Center for Tobacco Surveillance and Evaluation Research, School of Public Health, University of Medicine and Dentistry of New Jersey, New Brunswick, New Jersey, USA.
Am J Prev Med. 2011 Oct;41(4):357-65. doi: 10.1016/j.amepre.2011.06.039.
The Food and Drug Administration currently is assessing the public health impact of menthol cigarettes. Whether menthol cigarettes pose increased barriers to quitting is a critical issue because previous declines in smoking prevalence have stalled.
To explore whether menthol cigarette smokers are less likely to quit than non-menthol smokers at the population level and whether this relationship differs by race/ethnicity.
Cross-sectional analyses of the 2003 and 2006/2007 Tobacco Use Supplement to the Current Population Survey were conducted in 2010. Multiple logistic regressions were used to calculate the adjusted odds of cessation for menthol smoking relative to non-menthol smoking. Five different sample restrictions were used to assess the robustness of the findings.
In the broadest sample restriction, menthol smokers were less likely to have quit smoking (AOR=0.91, 95% CI=0.87, 0.96). This relationship holds among whites (AOR=0.93, 95% CI=0.88, 0.98) and blacks (AOR=0.81, 95% CI=0.67, 0.98). The magnitude of the relationship among Hispanics was similar to that among whites, but differed by Hispanic origin. Among those of Mexican origin, the AOR for menthol smokers was protective but not significant (AOR=1.29, 95% CI=0.99, 1.61), whereas among those of Puerto Rican origin, menthol smokers were less likely to have quit (AOR=0.57, 95% CI=0.37, 0.87). These findings were robust and significant in four of five sample restrictions.
Smoking menthol cigarettes is associated with decreased cessation at the population level, and this association is more pronounced among black and Puerto Rican smokers. These findings support the recent calls to ban menthol flavoring in cigarettes.
美国食品和药物管理局目前正在评估薄荷醇香烟对公共健康的影响。薄荷醇香烟是否会增加戒烟的障碍是一个关键问题，因为此前吸烟率的下降已经停滞。
在人群水平上探讨薄荷醇香烟吸烟者是否比非薄荷醇香烟吸烟者更不容易戒烟，以及这种关系是否因种族/民族而异。
2010 年对 2003 年和 2006/2007 年《当前人口调查烟草使用补充调查》进行了横断面分析。使用多变量逻辑回归计算了相对于非薄荷醇吸烟，薄荷醇吸烟停止的调整后比值比（OR）。使用了五种不同的样本限制来评估结果的稳健性。
在最广泛的样本限制中，薄荷醇吸烟者更不可能戒烟（OR=0.91，95%置信区间（CI）=0.87，0.96）。这种关系在白人（OR=0.93，95%CI=0.88，0.98）和黑人（OR=0.81，95%CI=0.67，0.98）中也是如此。西班牙裔的关系程度与白人相似，但因西班牙裔原籍而异。在墨西哥裔中，薄荷醇吸烟者的 OR 具有保护作用但不显著（OR=1.29，95%CI=0.99，1.61），而在波多黎各裔中，薄荷醇吸烟者更不可能戒烟（OR=0.57，95%CI=0.37，0.87）。这些发现在五种样本限制中的四种中都是稳健和显著的。
在人群水平上，吸薄荷醇香烟与戒烟率降低有关，这种关联在黑人和波多黎各吸烟者中更为明显。这些发现支持了最近呼吁禁止香烟中添加薄荷醇香料的呼声。
