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警示标签作为一种公共卫生干预措施:对烟草、大麻和阿片类药物的影响和挑战。

Warning Labels as a Public Health Intervention: Effects and Challenges for Tobacco, Cannabis, and Opioid Medications.

机构信息

School of Public Health, Georgia State University, Atlanta, Georgia, USA; email:

School of Journalism, University of Missouri, Columbia, Missouri, USA.

出版信息

Annu Rev Public Health. 2024 May;45(1):425-442. doi: 10.1146/annurev-publhealth-060922-042254. Epub 2024 Apr 3.

Abstract

Warning labels help consumers understand product risks, enabling informed decisions. Since the 1966 introduction of cigarette warning labels in the United States, research has determined the most effective message content (health effects information) and format (brand-free packaging with pictures). However, new challenges have emerged. This article reviews the current state of tobacco warning labels in the United States, where legal battles have stalled pictorial cigarette warnings and new products such as electronic cigarettes and synthetic nicotine products pose unknown health risks. This article describes the emerging research on cannabis warnings; as more places legalize recreational cannabis, they are adopting lessons from tobacco warnings. However, its uncertain legal status and widespread underestimation of harms impede strict warning standards. The article also reviews opioid medication warning labels, suggesting that lessons from tobacco could help in the development of effective and culturally appropriate FDA-compliant opioid warning labels that promote safe medication use and increased co-dispensing of naloxone.

摘要

警告标签有助于消费者了解产品风险,从而做出明智的决策。自 1966 年美国引入香烟警告标签以来,研究已经确定了最有效的信息内容(健康影响信息)和格式(无品牌包装加图片)。然而,新的挑战已经出现。本文回顾了美国目前的烟草警告标签状况,在那里,关于香烟图片警告的法律诉讼陷入僵局,而电子烟和合成尼古丁产品等新产品则带来了未知的健康风险。本文还描述了正在进行的关于大麻警告标签的研究;随着越来越多的地方使娱乐用大麻合法化,它们正在从烟草警告中吸取教训。然而,其不确定的法律地位和对危害的广泛低估阻碍了严格的警告标准的制定。文章还回顾了阿片类药物警告标签,表明可以从烟草中吸取教训,制定出有效和符合文化的 FDA 合规的阿片类药物警告标签,促进安全用药,并增加纳洛酮的共同配药。

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