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作者信息

Obradovic Ivana, Pasquereau Anne, Spilka Stanislas, Andler Raphaël, Douchet Marc-Antoine, Guignard Romain, Beck François, Nguyen-Thanh Viêt

出版信息

Sante Publique. 2023;35(5):19-33. doi: 10.3917/spub.pr1.0021.

Abstract

This article reports changes in tobacco and vaping consumption in France over the last thirty years and the issues they raise for public authorities in terms of prevention and management of the social and health consequences. This report is the result of a joint analysis by Santé publique France (SpF) and the French Monitoring Center for Drugs and Drug Addiction (OFDT). It shows that there has been a "generational shift" in tobacco consumption and social representations of cigarettes since the mid-2010s, with a sharp decline in tobacco initiation among adolescents, which has become less common and reported at an older age, which was one of the objectives of the national tobacco reduction plans. However, smoking remains fairly stable among adults, predominantly among men, with gaps between men and women persisting since the early 2000s. Beyond the gender gap, social disparities in consumption remain significant, both among youth and adults. However, while the prevalence of smoking is no longer increasing, the prevalence of vaping is rising, which is a public health concern since some of these practices involve nicotine consumption. This also entails the risk of a "renormalization" of the act of smoking, a matter of concern for health authorities in France as in other European countries. The analysis concludes that the statistical information system and qualitative surveys need to be adapted to ensure a reliable monitoring of the situation, taking into account the rapid transformations of the market.

摘要

本文报道了法国过去三十年烟草和电子烟消费的变化情况,以及这些变化给公共当局在预防和管理社会及健康后果方面带来的问题。本报告是法国公共卫生署(SpF)和法国毒品及药物成瘾监测中心(OFDT)联合分析的结果。报告显示,自2010年代中期以来,烟草消费和香烟的社会认知出现了“代际转变”,青少年吸烟率急剧下降,吸烟现象变得不那么普遍,且开始吸烟的年龄有所增大,这是国家烟草减少计划的目标之一。然而,成年人吸烟率仍相当稳定,主要是男性吸烟率稳定,自21世纪初以来,男女吸烟率差距一直存在。除了性别差距,青年和成年人在消费方面的社会差异仍然很大。然而,虽然吸烟率不再上升,但电子烟的使用率却在上升,这是一个公共卫生问题,因为其中一些行为涉及尼古丁消费。这也带来了吸烟行为“重新常态化”的风险,这与法国及其他欧洲国家的卫生当局所关切的问题一样。分析得出结论,统计信息系统和定性调查需要进行调整,以确保在考虑到市场快速变化的情况下,对形势进行可靠监测。

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