Institute for Global Tobacco Control (IGTC), Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Department of Civil and Environmental Engineering, Portland State University, Portland, Oregon 97207, USA.
Nicotine Tob Res. 2024 Feb 22;26(3):385-391. doi: 10.1093/ntr/ntad146.
Tobacco product flavors can increase product appeal, adolescent initiation and experimentation, and difficulty quitting. Flavored tobacco products are not restricted in Vietnam or the Philippines despite the high smoking prevalence among those 15 years of age and older (24% and 23%, respectively). There are no published reports to our knowledge on the levels of flavor chemicals in the cigarettes sold in these two countries.
Cigarettes were purchased in Vietnam (32 brand variants) and the Philippines (19 brand variants) during 2020. Chemical analyses gave the mg/filter, mg/rod, and mg/stick (= mg/(filter + rod)) values for 180 individual flavor chemicals. Values were calculated for menthol, clove-related compounds, and "other flavor chemicals" (OFCs).
Five flavor groupings were found among the brand variants purchased in Vietnam: menthol + OFCs (n = 15), OFCs only (n = 8), nonflavored (n = 7), menthol + OFCs with a clove flavorant (n = 1) and menthol only (n = 1). Three flavor groupings were found among the brand variants purchased in the Philippines: menthol + OFCs (n = 10), nonflavored (n = 5), and menthol only (n = 4).
A range of flavored cigarette products are being offered by tobacco companies in Vietnam and the Philippines, presumably to maximize cigarette sales. Regulation of flavor chemicals should be considered in these two countries.
Article 9 of the WHO Framework Convention on Tobacco Control (FCTC), ratified by both Vietnam and the Philippines, states that "there is no justification for permitting the use of ingredients, such as flavoring agents, which help make tobacco products attractive." Flavors increase product appeal, adolescent initiation and experimentation, and difficulty quitting. These analyses found that cigarettes purchased in Vietnam and the Philippines contained menthol and other flavor chemicals. Tobacco companies are offering multiple flavor chemical profiles and nominally nonflavored versions in these countries; regulation of flavor chemicals should be considered in these two countries.
烟草产品的口味可以增加产品吸引力、青少年开始吸烟和尝试吸烟的几率，以及戒烟的难度。尽管越南和菲律宾的 15 岁及以上人群吸烟率较高（分别为 24%和 23%），但这两个国家都没有对烟草产品口味进行限制。据我们所知，目前还没有关于这两个国家销售的香烟中调味化学品含量的报告。
2020 年在越南（32 个品牌变体）和菲律宾（19 个品牌变体）购买香烟。化学分析给出了 180 种单一调味化学品的毫克/支、毫克/支和毫克/支（毫克/（过滤嘴+烟支））值。数值包括薄荷醇、丁香油相关化合物和“其他调味化学品”（OFCs）。
在越南购买的品牌变体中发现了 5 种调味分组：薄荷醇+OFCs（n=15）、OFCs 仅（n=8）、无调味（n=7）、薄荷醇+含有丁香油的 OFCs（n=1）和仅薄荷醇（n=1）。在菲律宾购买的品牌变体中发现了 3 种调味分组：薄荷醇+OFCs（n=10）、无调味（n=5）和仅薄荷醇（n=4）。
越南和菲律宾的烟草公司提供了一系列调味香烟产品，大概是为了最大限度地增加香烟销量。这两个国家应该考虑对调味化学品进行监管。
越南和菲律宾都批准了世界卫生组织《烟草控制框架公约》（FCTC）第 9 条，该条规定，“没有任何理由允许使用调味剂等成分，因为这些成分有助于使烟草产品具有吸引力。”调味剂增加了产品吸引力、青少年开始吸烟和尝试吸烟的几率，以及戒烟的难度。这些分析发现，在越南和菲律宾购买的香烟中含有薄荷醇和其他调味化学品。烟草公司在这两个国家提供多种调味化学物质和名义上的无调味版本；这两个国家应考虑对调味化学品进行监管。
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