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中国电子烟监管的批判性回顾:青少年预防和烟草控制面临的挑战与展望。

A Critical Review of E-Cigarette Regulation in China: Challenges and Prospects for Youth Prevention and Tobacco Control.

机构信息

Law School, Central South University, Changsha, China.

出版信息

Nicotine Tob Res. 2024 Jan 22;26(2):126-134. doi: 10.1093/ntr/ntad180.


DOI:10.1093/ntr/ntad180
PMID:37718628
Abstract

INTRODUCTION: The increasing popularity of electronic cigarettes (e-cigarettes) has led to the emergence of public health concerns, particularly among the youth. As a major producer and exporter of e-cigarettes, China has faced public health challenges in regulating the unregulated e-cigarette industry. AIMS AND METHODS: This study aims to evaluate the regulatory development of e-cigarettes in China. We searched and obtained national policy documents related to e-cigarettes and subnational smoke-free laws from LexisNexis on August 2, 2023, which were enacted between January 1, 2023 and July 31, 2023. We used 99 policy documents for the final analysis, specifically 68 national policy documents on e-cigarettes and 31 subnational smoke-free laws. We chronologically reviewed these policy documents in full text and summarized them on the basis of their content and the requirements of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC). RESULTS: Chinese policymakers established the current regulatory framework for e-cigarettes by amending, enacting, and enforcing laws and regulations. E-cigarettes are categorized as tobacco products, and the State Tobacco Monopoly Administration regulates the e-cigarette industry. The Chinese authorities prioritize youth prevention in strengthening the regulation on e-cigarettes. China adopts various tobacco control measures for e-cigarettes and cigarettes. CONCLUSIONS: China gained certain degrees of progress on tobacco control by regulating e-cigarettes and adopting measures required by the WHO FCTC. However, tobacco monopoly hinders the full realization of tobacco control goals, which necessitates the National Health Commission to assume its responsibility for the complete implementation of the WHO FCTC. IMPLICATIONS: This study presents a critical review of the development of e-cigarette regulation in China by reviewing relevant policy documents and analyzing tobacco control measures. It recognizes the degrees of progress of tobacco control measures and highlights tobacco monopoly as a significant hindrance of the full implementation of the WHO FCTC. Furthermore, empirical studies are required on the enforcement of tobacco control measures in China.

摘要

引言:电子烟(e-cigarettes)的日益普及引发了公众健康问题,尤其是在年轻人中。作为电子烟的主要生产国和出口国,中国在规范不受监管的电子烟行业方面面临着公共卫生挑战。

目的和方法:本研究旨在评估中国电子烟的监管发展。我们于 2023 年 8 月 2 日通过 LexisNexis 搜索并获取了与电子烟相关的国家政策文件和次国家级无烟法律,这些法律于 2023 年 1 月 1 日至 7 月 31 日颁布。我们使用了 99 份政策文件进行最终分析,具体包括 68 份电子烟国家政策文件和 31 份次国家级无烟法律。我们对这些政策文件进行了全文审查,并根据其内容和世界卫生组织烟草控制框架公约(WHO FCTC)的要求进行了总结。

结果:中国政策制定者通过修订、颁布和执行法律法规,建立了当前电子烟的监管框架。电子烟被归类为烟草制品,国家烟草专卖局监管电子烟行业。中国当局在加强电子烟监管方面侧重于青少年预防。中国对电子烟和香烟采取了各种烟草控制措施。

结论:中国通过规范电子烟和采取 WHO FCTC 要求的措施,在烟草控制方面取得了一定程度的进展。然而,烟草专卖制度阻碍了烟草控制目标的完全实现,这需要国家卫生健康委员会承担起全面实施 WHO FCTC 的责任。

意义:本研究通过审查相关政策文件和分析烟草控制措施,对中国电子烟监管的发展进行了批判性回顾。它认识到烟草控制措施的进展程度,并强调了烟草专卖制度是全面实施 WHO FCTC 的重大障碍。此外,还需要对中国烟草控制措施的执行进行实证研究。

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[1]
E-Cigarette Narratives of User-Generated Posts on Xiaohongshu in China: Content Analysis.

J Med Internet Res. 2025-7-3

[2]
An observational study of the marketing practice of e-cigarette specialty stores in two large cities in China: Is there potential to normalize the use of e-cigarettes?

Tob Induc Dis. 2024-9-14

[3]
E-cigarette use and associated factors among adults aged 18-44 years in China: Findings from an online survey.

Tob Induc Dis. 2024-9-7

[4]
Stop e-cigarette philanthropy: Amending the charity law to reinforce tobacco control in China.

Tob Induc Dis. 2024-1-24

[5]
Perceptions of and responses of young adults who use e-cigarettes to flavour bans in China: a qualitative study.

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