Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA, USA; Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, GA, USA.
Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA, USA.
Addict Behav. 2019 Jun;93:194-197. doi: 10.1016/j.addbeh.2019.01.031. Epub 2019 Jan 23.
Certain sub-populations (e.g., those living in poverty, racial/ethnic minorities, sexual minorities, and people with mental health conditions) experience profound tobacco-related health disparities. Ongoing surveillance of use of various combustible tobacco products by priority populations of cigarette smokers is needed, particularly in the changing U.S. tobacco regulatory landscape. In 2018 the FDA announced their consideration of a tobacco product standard that would limit the level of nicotine in combustible cigarettes, and such regulations should consider potential effects on tobacco-related disparities. If certain subgroups of cigarette smokers are also using other combustible products, they may be particularly likely to continue dual use or switch to exclusive use of those products if a nicotine reduction standard only applies to cigarettes. Accordingly, this study provided recent U.S. nationally representative data on use of other combustible tobacco products among current cigarette smokers by sociodemographic characteristics. Data were drawn from current cigarette smokers (n = 2559) in 2016 and 2017 U.S. nationally representative surveys. Associations between sociodemographic variables (poverty status, education, race/ethnicity, sexual orientation, and mental health status) with use of little cigars and cigarillos (LCCs), traditional cigars, and hookah were examined. Among current cigarette smokers, those living in poverty, racial/ethnic minorities, and those with mental health conditions were particularly likely to use LCCs. Racial/ethnic minority smokers were more likely to smoke traditional cigars. Non-heterosexual smokers, Hispanic smokers, and smokers with mental health conditions were particularly likely to use hookah. These findings have important implications for tobacco regulatory policy and other efforts to combat tobacco-related disparities.
某些亚人群（例如，生活贫困者、少数族裔、性少数群体以及患有精神健康问题者）经历着严重的烟草相关健康不平等。需要持续监测优先的吸烟人群对各种可燃烟草制品的使用情况，尤其是在美国烟草监管环境不断变化的情况下。2018 年，FDA 宣布考虑制定一项烟草产品标准，限制可燃香烟中的尼古丁含量，此类法规应考虑对烟草相关不平等的潜在影响。如果某些吸烟的亚人群也在使用其他可燃产品，如果尼古丁降低标准仅适用于香烟，他们可能特别有可能继续双重使用或转而专门使用这些产品。因此，本研究提供了 2016 年和 2017 年美国具有全国代表性的调查中当前吸烟者使用其他可燃烟草制品的最新数据，按社会人口特征进行了分类。数据来自于美国具有全国代表性的调查中当前的吸烟人群（n=2559）。分析了社会人口变量（贫困状况、教育程度、种族/族裔、性取向和精神健康状况）与小雪茄和雪茄烟（LCCs）、传统雪茄和水烟之间的关联。在当前的吸烟者中，生活贫困者、少数族裔和患有精神健康问题者特别有可能使用 LCCs。少数族裔吸烟者更有可能吸食传统雪茄。非异性恋吸烟者、西班牙裔吸烟者和患有精神健康问题者更有可能使用水烟。这些发现对烟草监管政策和其他打击烟草相关不平等的努力具有重要意义。
