Tobacco industry response to menthol cigarette bans in Alberta and Nova Scotia, Canada
Tobacco industry response to menthol cigarette bans in Alberta and Nova Scotia, Canada
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DOI：
10.1136/tobaccocontrol-2016-053099
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发表时间：
2017-03-01
期刊：
影响因子：
5.2
通讯作者：
Cohen, Joanna E.
中科院分区：
文献类型：
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作者：
Brown, Jennifer;DeAtley, Teresa;Cohen, Joanna E.
薄荷香烟与增加开始吸烟和发展为经常吸烟以及降低戒烟的可能性有关。1-8在一些国家，薄荷醇吸烟者更可能是妇女和青少年。9 .《烟草控制框架公约》缔约方会议建议各缔约方管制使卷烟更可口的成分，包括薄荷醇等调味物质。加拿大新斯科舍省于2015年5月成为第一个实施薄荷烟草制品禁令的管辖区，阿尔伯塔省于2015年9月紧随其后。11 .这些条例扩大了现有的省级风味烟草制品销售禁令，包括薄荷味烟草制品，烟斗烟草和一些雪茄除外。加拿大其他省份、巴西、埃塞俄比亚、土耳其和欧盟也通过了禁止薄荷烟草产品的法规。11 .在各司法管辖区（包括城市、州/省和国家）考虑禁止薄荷烟草制品时，有关烟草业对此类禁令反应的真实背景数据可有助于制定有效的禁令。例如，当烟草包装上诸如“清淡”和“低焦油”等误导性描述被禁止时，烟草业继续使用颜色或其他描述向消费者传达同样的误导性健康信息。12 13烟草业破坏烟草包装上健康警语有效性的策略包括使用促销包装和改变包装大小。14 15根据在加拿大阿尔伯塔省和新斯科舍省购买的卷烟包装样本，我们描述了行业对薄荷烟草制品禁令的反应。在2015年9月至12月期间，我们从阿尔伯塔省禁令前和禁令后（422包）和新斯科舍省禁令后（76包）两个主要城市购买了香烟包装样本。在主要的零售商中，店员被要求在禁令前和禁令后向市场提供薄荷醇和绿色包装、薄荷醇替代品、绿色包装和新包装。在每个城市的一家商店里，所有独特的香烟包装都被购买了。如果一个包装至少在一个外部包装特征上不同，包括品牌名称、颜色、设计元素或玻璃纸，则被认为是独特的。总共访问了63家商店，购买了35件商品。使用定性含量分析，我们确定了薄荷醇包装以及可能包含“薄荷醇替代”包装的描述符和包装特征。虽然这些规定包括禁止薄荷烟草
Menthol cigarettes are associated with increased initiation and progression to regular smoking and decreased likelihood of smoking cessation. 1–8 Menthol smokers are more likely to be women and adolescents in several countries. 9 The Conference of the Parties to the Framework Convention on Tobacco Control recommend that Parties regulate ingredients that make cigarettes more palatable, including flavouring substances like menthol. 10 The Canadian province Nova Scotia became the first jurisdiction to implement a ban on menthol tobacco products in May 2015, and the province of Alberta followed in September 2015. 11 These regulations extended existing provincial bans on the sale of flavoured tobacco products to include menthol flavoured tobacco products, with the exception of pipe tobacco and some cigars. Additional Canadian provinces, Brazil, Ethiopia, Turkey and the European Union have passed regulations to ban menthol tobacco products. 11 As jurisdictions (including cities, states/provinces and countries) consider bans on menthol tobacco products, real-life contextual data on the industry response to such bans can be helpful in formulating effective bans. For example, when misleading descriptors on tobacco packaging such as ‘light’and ‘low tar’were prohibited, the tobacco industry continued to communicate those same misleading health messages to the consumer using colour or other descriptors. 12 13 Industry tactics to undermine the effectiveness of health warnings on tobacco packaging have included the use of promotional packaging and altered pack size. 14 15 Drawing on a sample of cigarette packs purchased in Alberta and Nova Scotia, Canada, we describe the industry response to a ban on menthol tobacco products.Between September and December 2015, we purchased a sample of cigarette packs from two major cities in Alberta preban and postban (422 packs) and Nova Scotia postban (76 packs). At major retailers, store clerks were asked for menthol and green packs preban and menthol, menthol replacement, green and new packs to the market postban. At one store in each city, all unique packs of cigarettes available were purchased. A pack was considered unique if it differed in at least one exterior pack feature including brand name, colours, design elements or cellophane. In total, 63 stores were visited and 35 purchases were made. Using qualitative content analysis, we identified menthol packs as well as descriptors and pack features that may connote ‘menthol replacement’packs. While the regulations include prohibitions on menthol tobacco