Tobacco and HIV | Division of Cancer Control and Population Sciences (DCCPS)

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class="page-title"> <div class="container"> <div class="row"> <div class="col-lg-12"> <h1 class="page-header"> <span>Tobacco and HIV</span> </h1> </div>  </div>  </div>  </div> <ol class="breadcrumb"> <li > <a href="/brp">Behavioral Research Program</a> </li> <li > <a href="/brp/tcrb">Tobacco Control Research Branch (TCRB)</a> </li> <li > Tobacco and HIV </li> </ol> <article data-history-node-id="314" class="general-purpose-content full clearfix"> <div class="content"> <div class="row"> <div class="container"> <div class="row"> <nav role="navigation" aria-label="side menu" class="col-md-3 hidden-xs hidden-sm side-menu" > <div class="section-menu"> <section class="block block-icfi-section-menu block-icfi-section-menu-block clearfix"> <h2 class="block-title">Section Menu</h2> <ul class="menu menu--main-navigation-brp nav"> <li> <a href="/brp/tcrb/cancer-patient-tobacco-use" data-drupal-link-system-path="node/9224">Assessing Cancer Patient Tobacco Use </a> </li> <li> <a 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<a href="/brp/tcrb/smoking-cessation" data-drupal-link-system-path="node/5738">Smoking Cessation</a> </li> <li class="active active-trail"> <a href="/brp/tcrb/tobacco-hiv" class="active-trail is-active" data-drupal-link-system-path="node/314" aria-current="page">Tobacco and HIV </a> </li> <li> <a href="/brp/tcrb/monographs" data-drupal-link-system-path="brp/tcrb/monographs">Tobacco Control Monograph Series</a> </li> <li> <a href="/brp/tcrb/tobacco-regulatory-science" data-drupal-link-system-path="node/9231">Tobacco Regulatory Science </a> </li> <li> <a href="/brp/tcrb/treating-tobacco-use-cancer-care-settings" data-drupal-link-system-path="node/14886">Treating Tobacco Use in Cancer Care Settings</a> </li> <li class="last"> <a href="/brp/tcrb/tus-cps" data-drupal-link-system-path="node/9232">TUS-CPS</a> </li> </ul> </section> </div> </nav> <div class="col-md-9"> <div class="field field--name-field-intro field--type-text-long field--label-hidden field--item"><div class="row"> <div class="col-sm-4 col-sm-push-8"> <div class="sidebar-box"> <p><b>On this page:</b></p> <ul class="list-unstyled"> <li> <p><a href="#funding">Funding Opportunities</a></p> </li> <li> <p><a href="#selectedgrants">Selected Grants</a></p> </li> <li> <p><a href="#articles">Publications</a></p> </li> <li> <p><a href="#Contacts">Contacts</a></p> </li> </ul> </div> </div> <div class="col-sm-8 col-sm-pull-4"> <p>Over 1.2 million people in the US are living with human immunodeficiency virus (HIV), and an estimated 34-47% smoke cigarettes. Lung cancer is the leading cause of cancer death among people with HIV (PWH) on antiretroviral therapy. It is estimated that life expectancy among HIV-positive smokers is reduced by at least 16 years compared with HIV-positive nonsmokers, and that 94% of lung cancer diagnoses among PWH could potentially be prevented by eliminating cigarette smoking in this population.</p> <p>While tobacco use has been slowly declining in most high-income countries, including the US, this is not necessarily the case in many low- and middle- income countries (LMICs), including those where the HIV burden is also high. Already, a disproportionate share of the global tobacco burden falls on LMICs, where 84% of the world’s 1.3 billion current smokers reside. While advances in HIV treatment have contributed to longer lifespans in PWH, many LMICs are now facing a “double burden” of disease - a rise in the prevalence of non-communicable diseases (NCDs), such as cancer and heart disease, alongside a persistent burden of infectious diseases such as HIV.</p> </div> </div> <p>The high prevalence of cigarette smoking and the high incidence of tobacco-related cancer and other smoking-related diseases among PWH call for swift action to intervene with this population to drive down tobacco use rates. However, evidence to guide the care of HIV-positive smokers is lacking. Few randomized clinical trials have rigorously and systematically tested evidence-based tobacco cessation interventions among PWH, and few studies have addressed patient-level, provider-level, and systems- or contextual-level barriers to successful smoking cessation among PWH.</p> <h2 id="funding">Funding Opportunities</h2> <h3>Improving Smoking Cessation Interventions among People Living with HIV (PWH)</h3> <p>To reach the long-term goal of reducing cigarette smoking rates among PWH, NCI is funding research to assess existing evidence-based smoking cessation interventions and/or to develop and test adaptations of evidence-based smoking cessation interventions, focusing on the unique barriers to cessation in this population.</p> <p>In 2019, NCI began by awarding six grants under the RFAs (<a href="https://grants.nih.gov/grants/guide/rfa-files/RFA-CA-18-027.html">R01</a>, <a href="https://grants.nih.gov/grants/guide/rfa-files/RFA-CA-18-028.html">R21</a>) <em>Improving Smoking Cessation Interventions among People Living with HIV. A second issuance of the RFAs was released in 2021 and an additional four grants were awarded. In addition, meritorious investigator-initiated applications have been awarded.</em> These awards support research to systematically test existing evidence-based smoking cessation interventions and/or develop and evaluate adaptations of evidence-based smoking cessation interventions for PWH in the US. The funded research will address crosscutting areas of health disparities, behavioral, and social sciences research, and inform dissemination efforts to reduce the incidence of tobacco-related disease and death among PWH, in accordance with the highest HIV/AIDS research priorities identified by NIH.</p> <h3>Tobacco Use and HIV in Low- and Middle-Income Countries (LMICs)</h3> <p>NCI also supports research to develop and evaluate tobacco cessation interventions tailored to HIV-positive populations, including those with comorbidities such as tuberculosis, in low-resource settings in LMICs.</p> <p>NCI has awarded grants through multiple mechanisms, including two PARs, <em>Tobacco Use and HIV in Low- and Middle-Income Countries </em>(<a href="https://grants.nih.gov/grants/guide/pa-files/PAR-18-023.html">R01</a>, <a href="https://grants.nih.gov/grants/guide/pa-files/PAR-18-022.html">R21</a>). In 2020, NCI published an RFA on <em>Tobacco Use and HIV in Low- and Middle-Income Countries</em> (<a href="https://grants.nih.gov/grants/guide/rfa-files/RFA-CA-20-037.html">U01</a><em>). </em>The goal of the<em> </em>RFA is to bring together transdisciplinary teams of investigators to adapt interventions developed and tested in other challenging settings or low-resource populations and to test their robustness among PWH in LMICs. The RFA uses a U01 cooperative agreement mechanism to facilitate coordination and collaboration across funded projects.</p> <p>These are high-priority research areas for NCI, and we welcome new applications using the <a href="/brp/funding/funding-opportunities" target="_blank">omnibus and parent notices of funding opportunities</a>.</p> <h2 id="selectedgrants">Selected Grants</h2> <div class="table-responsive"> <table class="table table-striped table-bordered table-condensed blue-header" summary="Cancer Center Supplement Initiatives"> <tbody> </tbody> <thead> <tr> <td width="40%"><strong>Project Title</strong></td> <td width="30%"><strong>Project Number</strong></td> <td width="30%"><strong>Contact</strong></td> </tr> </thead> <tbody> <tr> <td width="40%">Optimizing Tobacco Treatment Delivery for People Living with HIV</td> <td width="30%"><a href="https://reporter.nih.gov/search/LOUS4_CWKUqZt_j2LF__sg/project-details/10253554">1R01CA261232-01</a></td> <td width="30%">Alana Rojewski, PhD<br /> <a href="https://staffprofiles.cancer.gov/brp/granteeProfile.do?contactId=34496327&name=Alana-Rojewski&grpId=52814">Featured Grantee profile</a></td> </tr> <tr> <td width="40%">mHealth Messaging to Motivate Quitline use and Quitting among Persons Living with HIV in Vietnam (M2Q2-HIV)</td> <td width="30%"><a href="https://reporter.nih.gov/search/FtU-6Y8Mt0a8TWd8dUyg9A/project-details/10268827">1U01CA261604-01</a></td> <td width="30%">Rajani Sadasivam, PhD<br /> Hoa Nguyen, MD, PhD, MS</td> </tr> <tr> <td width="40%">Testing Novel Pharmacogenetic and Adherence Optimization Treatments to Improve the Effectiveness of Smoking Cessation Treatments for Smokers with HIV</td> <td width="30%"><a href="https://projectreporter.nih.gov/project_info_description.cfm?aid=9846904&icde=46770399&ddparam=&ddvalue=&ddsub=&cr=1&csb=default&cs=ASC&pball=">1R01CA243914-01</a></td> <td width="17%">Robert Schnoll, PhD<br /> Robert Gross, MD, MSCE</td> </tr> <tr> <td width="40%">Trial of a Harm Reduction Strategy for People With HIV Who Smoke Cigarettes</td> <td width="30%"><a href="https://reporter.nih.gov/search/_50I-KoMe0imSsjw_UKi_w/project-details/10696463">1R01CA275521-01</a></td> <td width="30%">Jonathan Shuter, MD</td> </tr> </tbody> </table> </div> <div class="accordion-heading"><a aria-controls="collapse" class="btn btn-accordion accordion-toggle collapsed" data-target="#past" data-toggle="collapse" id="activities-icon" tabindex="0"> <div class="accordion-icon"><span class="glyphicon glyphicon-plus"></span></div> <div class="accordion-title" id="articles">Past Funding Opportunities</div> </a></div> <div class="accordion-body collapse" id="past"> <div class="accordion-inner"> <p><a href="https://grants.nih.gov/grants/guide/rfa-files/rfa-ca-18-027.html">RFA-CA-18-027</a> (R01 Clinical Trial Optional), reissued as <a href="https://grants.nih.gov/grants/guide/rfa-files/rfa-ca-20-035.html">RFA-CA-20-035</a> <br /> <a href="https://grants.nih.gov/grants/guide/rfa-files/RFA-CA-18-028.html">RFA-CA-18-028</a> (R21 Clinical Trial Optional), reissued as <a href="https://grants.nih.gov/grants/guide/rfa-files/rfa-ca-20-036.html">RFA-CA-20-036</a></p> <p><a href="https://grants.nih.gov/grants/guide/pa-files/PAR-17-086.html">PAR-17-086</a> (R21 Clinical Trial Optional), reissued as <a href="https://grants.nih.gov/grants/guide/pa-files/PAR-18-022.html">PAR-18-022</a><br /> <a href="https://grants.nih.gov/grants/guide/pa-files/PAR-17-087.html">PAR-17-087</a> (R01 Clinical Trial Optional), reissued as <a href="https://grants.nih.gov/grants/guide/pa-files/PAR-18-023.html">PAR-18-023</a></p> <p><a href="https://grants.nih.gov/grants/guide/rfa-files/RFA-CA-20-037.html">PAR-18-023</a> (U01 Research Project – Cooperative Agreements)</p> <p><a href="/brp/events/improving-smoking-cessation-interventions-among-people-living-with-hiv">Helpful Resources</a></p> </div> </div> <div class="accordion-heading"><a aria-controls="collapse" class="btn btn-accordion accordion-toggle collapsed" data-target="#publications" data-toggle="collapse" id="activities-icon" tabindex="0"> <div class="accordion-icon"><span class="glyphicon glyphicon-plus"></span></div> <div class="accordion-title" id="articles">Selected Publications</div> </a></div> <div class="accordion-body collapse" id="publications"> <div class="accordion-inner"> <p>Cioe, P.A., Schnoll, R., Hoeppner, B.B., Gross, R., Hitsman, B.L., Leone, F.T., Ashare, R., Vilardaga, R., Tashima, K., Pinkston, M., Kahler, C.W. (2023). <a href="https://pubmed.ncbi.nlm.nih.gov/36357808/" rel="nofollow noopener" target="_blank" title="Follow link">The Impact of the COVID-19 Pandemic on Stress, Isolation, Smoking Behaviors, and Motivation to Quit in People with HIV Who Smoke</a>. AIDS Behav. 2023 Jun;27(6):1862-1869. doi: 10.1007/s10461-022-03917-w. PMID: 36357808; PMCID: PMC9649403.</p> <p>Sanford, B. T., Toll, B. A., Eckard, A. R., Sterba, K. R., Cummings, K. M., Baker, N. L., & Rojewski, A. M. (2022). <a href="https://pubmed.ncbi.nlm.nih.gov/36335376/" rel="nofollow noopener" target="_blank" title="Follow link">Optimizing tobacco treatment delivery for people with HIV: trial protocol for a randomized controlled trial</a> Addict Scientist Clinical Practice. 2022 Nov 5;17(1):61. doi: 10.1186/s13722-022-00341-2. PMID: 36335376; PMCID: PMC9636678.</p> <p>Schnoll R, Bernstein SL, Kaufman A, et al. <a href="https://pubmed.ncbi.nlm.nih.gov/33657227/">COVID-19 Challenges Confronted by Smoking Cessation Clinical Trials for People Living with HIV: The Experience of Grantees of the United States National Cancer Institute</a>. <em>Nicotine & Tobacco Research</em>, 2021, Aug 18;23(9):1629-1632. doi: 10.1093/ntr/ntab035.</p> <p>Ashare RL, Bernstein SL, Schnoll R, et al. <a href="https://pubmed.ncbi.nlm.nih.gov/32803251/">The United States National Cancer Institute's Coordinated Research Effort on Tobacco Use as a Major Cause of Morbidity and Mortality among People with HIV</a>. <em>Nicotine & Tobacco Research</em>. 2021, Jan 22;23(2):407-410. doi: 10.1093/ntr/ntaa155.</p> <h3><strong>Contemporary Clinical Trials Collection</strong></h3> <h4><strong>Preface: </strong></h4> <p>Kaufman A, Ciccolo JT, Berzon RA, Edelman EJ. <a href="https://pubmed.ncbi.nlm.nih.gov/34400363/">Preface to special collection of articles on interventions for promoting smoking cessation among individuals with HIV</a> [published online ahead of print, 2021 Aug 13]. Contemporary Clinical Trials. 2021;106518. doi:10.1016/j.cct.2021.106518</p> <h4><strong>Articles:</strong></h4> <p>McClure JB, Catz SL, Chalal C, Ciuffetelli R, Coggshall S, DeFaccio RJ, Fleehart S, Heffner JL, Thompson E, Williams EC, Crothers K. Design and methods of a randomized trial testing the novel Wellness Intervention for Smokers Living with HIV (WISH). Contemporary Clinical Trials. 2021. Epub ahead of print.</p> <p>Marhefka S, Lockhart E, Chen H, Meng H, Reina Ortiz M, Powell B, Shuter J. <a href="https://pubmed.ncbi.nlm.nih.gov/34116206/">A tailored telehealth group tobacco cessation treatment program for people with HIV: Study protocol for a randomized controlled trial.</a> Contemporary Clinical Trials. 2021 Jun 8:106475. doi: 10.1016/j.cct.2021.106475. Epub ahead of print. PMID: 34116206.</p> <p>Cioe PA, Pinkston M, Tashima KT, Kahler CW. <a href="https://pubmed.ncbi.nlm.nih.gov/33992767/">Peer navigation for smoking cessation in smokers with HIV: Protocol for a randomized clinical trial.</a> Contemporary Clinical Trials. 2021 May 14:106435. doi: 10.1016/j.cct.2021.106435. Epub ahead of print. PMID: 33992767.</p> <p>Quinn MH, Bauer AM, Fox EN, Hatzell J, Randle T, Purnell J, Rogers T, Stevens N, Leone F, Achenbach C, Wileyto EP, Josephson S, Gollan J, Ashare R, Hitsman B, Schnoll R, Gross R. <a href="https://pubmed.ncbi.nlm.nih.gov/33901574/">Rationale and design of a randomized factorial clinical trial of pharmacogenetic and adherence optimization strategies to promote tobacco cessation among persons with HIV.</a> Contemporary Clinical Trials. 2021 Apr 24:106410. doi: 10.1016/j.cct.2021.106410. Epub ahead of print. PMID: 33901574.</p> <p>Edelman EJ, Dziura J, Deng Y, Bold KW, Murphy SM, Porter E, Sigel KM, Yager JE, Ledgerwood DM, Bernstein SL. <a href="https://pubmed.ncbi.nlm.nih.gov/33794354/">A SMART approach to treating tobacco use disorder in persons with HIV (SMARTTT): Rationale and design for a hybrid type 1 effectiveness-implementation study.</a> Contemporary Clinical Trials. 2021 Mar 29:106379. doi: 10.1016/j.cct.2021.106379. Epub ahead of print. PMID: 33794354.</p> </div> </div> </div> </div> </div> </div> <div class="container"> <div class="row"> </div> </div> <div class="container"> <h2 id="Contacts">Contacts</h2> <div class="row gp-contact"> <div class="col-md-6"> <div class="card box box-profile-md"> <div class="row"> <div class="col-xs-4 col-sm-4 col-md-4"> <div class="staff-headshot"> <img class="img-responsive" src="/sites/default/files/2024-05/kaufman_annette_1360246900.jpg" loading="lazy" alt="Annette Kaufman, PhD, MPH" > </div> </div> <div class="col-xs-8 col-sm-8 col-md-8"> <h3 class="first"><a href="/brp/staff/annette-kaufman"> Annette Kaufman, PhD, MPH </a></h3> <div class="staff-title">Program Director</div> <p> <div class="field field--name-field-email field--type-email field--label-hidden field--item"><a href="mailto:kaufmana@mail.nih.gov">kaufmana@mail.nih.gov</a></div> </p> </div> </div> </div> </div> <div class="col-md-6"> <div class="card box box-profile-md"> <div class="row"> <div class="col-xs-4 col-sm-4 col-md-4"> <div class="staff-headshot"> <img class="img-responsive" src="/sites/default/files/2020-06/parascandola_mark_1572923590.jpg" loading="lazy" alt="Mark Parascandola, PhD, MPH" > </div> </div> <div class="col-xs-8 col-sm-8 col-md-8"> <h3 class="first"><a href="/brp/staff/mark-parascandola"> Mark Parascandola, PhD, MPH </a></h3> <div class="staff-title">Branch Chief, CGH</div> <p> <div class="field field--name-field-email field--type-email field--label-hidden field--item"><a href="mailto:paramark@mail.nih.gov">paramark@mail.nih.gov</a></div> </p> </div> </div> </div> </div> <div class="col-md-6"> <div class="card box box-profile-md"> <div class="row"> <div class="col-xs-4 col-sm-4 col-md-4"> <div class="staff-headshot"> <img class="img-responsive" src="/sites/default/files/2021-10/Joe%20Ciccolo%2C%20Square.jpg" loading="lazy" alt="Joseph T. 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href="/brp/tcrb/cancer-center-cessation-initiative" data-drupal-link-system-path="node/267">Cancer Center Cessation Initiative </a> </li> <li class="menu-item--_38333c8-9c96-4411-92d2-804c5848946d menu-name--main-navigation-brp"> <a href="/brp/tcrb/collaborative-addiction-research" data-drupal-link-system-path="node/312">Collaborative Research on Addiction at NIH</a> </li> <li class="menu-item--ea1aba82-9505-4785-8f19-924f012b9a84 menu-name--main-navigation-brp"> <a href="/brp/tcrb/co-use-tobacco-alcohol-cannabis" data-drupal-link-system-path="node/13676">Co-Use of Tobacco with Alcohol and Cannabis</a> </li> <li class="menu-item--_b9016a0-e478-4320-893c-518c50745c30 menu-name--main-navigation-brp"> <a href="/brp/tcrb/electronic-nicotine-delivery-systems" data-drupal-link-system-path="node/9954">Electronic Nicotine Delivery Systems (ENDS) Use</a> </li> <li class="menu-item--_06b61a8-a643-4bd8-9977-643c870cff49 menu-name--main-navigation-brp"> <a href="/brp/tcrb/international-tobacco-research" data-drupal-link-system-path="node/6376">International Research on Tobacco Use </a> <ul> <li class="menu-item--c1b572a3-6079-47f0-9ced-9113cdecddee menu-name--main-navigation-brp"> <a href="/brp/tcrb/smokeless-tobacco" data-drupal-link-system-path="node/5739">Smokeless Tobacco and Public Health</a> </li> </ul> </li> <li class="menu-item--e45696b6-3cad-4f71-8877-9662fb72cf3b menu-name--main-navigation-brp"> <a href="/brp/tcrb/scale-collaboration" data-drupal-link-system-path="node/7081">SCALE Collaboration </a> </li> <li class="menu-item--_42588b3-882e-4d49-8c76-1b8dbd81f86b menu-name--main-navigation-brp"> <a href="/brp/tcrb/secondhand-smoke-exposure" data-drupal-link-system-path="node/9230">Secondhand Smoke Exposure </a> </li> <li class="menu-item--_97985dc-4655-4321-8d7f-4ea083e87225 menu-name--main-navigation-brp"> <a href="/brp/tcrb/smoking-cessation" data-drupal-link-system-path="node/5738">Smoking Cessation</a> </li> <li class="menu-item--_e93fc9c-368a-4a4b-bc3e-cb58f7024d04 menu-name--main-navigation-brp menu-item--active-trail"> <a href="/brp/tcrb/tobacco-hiv" data-drupal-link-system-path="node/314" class="is-active" aria-current="page">Tobacco and HIV </a> </li> <li class="menu-item--_9d10f1c-7ba9-4302-b9b1-15f1ef40f763 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs" data-drupal-link-system-path="brp/tcrb/monographs">Tobacco Control Monograph Series</a> <ul> <li class="menu-item--e89a536c-2c2b-4303-90b3-56ca5d8c186e menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-01" data-drupal-link-system-path="node/9710">Monograph 1</a> </li> <li class="menu-item--_67ff264-5bc9-4f0c-8a90-0e97720da8be menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-02" data-drupal-link-system-path="node/9709">Monograph 2</a> </li> <li class="menu-item--_21c5ee5-4373-457a-b4a6-80e691928013 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-03" data-drupal-link-system-path="node/9708">Monograph 3</a> </li> <li class="menu-item--df94229a-f5e9-4eb4-b29c-d1c4188014fb menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-04" data-drupal-link-system-path="node/9707">Monograph 4</a> </li> <li class="menu-item--_4fb2739-cac0-4483-8402-b3aec72a61ee menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-05" data-drupal-link-system-path="node/9706">Monograph 5</a> </li> <li class="menu-item--cf2a066d-3973-495f-bde3-b50c8e566ec5 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-06" data-drupal-link-system-path="node/9705">Monograph 6</a> </li> <li class="menu-item--_58a30cc-7a96-4779-b8c5-9952687da8cc menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-07" data-drupal-link-system-path="node/9704">Monograph 7</a> </li> <li class="menu-item--_b182ad4-915a-4d38-89da-687dd1940c41 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-08" data-drupal-link-system-path="node/9682">Monograph 8</a> </li> <li class="menu-item--_aed3030-0f9e-4019-995b-e1e7385642ed menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-09" data-drupal-link-system-path="node/9677">Monograph 9</a> </li> <li class="menu-item--_f7c681e-824b-40bd-84ab-c746abd28b1e menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-10" data-drupal-link-system-path="node/9676">Monograph 10</a> </li> <li class="menu-item--_79a581a-f87a-4eea-849b-28fc0d4bd759 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-11" data-drupal-link-system-path="node/9673">Monograph 11</a> </li> <li class="menu-item--_b2d15b6-7d8c-4434-9353-9bed3ad4b096 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-12" data-drupal-link-system-path="node/9487">Monograph 12</a> </li> <li class="menu-item--eccfcd4a-5fa4-4e67-a50c-31cce3518b78 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-13" data-drupal-link-system-path="node/9486">Monograph 13</a> </li> <li class="menu-item--_194aace-dc45-4a69-a321-0d718270725e menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-14" data-drupal-link-system-path="node/9485">Monograph 14</a> </li> <li class="menu-item--ea9cb7d9-055b-48da-b5b1-c9301cc682ec menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-15" data-drupal-link-system-path="node/9484">Monograph 15</a> </li> <li class="menu-item--_403ee85-4a9d-42e8-a6a1-a3eceeacd286 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-16" data-drupal-link-system-path="node/9483">Monograph 16</a> </li> <li class="menu-item--_882edd2-1685-41e8-8f87-60d4de17c51e menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-17" data-drupal-link-system-path="node/9482">Monograph 17</a> </li> <li class="menu-item--_b1597eb-70f2-4a55-b729-71e333554325 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-18" data-drupal-link-system-path="node/9481">Monograph 18</a> </li> <li class="menu-item--e2966010-6bc9-4670-acce-e48423751904 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-19" data-drupal-link-system-path="node/9480">Monograph 19</a> </li> <li class="menu-item--c42ad0cd-7271-4cd1-9d1a-9d27654734b6 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-20" data-drupal-link-system-path="node/9479">Monograph 20</a> </li> <li class="menu-item--f5852ba8-7f88-4271-87ce-40cc56c40479 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-21" data-drupal-link-system-path="node/9478">Monograph 21</a> </li> <li class="menu-item--_50b1a4b-f990-41a3-b498-02820e0fe252 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-22" data-drupal-link-system-path="node/9477">Monograph 22</a> </li> <li class="menu-item--_6468275-3bdc-4523-8724-da2681176d18 menu-name--main-navigation-brp"> <a href="/brp/tcrb/monographs/monograph-23" data-drupal-link-system-path="node/11631">Monograph 23</a> </li> </ul> </li> <li class="menu-item--cd8a161a-bb2e-42cd-9f9c-79ff5141c199 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tobacco-regulatory-science" data-drupal-link-system-path="node/9231">Tobacco Regulatory Science </a> </li> <li class="menu-item--bec5229f-9714-4df3-be62-a6b67250bfd4 menu-name--main-navigation-brp"> <a href="/brp/tcrb/treating-tobacco-use-cancer-care-settings" data-drupal-link-system-path="node/14886">Treating Tobacco Use in Cancer Care Settings</a> </li> <li class="menu-item--_2e95096-c19b-4d30-93a9-9903050a4ce5 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps" data-drupal-link-system-path="node/9232">TUS-CPS</a> <ul> <li class="menu-item--_de3cc06-e983-4c35-8ab8-75f519a18a89 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/survey-topics" data-drupal-link-system-path="node/266">Survey Topics </a> </li> <li class="menu-item--_bb2ad2c-2596-4bbf-b262-473a9e679801 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results" data-drupal-link-system-path="node/7792">TUS-CPS Results</a> <ul> <li class="menu-item--bf936090-60a9-4ed9-87b6-0b38ee584c50 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2022-2023" data-drupal-link-system-path="node/14181">2022-2023 TUS-CPS Data</a> </li> <li class="menu-item--abdf91f9-c77f-4215-bfcc-2c14ebf73617 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2018-2019" data-drupal-link-system-path="node/9264">2018-2019 TUS-CPS Data</a> <ul> <li class="menu-item--_fdc0508-ccc0-4fd1-8aae-5939fc8db607 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2018-2019/technical-notes" data-drupal-link-system-path="node/9266">2018–2019 Technical Notes</a> </li> <li class="menu-item--_19de239-47cd-4957-919b-be66f8426e99 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2018-2019/table-1" data-drupal-link-system-path="node/9265">Table 1: Smoking Status</a> </li> <li class="menu-item--_e5da30d-eb25-4859-91ea-ae214e2667d4 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2018-2019/table-2" data-drupal-link-system-path="node/9267">Table 2: Home & Work Environment</a> </li> <li class="menu-item--_c8981cb-4cab-4808-b3a3-778f80e5596f menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2018-2019/table-3" data-drupal-link-system-path="node/9268">Table 3: E-Cigarette Use</a> </li> </ul> </li> <li class="menu-item--_df472ca-258e-439a-9904-f7ac47a15278 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015" data-drupal-link-system-path="node/9236">2014-2015 TUS-CPS Data</a> <ul> <li class="menu-item--_02af063-8674-42ab-b1c6-c9d58e96d23b menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015/technical-notes" data-drupal-link-system-path="node/9237">2014–2015 Technical Notes </a> </li> <li class="menu-item--_07c437b-98c0-4706-9892-cb17327e9cad menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015/table-1" data-drupal-link-system-path="node/9238">Table 1: Smoking Status </a> </li> <li class="menu-item--_03f9641-02f8-489b-89b2-c2dc6c43df52 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015/table-2" data-drupal-link-system-path="node/9326">Table 2: Home and Work Environment</a> </li> <li class="menu-item--_0dc96f9-a778-4a4c-8492-4ace6895625e menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015/table-3" data-drupal-link-system-path="node/9344">Table 3: Quit Attempts & Cessation </a> </li> <li class="menu-item--bc0bd6dd-536a-422f-8453-e457f3b5fe00 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015/table-4" data-drupal-link-system-path="node/9345">Tables 4a/4b/4c: Use of Other Tobacco Products</a> </li> <li class="menu-item--e02e11a8-3d32-4aeb-8333-93d08bb608b4 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015/table-5" data-drupal-link-system-path="node/9349">Table 5: Various Unique Items </a> </li> <li class="menu-item--ff7aee72-2d3b-4f91-8bb8-3ee8459f41f4 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2014-2015/table-6" data-drupal-link-system-path="node/9351">Table 6: Attitudes Toward Smoking in Public</a> </li> </ul> </li> <li class="menu-item--e3980641-c615-4687-ac9f-85b08154d30b menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011" data-drupal-link-system-path="node/7793">2010-2011 TUS-CPS Data</a> <ul> <li class="menu-item--_9350920-a0f6-40b5-b250-dc79d9144b02 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/technical-notes" data-drupal-link-system-path="node/7794">2010–2011 Technical Notes </a> </li> <li class="menu-item--_2eaac98-204c-4dc7-bd67-766502ace780 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/table-1" data-drupal-link-system-path="node/7795">Table 1: Smoking Status</a> </li> <li class="menu-item--_c088156-5d1d-4cbb-9244-c3abf5e5543b menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/table-2" data-drupal-link-system-path="node/8509">Table 2: Home & Work Environment</a> </li> <li class="menu-item--eff916ec-224a-416e-9ada-bc3bea9a1817 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/table-3" data-drupal-link-system-path="node/8510">Table 3: Quit Attempts & Cessation </a> </li> <li class="menu-item--_0556f2d-57c5-4d97-a237-7b7a08623814 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/table-4" data-drupal-link-system-path="node/8511">Tables 4/4b: Use of Other Tobacco Products</a> </li> <li class="menu-item--_e2e0ed0-316b-439d-a387-4562de8062ba menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/table-5" data-drupal-link-system-path="node/8512">Table 5: Various Unique Items </a> </li> <li class="menu-item--_048d6d9-bcfa-4d3d-9bfc-2a98200d7586 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/table-6" data-drupal-link-system-path="node/8513">Table 6: Attitudes Toward Smoking in Public</a> </li> <li class="menu-item--_09d5515-66e4-4d8e-8185-2fd5bd47048f menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2010-2011/table-7" data-drupal-link-system-path="node/8514">Table 7: Cessation Treatments & Methods </a> </li> </ul> </li> <li class="menu-item--e976c799-decf-4fea-bf2b-f9b5a5a5bea2 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007" data-drupal-link-system-path="node/9299">2006-2007 TUS-CPS Data</a> <ul> <li class="menu-item--c47775df-1464-445c-950e-c52cbe1b48fe menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007/technical-notes" data-drupal-link-system-path="node/9327">2006–2007 Technical Notes </a> </li> <li class="menu-item--c190ee6f-4b2b-4043-814d-d6f56e53dd4f menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007/table-1" data-drupal-link-system-path="node/9328">Table 1: Smoking Status</a> </li> <li class="menu-item--_3aa97e3-bd0b-44fe-baec-28158552f2ec menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007/table-2" data-drupal-link-system-path="node/9329">Table 2: Home & Work Environment</a> </li> <li class="menu-item--ae990862-aed9-4716-83ee-0145c7c0d187 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007/table-3" data-drupal-link-system-path="node/9330">Table 3: Quit Attempts & Cessation </a> </li> <li class="menu-item--_1566fb3-e91b-4214-b0e3-69a2917e9244 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007/table-4" data-drupal-link-system-path="node/9331">Table 4: Use of Other Tobacco Products</a> </li> <li class="menu-item--_b685bf5-1a23-44d3-9bfd-8f6305623c7d menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007/table-5" data-drupal-link-system-path="node/9332">Table 5: Various Unique Items </a> </li> <li class="menu-item--_8cb986d-d56e-4be1-b5c3-8dbae83ad113 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2006-2007/table-6" data-drupal-link-system-path="node/9333">Table 6: Attitudes Toward Smoking in Public</a> </li> </ul> </li> <li class="menu-item--_fedc190-1e5a-4344-9395-91dee2fa0ac7 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2003" data-drupal-link-system-path="node/9233">2003 TUS-CPS Data</a> <ul> <li class="menu-item--df0c179e-2d82-4c56-b93b-daa2fe88d8aa menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2003/technical-notes" data-drupal-link-system-path="node/9234">2003 Technical Notes </a> </li> <li class="menu-item--_69441c9-9de6-44ea-8c7b-3fd3d8edc347 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2003/table-1" data-drupal-link-system-path="node/9272">Table 1: Smoking Status</a> </li> <li class="menu-item--_1b13491-cbff-4a44-a623-169267f873d4 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2003/table-2" data-drupal-link-system-path="node/9273">Table 2: Home & Work Environment</a> </li> <li class="menu-item--_ecc8501-1b78-4bcf-8fdc-72bfd54a0d4b menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2003/table-3" data-drupal-link-system-path="node/9274">Table 3: Quit Attempts & Cessation </a> </li> <li class="menu-item--_5efe8f6-db43-4c74-93d2-eefda0cf3a23 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2003/table-4" data-drupal-link-system-path="node/9275">Table 4: Use of Other Tobacco Products</a> </li> <li class="menu-item--b71a9fbb-9d76-4b8a-852f-9fbe34c30447 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2003/table-5" data-drupal-link-system-path="node/9276">Table 5: Various Unique Items </a> </li> </ul> </li> <li class="menu-item--_45f41b2-a8fe-4f56-9ea7-0c7b50a1c874 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2001-2002" data-drupal-link-system-path="node/397">2001-2002 TUS-CPS Data</a> <ul> <li class="menu-item--a62b6160-3093-49f8-a5f5-b7aea6126d64 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2001-2002/technical-notes" data-drupal-link-system-path="node/398">2001–2002 Technical Notes </a> </li> <li class="menu-item--ab39d9b0-3fbf-43cd-9a54-12d8eac8de41 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2001-2002/table-1" data-drupal-link-system-path="node/399">Table 1: Smoking Status</a> </li> <li class="menu-item--_0ef3768-c1e4-497d-bdb1-aca10fd81365 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2001-2002/table-2" data-drupal-link-system-path="node/2787">Table 2: Home & Work Environment</a> </li> <li class="menu-item--_c94b1b8-78ac-4b37-ad70-37c39eb62500 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2001-2002/table-3" data-drupal-link-system-path="node/2788">Table 3: Attitudes Toward Smoking in Public</a> </li> <li class="menu-item--a3796d8d-5053-4128-bbcd-f9f7b2838cb1 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2001-2002/table-4" data-drupal-link-system-path="node/2789">Table 4: Quit Attempts and Cessation</a> </li> </ul> </li> <li class="menu-item--_a4926bd-cc05-4346-aa29-a862b665a4f9 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/2000" data-drupal-link-system-path="node/14176">2000 TUS-CPS Data</a> </li> <li class="menu-item--_512924b-9f5b-4855-8c63-6d459f8cd397 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1998-1999" data-drupal-link-system-path="node/9353">1998-1999 TUS-CPS Data</a> <ul> <li class="menu-item--_11f15a8-6f95-4cd5-aa7d-a58dcc0c143c menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1998-1999/technical-notes" data-drupal-link-system-path="node/9356">1998–1999 Technical Notes </a> </li> <li class="menu-item--_88b2191-596a-49ee-b15c-2d5887085857 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1998-1999/table-1" data-drupal-link-system-path="node/9357">Table 1: Smoking Status</a> </li> <li class="menu-item--_e9e55c4-8393-4d9d-a521-0b3f90f17cb6 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1998-1999/table-2" data-drupal-link-system-path="node/9358">Table 2: Home & Work Environment</a> </li> <li class="menu-item--ec4e60d2-e6eb-49c6-88f0-225aaa67e5fe menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1998-1999/table-3" data-drupal-link-system-path="node/9359">Table 3: Attitudes Toward Smoking in Public</a> </li> <li class="menu-item--_1d11517-eb66-4657-8fcd-8b2279585e6e menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1998-1999/table-4" data-drupal-link-system-path="node/9360">Table 4. Quit Attempts and Cessation</a> </li> </ul> </li> <li class="menu-item--af47e004-f7e4-4bd5-96b5-7ff29d3d6250 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1995-1996" data-drupal-link-system-path="node/14171">1995-1996 TUS-CPS Data</a> </li> <li class="menu-item--ec8a3f52-044f-41e1-bc66-99fde9cc603b menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/results/1992-1993" data-drupal-link-system-path="node/14166">1992-1993 TUS-CPS Data</a> </li> </ul> </li> <li class="menu-item--_53c22b0-aed0-4b49-9651-c9957dcf6cf4 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/frequently-asked-questions" data-drupal-link-system-path="node/394">FAQs</a> </li> <li class="menu-item--ba490356-34ea-41bc-a556-75166fbd21ed menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/workshops" data-drupal-link-system-path="node/9209">User Workshops & Webinars</a> <ul> <li class="menu-item--_6867aa7-4c3b-43c5-a6dd-f699d66c3849 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/workshops/2007" data-drupal-link-system-path="node/9210">2007 Workshop</a> <ul> <li class="menu-item--baedb4b2-97b4-4a53-8ca1-cc6635324cf5 menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/workshops/2007/state-data-tables" data-drupal-link-system-path="node/9211">2007 State Data Tables</a> </li> <li class="menu-item--_933cdd0-e99d-4c37-a7bb-3ae6581656dc menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/workshops/2007/health-professional-advice-to-quit-smoking" data-drupal-link-system-path="node/9212">Health Professional Advice to Quit Smoking</a> </li> <li class="menu-item--_1253dcc-865a-44b7-b089-dbe174257aaf menu-name--main-navigation-brp"> <a href="/brp/tcrb/tus-cps/workshops/2007/smoking-in-public-restaurants-hospitals-indoor-work" data-drupal-link-system-path="node/9213">Attitudes Toward Smoking in Restaurants, Hospitals, & Indoor Work Areas</a> </li> <li class="menu-item--a6845ce4-9df9-4f0b-9e39-ee1f233234db 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