本報(bào)告首先研究了煙堿降低措施對吸煙者和非吸煙者的潛在個人影響,其次探討了煙堿降低策略對煙草控制的假定社會后果,最后總結(jié)了實(shí)施降低煙草措施的九個方面的潛在挑戰(zhàn),以便決策者能夠以結(jié)構(gòu)化的方式了解這一策略的優(yōu)點(diǎn)。
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目錄
致謝 1
摘要 2
1 引言 4
2 背景文件 5
3 探討降低煙草致癮性策略 6
3.1 假設(shè)和討論范圍 6
4 實(shí)施降低煙草致癮性措施對個人和社會潛在的積極和消極影響 8
4.1 對于吸煙者 8
4.2 對于非吸煙者 8
4.3 對煙草控制的預(yù)期積極社會影響 9
4.4 對煙草控制的假定負(fù)面社會后果 9
5 成功實(shí)施降低煙草致癮性措施和其他與締約方會議有關(guān)的降低煙草致癮性事項(xiàng)的條件 11
6 實(shí)施降低煙草致癮性措施所面臨的挑戰(zhàn) 14
7 結(jié)果和下一步計(jì)劃 16
參考文獻(xiàn) 17
附錄1 與會者名單 18
附錄2 背景文件1概要 制造潛在低致癮性卷煙/煙草的可行性 23
附錄3 背景文件2概要 使用潛在低致癮性卷煙對行為的影響 25
附錄4 背景文件3概要 降低煙堿/煙草致癮性政策對人群和個體健康的潛在影響 27
附錄5 背景文件4概要 引入潛在低致癮性產(chǎn)品的監(jiān)管方法和影響 28
附錄6 背景文件5概要 探索除煙堿以外可導(dǎo)致卷煙和其他煙草制品致癮的因素 30
附錄7 背景文件6概要 探索交流與傳播策略,以減少對降低煙堿或煙草致癮性政策的誤解 32
附錄8 背景文件7概要 社會經(jīng)濟(jì)影響和向社會經(jīng)濟(jì)群體引入潛在低致癮性煙草制品的后果 34
附錄9 背景文件8概要 衡量降低致癮性政策的有效性以及上市前后的監(jiān)督和監(jiān)測實(shí)施要求 36
Contents
Acknowledgements 39
Executive Summary 41
1. Introduction 44
2. Background papers 46
3. Discussion on the tobacco addictiveness reduction strategy 48
3.1 Assumptions and scope of discussions 48
4. Potential positive and negative individual and societal consequences of implementing tobacco addictiveness measures 50
4.1 For smokers 50
4.2 For non-smokers 50
4.3 Presumed positive societal consequences for tobacco control 51
4.4 Presumed negative societal consequences for tobacco control 51
5. Conditions that would support successful implementation of tobacco addictiveness reduction measures and other tobacco addictiveness reduction-related matters relevant to COP 53
6. The challenges to implementation of tobacco addictiveness reduction measures 57
7. Outputs and next steps 59
References 60
Annex 1. List of participants 61
Annex 2. Summary of background paper 1 - Feasibility of manufacturing cigarettes/tobacco with reduced addictiveness potential 66
Annex 3. Summary of background paper 2 - Behavioural aspects of using cigarettes with reduced addictiveness potential 68
Annex 4. Summary of background paper 3 - Potential population and individual health impact of nicotine/tobacco addictiveness reduction policy 70
Annex 5. Summary of background paper 4 - Regulatory approaches and implications of introducing productswith reduced addictiveness potential 71
Annex 6. Summary of background paper 5 - Exploring factors, other than nicotine, that can contribute to the addictiveness of cigarettes and other tobacco products 73
Annex 7. Summary of background paper 6 - Exploring a communication/dissemination strategy to minimize misunderstanding of a nicotine or tobacco addictiveness reduction policy 75
Annex 8. Summary of background paper 7 - Socioeconomic consequences and consequences by socioeconomic groups of introducing tobacco products with reduced addictiveness potential 77
Annex 9. Summary of background paper 8 - Measuring the effectiveness of an addictiveness reduction policy, pre/post market surveillance, and monitoring requirements for implementation 80