"Exploring Global Research Trends on Smoking and Mental Health" by Martaria Rizky Rinaldi and Jelang Hardika
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Jurnal Ekonomi Kependudukan dan Keluarga

Abstract

This bibliometric analysis explores global trends, author productivity, institutional and country contributions, citation patterns, and thematic relationships in the literature linking smoking and mental health. Data from the Scopus database were retrieved using specific keyword combinations related to smoking and mental health, resulting in 1,782 eligible articles after filtering for research quality. The study examines publication trends, identifies high-impact studies, and maps thematic clusters in the field. Results indicate a notable increase in publications after 2000, driven by growing recognition of smoking's impact on mental well-being and the integration of mental health considerations in tobacco control policies. Thematic mapping reveals key areas of focus, including smoking cessation interventions, the neuropsychological effects of nicotine, and socio-economic factors influencing smoking behavior. Despite significant progress, critical gaps remain, particularly in research from low- and middle-income countries, minority populations, and the long-term effectiveness of interventions. This study calls for a more inclusive approach to future research to develop culturally sensitive and accessible interventions, ultimately improving global health outcomes.

References

Aljohani, F. A., Alzubaidi, B. Y., Al-Rafdan, R. H., Alblawi, H. M., Alrehayan, R. H., Alsenan, G. A., Almohaya, H. S., & Taha, M. M. (2024). E-cigarette use, psychological distress, and daily activity participation among adults in Riyadh. Frontiers in Psychiatry, 15. https://doi.org/10.3389/fpsyt.2024.1362233

Anda, R. F. (1990). Depression and the dynamics of smoking. JAMA, 264(12), 1541. https://doi.org/10.1001/jama.1990.03450120053028

Arias, D., Saxena, S., & Verguet, S. (2022a). Quantifying the global burden of mental disorders and their economic value. EClinicalMedicine, 54, 101675. https://doi.org/10.1016/j.eclinm.2022.101675

Arias, D., Saxena, S., & Verguet, S. (2022b). Quantifying the global burden of mental disorders and their economic value. EClinicalMedicine, 54, 101675. https://doi.org/10.1016/j.eclinm.2022.101675

Asharani, P. V., Seet, V. a. L., Abdin, E., Kumar, F. D. S., Wang, P., Roystonn, K., Lee, Y. Y., Cetty, L., Teh, W. L., Verma, S., Mok, Y. M., Fung, D. S. S., Chong, S. A., & Subramaniam, M. (2020). Smoking and Mental Illness: Prevalence, Patterns and Correlates of Smoking and Smoking Cessation among Psychiatric Patients. International Journal of Environmental Research and Public Health, 17(15), 5571. https://doi.org/10.3390/ijerph17155571

Ashok, A. H., Mizuno, Y., & Howes, O. D. (2019). Tobacco smoking and dopaminergic function in humans: a meta-analysis of molecular imaging studies. Psychopharmacology, 236(4), 1119–1129. https://doi.org/10.1007/s00213-019-05196-1

Banks, E., Joshy, G., Korda, R. J., Stavreski, B., Soga, K., Egger, S., Day, C., Clarke, N. E., Lewington, S., & Lopez, A. D. (2019). Tobacco smoking and risk of 36 cardiovascular disease subtypes: fatal and non-fatal outcomes in a large prospective Australian study. BMC Medicine, 17(1). https://doi.org/10.1186/s12916-019-1351-4

Boksa P. (2017). Smoking, psychiatric illness and the brain. Journal of psychiatry & neuroscience : JPN, 42(3), 147–149. https://doi.org/10.1503/jpn.170060

Breslau, N., Peterson, E. L., Schultz, L. R., Chilcoat, H. D., & Andreski, P. (1998). Major depression and stages of smoking. Archives of General Psychiatry, 55(2), 161. https://doi.org/10.1001/archpsyc.55.2.161

Bricker, J. B., Rajan, K. B., Zalewski, M., Ramey, M., Peterson, A. V., & Andersen, M. R. (2009). Psychological and social risk factors in adolescent smoking transitions: a population-based longitudinal study. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 28(4), 439–447. https://doi.org/10.1037/a0014568

Chaiton, M., Fan, J., Bondy, S. J., Cohen, J. E., Dubray, J., Eissenberg, T., Kaufman, P., & Schwartz, R. (2024). E-Cigarette Dependence and Depressive Symptoms Among Youth. American journal of preventive medicine, 66(1), 104–111. https://doi.org/10.1016/j.amepre.2023.09.020

Chaiton, M., Fan, J., Bondy, S. J., Cohen, J. E., Dubray, J., Eissenberg, T., Kaufman, P., & Schwartz, R. (2023). E-Cigarette Dependence and Depressive Symptoms Among Youth. American Journal of Preventive Medicine, 66(1), 104–111. https://doi.org/10.1016/j.amepre.2023.09.020

Cheng, X., & Jin, C. (2022). The Association Between Smoking and Health-Related Quality of Life Among Chinese Individuals Aged 40 Years and Older: A Cross-Sectional Study. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.779789

Choi, S. H., Chan, R. R., & Lehto, R. H. (2019). Relationships Between Smoking Status and Psychological Distress, Optimism, and Health Environment Perceptions at Time of Diagnosis of Actual or Suspected Lung Cancer. Cancer nursing, 42(2), 156–163. https://doi.org/10.1097/NCC.0000000000000579

Craig, L., Fong, G. T., Chung-Hall, J., Puska, P., & WHO FCTC Impact Assessment Expert Group (2019). Impact of the WHO FCTC on tobacco control: perspectives from stakeholders in 12 countries. Tobacco control, 28(Suppl 2), s129–s135. https://doi.org/10.1136/tobaccocontrol-2019-054940

Daniel, B., Lawrence, D. E., McKenna, B. S., Saccone, P., McRae, T., Evins, A. E., & Anthenelli, R. M. (2024). Do tobacco regulatory and economic factors influence smoking cessation outcomes? A post-hoc analysis of the multinational EAGLES randomised controlled trial. i4(9), e079092. https://doi.org/10.1136/bmjopen-2023-079092

De Leon, J., & Diaz, F. J. (2005). A meta-analysis of worldwide studies demonstrates an association between schizophrenia and tobacco smoking behaviors. Schizophrenia Research, 76(2–3), 135–157. https://doi.org/10.1016/j.schres.2005.02.010

De Silva, R., Silva, D., Piumika, L., Abeysekera, I., Jayathilaka, R., Rajamanthri, L., & Wickramaarachchi, C. (2024). Impact of global smoking prevalence on mortality: a study across income groups. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-19336-6

DeAtley, T., Denlinger-Apte, R. L., Cioe, P. A., Colby, S. M., Cassidy, R. N., Clark, M. A., Donny, E. C., & Tidey, J. W. (2020). Biopsychosocial mechanisms associated with tobacco use in smokers with and without serious mental illness. Preventive Medicine, 140, 106190. https://doi.org/10.1016/j.ypmed.2020.106190

Etter, J., & Eissenberg, T. (2014). Dependence levels in users of electronic cigarettes, nicotine gums and tobacco cigarettes. Drug and Alcohol Dependence, 147, 68–75. https://doi.org/10.1016/j.drugalcdep.2014.12.007

Gallucci, G., Tartarone, A., Lerose, R., Lalinga, A. V., & Capobianco, A. M. (2020). Cardiovascular risk of smoking and benefits of smoking cessation. Journal of Thoracic Disease, 12(7), 3866–3876. https://doi.org/10.21037/jtd.2020.02.47

García-González, J., Ramírez, J., Howard, D. M., Brennan, C. H., Munroe, P. B., & Keers, R. (2020). The effects of polygenic risk for psychiatric disorders and smoking behaviour on psychotic experiences in UK Biobank. Translational psychiatry, 10(1), 330. https://doi.org/10.1038/s41398-020-01009-8

Glassman, A. H. (1990). Smoking, smoking cessation, and major depression. JAMA, 264(12), 1546. https://doi.org/10.1001/jama.1990.03450120058029

Gonzalez, M. O., Goudriaan, A. E., Périco, C. A., Waisman Campos, M., de Andrade, A. G., Bhugra, D., & Castaldelli-Maia, J. M. (2017). Neural Correlates of Depressive Symptoms in Smokers - A Systematic Review of Imaging Studies. Substance use & misuse, 52(14), 1809–1822. https://doi.org/10.1080/10826084.2017.1312447

Grana, R., Benowitz, N., & Glantz, S. A. (2014). E-Cigarettes. Circulation, 129(19), 1972–1986. https://doi.org/10.1161/circulationaha.114.007667

Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W., & Pickering, R. (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71(1), 7–16. https://doi.org/10.1016/s0376-8716(03)00070-x

Hammett, P. J., Japuntich, S. J., Sherman, S. E., Rogers, E. S., Danan, E. R., Noorbaloochi, S., El-Shahawy, O., Burgess, D. J., & Fu, S. S. (2021). Proactive tobacco treatment for veterans with posttraumatic stress disorder. Psychological trauma : theory, research, practice and policy, 13(1), 114–122. https://doi.org/10.1037/tra0000613

Hartmann-Boyce, J., Livingstone-Banks, J., Ordóñez-Mena, J. M., Fanshawe, T. R., Lindson, N., Freeman, S. C., Sutton, A. J., Theodoulou, A., & Aveyard, P. (2021). Behavioural interventions for smoking cessation: an overview and network meta-analysis. Cochrane Library, 2021(1). https://doi.org/10.1002/14651858.cd013229.pub2

Hoffman, S. J., Poirier, M. J. P., Rogers Van Katwyk, S., Baral, P., & Sritharan, L. (2019). Impact of the WHO Framework Convention on Tobacco Control on global cigarette consumption: quasi-experimental evaluations using interrupted time series analysis and in-sample forecast event modelling. BMJ (Clinical research ed.), 365, l2287. https://doi.org/10.1136/bmj.l2287

Huddlestone, L., Shoesmith, E., Pervin, J., Lorencatto, F., Watson, J., & Ratschen, E. (2022). A Systematic Review of Mental Health Professionals, Patients, and Carers' Perceived Barriers and Enablers to Supporting Smoking Cessation in Mental Health Settings. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 24(7), 945–954. https://doi.org/10.1093/ntr/ntac004

Javed, S., Usmani, S., Sarfraz, Z., Sarfraz, A., Hanif, A., Firoz, A., Baig, R., Sharath, M., Walia, N., Chérrez-Ojeda, I., & Ahmed, S. (2022). A Scoping Review of Vaping, E-Cigarettes and Mental Health Impact: Depression and Suicidality. Journal of community hospital internal medicine perspectives, 12(3), 33–39. https://doi.org/10.55729/2000-9666.1053

Javed, S., Usmani, S., Sarfraz, Z., Sarfraz, A., Hanif, A., Firoz, A., Baig, R., Sharath, M., Walia, N., Chérrez-Ojeda, I., & Ahmed, S. (2022). A Scoping Review of Vaping, E-Cigarettes and Mental Health Impact: Depression and Suicidality. Journal of Community Hospital Internal Medicine Perspectives, 12(3), 33–39. https://doi.org/10.55729/2000-9666.1053

Johnson, J. G. (2000a). Association between cigarette smoking and anxiety disorders during adolescence and early adulthood. JAMA, 284(18), 2348. https://doi.org/10.1001/jama.284.18.2348

Johnson, J. G. (2000b). Association between cigarette smoking and anxiety disorders during adolescence and early adulthood. JAMA, 284(18), 2348. https://doi.org/10.1001/jama.284.18.2348

Kahende, J. W., Adhikari, B., Maurice, E., Rock, V., & Malarcher, A. (2009). Disparities in health care utilization by smoking status--NHANES 1999-2004. International journal of environmental research and public health, 6(3), 1095–1106. https://doi.org/10.3390/ijerph6031095

Kendler, K. S., Neale, M. C., MacLean, C. J., Heath, A. C., Eaves, L. J., & Kessler, R. C. (1993). Smoking and major depression. Archives of General Psychiatry, 50(1), 36. https://doi.org/10.1001/archpsyc.1993.01820130038007

Kirby, A. C., Hertzberg, B. P., Collie, C. F., Yeatts, B., Dennis, M. F., McDonald, S. D., Calhoun, P. S., & Beckham, J. C. (2008). Smoking in help-seeking veterans with PTSD returning from Afghanistan and Iraq. Addictive behaviors, 33(11), 1448–1453. https://doi.org/10.1016/j.addbeh.2008.05.007

Lappan, S., Thorne, C. B., Long, D., & Hendricks, P. S. (2018). Longitudinal and Reciprocal Relationships Between Psychological Well-Being and Smoking. Nicotine & Tobacco Research, 22(1), 18–23. https://doi.org/10.1093/ntr/nty185

Lasser, K., Boyd, J. W., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000). Smoking and Mental Illness. JAMA, 284(20), 2606. https://doi.org/10.1001/jama.284.20.2606

Li, Y., Gao, L., Chao, Y., Wang, J., Qin, T., Zhou, X., Chen, X., Hou, L., & Lu, L. (2024). Effects of interventions on smoking cessation: A systematic review and network meta‐analysis. Addiction Biology, 29(3). https://doi.org/10.1111/adb.13376

Lin, M., Chu, M., Li, X., Ma, H., Fang, Z., Mao, L., Wang, P., Chen, T., & Chiang, Y. C. (2023). Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen. Frontiers in public health, 11, 1093264. https://doi.org/10.3389/fpubh.2023.1093264

Lowery, C. L., Elliott, C., Cooper, A., Hadden, C., Sonon, R. N., Azadi, P., Williams, D. K., Marsh, J. D., Woulfe, D. S., & Kilic, F. (2017). Cigarette Smoking‐Associated Alterations in Serotonin/Adrenalin Signaling Pathways of Platelets. Journal of the American Heart Association, 6(5). https://doi.org/10.1161/jaha.116.005465

Malone, K. M., Waternaux, C., Haas, G. L., Cooper, T. B., Li, S., & Mann, J. J. (2003). Cigarette Smoking, Suicidal Behavior, and Serotonin Function in Major Psychiatric Disorders. American Journal of Psychiatry, 160(4), 773–779. https://doi.org/10.1176/appi.ajp.160.4.773

Margaritopoulos, G. A., Vasarmidi, E., Jacob, J., Wells, A. U., & Antoniou, K. M. (2015). Smoking and interstitial lung diseases. European Respiratory Review, 24(137), 428–435. https://doi.org/10.1183/16000617.0050-2015

McCreadie, R. G. (2003). Diet, smoking and cardiovascular risk in people with schizophrenia. The British Journal of Psychiatry, 183(06), 534–539. https://doi.org/10.1192/bjp.183.6.534

McGeoch, L. J., Ross, S., Massa, M. S., Lewington, S., & Clarke, R. (2023). Cigarette smoking and risk of severe infectious respiratory diseases in UK adults: 12-year follow-up of UK biobank. Journal of public health (Oxford, England), 45(4), e621–e629. https://doi.org/10.1093/pubmed/fdad090

Meilissa, Y., Nugroho, D., Luntungan, N. N., & Dartanto, T. (2022). The 2019 economic cost of smoking-attributable diseases in Indonesia. Tobacco Control, 31(Suppl 2), s133–s139. https://doi.org/10.1136/tobaccocontrol-2021-056890

Parmar, M. P., Kaur, M., Bhavanam, S., Mulaka, G. S. R., Ishfaq, L., Vempati, R., C, M. F., Kandepi, H. V., Er, R., Sahu, S., & Davalgi, S. (2023). A Systematic Review of the Effects of Smoking on the Cardiovascular System and General Health. Cureus. https://doi.org/10.7759/cureus.38073

Patel, R. R., Ryu, J. H., & Vassallo, R. (2008). Cigarette Smoking and Diffuse Lung Disease. Drugs, 68(11), 1511–1527. https://doi.org/10.2165/00003495-200868110-00004

Pomerleau, C. S., & Pomerleau, O. F. (1992). Euphoriant effects of nicotine in smokers. Psychopharmacology, 108(4), 460–465. https://doi.org/10.1007/bf02247422

Ra, J. S., & Jeong, Y. (2020). Psychosocial Factors Associated with Smoking Cessation Attempts in Korean High School Students Who Engage in Intermittent and Light Smoking. Child Health Nursing Research, 26(1), 1–10. https://doi.org/10.4094/chnr.2020.26.1.1

Rezaei, S., Matin, B. K., Karyani, A. K., Woldemichael, A., Khosravi, F., Khosravipour, M., & Rezaeian, S. (2017). Impact of Smoking on Health-Related Quality of Life: A General Population Survey in West Iran. PubMed, 18(11), 3179–3185. https://doi.org/10.22034/apjcp.2017.18.11.3179

Richmond, M., Spring, B., Sommerfeld, B. K., & McChargue, D. (2001). Rumination and cigarette smoking: A bad combination for depressive outcomes? Journal of Consulting and Clinical Psychology, 69(5), 836–840. https://doi.org/10.1037/0022-006x.69.5.836

Riehm, K. E., Young, A. S., Feder, K. A., Krawczyk, N., Tormohlen, K. N., Pacek, L. R., Mojtabai, R., & Crum, R. M. (2019). Mental Health Problems and Initiation of E-cigarette and Combustible Cigarette Use. PEDIATRICS, 144(1). https://doi.org/10.1542/peds.2018-2935

Rosario, M., Schrimshaw, E. W., & Hunter, J. (2010). Cigarette Smoking as a Coping Strategy: Negative Implications for Subsequent Psychological Distress Among Lesbian, Gay, and Bisexual Youths. Journal of Pediatric Psychology, 36(7), 731–742. https://doi.org/10.1093/jpepsy/jsp141

Sales, M. P. U., De Araújo, A. J., Chatkin, J. M., De Godoy, I., Pereira, L. F. F., De Oliveira Castellano, M. V. C., Tanni, S. E., De Almeida, A. Á., Chatkin, G., Da Silva, L. C. C., Gonçalves, C. M. C., Botelho, C., Santos, U. P., De Assis Viegas, C. A., Sestelo, M. R., Meireles, R. H. S., Correa, P. C. R. P., De Oliveira, M. E. M., Reichert, J., . . . Da Silva, C. a. R. (2019). Update on the approach to smoking in patients with respiratory diseases. Jornal Brasileiro De Pneumologia, 45(3). https://doi.org/10.1590/1806-3713/e20180314

Saravanan, C., & Heidhy, I. (2014). Psychological problems and psychosocial predictors of cigarette smoking behavior among undergraduate students in Malaysia. Asian Pacific journal of cancer prevention : APJCP, 15(18), 7629–7634. https://doi.org/10.7314/apjcp.2014.15.18.7629

Sheals, K., Tombor, I., McNeill, A., & Shahab, L. (2016). A mixed-method systematic review and meta-analysis of mental health professionals' attitudes toward smoking and smoking cessation among people with mental illnesses. Addiction (Abingdon, England), 111(9), 1536–1553. https://doi.org/10.1111/add.13387

Shrestha, S. S., Ghimire, R., Wang, X., Trivers, K. F., Homa, D. M., & Armour, B. S. (2022). Cost of Cigarette Smoking‒Attributable Productivity Losses, U.S., 2018. American Journal of Preventive Medicine, 63(4), 478–485. https://doi.org/10.1016/j.amepre.2022.04.032

Silverstein, B. (1982). Cigarette smoking, nicotine addiction, and relaxation. Journal of Personality and Social Psychology, 42(5), 946–950. https://doi.org/10.1037/0022-3514.42.5.946

Taylor, G., McNeill, A., Girling, A., Farley, A., Lindson-Hawley, N., & Aveyard, P. (2014). Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ, 348(feb13 1), g1151. https://doi.org/10.1136/bmj.g1151

Taylor, H. L., Menachemi, N., Gilbert, A., Chaudhary, J., & Blackburn, J. (2023). Economic Burden Associated With Untreated Mental Illness in Indiana. JAMA Health Forum, 4(10), e233535. https://doi.org/10.1001/jamahealthforum.2023.3535

Tran, D. D., Davis, J. P., Tucker, J. S., Bricker, J. B., Lee, D. S., Fitzke, R. E., & Pedersen, E. R. (2023). Cigarette Smoking and Depression Among U.S. Veterans: Longitudinal Associations With Posttraumatic Stress Disorder. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 25(8), 1496–1504. https://doi.org/10.1093/ntr/ntad064

van de Weijer, M. P., Vermeulen, J., Schrantee, A., Munafò, M. R., Verweij, K. J. H., & Treur, J. L. (2024). The potential role of gray matter volume differences in the association between smoking and depression: A narrative review. Neuroscience and biobehavioral reviews, 156, 105497. https://doi.org/10.1016/j.neubiorev.2023.105497

Varghese, J., & Gharde, P. M. (2023). A Comprehensive Review on the Impacts of Smoking on the Health of an Individual. Cureus. https://doi.org/10.7759/cureus.46532

West, R. (2017). Tobacco smoking: Health impact, prevalence, correlates and interventions. Psychology and Health, 32(8), 1018–1036. https://doi.org/10.1080/08870446.2017.1325890

Wijnen, B. F. M., Have, M. T., De Graaf, R., Van Der Hoek, H. J., Lokkerbol, J., & Smit, F. (2023). The economic burden of mental disorders: results from the Netherlands mental health survey and incidence study-2. The European Journal of Health Economics, 25(6), 925–934. https://doi.org/10.1007/s10198-023-01634-2

Wing, V. C., Payer, D. E., Houle, S., George, T. P., & Boileau, I. (2014). Measuring Cigarette Smoking-Induced Cortical Dopamine Release: A [11C]FLB-457 PET Study. Neuropsychopharmacology, 40(6), 1417–1427. https://doi.org/10.1038/npp.2014.327

Winkler, P., Formanek, T., Mlada, K., Kagstrom, A., Mohrova, Z., Mohr, P., & Csemy, L. (2020). Increase in prevalence of current mental disorders in the context of COVID-19: analysis of repeated nationwide cross-sectional surveys. Epidemiology and Psychiatric Sciences, 29. https://doi.org/10.1017/s2045796020000888

Wu, A. D., Gao, M., Aveyard, P., & Taylor, G. (2023). Smoking Cessation and Changes in Anxiety and Depression in Adults With and Without Psychiatric Disorders. JAMA Network Open, 6(5), e2316111. https://doi.org/10.1001/jamanetworkopen.2023.16111

Wu, Y., Wang, L., Tao, M., Cao, H., Yuan, H., Ye, M., Chen, X., Wang, K., & Zhu, C. (2023). Changing trends in the global burden of mental disorders from 1990 to 2019 and predicted levels in 25 years. Epidemiology and Psychiatric Sciences, 32. https://doi.org/10.1017/s2045796023000756

Zhu, S., Ji, L., He, Z., Zhang, W., Tong, Y., Luo, J., Hong, Z., Zhang, Y., Yu, D., Zhang, Q., & Bi, Q. (2023). Association of smoking and osteoarthritis in US (NHANES 1999-2018). Scientific reports, 13(1), 3911. https://doi.org/10.1038/s41598-023-30644-6

Bahasa Abstract

Analisis bibliometrik ini mengeksplorasi tren global, produktivitas penulis, kontribusi institusi dan negara, pola sitasi, serta hubungan tematik dalam literatur yang menghubungkan merokok dengan kesehatan mental. Data diperoleh dari basis data Scopus menggunakan kombinasi kata kunci spesifik terkait merokok dan kesehatan mental, menghasilkan 1.782 artikel yang memenuhi syarat setelah dilakukan penyaringan kualitas penelitian. Studi ini menganalisis tren publikasi, mengidentifikasi studi berdampak tinggi, dan memetakan kluster tematik di bidang ini. Hasil menunjukkan peningkatan signifikan jumlah publikasi setelah tahun 2000, yang didorong oleh meningkatnya kesadaran akan dampak merokok terhadap kesejahteraan mental serta integrasi isu kesehatan mental dalam kebijakan pengendalian tembakau. Pemetaan tematik mengungkapkan beberapa fokus utama, termasuk intervensi penghentian merokok, efek neuropsikologis nikotin, dan faktor sosial-ekonomi yang memengaruhi perilaku merokok. Meskipun telah terjadi kemajuan signifikan, masih terdapat kesenjangan penting, terutama dalam penelitian dari negara berpenghasilan rendah dan menengah, populasi minoritas, serta efektivitas jangka panjang intervensi. Studi ini menyerukan pendekatan penelitian yang lebih inklusif di masa depan untuk mengembangkan intervensi yang sensitif secara budaya dan dapat diakses, guna meningkatkan hasil kesehatan global secara keseluruhan.

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