{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:44:06Z","timestamp":1785545046585,"version":"3.56.0"},"reference-count":47,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Infodemiology"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The variation of language concerning tobacco products and tobacco use is known to impact the understanding of related risks and influence behaviors including use uptake and product cessation. Transnational tobacco companies can use such complexities to change the acceptability of tobacco use and influence public understanding of related risks. These changes, in turn, impact tobacco use behaviors. Looking at variations in the language used by different groups can therefore offer helpful insights into tobacco use cultures and make imbalances of information between groups plain. This paper examines the language of tobacco use, specifically smoking, across a sample of health organizations (the National Health Service, the World Health Organization, the National Institute for Health and Care Excellence, and the Centers for Disease Control and Prevention), the tobacco industry (British American Tobacco and Philip Morris International), and in \u201cgeneral English.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Through corpus-assisted analysis, the study aims to illustrate differences in tobacco use and tobacco user characterizations by 2 transnational tobacco companies, health organizations, and users of general English. The study assesses the possible implications of these differences for public health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We queried 4 bodies of text (corpora) from 3 different groups; 2 of these corpora were preexisting corpora of general spoken and written English in the United Kingdom and the United States. The remaining 2 sampled tobacco-related documents from 2 transnational tobacco companies and from the United Kingdom and international organizations with a focus on health between 2003 and 2023. The 2 sampled corpora contained 1355 documents and 10,023,538 words. We used the corpus analysis software LancsBox (Lancaster University) to identify variations in characterizations of tobacco users and tobacco use behaviors between these groups, using the stems \u201csmoker*\u201d and \u201csmok*.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Frequency and collocation analysis showed clear differences in how the 3 groups described smokers and smoking, with only limited overlap in the terms they used. Only 7 of 23 unique categorizations of \u201csmoker*\u201d were shared. There was a significant association (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;.001) between individual corpora and singular or plural noun forms. Health organization texts more often used clinical and population-focused classifications, whereas tobacco industry texts more often framed smokers as consumers or people involved in legal disputes. General English corpora showed the widest range of labels for tobacco users.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While there was some overlap in terminology used between corpora, the most common categorizations in each corpus were highly varied, showing very little shared language between groups in their descriptions of either tobacco users or use behaviors. This variance indicates that these groups may not share the same sense-making resources related to tobacco use, which may render information flows around tobacco vulnerable to distortion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/86593","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T19:01:21Z","timestamp":1784142081000},"page":"e86593-e86593","source":"Crossref","is-referenced-by-count":0,"title":["Investigation of Differences in Tobacco Use Language Between Groups: Corpus-Assisted Analysis"],"prefix":"10.2196","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2672-0220","authenticated-orcid":false,"given":"Iona","family":"Fitzpatrick","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3976-0686","authenticated-orcid":false,"given":"Xinmei","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"R1","unstructured":"WHO global report on trends in prevalence of tobacco use 2000\u20132025. World Health Organization; 2019. URL: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/a64f9b44-346d-465c-895f-376e8709c379\/content [Accessed 20-05-2026]"},{"issue":"2","key":"R2","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1136\/tobaccocontrol-2021-056535","article-title":"Evolution of the global smoking epidemic over the past half century: strengthening the evidence base for policy action","volume":"31","author":"Dai","journal-title":"Tob Control"},{"issue":"2","key":"R3","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1136\/tobaccocontrol-2021-056552","article-title":"Moving targets: how the rapidly changing tobacco and nicotine landscape creates advertising and promotion policy challenges","volume":"31","author":"Ling","journal-title":"Tob Control"},{"issue":"6","key":"R4","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1136\/tobaccocontrol-2017-054124","article-title":"Public misperception that very low nicotine cigarettes are less carcinogenic","volume":"27","author":"Byron","journal-title":"Tob Control"},{"issue":"6","key":"R5","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1093\/ntr\/ntac291","article-title":"\u201cI Can\u2019t Make Perfect Choices All the Time\u201d: perspectives on tobacco harm reduction among young adults who identify as sexual and gender minorities","volume":"25","author":"Antin","journal-title":"Nicotine Tob Res"},{"issue":"S3","key":"R6","doi-asserted-by":"publisher","first-page":"S281","DOI":"10.2105\/AJPH.2020.305910","article-title":"Misinformation about commercial tobacco products on social media-implications and research opportunities for reducing tobacco-related health disparities","volume":"110","author":"Tan","journal-title":"Am J Public Health"},{"issue":"2","key":"R7","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1111\/add.15634","article-title":"Addicted to smoking or addicted to nicotine? A focus group study on perceptions of nicotine and addiction among US adult current smokers, former smokers, non-smokers and dual users of cigarettes and e-cigarettes","volume":"117","author":"Loud","journal-title":"Addiction"},{"issue":"3","key":"R8","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1080\/09687637.2016.1178708","article-title":"\u201cSkittles & Red Bull is my favourite flavour\u201d: E-cigarettes, smoking, vaping and the changing landscape of nicotine consumption amongst British teenagers \u2013 implications for the normalisation debate","volume":"23","author":"Measham","journal-title":"Drugs Educ Prev Policy"},{"issue":"3","key":"R9","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1111\/add.16051","article-title":"\u201cIt\u2019s not what you\u2019d term normal smoking\u201d: a qualitative exploration of language used to describe heated tobacco product use and associated user identity","volume":"118","author":"East","journal-title":"Addiction"},{"issue":"3","key":"R10","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1111\/add.15657","article-title":"Harm perceptions of nicotine-containing products and associated sources of information in UK adults with and without mental ill health: a cross-sectional survey","volume":"117","author":"Perman-Howe","journal-title":"Addiction"},{"issue":"7","key":"R11","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.1093\/ntr\/ntaf073","article-title":"Words matter-a call for consistent and accurate scientific language","volume":"27","author":"Notley","journal-title":"Nicotine Tob Res"},{"issue":"12","key":"R12","doi-asserted-by":"publisher","first-page":"1847","DOI":"10.1093\/ntr\/ntac218","article-title":"Time to stop using the word \u201cSmoker\u201d: reflecting on the role of language in advancing the field of nicotine and tobacco research","volume":"24","author":"Goodwin","journal-title":"Nicotine Tob Res"},{"key":"R13","unstructured":"People-first language policy. Tobacco Control (BMJ journal). URL: https:\/\/tobaccocontrol.bmj.com\/pages\/people-first-language-policy [Accessed 15-07-2025]"},{"issue":"13","key":"R14","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1001\/jama.2016.11874","article-title":"Changing the language of addiction","volume":"316","author":"Botticelli","journal-title":"JAMA"},{"issue":"12","key":"R15","doi-asserted-by":"publisher","first-page":"2280","DOI":"10.1093\/ntr\/ntaa141","article-title":"Changing the language of how we measure and report smoking status: implications for reducing stigma, restoring dignity, and improving the precision of scientific communication","volume":"22","author":"Williamson","journal-title":"Nicotine Tob Res"},{"issue":"8","key":"R16","doi-asserted-by":"publisher","first-page":"1509","DOI":"10.1093\/ntr\/ntad047","article-title":"Embrace the smoker: person-first language is not a solution to stigma","volume":"25","author":"Chaiton","journal-title":"Nicotine Tob Res"},{"issue":"1","key":"R17","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07702-2","article-title":"Concepts of health in different contexts: a scoping review","volume":"22","author":"van Druten","journal-title":"BMC Health Serv Res"},{"issue":"2","key":"R18","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1136\/tobaccocontrol-2021-056544","article-title":"Evolution of tobacco products: recent history and future directions","volume":"31","author":"O\u2019Connor","journal-title":"Tob Control"},{"issue":"e1","key":"R19","doi-asserted-by":"publisher","first-page":"e44","DOI":"10.1136\/tobaccocontrol-2014-051913","article-title":"The importance of product definitions in US e-cigarette laws and regulations","volume":"25","author":"Lempert","journal-title":"Tob Control"},{"issue":"1","key":"R20","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1111\/add.16010","article-title":"Toward an ontology of tobacco, nicotine and vaping products","volume":"118","author":"Cox","journal-title":"Addiction"},{"issue":"6","key":"R21","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daae143","article-title":"Resisting industry narratives: guidance to avoid tobacco and nicotine industry framing","volume":"39","author":"Maddox","journal-title":"Health Promot Int"},{"issue":"1","key":"R22","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1136\/tc.2004.009886","article-title":"The social context of smoking: the next frontier in tobacco control?","volume":"15","author":"Poland","journal-title":"Tob Control"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"McEnery T Hardie A . Corpus Linguistics: Method, Theory and Practice. Cambridge University Press; 2011. [doi: 10.1017\/CBO9780511981395]","DOI":"10.1017\/CBO9780511981395"},{"issue":"2","key":"R24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.laheal.2023.11.001","article-title":"Language and health studies in the era of holistic health: achievements and prospects","volume":"1","author":"Ma","journal-title":"Lang Health"},{"issue":"5","key":"R25","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1007\/s11606-017-4289-2","article-title":"Do Words Matter? stigmatizing language and the transmission of bias in the medical record","volume":"33","author":"P Goddu","journal-title":"J Gen Intern Med"},{"key":"R26","unstructured":"Leading tobacco companies worldwide in 2025, based on market value (in billion U.S. dollars). Statista. URL: https:\/\/www.statista.com\/statistics\/942132\/leading-10-tobacco-companies-worldwide-based-on-net-sales [Accessed 08-07-2022]"},{"issue":"5-6","key":"R27","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1515\/text-2020-0052","article-title":"The Written British National Corpus 2014\u2014design and comparability","volume":"41","author":"Brezina","journal-title":"Text Talk"},{"issue":"3","key":"R28","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1075\/ijcl.22.3.02lov","article-title":"The spoken BNC2014: designing and building a spoken corpus of everyday conversation","volume":"22","author":"Love","journal-title":"Int J Corpus Linguist"},{"key":"R29","unstructured":"The Corpus of Contemporary American English (COCA). URL: https:\/\/www.english-corpora.org\/coca\/ [Accessed 20-05-2026]"},{"key":"R30","unstructured":"Wayback Machine. Internet Archive. URL: https:\/\/web.archive.org\/ [Accessed 20-05-2026]"},{"key":"R31","unstructured":"archive.today. URL: https:\/\/archive.ph\/ [Accessed 03-06-2026]"},{"key":"R32","unstructured":"Institutional repository for information sharing (IRIS). World Health Organization. URL: https:\/\/iris.who.int\/home [Accessed 20-05-2026]"},{"key":"R33","unstructured":"Pdfminer 20191125. Python Package Index (PyPI). URL: https:\/\/pypi.org\/project\/pdfminer\/20191125\/ [Accessed 20-05-2026]"},{"key":"R34","unstructured":"Fitzpatrick I Sun X . Dataset for \u201cInvestigation of differences in tobacco use language between groups: corpus assisted analysis\u201d. University of Bath Research Data Archive. 2026."},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Baker P . Using Corpora in Discourse Analysis. Continuum; 2006. [doi: 10.5040\/9781350933996]","DOI":"10.5040\/9781350933996"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Brezina V . Statistics in Corpus Linguistics: A Practical Guide. Cambridge University Press; 2018. ISBN: 9781316410899","DOI":"10.1017\/9781316410899"},{"key":"R37","unstructured":"NLTK\u2019s list of English stopwords. GitHub Gist. URL: https:\/\/gist.github.com\/sebleier\/554280?permalink_comment_id=3744516#gistcomment-3744516 [Accessed 20-05-2026]"},{"key":"R38","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.958354","article-title":"Tobacco industry messaging around harm: narrative framing in PMI and BAT press releases and annual reports 2011 to 2021","volume":"10","author":"Fitzpatrick","journal-title":"Front Public Health"},{"issue":"1","key":"R39","doi-asserted-by":"publisher","DOI":"10.1186\/s44263-023-00023-4","article-title":"Health promotion, the social determinants of health, and urban health: what does a critical discourse analysis of World Health Organization texts reveal about health equity?","volume":"1","author":"Amri","journal-title":"BMC Glob Public Health"},{"issue":"e1","key":"R40","doi-asserted-by":"publisher","first-page":"e41","DOI":"10.1136\/tobaccocontrol-2020-056191","article-title":"Effects of modified risk tobacco product claims on consumer comprehension and risk perceptions of IQOS","volume":"31","author":"Yang","journal-title":"Tob Control"},{"issue":"Suppl 4","key":"R41","doi-asserted-by":"publisher","first-page":"iv37","DOI":"10.1136\/tc.2005.012997","article-title":"How the health belief model helps the tobacco industry: individuals, choice, and \u201cinformation\u201d","volume":"15 Suppl 4","author":"Balbach","journal-title":"Tob Control"},{"issue":"4","key":"R42","first-page":"135","volume":"9","author":"Lee","journal-title":"Korean J Advert Public Relat"},{"issue":"6","key":"R43","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1016\/j.pragma.2004.10.015","article-title":"Causal markers in tobacco industry documents: the pragmatics of responsibility","volume":"37","author":"Brown","journal-title":"J Pragmat"},{"issue":"2","key":"R44","doi-asserted-by":"publisher","first-page":"186","DOI":"10.18001\/TRS.1.2.8","article-title":"Interventions to correct misinformation about tobacco products","volume":"1","author":"Cappella","journal-title":"Tob Regul Sci"},{"issue":"sup1","key":"R45","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1080\/10810730902806836","article-title":"The social context of interpersonal communication and health","volume":"14 Suppl 1","author":"Ackerson","journal-title":"J Health Commun"},{"issue":"6","key":"R46","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1177\/10901981221086944","article-title":"Impact of smoking and vaping in films on smoking and vaping uptake in adolescents: systematic review and meta-analysis","volume":"49","author":"Hassanein","journal-title":"Health Educ Behav"},{"issue":"CSCW2","key":"R47","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1145\/3687062","article-title":"Whose knowledge is valued? Epistemic injustice in CSCW applications","volume":"8","author":"Ajmani","journal-title":"Proc ACM Hum-Comput Interact"}],"container-title":["JMIR Infodemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/infodemiology.jmir.org\/2026\/1\/e86593","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:25:28Z","timestamp":1785536728000},"score":1,"resource":{"primary":{"URL":"https:\/\/infodemiology.jmir.org\/2026\/1\/e86593"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":47,"URL":"https:\/\/doi.org\/10.2196\/86593","relation":{},"ISSN":["2564-1891"],"issn-type":[{"value":"2564-1891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]},"article-number":"v6i2e86593"}}