Non-cigarette tobacco products: what have we learnt and where are we headed?

Non-cigarette tobacco products: what have we learnt and where are we headed?
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DOI:
10.1136/tobaccocontrol-2011-050281
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发表时间:
2012-03
期刊:
影响因子:
5.2
通讯作者:
O'Connor RJ
O'Connor RJ
中科院分区:
医学2区
文献类型:
--
作者:
O'Connor RJ

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存在各种各样的非卷烟形式的烟草和尼古丁,它们的使用因区域和全球而异。吸烟形式的烟草,如雪茄,比迪斯,kreteks和水管有很高的受欢迎程度,往往被错误地认为比香烟危害小,而实际上它们的健康负担是相似的。世界各地的无烟烟草产品在形式和健康危害方面差异很大,有些形式明显有毒(如南亚),有些形式危害小得多(如,瑞典)。还有一些不直接依赖烟草的尼古丁输送系统(例如电子尼古丁输送系统[ENDS])。这类产品的存在对公共卫生既是挑战也是机遇。未来的监管行动,如扩大无烟环境,产品健康警告和税收可能会增加或减少非卷烟形式的烟草的使用。这些法规还可能带来非卷烟烟草产品本身的变化,这些变化可能通过影响吸引力和/或毒性而影响公共健康。
A wide variety of non-cigarette forms of tobacco and nicotine exists and their use varies regionally and globally. Smoked forms of tobacco such as cigars, bidis, kreteks, and waterpipes have high popularity and are often perceived erroneously as less hazardous than cigarettes, when in fact their health burden is similar. Smokeless tobacco products vary widely around the world in both form and health hazards, with some clearly toxic forms (e.g. South Asia), and some forms with far fewer hazards (e.g., Sweden). There are also emerging nicotine delivery systems not directly reliant on tobacco (e.g. electronic nicotine delivery systems [ENDS]). The presence of such products presents both challenges and opportunities for public health. Future regulatory actions such as expansion of smokefree environments, product health warnings, and taxation may serve to increase or decrease the use of non-cigarette forms of tobacco. These regulations may also bring about changes in non-cigarette tobacco products themselves that could impact public health by affecting attractiveness and/or toxicity.
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