The past is not the future in tobacco control.
The past is not the future in tobacco control.
复制标题
过去不是烟草控制中的未来。
DOI：
10.1016/j.ypmed.2020.106183
复制
发表时间：
2020-11
影响因子：
5.1
通讯作者：
Sweanor D
中科院分区：
文献类型：
--
作者：
Cummings KM;Ballin S;Sweanor D
在本文中，我们试图找出过去 100 年来美国错失的改变吸烟轨迹和吸烟引起疾病的机会。许多错失的机会都是由于卷烟制造商的行为造成的，他们误导公众了解吸烟的危险、尼古丁的成瘾性以及向吸烟成瘾者提供风险较低的替代尼古丁输送产品的可行性。从过去吸取的一个重要教训是，将所有烟草/尼古丁产品视为同等有害会对公共健康产生反作用，因为它只能保护最致命的尼古丁产品 - 香烟。自 2000 年以来，不断发展的低风险尼古丁产品市场与烟草产品的监管机构相结合，提供了一个新的机会，可以以几十年前烟草战争激烈时从未想象过的方式彻底改变卷烟业务。然而，这需要采用与风险相称的监管、税收政策，并为消费者提供有关产品相关风险的准确公共信息。需要鼓励建立基于合理科学的监管框架，鼓励和奖励新的或现有的制造商投资于消费者可接受的低风险产品来替代卷烟。过去确实不是控烟的未来，但除非能够实现市场力量和政策的重新调整，否则可能很难摆脱过去。
In this paper we have attempted to identify missed opportunities to change the trajectory of smoking and smoking caused diseases in America over the past 100 years. Many of the missed opportunities identified are due to the actions of cigarette manufacturers who misled the public about the dangers of cigarette smoking, the addictiveness of nicotine, and the feasibility of providing lower risk alternative nicotine delivery products to addicted smokers. An important lesson learned from the past is that treating all tobacco/nicotine products as equivalently harmful is counterproductive to public health as it only serves to protect the most lethal nicotine product - cigarettes. Since 2000, the evolving marketplace of lower risk nicotine products combined with regulatory authority over tobacco products represents a new opportunity to dramatically transform the cigarette business in ways that were never imagined when the war on tobacco was raging decades ago. However, this requires embracing risk-proportionate regulation, taxation policies, and providing consumers with accurate public messaging on product relative risks. A regulatory framework based on sound science that encourages and rewards new or existing manufacturers to invest in consumer acceptable lower risk products to replace cigarettes needs to be encouraged. The past is indeed not the future in smoking control, but it may be difficult to escape the past unless a realignment of market forces and policies can be achieved.
登录
查看更多内容
影响因子：
158.5
作者：
AUERBACH, O;GERE, JB;STOUT, AP
通讯作者：
STOUT, AP
影响因子：
4.7
作者：
Cummings, K. Michael;Gdanski, Jonathan;Sebrie, Ernesto Marcelo
通讯作者：
Sebrie, Ernesto Marcelo
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
DOI：
10.1158/1055-9965.epi-13-0798
发表时间：
2014-01
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Cummings KM;Proctor RN
通讯作者：
Proctor RN
影响因子：
33.9
作者：
Creamer, MeLisa R.;Wang, Teresa W.;Neff, Linda
通讯作者：
Neff, Linda