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Tobacco harm reduction: what do the experts think?

机译:减少烟草危害:专家们怎么看?

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摘要

Objective: To assess experts' opinions about the future of, and potential to improve individual and public health through "tobacco harm reduction" (THR), the use of novel nicotine containing products purporting to reduce the health risks from cigarette smoking. Design: Semi-structured telephone interviews on nine topic areas, with qualitative content analysis of coded transcripts. Participants: 29 professionals with expertise related to tobacco and interest in THR, including prominent tobacco control advocates (7), pharmaceutical (3) and tobacco industry scientists/officials (5), non-industry scientists (1 2), and Congressional staff (2). Results: Respondents agreed that harm reduction is at minimum theoretically plausible, that characteristics of "good" and "bad" THR products can be identified, that government regulation is essential but not likely in the foreseeable future, and that additional scientific data are very much needed. However, there was no consensus on specifics, such as preferred regulatory strategies or examples of ideal THR products. Disagreement was seen not only across but also within respondent categories. Mistrust of key stakeholders-for example, tobacco control advocates distrust of tobacco industry scientists and vice versa-was pervasive, and cited frequently as a barrier to regulation and collaboration. Conclusions: Continued dialogue and debate are essential as we enter a new and uncertain era of products purporting to reduce tobacco produced harm. Experts have concluded that effective government regulation is crucial to minimising the risks associated with THR and maximising potential benefits.
机译:目的:评估专家对通过“减少烟草危害”(THR)来改善个人和公共健康的前景以及潜在的潜力的意见,使用新颖的含尼古丁产品旨在减少吸烟对健康的危害。设计:对9个主题领域进行半结构化的电话采访,并对编码的笔录进行定性的内容分析。参与者:29位具有与烟草相关的专业知识并对THR感兴趣的专业人员,包括著名的烟草控制倡导者(7),制药(3)和烟草业科学家/官员(5),非行业科学家(1 2)和国会工作人员( 2)。结果:受访者同意,从理论上讲,减少危害至少是合理的,可以识别出“好”和“坏” THR产品的特征,政府监管是必不可少的,但在可预见的将来不太可能,而且更多的科学数据非常多需要。但是,在具体细节方面,例如首选的监管策略或理想的THR产品示例,尚无共识。不仅在受访者类别中而且在受访者类别中都存在分歧。对主要利益相关者的不信任(例如,烟草控制提倡对烟草业科学家不信任,反之亦然)无处不在,并经常被引用为监管和合作的障碍。结论:随着我们进入一个新的不确定的时代,产品旨在减少烟草生产的危害,持续的对话和辩论至关重要。专家得出结论,有效的政府监管对于最大程度地降低与THR相关的风险并最大程度地提高潜在收益至关重要。

著录项

  • 来源
    《Tobacco control》 |2004年第2期|p.123-128|共6页
  • 作者单位

    Department of Health Management & Policy, School of Public Health, University of Michigan, 109 South Observatory, Road, Ann Arbor, Michigan, 48109-2029, USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 轻工业、手工业;
  • 关键词

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