaluate the effects of smoking on selected biochemical parameters. Methods: This descriptive cross-sectional study was carried out in a hemodialysis unit between April 15 and June 30, 2025, including a total of 80 voluntary patients. Data were collected through a structured questionnaire and hospital records, and analyzed using SPSS version 25.0. Results: The mean age of participants was 56.96±15.17 years, and the mean duration of dialysis was 1212.40 months. Among the participants, 21.3% were current smokers, 23.8% were former smokers, and 55.0% had never smoked. Among smokers, the mean duration of smoking was 27.66±14.52 years, with an average daily consumption of 23.69±21.15 cigarettes and a mean Fagerström Test score of 7.00±1.87. The average time since quitting among former smokers was 16.26±13.22 years. While 58.8% believed that smoking negatively affected their disease course, only 6 individuals were considering quitting. Alcohol and substance use were reported by 8.8% and 2.2% of participants, respectively. The most common dialysis-related complications were hypertension (11.3%), hypotension (6.3%), and bleeding (2.5%). The comorbidity rate was 87.5%. Smoking was significantly more common among males (p=0.006), individuals with freelance occupations and those unemployed (p=0.011). Hospitalization within the past year (p=0.039), particularly due to infections (p=0.022), was also more frequent among smokers. In terms of biochemical parameters, serum phosphorus levels were significantly higher in smokers (5.24±1.54 mg/dL) compared to non-smokers (4.49±1.40 mg/dL) (p=0.037). Conversely, bicarbonate levels were significantly lower in the smoking group (p=0.003). Conclusion: Smoking may increase the risk of complications in hemodialysis patients, po…
subject: Research Article
  topic: section
subject: biochemical markers
  topic: keywords
subject: hemodialysis
  topic: keywords
subject: smoking
  topic: keywords
creator: Çiğdem Erhan
creator: Dursun Yaşar Ulutaş
creator: Ayşe Turan
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: 63
ending page: 72
doi: 10.64511/TJTC.2025.10

Cardiovascular disease and chronic nicotine addiction: A qualitative analysis of smoking behaviour after post-cardiac event
type: item
description: Background: Despite significant advances in cardiovascular care, smoking remains a critical risk factor for recurrent cardiovascular events in myocardial infarction (MI) survivors. Primary percutaneous coronary intervention (PCI) is a lifesaving procedure; however, its long-term success is often compromised by patients’ continued smoking. Objective: This qualitative study aims to explore the experiences, perceptions, and barriers faced by individuals who continue smoking after undergoing primary PCI for MI, providing insights into the psychological, social, and behavioral factors that hinder smoking cessation. Methods: A qualitative research design was adopted, involving semi-structured interviews with post-MI patients who continued smoking. Thematic analysis was employed to identify and interpret key themes related to smoking behaviors, challenges in quitting, and the effectiveness of current cessation interventions. Results: Participants acknowledged the health risks of smoking, linking it to their MI, yet highlighted significant barriers to cessation, including stress management, emotional reliance on smoking, and ingrained habits. Social influences and cultural norms were also contributing factors. While healthcare professionals provided critical advice, participants reported limited success with available cessation methods, emphasizing the need for comprehensive, personalized support. Conclusions: Smoking cessation remains a significant challenge for post-MI patients, driven by a complex interplay of addiction, emotional dependence, and social influences. Effective interventions should incorporate stress management, tailored support systems, and innovative cessation tools to address these barriers. Promoting smoking cessation is essential to enhancing the long-term outcomes of PCI and reducing cardiovascular risks. Further research should focus on scalable, patient-centered approaches to empower MI survivors in overcoming smoking addiction.
subject: Research Article
  topic: section
subject: acute myocardial infarction
  topic: keywords
subject: percutaneous coronary intervention
  topic: keywords
subject: smoking cessation
  topic: keywords
creator: Candan Mansuroğlu
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: 55
ending page: 62
doi: 10.64511/TJTC.2025.9

https://tjtc.org/article/view/32
type: item
title: Legal regulations on electronic nicotine delivery systems (ENDS), electronic non nicotine delivery systems (ENNDS), heated tobacco products (HTPs) and vapes (E-cigarettes) in Türkiye: current status and recommendations
description: Türkiye has established a strong legislative framework for tobacco control within the scope of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC). In 2008, the General Directorate of Pharmaceuticals and Pharmacy of the Ministry of Health issued a statement classifying nicotine-containing cartridges of electronic cigarettes as medicinal products and devices as medical devices; none have been authorized for market placement. In 2013, through an amendment to Law No. 4207 on the Prevention and Control of the Harms of Tobacco Products, electronic cigarettes, heated tobacco products, and vapes were explicitly brought under the legal definition of “tobacco product.” Pursuant to Law No. 4733, the production, distribution, marketing, and sale of these products without authorization or license from the Ministry of Agriculture and Forestry is strictly prohibited. Furthermore, the high-capacity requirements stipulated for manufacturing effectively make legal domestic production impossible. In 2020, a Presidential Decree banned the importation of electronic cigarettes and their derivatives. This article summarizes these legislative provisions, evaluates the current situation, and presents recommendations for strengthening implementation.
subject: Commentary
  topic: section
subject: electronic cigarette
  topic: keywords
subject: heated tobacco product (HTP)
  topic: keywords
subject: ENDS
  topic: keywords
subject: ENNDS
  topic: keywords
subject: Vape
  topic: keywords
subject: Türkiye
  topic: keywords
subject: Law no. 4207
  topic: keywords
subject: Law no. 4733
  topic: keywords
subject: Law no. 5607
  topic: keywords
subject: tobacco control
  topic: keywords
creator: Toker Ergüder
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: 89
ending page: 92
doi: 10.64511/TJTC.2025.32

Hemoptysis following e-cigarette inhalation: A toxicological concern in vaping-related lung injury
type: item
description: Introduction: Electronic cigarettes were developed in 2003 with the aim of providing a safer alternative for nicotine consumption and reducing the harms associated with conventional cigarette smoking. The diagnostic criteria for E-cigarette or vaping product use-associated lung injury include: onset of symptoms within 90 days of electronic cigarette use, radiological evidence of pulmonary infiltrates, absence of an underlying infectious cause, and exclusion of alternative causes of respiratory failure. Case Report. A 35-year-old male patient presented to the emergency department with a complaint of massive hemoptysis following heavy electronic cigarettes use. Flexible bronchoscopy was performed, and the bleeding was successfully controlled. However, the patient was readmitted after discharge due to recurrent massive hemoptysis. This time, bronchial artery embolization was performed, resulting in effective control of the symptoms. Discussion: In terms of treatment, aside from corticosteroid therapy, management is generally supportive and includes oxygen supplementation. The purpose of presenting this case is to highlight a rare clinical manifestation of E-cigarette or Vaping product use-Associated Lung Injury, distinct from the commonly reported presentations. Specifically, we report a patient who presented with two separate episodes of massive hemoptysis, a presentation that has been rarely documented in the literature. In the first episode, the bleeding was controlled with flexible bronchoscopy, while in the second episode, bronchial artery embolization was required. To the best of our knowledge, no other case with recurrent massive hemoptysis associated with E-cigarette or vaping product use-associated lung injury has been reported in the literature to date.
subject: Case Report
  topic: section
subject: EVALI
  topic: keywords
subject: hemoptysis
  topic: keywords
subject: bronchoscopy
  topic: keywords
subject: embolization
  topic: keywords
creator: Süleyman Emre Akın
creator: Hasan Emre Yıldırım
creator: Muhammed Samet Özdemir
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: 82
ending page: 88
doi: 10.64511/TJTC.2025.19

The relationship between oral health status and passive smoking and related factors in children aged 3–10 years
type: item
description: Background: Passive smoking, or exposure to environmental tobacco smoke, remains a significant public health concern worldwide, particularly affecting children’s systemic and oral health. Previous research has identified associations between passive smoking and increased dental caries risk, but local evidence integrating clinical and behavioral factors in Türkiye is limited. This study aimed to evaluate the relationship between passive smoking and oral health outcomes in children aged 3–10 years considering sociodemographic characteristics, oral hygiene behaviors, and fluoride use. Methods: A descriptive cross-sectional study was conducted with 136 children attending the Department of Pediatric Dentistry, Gülhane Faculty of Dentistry, University of Health Sciences. The case group included children with smoking parents (n=72) and the control group children with non-smoking parents (n=72). Data were collected via structured parental questionnaires on demographics, smoking habits, and oral health-related behaviors, alongside clinical examinations assessing the decayed, missing, and filled teeth (DMFT/dmft), pulpal involvement, ulceration, fistula, abscess (PUFA/pufa), and Simplified Oral Hygiene Index (OHI-S) indices. Statistical analyses included Pearson’s chi-square test, Fisher’s exact test, Student’s t-test, Mann–Whitney U test, and logistic regression to determine factors associated with high dmft scores (p<0.05). Results: Children of smoking parents were 3.56 times more likely to have high dmft scores than those of non-smoking parents (p=0.011). High dmft prevalence was also associated with younger parental age (<40 years; OR=2.78, p=0.025), low toothbrushing frequency (never vs. twice daily; OR=6.68, p=0.053), and frequent sugar/chocolate consumption (several times/day vs. ≤once/week; OR=4.06, p=0.012). Protective factors included parental knowledge about fluoride (p<0.001), use of fluoride-containing toothpaste (p=0.007), and professional fluoride applications …
subject: Research Article
  topic: section
subject: passive smoking
  topic: keywords
subject: dental caries
  topic: keywords
subject: oral health
  topic: keywords
subject: fluoride
  topic: keywords
subject: pediatric dentistry
  topic: keywords
subject: Türkiye
  topic: keywords
creator: Nevra Karamüftüoğlu
creator: Kadir Serdar Yılmaz
creator: Nupelda Çağıran Görgin
creator: Seçil Özkan
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: 73
ending page: 81
doi: 10.64511/TJTC.2025.21

Küresel sigara pazarı: DSÖ Bölgelerine göre satış eğilimleri, fiyatlandırma ve fiyat esnekliği (2008-2022)
type: item
subject: Literature Review
  topic: section
creator: Nazmi Bilir
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: 93
ending page: 94
doi: 10.64511/TJTC.2025.31

Bilgiyle, Kararlılıkla, Dayanışmayla: Tütünsüz Bir Geleceğe Doğru
type: item
subject: Preface
  topic: section
creator: Serkan Topaloğlu
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: xvii
ending page: xviii
doi: 10.64511/TJTC.2025.33

Evaluation of the relationship between smoking status at home and health literacy
type: item
description: Objective: This study aims to evaluate the relationship between smoking at home and health literacy levels. Materials and Methods: Our study is a cross-sectional analytical study. It was conducted with 164 volunteers aged 18 and over. Sociodemographic data, home smoking status, the Fagerström Test for Nicotine Dependence, and the Turkish Health Literacy-32 (TSOY-32) questionnaire were applied through face-to-face interviews. Results: The mean age of the 164 participants was 42.1 ± 12.8 years (range: 19–75), with a male-to-female ratio of 1.2:1. While 54.9% reported smoking at home, 75.7% of those who did not smoke at home stated that they smoked on an open balcony or terrace. The median smoking history was 22.2 pack-years. The Fagerström score was significantly higher in those who smoked at home (p=0.021). The presence of children was significantly lower among home smokers (p=0.011). Monthly income was lower in home smokers than in non-smokers (p=0.009). Those who smoked only on a balcony/terrace had significantly lower TSOY-32 scores (p=0.024) and monthly income (p<0.001) compared to non-smokers. TSOY-32 scores differed significantly by education level (p=0.035). Post-hoc analysis showed that individuals with a university degree or higher had significantly higher TSOY-32 scores than those with primary education or lower (p=0.032). TSOY-32 scores were negatively correlated with age (p=0.001) and smoking amount (p=0.006) but positively correlated with monthly income (p=0.023). Conclusion: Among individuals attending a Smoking Cessation Clinic, those who did not smoke even on a balcony/terrace had higher health literacy scores than smokers. Improving health literacy in society may serve as an important model for tobacco control by helping individuals reduce harm to themselves and others and supporting smoking cessation efforts.
subject: Research Article
  topic: section
subject: Smoking addiction
  topic: keywords
subject: home smoking
  topic: keywords
subject: health literacy
  topic: keywords
subject: secondhand smoke
  topic: keywords
creator: Caner Aslan
creator: Tijen Acar
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-04-30
publication date: 2025-04-30
starting page: 23
ending page: 36
doi: 10.64511/TJTC.2025.4

Effect of COVID-19 pandemic on cigarette sales: The case of Türkiye
type: item
description: Background: Considering the extraordinary situation of COVID-19, Türkiye government alongside with civil organizations used this opportunity to inform people about harmful effects of smoking during pandemic period and to encourage them for cessation. Accordingly, the primary aim of this paper is to compare cigarette sales data pre- and post- COVID-19 pandemic in Türkiye. Methods: The cigarette sales in January – June 2020 were compared with the same months in 2019. Permutation Wilcoxon Signed-Rank Test was used for data analysis. A 6-month prediction was made for the remaining months in 2020 using the Box Jenkins ARIMA (Auto Regressive Integrated Moving Average) time series model. The monthly cigarette sales were graphed against the expected monthly cigarette sales (average cigarette sales in 2019) to determine pattern pre- and post-COVID-19. Results: There was a significant decrease in manufactured cigarette sales in January – June 2020 comparing with the same months in 2019. The cigarette sales in February – May 2020 were below the expected monthly cigarette sales. If this trend continues, cigarette sales will drop to 10,002,121,177 sticks/month by the end of 2020. Conclusions: Governments and organizations should use this pandemic period to strengthen the implementation of existing tobacco control policies and increase smoking cessation campaigns.
subject: Research Article
  topic: section
subject: COVID-19
  topic: keywords
subject: smoking
  topic: keywords
subject: pandemics
  topic: keywords
subject: tobacco control
  topic: keywords
creator: Ahmad Abed Ahmadi
creator: Mehmet Akif Erdöl
creator: Ahu Pakdemirli
creator: Esra Şafak Yılmaz
creator: Connie Hoe
creator: Kevin Welding
creator: Toker Ergüder
creator: Cevdet Erdöl
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-04-30
publication date: 2025-04-30
starting page: 1
ending page: 9
doi: 10.64511/TJTC.2025.1

Relationships between smoking and sleep quality, depression, and anxiety among medical students: A cross-sectional study in Türkiye
type: item
description: Background: Tobacco consumption continues to be a primary contributor to preventable illness and death globally, especially among young adults. Medical students experience high stress levels and inadequate sleep, potentially increasing tobacco consumption, depression, and anxiety. Methods: This cross-sectional study recruited 273 medical students from a A medical school in Türkiye. Data were collected via a sociodemographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the Fagerström Test for Nicotine Dependence (FTND). Mann-Whitney U and chi-square tests were employed to compare smokers (n=70) and nonsmokers (n=203). Linear regression analyses examined the impact of smoking status on PSQI, BDI, and BAI scores, whereas logistic regression identified predictors of smoking. Results: Overall, 53.1% of the students had tried smoking at least once in their lifetime, and 25.6% reported current tobacco use. Smokers exhibited significantly higher median PSQI (9 vs. 6), BDI (17 vs. 10), and BAI (15 vs. 11) scores (p<0.05). Chi-square analyses indicated that poor sleep quality and moderate-to-severe depression were more prevalent among smokers. Linear regression revealed that smoking predicted an average increase of 2.36 points in PSQI, 6.01 in BDI, and 3.97 in BAI (p<0.01). FTND scores showed a positive correlation with PSQI and BAI, but not with BDI. Logistic regression demonstrated that each 1-point increase in PSQI elevated the odds of current smoking by 26.6% (OR=1.266). Conclusions: Current smoking was associated with reduced sleep quality, elevated depression, and increased anxiety symptoms in medical students. These results highlight the need for integrated interventions focusing on smoking cessation and mental health support to improve the well-being of future physicians.
subject: Research Article
  topic: section
subject: Tobacco use
  topic: keywords
subject: sleep quality
  topic: keywords
subject: depression
  topic: keywords
subject: anxiety
  topic: keywords
subject: medical students
  topic: keywords
creator: Burak Avcu
creator: Zehra Ulubaba
creator: Umut Emin Ünlü
creator: Nazım Ünlü
creator: Sevde Türkmenoğlu
creator: Münira Nazlı Unal
creator: Şevval Üner
creator: Ceren Uçar
creator: Eylül Vural
creator: Adulnur Uçar
creator: Numan Ülgen
creator: Deniz Türkmen
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-04-30
publication date: 2025-04-30
starting page: 10
ending page: 22
doi: 10.64511/TJTC.2025.6

Parents’ awareness of third-hand smoke and smoking behaviors
type: item
description: Objective: Third-hand smoke is a serious threat to health. This study aimed to guide the fight against tobacco by determining parents’ awareness about third-hand smoke and smoking behaviors. Methods: 244 volunteer parents with children under the age of 18, who applied to the outpatient clinics of a hospital in Ankara between 16.7.2022 and 15.9.2022, were included in the descriptive, analytical study. A 28-question data collection form, including questions on sociodemographic characteristics and smoking behaviors, the Fagerström nicotine dependence test, and the awareness scale about third-hand smoke, was applied face-to-face to the participants. Data were analyzed with IBM SPSS 22.0. p<0.05 was considered statistically significant. Findings: Participants were between the ages of 18-65, 30.33% were fathers, 69.67% were mothers, 52.05% smoked (50% of them were with their children), 9.45% did not smoke at home, and 88.93% had never heard of third-hand smoke. The total score of the awareness scale about third-hand smoke was found to be high in those aged 31-45 (55%), those who quit smoking, those who had previously heard of the concept of third-hand smoke, and those who were married, and increased with education level (p<0.001). The Fagerström nicotine addiction level was low in 53.97% of the parents. Results: It was determined that the awareness of third-hand smoke was higher in middle-aged, highly educated, ex-smokers, married and those who had heard third-hand smoke. It was found that the rate of parents smoking was high, third-hand smoke knowledge was insufficient and children were exposed to third-hand smoke, especially in their own homes. Education about third-hand smoke can reduce exposure by increasing awareness and encourage smoking cessation. This study can guide the fight against tobacco.
subject: Research Article
  topic: section
subject: Smoke
  topic: keywords
subject: tobacco smoke pollution
  topic: keywords
subject: awareness
  topic: keywords
subject: parents
  topic: keywords
creator: Gökçe Melek Türkfiliz Demir
creator: Zühal Albayrak
creator: Tijen Acar
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-04-30
publication date: 2025-04-30
starting page: 37
ending page: 46
doi: 10.64511/TJTC.2025.5

Editorial
type: item
subject: Editorial
  topic: section
creator: Nazmi Bilir
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-05-20
publication date: 2025-05-20
starting page: xxiv
ending page: xxv

Editorial
type: item
subject: Editorial
  topic: section
creator: Yasemin Açık
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-05-20
publication date: 2025-05-20
starting page: xxii
ending page: xxiii

Sigarasız Toplum
type: item
subject: Preface
  topic: section
creator: Cevdet Erdöl
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-05-20
publication date: 2025-05-20
starting page: xix
ending page: xxi

Mükemmel Bir Uygulama Örneği: Türkiye Tütün Kontrol Programı
type: item
subject: Preface
  topic: section
creator: Recep Akdağ
rights: Copyright © 2025 The Author(s) https://creativecommons.org/licenses/by/4.0
date: 2025-05-20
publication date: 2025-05-20
starting page: xv
ending page: xviii