Electronic cigarettes: a policy statement from the American Heart Association.
Electronic cigarettes: a policy statement from the American Heart Association.
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DOI：
10.1161/cir.0000000000000107
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发表时间：
2014-10-14
期刊：
影响因子：
37.8
通讯作者：
American Heart Association Advocacy Coordinating Committee, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research
中科院分区：
文献类型：
--
作者：
Bhatnagar A;Whitsel LP;Ribisl KM;Bullen C;Chaloupka F;Piano MR;Robertson RM;McAuley T;Goff D;Benowitz N;American Heart Association Advocacy Coordinating Committee, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and Council on Quality of Care and Outcomes Research
几十年来，倡导烟草控制一直是美国心脏协会 (AHA) 的首要任务。该协会与主要公共卫生组织合作，通过优先考虑增加消费税等循证策略，在预防和戒烟方面取得了重大进展。通过全面的无烟空气法；促进美国食品和药物管理局 (FDA) 监管烟草的权力，包括医疗保健计划中的全面戒烟治疗；支持为不同州的综合烟草控制计划提供充足的资金。这些控烟努力使 1997 年至 2007 年间青少年吸烟率降低了一半，并在过去 50 年中挽救了超过 800 万人的生命。 1 然而，这项工作还远远没有完成，而且已经停滞不前，特别是对于生活在贫困线以下的人们、患有精神疾病的人2 以及受教育程度较低的人来说。 3 除非当前趋势逆转，否则当今美国约有 560 万儿童将因吸烟相关疾病而过早死亡。 1 即使现在，吸烟每年仍导致近 50 万美国人死亡，另有 1,600 万人患有与吸烟有关的疾病，这使美国每年花费 2,890 亿美元的直接医疗费用和其他经济费用。 1 本声明回顾了有关进入烟草产品领域的最新一类产品——电子烟（电子烟），也称为电子尼古丁输送系统 (ENDS) 的最新科学知识，并概述了设计、操作、成分、毒理学、安全性、用户概况、公共卫生、青少年获取、作为戒烟辅助剂的影响和二手接触。根据现有证据，我们在烟草控制的关键领域提供政策建议，例如清洁室内空气法、税收、监管、防止青少年接触、针对青少年的营销和广告、戒烟咨询、监测以及在州法律中定义电子烟。该声明最后概述了未来的研究议程，以进一步了解这一新兴的烟草控制领域以及电子烟对公共健康的影响。
For decades, advocacy for tobacco control has been a priority of the American Heart Association (AHA). In partnership with major public health organizations, the association has made major strides in tobacco use prevention and cessation by prioritizing evidence-based strategies such as increasing excise taxes; passing comprehensive smoke-free air laws; facilitating US Food and Drug Administration (FDA) authority to regulate tobacco, including comprehensive tobacco cessation treatment within healthcare plans; and supporting adequate funding of comprehensive tobacco control programs in different states. These tobacco control efforts have cut in half the youth smoking rate from 1997 to 2007 and have saved> 8 million lives in the past 50 years. 1 However, the work is far from done and has stalled, especially for people living below the poverty line, those with mental illnesses, 2 and those with low educational attainment. 3 Unless current trends reverse,≈ 5.6 million children alive today in the United States will die prematurely of smoking-related diseases. 1 Even now, cigarette smoking kills nearly half a million Americans each year, and an additional 16 million individuals suffer from smokingrelated illness, which costs the United States $289 billion dollars annually in direct medical care and other economic costs. 1 This statement reviews the latest science concerning one of the newest classes of products to enter the tobacco product landscape—electronic cigarettes (e-cigarettes), also called electronic nicotine delivery systems (ENDS)—and provides an overview on design, operations, constituents, toxicology, safety, user profiles, public health, youth access, impact as a cessation aid, and secondhand exposure. On the basis of the current evidence, we provide policy recommendations in key areas of tobacco control such as clean indoor air laws, taxation, regulation, preventing youth access, marketing and advertising to youth, counseling for cessation, surveillance, and defining e-cigarettes in state laws. The statement concludes by outlining a future research agenda to further our understanding of this emerging area of tobacco control and the impact of e-cigarettes on public health.