与美国的ENDS相关的有益和有害的烟草使用转变
Bekir Kaplan1, Tuo-Yen Tseng1, Jeffrey J Hardesty1
1Institute for Global Tobacco Control, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
American journal of preventive medicine
|January 29, 2025
概括
电子尼古丁输送系统 (ENDS) 的结果不一. 虽然对于一些可燃烟草使用者来说是有益的,但ENDS也会导致有害的过渡,在美国的青年和成年人中观察到的结果比有益的结果更有害.
科学领域:
- 烟草监管科学 烟草监管科学
- 公共卫生研究 公共卫生研究
- 药物中毒药物 药物中毒药物
背景情况:
- 电子尼古丁输送系统 (ENDS) 为寻求戒烟的可燃烟草使用者提供了潜在的好处.
- 然而,ENDS也带来了风险,包括尼古丁成在新接触尼古丁的人群中.
研究的目的:
- 评估美国青少年和成年人中与ENDS使用相关的有益和有害过渡的平衡.
- 量化与ENDS相关的有益转变与有害转变的比例.
主要方法:
- 从烟草和健康人口评估研究 (第4和第5波) 的数据分析.
- 在可燃烟草使用者中定义的有利过渡是独家使用ENDS或通过ENDS协助戒烟.
- 定义有害过渡为非烟草使用者启动ENDS或独家ENDS用户添加/过渡到可燃烟草.
主要成果:
- 大约有210万名可燃烟草使用者转向专用ENDS使用或戒烟 (收益).
- 大约有460万个人从不使用转变为ENDS,或从仅仅使用ENDS转变为包括可燃烟草 (危害).
- 对于每一个有益的转变,就有2.15个有害的转变.
结论:
- 有害到有益的ENDS过渡的比率表明了人口层面的重大风险.
- 实施对非尼古丁使用者的ENDS访问和营销的有效限制至关重要.
- 通过有针对性的限制,ENDS对人口的好处可能会超过危害.
相关概念视频
Stimulants
157
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
157
Drugs Acting on Autonomic Ganglia: Stimulants
1.3K
Ganglionic stimulants activate NM nicotinic receptors in autonomic ganglia, falling into two categories: nicotine mimetics [e.g., lobeline, dimethylpiperazine, tetramethylammonium] and muscarinic receptor agonists [e.g., muscarine, methacholine]. The first category's action is rapid and blocked by nicotinic receptor antagonists, while the second category's action is delayed and blocked by atropine-like agents. Nicotine, an alkaloid, affects the heart rate by stimulating...
1.3K
CNS Depressants: Alcohol and Nicotine
170
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
170
Drug Dependence
969
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
969
Stress Prevention and Stress Management Techniques IV
25
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
25
Statistical Methods for Analyzing Epidemiological Data
293
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
293


