自英国薄荷醇口味禁令实施以来的吸烟率及薄荷醇香烟购买情况：2020年至2023年的一项基于人群的调查

Smoking prevalence and purchasing of menthol cigarettes since the menthol flavour ban in Great Britain: a population-based survey between 2020 and 2023.

作者信息

Buss Vera Helen, Tattan-Birch Harry, Cox Sharon, Bauld Linda, Shahab Lion, Brown Jamie

机构信息

Behavioural Science and Health, University College London, London, UK

SPECTRUM Consortium, Edinburgh, UK.

出版信息

Tob Control. 2024 Mar 12. doi: 10.1136/tc-2023-058390.

DOI:10.1136/tc-2023-058390

PMID:38471775

Abstract

BACKGROUND

Menthol cigarettes have been banned in Great Britain (GB) since May 2020. Still, menthol accessories and unlabelled cigarettes perceived as mentholated are available, and people can buy menthol cigarettes overseas or illicitly. This study assessed: trends in smoking menthol cigarettes among all adults and 18-24-year-olds in GB between October 2020 and March 2023; trends in and differences between England, Scotland and Wales during the same period and purchase sources among people smoking menthol versus non-flavoured cigarettes.

METHODS

Population-weighted data were from a monthly cross-sectional survey of adults in GB. Among people smoking cigarettes, we calculated the proportion smoking menthol cigarettes across all adults and 18-24-year-olds, and prevalence ratios (PR) between the first and last quarter. We also calculated the proportions of people smoking menthol/non-flavoured cigarettes by purchase source (including illicit sources).

RESULTS

In the first quarter, 16.2% of adults smoking cigarettes reported menthol cigarette smoking with little to no decline throughout the study (PR 0.85, 95% CI 0.71 to 1.01), while it declined among 18-24-year-olds (PR 0.75, 95% CI 0.63 to 0.89). The prevalence of menthol cigarette smoking fell by two-thirds in Wales (PR 0.36, 95% CI 0.19 to 0.62) but remained relatively stable in England (PR 0.88, 95% CI 0.72 to 1.06) and Scotland (PR 0.94, 95% CI 0.59 to 1.53). The main purchasing sources were licit (93.9%), 14.8% reported illicit sources and 11.5% cross-border purchases, without notable differences from people smoking non-flavoured cigarettes.

CONCLUSIONS

Roughly one million adults in GB still smoke menthol cigarettes and, with the exception of Wales and young people, there were no noteworthy changes in the post-ban period. There was no indication that the overall persistence of menthol smoking was driven by illicit purchases.

摘要

背景

自2020年5月起，薄荷醇香烟在英国已被禁止。尽管如此，薄荷醇烟具以及被认为是薄荷醇味的无标签香烟仍可获得，人们还可以在海外或非法购买薄荷醇香烟。本研究评估了：2020年10月至2023年3月期间英国所有成年人及18至24岁人群中吸食薄荷醇香烟的趋势；同期英格兰、苏格兰和威尔士之间的趋势及差异，以及吸食薄荷醇香烟与非调味香烟人群的购买来源。

方法

人口加权数据来自对英国成年人的月度横断面调查。在吸烟人群中，我们计算了所有成年人及18至24岁人群中吸食薄荷醇香烟的比例，以及第一季度和最后一季度之间的患病率比值（PR）。我们还按购买来源（包括非法来源）计算了吸食薄荷醇/非调味香烟人群的比例。

结果

在第一季度，16.2%的吸烟成年人报告吸食薄荷醇香烟，在整个研究期间几乎没有下降（PR 0.85，95%置信区间0.71至1.01），而在18至24岁人群中有所下降（PR 0.75，95%置信区间0.63至0.89）。威尔士薄荷醇香烟吸食率下降了三分之二（PR 0.36，95%置信区间0.19至0.62），但在英格兰（PR 0.88，95%置信区间0.72至1.06）和苏格兰（PR 0.94，95%置信区间0.59至1.53）保持相对稳定。主要购买来源是合法渠道（93.9%）；14.8%报告从非法渠道购买，11.5%通过跨境购买，与吸食非调味香烟的人群相比无显著差异。