Open research questions in Smoking Behavior and Cessation
990 unresolved questions extracted from the limitations and future-work sections of 7,391 Smoking Behavior and Cessation papers in our library. Each links back to the study that raised it.
What the literature leaves open
The paper identifies a gap in knowledge about the impact of comprehensive policy packages on population-level smoking behaviour. The study highlights the need to understand the effects of tobacco control legislation on long-term trends in smoking prevalence.
Long-term trends in past-month smoking prevalence following tobacco control legislation in Chile: an age-period-cohort analysis · 2026 · DOIThe study identifies challenges in assessing smoking-related knowledge, attitudes, and beliefs among health sciences students. The study notes the difficulty in quitting smoking among health sciences students. The study highlights the need to address cardiovascular and respiratory risk perceptions among health sciences students who smoke.
Smoking-related knowledge, attitudes, and beliefs regarding cardiovascular and respiratory harms among health sciences students who currently smoke in Saudi universities · 2026 · DOIThere is a gap in understanding smoking-related knowledge, attitudes, and beliefs among health sciences students in Saudi universities. The study aims to address this gap by examining smoking behaviors, knowledge, and perceptions among current-smoking health sciences students.
Smoking-related knowledge, attitudes, and beliefs regarding cardiovascular and respiratory harms among health sciences students who currently smoke in Saudi universities · 2026 · DOIThe study had a small sample size of 158 participants, - The study was limited to a single birth center in Chicago, IL, - The study relied on self-reported maternal smoking status
Cord Blood Adductomic Profiling Provides Preliminary Insights on Perinatal Smoking Exposure: A Pilot Analysis · 2026 · DOIFuture research should investigate the use of supervised learning to analyze existing social media data, - Future research should aim to increase the generalizability of research findings compared to traditional recruitment methods
The Use of Machine Learning to Predict Offline Adolescent e-Cigarette Use: a Proof-of-Concept · 2026 · DOITraditional methods of identifying e-cigarette use, such as self-report surveys and human coding, have limitations. These methods only reach participants who are willing to enroll in a study and have difficulties with recall. There is a need for a scalable approach to analyzing existing social media data to identify adolescents engaging in e-cigarette use.
The Use of Machine Learning to Predict Offline Adolescent e-Cigarette Use: a Proof-of-Concept · 2026 · DOIInvestigate the relationship between hookah smoking attitudes and actual behavior. Examine the generalizability of the ATHS-MENA scale to other regions or populations. Develop interventions to address misconceptions about hookah smoking and promote health awareness.
The attitudes toward hookah smoking in the MENA region scale (ATHS-MENA): factor analysis and validation · 2026 · DOIExisting smoking scales lack cultural nuances for accurate assessment of attitudes toward hookah smoking. There is a need for a culturally relevant instrument to assess attitudes toward hookah smoking in the MENA region. The current understanding of attitudes toward hookah smoking is limited by the lack of a validated scale.
The attitudes toward hookah smoking in the MENA region scale (ATHS-MENA): factor analysis and validation · 2026 · DOIThe implementation challenges faced by workplace group training programs for smoking cessation with financial incentives. The need to address determinants influencing performance objectives, such as attitude, outcome expectations, and perceived barriers. The importance of proactive communication and manager training to improve reach and support adoption.
Development of an implementation strategy for a workplace smoking cessation program with financial incentives using Implementation Mapping · 2026 · DOIThe lack of effective implementation strategies for workplace smoking cessation programs with financial incentives. The need for a systematic approach to develop an evidence-informed implementation strategy. The importance of addressing determinants influencing performance objectives to enhance program implementation.
Development of an implementation strategy for a workplace smoking cessation program with financial incentives using Implementation Mapping · 2026 · DOIHigh dropout rates in the intervention group. The difficulty in engaging people with severe mental illness in smoking cessation interventions. The need for tailored interventions to address the complex needs of this population.
Effectiveness of a one-year smoking cessation intervention for people with severe mental illness: results of the KISMET cluster-randomized controlled trial · 2026 · DOIHigh dropout rates in the intervention group (58%), - Limited generalizability due to the specific population and setting, - The study was conducted in a specific geographical area (the Netherlands)
Effectiveness of a one-year smoking cessation intervention for people with severe mental illness: results of the KISMET cluster-randomized controlled trial · 2026 · DOIthe lack of a comprehensive review of the evidence on disposable e-cigarettes - the need for a better understanding of the health implications of disposable e-cigarettes - the need for effective policies and regulations to address the public health concerns posed by disposable e-cigarettes
There is a lack of clear evidence on the efficacy of NRT for smoking cessation in adolescents. Current interventions for adolescent smoking cessation have limited success, highlighting the need for more effective strategies. There is a need for further research into tailored NRT strategies for adolescents, taking into account their unique needs and challenges.
The study used a convenience sampling technique, - The study had a relatively small sample size, - The study was limited to university students in Al-Madinah city
Patterns and Factors Associated with E-Cigarette Initiation and Transition Among University Students in Al-Madinah City, Saudi Arabia: A Cross-Sectional Study · 2025 · DOILimited research exists on usage patterns of e-cigarettes in Saudi Arabia. There is a lack of evidence on the long-term health effects of e-cigarettes.
Patterns and Factors Associated with E-Cigarette Initiation and Transition Among University Students in Al-Madinah City, Saudi Arabia: A Cross-Sectional Study · 2025 · DOIThe complexity of the evidence regarding the effects of e-cigarette use on human health. The need to distinguish between the specific characteristics of the populations studied. The risk of bias in the data extraction process.
Direct health implications of e-cigarette use: a systematic scoping review with evidence assessment · 2024 · DOIValidation against biochemical exposures vs. clinical outcomes identifies different self-report variables as important - Measures of use are probabilistic and imperfect - Standardizing measures of use across the diversity of e-cigarette products is complicated - Much remains unknown about the validity of different definitions
The current definitions of e-cigarette use among youth may not be relevant due to differences in product and population. There is a need for improved definitions that capture intensity of use and persistence/duration of use.
Stricter regulation of emerging nicotine products - Continued youth-focused prevention
Long-term trends in past-month smoking prevalence following tobacco control legislation in Chile: an age-period-cohort analysis · 2026 · DOIEvidence on the effectiveness of disposable e-cigarettes as a smoking cessation aid remains inconclusive and conflicting, and current regulatory measures face practical constraints such as industry circumvention and unintended consequences.
adherence challenges, - side effects, - limited success in long-term smoking cessation, - compliance rates varied notably among participants
Conclusions: These results provide novel evidence that race-related vigilance represents an important, yet understudied element involved in smoking behavior among Black adults, warranting further examination regarding its application to minority stress models of smoking behavior.
The role of race-related vigilance on smoking cessation challenges among Black individuals who smoke · 2026 · DOIFurther investigation of varenicline as a potential strategy for ADRD prevention is warranted.
However, evidence was insufficient to conclude differences in perceived health harms between conditions among people who smoke currently (29.
Examining the Appeal of Cigarette Filters: An Online Randomised Experiment Among Adults in Great Britain · 2026 · DOI
Most-cited papers in Smoking Behavior and Cessation
- Stages and processes of self-change of smoking: Toward an integrative model of change. · Journal of Consulting and Clinical Psychology · 1983 · 6,241 citations
- Smoking and Mental Illness · JAMA · 2000 · 2,009 citations
- The Collective Dynamics of Smoking in a Large Social Network · New England Journal of Medicine · 2008 · 1,754 citations
- The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. · Journal of Consulting and Clinical Psychology · 1991 · 1,647 citations
- Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment · Addictive Behaviors · 1978 · 1,596 citations
- Biochemical verification of tobacco use and cessation · Nicotine & Tobacco Research · 2002 · 1,493 citations
- Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries · The Lancet · 2010 · 1,443 citations
- Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015 · The Lancet · 2017 · 1,436 citations
- Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019 · The Lancet · 2021 · 1,404 citations
- The validity of self-reported smoking: a review and meta-analysis. · American Journal of Public Health · 1994 · 1,303 citations
Most recent work
- Comparison of e-Cigarette and Cigarette Use and Dual Use Associations With Disease: Updated Systematic Review and Meta-Analysis · Public Health Reports · 2026
- Tobacco and Vapes Bill: UK ban on smoking by anyone born after 2008 is passed · BMJ · 2026
- Tobacco product use among middle and high school students in the United States: National Youth Tobacco Survey, 2025 · Nicotine & Tobacco Research · 2026
- Smoking and Quitting Behaviors by Different Indicators of Socioeconomic Position in England: A Population Study, 2014 to 2023 · Nicotine & Tobacco Research · 2026
- Estimating the harms from smoking and second-hand smoke exposure in social housing: a modelling study · Social Science & Medicine · 2026
- The role of the orbitofrontal cortex in smoking cue-reactivity in onset phase of smoking behavior, a fMRI study in adolescents · Nicotine & Tobacco Research · 2026
- Social Media Support Groups for Youth Nicotine Vaping Cessation: An RCT · American Journal of Preventive Medicine · 2026
- Swedish snus use in non-smoking middle-aged men and risk of cardiovascular disease: a population-based cohort study with 27-year follow-up · Scandinavian Journal of Public Health · 2026
- Electronic cigarette use after smoking cessation and lung cancer risk · Nature Medicine · 2026
- Complementary and Alternative Therapies in Tobacco Cessation: A Systematic Review · Journal of Postgraduate Medicine Education and Research · 2026
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