O'Connor Richard, Schneller Liane M, Felicione Nicholas J, Talhout Reinskje, Goniewicz Maciej Lukasz, Ashley David L
Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA richard.o'
Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York, USA.
Tob Control. 2022 Mar;31(2):175-182. doi: 10.1136/tobaccocontrol-2021-056544.
Declines in cigarette smoking prevalence in many countries and the consolidation of the tobacco industry have prompted the introduction of other forms of nicotine delivery. These include electronic nicotine delivery systems (ENDS), heated tobacco products (HTPs) and oral nicotine products (ONPs). Evolving over time, some of these products now deliver nicotine at levels comparable to cigarettes and may serve as effective substitutes for smokers. However, certain products, especially ENDS like JUUL, have also appealed to youth and non-smokers, prompting concerns about expanding nicotine use (and potentially nicotine addiction). The tobacco industry could shift away from primarily promoting cigarettes to promoting ENDS, HTPs and/or ONPs, though at this time it continues to heavily promote cigarettes in low and middle-income countries. Differing regulatory regimes may place upward and downward pressures on both cigarettes and these newer products in terms of population use, and may ultimately drive the extent to which cigarettes are or are not displaced by ENDS, HTPs and/or ONPs in the coming decade.
许多国家吸烟率的下降以及烟草行业的整合促使了其他形式尼古丁递送产品的出现。这些产品包括电子尼古丁递送系统（ENDS）、加热烟草制品（HTPs）和口服尼古丁产品（ONPs）。随着时间的推移不断演变，其中一些产品现在递送的尼古丁水平与香烟相当，可能成为吸烟者的有效替代品。然而，某些产品，尤其是像JUUL这样的电子尼古丁递送系统，也吸引了年轻人和非吸烟者，引发了对尼古丁使用范围扩大（以及潜在的尼古丁成瘾）的担忧。烟草行业可能会从主要推广香烟转向推广电子尼古丁递送系统、加热烟草制品和/或口服尼古丁产品，尽管目前它在低收入和中等收入国家仍在大力推广香烟。不同的监管制度可能会在人群使用方面对香烟和这些新产品施加上行和下行压力，并可能最终决定在未来十年香烟是否会被电子尼古丁递送系统、加热烟草制品和/或口服尼古丁产品所取代。
