Villanti Andrea C, Johnson Amanda L, Ambrose Bridget K, Cummings K Michael, Stanton Cassandra A, Rose Shyanika W, Feirman Shari P, Tworek Cindy, Glasser Allison M, Pearson Jennifer L, Cohn Amy M, Conway Kevin P, Niaura Raymond S, Bansal-Travers Maansi, Hyland Andrew
Schroeder Institute for Tobacco Research and Policy Studies at Truth Initiative, Washington, District of Columbia; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Schroeder Institute for Tobacco Research and Policy Studies at Truth Initiative, Washington, District of Columbia.
Am J Prev Med. 2017 Aug;53(2):139-151. doi: 10.1016/j.amepre.2017.01.026. Epub 2017 Mar 16.
The 2009 Family Smoking Prevention and Tobacco Control Act banned characterizing flavors other than menthol in cigarettes but did not restrict their use in other forms of tobacco (e.g., smokeless, cigars, hookah, e-cigarettes).
A cross-sectional analysis of Wave 1 data from 45,971 U.S. adults and youth, aged ≥12 years in the Population Assessment of Tobacco and Health (PATH) Study collected in 2013-2014, was conducted in 2016. This study examined (1) the prevalence and reasons for use of flavored tobacco products; (2) the proportion of ever tobacco users reporting that their first product was flavored; and (3) correlates of current flavored tobacco product use.
Current flavored (including menthol) tobacco product use was highest in youth (80%, aged 12-17 years); and young adult tobacco users (73%, aged 18-24 years); and lowest in older adult tobacco users aged ≥65 years (29%). Flavor was a primary reason for using a given tobacco product, particularly among youth. Eighty-one percent of youth and 86% of young adult ever tobacco users reported that their first product was flavored versus 54% of adults aged ≥25 years. In multivariable models, reporting that one's first tobacco product was flavored was associated with a 13% higher prevalence of current tobacco use among youth ever tobacco users and a 32% higher prevalence of current tobacco use among adult ever users.
These results add to the evidence base that flavored tobacco products may attract young users and serve as starter products to regular tobacco use.
2009年的《家庭吸烟预防与烟草控制法案》禁止香烟使用除薄荷醇以外的调味剂，但并未限制其在其他烟草形式（如无烟烟草、雪茄、水烟、电子烟）中的使用。
2016年对2013 - 2014年收集的美国烟草与健康人口评估（PATH）研究中45,971名年龄≥12岁的成年人及青少年的第一轮数据进行了横断面分析。本研究调查了：（1）调味烟草产品的使用 prevalence及原因；（2）曾使用过烟草的人群中报告其首款产品为调味型的比例；（3）当前调味烟草产品使用的相关因素。
当前调味（包括薄荷醇）烟草产品的使用率在青少年（12 - 17岁，80%）和青年成年烟草使用者（18 - 24岁，73%）中最高，在65岁及以上的老年成年烟草使用者中最低（29%）。调味是使用特定烟草产品的主要原因，尤其是在青少年中。81%的青少年和86%的青年成年曾使用过烟草的人报告其首款产品为调味型，而25岁及以上成年人的这一比例为54%。在多变量模型中，报告其首款烟草产品为调味型与青少年曾使用过烟草的人群中当前烟草使用率高13%以及成年曾使用过烟草的人群中当前烟草使用率高32%相关。
这些结果进一步证明了调味烟草产品可能吸引年轻使用者并成为常规烟草使用的入门产品。
