Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, Virginia; Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, Virginia.
Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, Virginia.
Am J Prev Med. 2023 Jun;64(6):898-901. doi: 10.1016/j.amepre.2022.12.005. Epub 2023 Jan 7.
The U.S. Food and Drug Administration has proposed new product standards regarding the availability of menthol cigarettes and flavored cigars in the U.S. However, it is unclear whether limiting characterizing flavors in cigarettes and cigars as proposed, or across all tobacco products, produces differential effects on the tobacco use behaviors of African American/Black individuals who use menthol cigarettes. This study assessed whether limiting characterizing flavors in combusted products only or across all tobacco products produces differential impacts on the tobacco use behaviors of African American/Black individuals who use menthol cigarettes.
Adult African American/Black individuals who use menthol cigarettes in the U.S. were recruited through Qualtrics (n=373) and in Richmond, VA (n=206) for an online experiment from September 2021 to August 2022. Participants reported how their tobacco use behaviors would change under 3 scenarios: maintenance of the status quo, limited flavor ban (ban characterizing flavors in cigarettes and cigars), and comprehensive flavor ban (ban characterizing flavors in all tobacco products). Seemingly unrelated regressions compared differences in expected responses to policy scenarios (p<0.05).
Both flavor ban scenarios resulted in higher quitting intentions for cigarettes and all tobacco products than the status quo (p<0.05). The comprehensive ban resulted in greater intentions to quit all tobacco products and lower intentions to switch to certain alternative products (e.g., E-cigarettes, smokeless tobacco, heated tobacco products) than the limited ban (p<0.05).
African American/Black individuals who use menthol cigarettes appear more likely to quit smoking if characterizing flavors in combusted products (e.g., menthol cigarettes) are banned, regardless of if characterizing flavors are available in noncombusted alternative tobacco products.
美国食品和药物管理局（FDA）提出了关于美国薄荷醇香烟和调味雪茄供应的新产品标准。然而，目前尚不清楚限制香烟和雪茄中的特征风味（如提议的那样），或限制所有烟草产品中的特征风味，是否会对使用薄荷醇香烟的非裔美国人/黑人的烟草使用行为产生不同的影响。本研究评估了仅限制燃烧产品中的特征风味，还是限制所有烟草产品中的特征风味，对使用薄荷醇香烟的非裔美国人/黑人的烟草使用行为会产生不同的影响。
通过 Qualtrics（n=373）和弗吉尼亚州里士满（n=206）招募了在美国使用薄荷醇香烟的成年非裔美国人/黑人，进行了一项在线实验，时间为 2021 年 9 月至 2022 年 8 月。参与者报告了在 3 种情况下他们的烟草使用行为会如何变化：维持现状、限制风味禁令（禁止香烟和雪茄中的特征风味）和全面风味禁令（禁止所有烟草产品中的特征风味）。似乎不相关的回归比较了对政策情景的预期反应的差异（p<0.05）。
与现状相比，两种风味禁令情景都导致更高的戒烟意愿，无论是香烟还是所有烟草产品（p<0.05）。与限制禁令相比，全面禁令导致更高的戒烟所有烟草产品的意愿和更低的转向某些替代产品（如电子烟、无烟烟草、加热烟草产品）的意愿（p<0.05）。
如果禁止燃烧产品（如薄荷醇香烟）中的特征风味，使用薄荷醇香烟的非裔美国人/黑人似乎更有可能戒烟，无论非燃烧替代烟草产品中是否有特征风味。
