当前使用调味电子烟人群对假设性口味禁令的反应。
Reactions to hypothetical flavor bans among current users of flavored e-cigarettes.
机构信息
School of Public Health, University of Memphis, Memphis, TN, 38152, USA.
O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, 20001, USA.
出版信息
Transl Behav Med. 2023 Aug 11;13(8):533-538. doi: 10.1093/tbm/ibac109.
Banning flavors in e-cigarettes and other tobacco products may decrease their use. To examine how current users of flavored e-cigarettes might react to a ban on flavored e-cigarettes when: (i) menthol flavor is banned together with other flavors, or (ii) this ban on e-cigarettes is combined with a ban on menthol cigarettes and flavored cigars. A national cross-sectional survey of 2,347 current users of flavored e-cigarettes was conducted in May 2022. For each hypothetical ban scenario, respondents reported if they would quit all tobacco product use, continue to use e-cigarettes with no flavor or flavors that were not banned, or switch to alternative tobacco products. Multinomial logistic regressions were used to estimate the associations between responses and ban scenarios, adjusting for tobacco use and demographic variables. If e-cigarettes with any flavors except menthol and tobacco were banned, the majority of current e-cigarette users would keep using e-cigarettes with no flavor or tobacco and menthol flavor. When menthol flavor was added to a ban, a greater proportion of respondents would quit all tobacco use; however, more would also switch to cigarettes or cigars. When menthol cigarettes and flavored cigars were added to a ban, those who used menthol flavor only would be less likely to switch to cigarettes and cigars. Among current e-cigarette users, the harm reduction (i.e., from quitting all use) from a ban on flavored e-cigarettes, particularly if menthol is also banned, may be outweighed by the harm increases (i.e., switching to cigarettes or cigars, or other products that are more harmful than using e-cigarettes). A concurrent ban on menthol cigarettes and flavored cigars would secure more certain net reductions to public health harms from e-cigarette use and smoking.
禁止电子烟和其他烟草产品调味可能会降低它们的使用。为了研究当前使用调味电子烟的人在以下两种情况下对调味电子烟禁令的反应:(i)薄荷醇口味与其他口味一起被禁止,或(ii)电子烟禁令与薄荷醇香烟和调味雪茄禁令同时实施。2022 年 5 月进行了一项针对 2347 名当前使用调味电子烟者的全国性横断面调查。对于每种假设的禁令情景,受访者报告他们是否会停止使用所有烟草制品,继续使用无口味或未被禁止的口味的电子烟,或改用其他烟草产品。使用多项逻辑回归来估计对各种禁令情景的反应与禁令情景之间的关联,同时调整了烟草使用和人口统计学变量。如果除薄荷醇和烟草以外的所有调味电子烟都被禁止,大多数当前电子烟使用者将继续使用无口味或烟草和薄荷醇口味的电子烟。当薄荷醇口味被加入禁令时,更多的受访者会停止使用所有烟草制品;然而,也会有更多的人转而使用香烟或雪茄。当薄荷醇香烟和调味雪茄被加入禁令时,那些只使用薄荷醇口味的人转而使用香烟和雪茄的可能性较小。在当前的电子烟使用者中,禁止调味电子烟(特别是如果薄荷醇也被禁止)可能会带来减少所有使用的危害减少(即完全停止使用),但也可能会增加危害(即转而使用香烟或雪茄,或其他比使用电子烟更有害的产品)。同时禁止薄荷醇香烟和调味雪茄将更能确保减少电子烟使用和吸烟对公共健康造成的危害。
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