Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan.
Prev Chronic Dis. 2022 Jul 28;19:E45. doi: 10.5888/pcd19.210435.
In the past 2 decades, many tobacco control policies were enacted, and several new or modified products were introduced into the US marketplace. Continued tobacco surveillance is critical in this evolving landscape. We examined 20-year trends in tobacco use from sales and self-reported data.
We obtained data on taxable removals (sales) of cigarettes, cigars, roll-your-own (RYO) tobacco, and pipe tobacco from the US Department of the Treasury. We assessed self-reported past 30-day tobacco use from the National Survey on Drug Use and Health among people aged 18 years or older. Volume sales were standardized to cigarette packs and cigarette pack equivalents (CPEs) and trends measured by using joinpoint and logistic regression.
From 2000 to 2019-2020, declines occurred in per capita sales of cigarettes (101.01 to 42.29 packs/capita), little cigars (0.54 to 0.03 CPEs/capita), and RYO tobacco (1.34 to 0.21 CPEs/capita). Volume sales also decreased for chewing tobacco and scotch/dry snuff (all P < .05). Conversely, volume sales increased for pipe tobacco, moist snuff, and snus for the respective assessed periods. Large cigar volume sales did not change significantly. We found consistent trends in self-reported use, except for RYO tobacco (decreased volume sales but increased self-reported use) and pipe smoking (increased volume sales, but trivial self-reported use <1% throughout the study period). Current use of any tobacco product decreased from 32.2% to 22.9% during the assessed period.
Harmonizing the tax and regulatory structure within and across the diversity of tobacco products may help reduce aggregate tobacco consumption in the US.
在过去的 20 年里，许多控烟政策已经颁布，并且有几种新产品或改良产品进入了美国市场。在这种不断发展的形势下，持续进行烟草监测至关重要。我们研究了从销售和自我报告数据中得出的过去 20 年的烟草使用趋势。
我们从美国财政部获得了关于卷烟、雪茄、自卷烟（RYO）烟草和烟斗烟草的应税销售量（销售）的数据。我们评估了年龄在 18 岁或以上的全国药物使用和健康调查中过去 30 天的自我报告烟草使用情况。销售量以香烟包和香烟包当量（CPE）标准化，并使用联合点和逻辑回归测量趋势。
从 2000 年到 2019-2020 年，人均卷烟销售量（101.01 至 42.29 包/人）、小雪茄销售量（0.54 至 0.03 CPE/人）和 RYO 烟草销售量（1.34 至 0.21 CPE/人）下降。咀嚼烟草和苏格兰/干鼻烟的销售量也下降（均 P <.05）。相反，在评估期间，烟斗烟草、湿鼻烟和鼻烟的销售量增加。大雪茄的销售量没有显著变化。除 RYO 烟草（销售量下降但自我报告使用量增加）和烟斗吸烟（销售量增加，但在整个研究期间自我报告使用量<1%）外，我们发现自我报告使用的趋势一致。在评估期间，任何烟草制品的使用率从 32.2%下降到 22.9%。
在不同烟草产品的内部和之间协调税收和监管结构，可能有助于减少美国的总体烟草消费。
