Center for Tobacco Products, US Food and Drug Administration, Silver Spring, MD 20993, USA.
Int J Environ Res Public Health. 2019 Sep 4;16(18):3234. doi: 10.3390/ijerph16183234.
Flavored cigar use is common among cigar smokers, particularly those at younger ages. Several US localities have implemented policies restricting the sale of flavored tobacco products, including cigars. We estimated the population health benefits of removal of flavored cigars throughout the US in terms of reductions in cigar smoking-attributable mortality due to increased cessation and reductions in cigar smoking prevalence due to decreased initiation and continuing use. Monte Carlo simulation was used to estimate possible ranges for these values. We used published estimates of cigar use and attributable mortality in the US, as well as prior study conclusions on the effect of local and national flavor restriction policies. We estimated that removal of flavored cigars would result in approximately 800 (90% prediction interval = 400-1200) fewer cigar smoking-attributable deaths in the US each year and 112,000 fewer cigar smokers (90% prediction interval = 76,000-139,000) in each cohort of 18 year olds. The removal of characterizing flavors in cigars sold in the US is thus projected to have substantial public health benefits over time.
调味雪茄在雪茄烟民中很常见，尤其是那些年轻的烟民。美国的几个地方已经实施了限制销售调味烟草产品的政策，包括雪茄。我们根据戒烟导致的雪茄吸烟归因死亡率降低和减少初始吸烟和持续吸烟导致的雪茄吸烟率降低，来评估美国全面去除调味雪茄对人群健康的益处。我们使用了蒙特卡罗模拟来估计这些数值的可能范围。我们使用了美国已发表的雪茄使用和归因死亡率估计值，以及关于地方和国家风味限制政策效果的先前研究结论。我们估计，在美国，去除调味雪茄每年将减少约 800 例（90%预测区间=400-1200）雪茄吸烟归因死亡，每批 18 岁的人中，将减少 11.2 万例雪茄吸烟者（90%预测区间=76,000-139,000）。因此，在美国销售的雪茄去除特征风味预计将随着时间的推移带来巨大的公共健康益处。
