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首页> 外文期刊>Journal of urban health >Assessing the Health and Economic Impact of a Potential Menthol Cigarette Ban in New York City: a Modeling Study
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Assessing the Health and Economic Impact of a Potential Menthol Cigarette Ban in New York City: a Modeling Study

机译：评估巨大的麦考烟禁令在纽约市的健康和经济影响：建模研究

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Menthol in cigarettes increases nicotine dependence and decreases the chances of successful smoking cessation. In New York City (NYC), nearly half of current smokers usually smoke menthol cigarettes. Female and non-Latino Black individuals were more likely to smoke menthol-flavored cigarettes compared to males and other races and ethnicities. Although the US Food and Drug Administration recently announced that it will ban menthol cigarettes, it is unclear how the policy would affect population health and health disparities in NYC. To inform potential policymaking, we used a microsimulation model of cardiovascular disease (CVD) to project the long-term health and economic impact of a potential menthol ban in NYC. Our model projected that there could be 57,232 (95% CI: 51,967–62,497) myocardial infarction (MI) cases and 52,195 (95% CI: 47,446–56,945) stroke cases per 1 million adult smokers in NYC over a 20-year period without the menthol ban policy. With the menthol ban policy, 2,862 MI cases and 1,983 stroke cases per 1 million adults could be averted over a 20-year period. The model also projected that an average of $1,836 in healthcare costs per person, or $1.62 billion among all adult smokers, could be saved over a 20-year period due to the implementation of a menthol ban policy. Results from subgroup analyses showed that women, particularly Black women, would have more reductions in adverse CVD outcomes from the potential implementation of the menthol ban policy compared to males and other racial and ethnic subgroups, which implies that the policy could reduce sex and racial and ethnic CVD disparities. Findings from our study provide policymakers with evidence to support policies that limit access to menthol cigarettes and potentially address racial and ethnic disparities in smoking-related disease burden.
机译：薄荷醇在卷烟增加尼古丁依赖，并降低了成功的吸烟停止的机会。在纽约市（纽约市），近一半的吸烟者通常会吸烟薄荷卷烟。与男性和其他种族和种族相比，女性和非拉丁裔黑人更有可能吸烟薄荷醇味香烟。虽然美国食品和药物管理局最近宣布禁止薄荷卷烟，但尚不清楚该政策如何影响纽约的人口健康和健康差异。为了告知潜在的政策制定，我们使用了一种微观的心血管疾病（CVD）模型来预测纽约州临时薄荷汤的长期健康和经济影响。我们的型号预计可能有57,232（95％CI：51,967-62,497-62,497）心肌梗死（MI）案例和52,195（95％CI：47,446-56,945）在没有的20年期间每1000万名成人吸烟者的中风病例梅霍禁令政策。随着薄荷醇禁令政策，2,862例MI案例和每100万人的1,983例，可以避免20年期间。该模型还预计，由于薄荷批准政策的实施，平均每人的医疗保健成本或15.2亿美元的26.2亿美元。亚组分析的结果表明，与男性和其他种族和民族亚组相比，妇女，特别是黑人妇女，从梅霍禁令政策的潜在执行情况下，对薄荷尔禁令政策的潜在实施有更多的减少，这意味着该政策可以减少性别和种族和种族民族CVD差异。我们研究的调查结果为政策制定者提供了证据支持限制薄荷卷卷烟的政策，并潜在地应对吸烟有关的疾病负担的种族和民族差异。

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