addictions

According to a Lancet Public Health commission on commercial gambling, stricter regulations are needed on a global scale to reduce its impact on health and wellbeing worldwide. The authors argue that the harms caused by gambling are a threat to public health, exacerbated by the rapid expansion and digital transformation of the industry. These harms include physical and mental health problems, increased risk of suicide, gender-based violence and financial problems.

Studies associating the consumption of low amounts of alcohol with health benefits are not of good scientific quality, says a meta-analysis pooling the findings of 107 previous papers. For example, studies may use a reference group of older adults who have given up or limited alcohol for health reasons. Compared to those who continue to drink, the latter appear to be in better health, notes the article, published in the Journal of Studies on Alcohol and Drugs.

A clinical trial in Finland has compared the effectiveness of nicotine-containing e-cigarettes and varenicline tablets for smoking cessation. The study, which included 458 participants, found no difference between the two strategies at six months. However, after one year, only varenicline was found to be clearly more effective than placebo. The results are published in the journal JAMA Internal Medicine.  

A journalistic investigation by The Investigative Desk (Netherlands) and The BMJ (UK) concludes that tobacco industry-funded studies continue to appear in the most cited medical journals. The team of journalists found hundreds of links in the PubMed database between the medical and pharmaceutical subsidiaries of the big tobacco companies - Philip Morris International, Altria, British American Tobacco, Imperial Brands and Japan Tobacco International - and published medical research. In addition, the research revealed that of 40 journals - the 10 most cited in general medicine and another 30 in areas affected by smoking - only eight had policies prohibiting studies funded in whole or in part by the tobacco industry. 

E-cigarettes, vapes, pods, mods... The popularity of these devices continues to grow, especially among young people. According to a Spanish survey, more than half of the adolescents aged 14 to 18 have used them at some point. Vaping control varies from country to country: in Spain, vaping products have been regulated since 2017 and the new anti-smoking plan aims to equate their legislation to that of tobacco, while the United States imposes fewer restrictions. In this brief guide, we explain what is known and not known on controversial issues such as the safety of electronic cigarettes, their risks or whether they are useful to quit tobacco.

This Friday, the Interterritorial Council of the National Health System approved the Comprehensive Plan for the Prevention and Control of Smoking (PIT). The document, which incorporates 147 proposals from the autonomous communities, has not achieved consensus among all of them.
 

In pregnant women, neither regular use of electronic cigarettes nor nicotine replacement therapy is associated with unfavorable effects, according to a trial involving 1,140 pregnant smokers in England and Scotland. The authors analyzed the association between nicotine consumption by the two routes - vaping and nicotine patches - with parameters including infant birth weight, miscarriages, premature births and respiratory symptoms in the mother. The research is published in the scientific journal Addiction.

Brain lesions that cause spontaneous remission of tobacco addiction in humans affect a brain circuit common to different addictive behaviours, concludes a study published in Nature Medicine. Understanding this brain network opens the way to new therapies against addiction.