Electronic cigarettes as a harm reduction strategy for tobacco control: A step forward or a repeat of past mistakes?
Electronic cigarettes as a harm reduction strategy for tobacco control: A step forward or a repeat of past mistakes?
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DOI：
10.1057/jphp.2010.41
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发表时间：
2011-02-01
影响因子：
3.8
通讯作者：
Siegel, Michael
中科院分区：
文献类型：
--
作者：
Cahn, Zachary;Siegel, Michael
减少危害问题在烟草控制的公共卫生实践中长期以来一直存在争议。健康倡导者一直不愿认可减少危害的方法，因为他们担心烟草公司生产和销售的产品能够减少与烟草使用相关的风险，因此不能被信任。最近，独立于烟草行业的公司推出了电子烟，这种设备可以在不燃烧烟草的情况下提供汽化尼古丁。我们回顾了有关电子烟安全性和功效的现有证据。然后，我们重新审视有关减少烟草危害的辩论，重点关注这些新颖产品。我们的结论是，电子烟在对抗烟草相关发病率和死亡率方面显示出巨大的前景。通过极大地扩展减少危害战略的潜力以实现实质性的健康收益，它们可能从根本上改变烟草危害减少的争论。公共卫生政策杂志 (2011) 32, 16-31。 doi：10.1057/jphp.2010.41； 2010 年 12 月 9 日在线发布
The issue of harm reduction has long been controversial in the public health practice of tobacco control. Health advocates have been reluctant to endorse a harm reduction approach out of fear that tobacco companies cannot be trusted to produce and market products that will reduce the risks associated with tobacco use. Recently, companies independent of the tobacco industry introduced electronic cigarettes, devices that deliver vaporized nicotine without combusting tobacco. We review the existing evidence on the safety and efficacy of electronic cigarettes. We then revisit the tobacco harm reduction debate, with a focus on these novel products. We conclude that electronic cigarettes show tremendous promise in the fight against tobacco-related morbidity and mortality. By dramatically expanding the potential for harm reduction strategies to achieve substantial health gains, they may fundamentally alter the tobacco harm reduction debate. Journal of Public Health Policy (2011) 32, 16-31. doi: 10.1057/jphp.2010.41; published online 9 December 2010