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尼古丁剂量对青少年香烟强化价值的影响。

The Impact of Nicotine Dose on the Reinforcing Value of Cigarettes in Adolescents.

作者信息

Cassidy Rachel N, Miller Mollie E, Tidey Jennifer W, DiGuiseppi Graham, Denlinger-Apte Rachel L, Colby Suzanne M

机构信息

Center for Alcohol and Addiction Studies, Brown University.

出版信息

Tob Regul Sci. 2019 Mar;5(2):105-114. doi: 10.18001/trs.5.2.2.

DOI:10.18001/trs.5.2.2
PMID:33969148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8102016/
Abstract

OBJECTIVES

The FDA is considering the implementation of a national nicotine reduction policy for cigarettes, and such a policy may reduce the reinforcing efficacy of cigarettes and ultimately reduce tobacco dependence. However, it is not yet known how different levels of nicotine may affect the reinforcing efficacy of cigarettes in adolescents. We aimed to determine how reduced nicotine content may affect adolescents' demand for cigarettes using the cigarette purchase task (CPT).

METHODS

Adolescent daily smokers (ages 15-19, n = 50) completed a CPT for their usual brand cigarette and for each dose of SPECTRUM research cigarettes (15.8, 5.2, 1.3, 0.4 mg nicotine/g tobacco) during four laboratory sessions. We conducted repeated measures ANOVAs to evaluate the effect of nicotine dose on five demand indices derived from the CPT.

RESULTS

Tests revealed significantly higher demand for usual brand than each research cigarette dose (all p's < .01); dose did not significantly affect any measure when usual brand was excluded.

CONCLUSIONS

These results demonstrate the potential utility of the CPT for comparing the reinforcing efficacy of cigarettes varying in nicotine content in adolescents, and indicate a significantly reduced reinforcing efficacy of all research cigarettes relative to usual brand.

摘要

目的

美国食品药品监督管理局(FDA)正在考虑实施一项针对香烟的全国性尼古丁减量政策,这样一项政策可能会降低香烟的强化效力,并最终减少烟草依赖。然而,不同水平的尼古丁如何影响青少年对香烟的强化效力尚不清楚。我们旨在使用香烟购买任务(CPT)来确定尼古丁含量降低如何影响青少年对香烟的需求。

方法

青少年每日吸烟者(年龄15 - 19岁,n = 50)在四个实验室环节中,针对他们常用品牌香烟以及每剂SPECTRUM研究香烟(尼古丁含量为15.8、5.2、1.3、0.4毫克/克烟草)完成了CPT。我们进行了重复测量方差分析,以评估尼古丁剂量对从CPT得出的五个需求指标的影响。

结果

测试显示,对常用品牌香烟的需求显著高于每种研究香烟剂量(所有p值 < .01);当排除常用品牌时,剂量对任何指标均无显著影响。

结论

这些结果证明了CPT在比较青少年中尼古丁含量不同的香烟强化效力方面的潜在效用,并表明所有研究香烟相对于常用品牌的强化效力显著降低。

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本文引用的文献

1
Age Moderates Smokers' Subjective Response to Very-Low Nicotine Content Cigarettes: Evidence from a Randomized Controlled Trial.年龄会影响吸烟者对极低尼古丁含量香烟的主观反应:一项随机对照试验的证据。
Nicotine Tob Res. 2019 Jun 21;21(7):962-969. doi: 10.1093/ntr/nty079.
2
Potential Public Health Effects of Reducing Nicotine Levels in Cigarettes in the United States.在美国降低香烟中尼古丁含量对公众健康的潜在影响。
N Engl J Med. 2018 May 3;378(18):1725-1733. doi: 10.1056/NEJMsr1714617. Epub 2018 Mar 15.
3
Addiction Potential of Cigarettes With Reduced Nicotine Content in Populations With Psychiatric Disorders and Other Vulnerabilities to Tobacco Addiction.尼古丁含量降低的香烟在患有精神疾病及其他易患烟草成瘾症人群中的成瘾潜力。
JAMA Psychiatry. 2017 Oct 1;74(10):1056-1064. doi: 10.1001/jamapsychiatry.2017.2355.
4
A Nicotine-Focused Framework for Public Health.一个以尼古丁为重点的公共卫生框架。
N Engl J Med. 2017 Sep 21;377(12):1111-1114. doi: 10.1056/NEJMp1707409. Epub 2017 Aug 16.
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Behavioral Economic Laboratory Research in Tobacco Regulatory Science.烟草监管科学中的行为经济学实验室研究。
Tob Regul Sci. 2016 Oct;2(4):440-451. doi: 10.18001/TRS.2.4.13.
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Multiple Levels of Influence That Impact Youth Tobacco Use.影响青少年烟草使用的多层次因素。
Tob Regul Sci. 2016 Apr;2(2):106-122. doi: 10.18001/TRS.2.2.2.
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A two-part mixed effects model for cigarette purchase task data.用于香烟购买任务数据的两部分混合效应模型。
J Exp Anal Behav. 2016 Nov;106(3):242-253. doi: 10.1002/jeab.228.
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Randomized Trial of Reduced-Nicotine Standards for Cigarettes.香烟降低尼古丁标准的随机试验
N Engl J Med. 2015 Oct;373(14):1340-9. doi: 10.1056/NEJMsa1502403.
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Exp Clin Psychopharmacol. 2015 Dec;23(6):504-12. doi: 10.1037/pha0000045. Epub 2015 Aug 17.