The Reshaping of the E-Cigarette Retail Environment: Its Evolution and Public Health Concerns.

The Reshaping of the E-Cigarette Retail Environment: Its Evolution and Public Health Concerns.
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DOI:
10.3390/ijerph19148518
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发表时间:
2022-07-12
影响因子:
--
通讯作者:
Henriksen, Lisa
Henriksen, Lisa
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Berg, Carla J.;Melena, Albert;Wittman, Friedner D.;Robles, Tomas;Henriksen, Lisa

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电子烟的使用在美国乃至全球都引发了公共卫生争议。尽管电子烟有帮助戒烟的潜力,但使用电子烟会增加健康风险和成瘾风险,尤其是在年轻人中。联邦、州和地方的各种法律对烟草零售产生了普遍影响,尤其是电子烟。在美国,2019-2020年联邦法律将烟草的最低合法销售年龄提高到21岁,并禁止使用调味的电子烟。许多州和地方都是烟草21的早期采用者,并实施了比联邦禁令更全面的风味限制。与此同时,大麻零售在美国越来越合法化,而基于大麻的产品监管在联邦、州和地方层面存在显著差距。这些复杂的监管影响了销售电子烟的专业零售商,包括专门销售电子烟的“vape商店”,销售电子烟和其他烟草(可能还有CBD/THC和其他不受监管或监管不足的产品)的“烟雾商店”,以及在线零售。本评论概述了与以下方面有关的公共卫生问题:(1)青少年获取;(2)消费者接触更广泛的烟草制品和零售环境中的营销,他们可能会寻求帮助戒烟的产品(即,这种广泛的产品接触可能会阻碍戒烟尝试);(3)消费者接触不受/不受监管的产品(例如,δ -8-四氢大麻酚,kratom);(4)消费者通过网络和邮件接触到违禁产品,破坏了联邦、州和地方法规。这些担忧强调了对零售商和消费者如何应对监管的持续监督的必要性。
E-cigarette use represents a public health controversy in the US and globally. Despite the potential of e-cigarettes to support cigarette cessation, their use increases health risks and risk for addiction, particularly in young people. Various federal, state, and local laws have impacted tobacco retail in general and e-cigarettes in particular. In the US, 2019–2020 federal laws increased in the minimum legal sales age for tobacco to 21 and banned flavored cartridge-based e-cigarettes. Many states and localities were early adopters of Tobacco 21 and implemented more comprehensive flavor restrictions than the federal ban. Meanwhile, cannabis retail is increasingly being legalized in the US—while cannabis-based product regulation has notable gaps at the federal, state, and local levels. These regulatory complexities have impacted specialized retailers selling e-cigarettes, including “vape shops” that exclusively sell e-cigarettes, “smoke shops” that sell e-cigarettes and other tobacco (and potentially CBD/THC and other un- or under-regulated products), and online retail. This commentary outlines public health concerns related to: (1) youth access; (2) consumer exposure to a broader range of tobacco products and marketing in retail settings where they may seek products to aid in cigarette cessation (i.e., such broad product exposure could hinder cessation attempts); (3) consumer exposure to un-/under-regulated products (e.g., delta-8-THC, kratom); and (4) federal, state, and local regulations being undermined by consumer access to prohibited products online and via the mail. These concerns underscore the need for ongoing surveillance of how retailers and consumers respond to regulations.
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