FDA’s Innovative Plan to Address the Enormous Toll of Smoking

Warner, Kenneth E.; Schroeder, Steven A.

doi:10.1001/jama.2017.14336

Cited by 12 publications

(11 citation statements)

References 6 publications

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“…At present, there are complex international and multi-sourced risk communications on e-cigarettes. Health authorities across the world, including public health officials, regulators, and scientific scholars and professional communities, have been divided on matters relating to e-cigarettes with a more critical 'anti-vaping' community suggesting implementation of a ban on e-cigarettes, and a more pragmatic 'pro-vaping' community advocating for their use as an important tool in a harm-reduction strategy (Fairchild et al, 2014;Green et al, 2018;Warner & Schroeder, 2017). Focusing on the risk proportionality in their risk communication, harm-reduction-focused researchers are upholding evidence that e-cigarettes have the potential to save lives as a smoking substitute (Rooke et al, 2012).…”

Section: The Epistemic Climate Of Vapingmentioning

confidence: 99%

Bottom-up meets top-down: exploring vapers’ accounts of risk in a context of e-cigarette controversies

Tokle

2020

Health, Risk & Society

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Framed both as a solution to and as an additional part of the tobacco problem, e-cigarettes have been the subject of risk controversies since they were launched in 2006, followed by massive divergence in media, public health approaches and regulations across the world. This study explores vapers' risk perceptions and accounts of the public risk communication and regulation of e-cigarettes in a Norwegian context were nicotine-containing e-liquids are prohibited from being sold by domestic retailers. Based on analyses of semistructured qualitative interviews (n = 30, 17 males) with adult vapers, I find that the participants emphasised three important dimensions related to risk. First, they perceived vaping as harm reduction by substituting for smoking. Second, they devalued much of the risk communication about e-cigarettes from Norwegian health authorities and media. Interlinked with their harm-reduction approach, they perceived the present regulation of nicotine e-liquid and vaporisers as increasing risk by decreasing their availability to smokers. Third, in general they preferred the lay expertise available online to the health authorities' information on e-cigarettes. The analysis displays a lack of trust among the participants in what can be labelled as top-down information. Based on these dimensions, I conclude that the dissonance between vapers risk perceptions and the regulation and mixed messages in risk communication of e-cigarettes has contributed to their preference for bottom-up expertise. From the vapers' point of view, e-cigarettes represent harm reduction, and the vaper community symbolises a bottom-up health movement where peer assistance compensates for a perceived lack of assistance from health authorities.

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Section: The Epistemic Climate Of Vapingmentioning

confidence: 99%

Bottom-up meets top-down: exploring vapers’ accounts of risk in a context of e-cigarette controversies

Tokle

2020

Health, Risk & Society

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“…The wide variety of tobacco products and nicotine‐containing cessation medications exists along a continuum of risk. Nicotine is responsible for addicting users and for fueling the tobacco epidemic, but it is the smoke from combustible tobacco products—not nicotine—that injures and kills millions of smokers . Tobacco products are designed and intended to deliver nicotine to the user, but the toxicity associated with these products varies widely.…”

Section: Accelerate Efforts To End Combustible Tobacco Use: Key Stratmentioning

confidence: 99%

“…This approach places nicotine, and the issue of addiction, at the center of the agency's scientific and regulatory foundation to efficiently and effectively implement the Family Smoking Prevention and Tobacco Act, including the agency's authority to lower the nicotine content of combustible tobacco products to nonaddictive levels. Making cigarettes and all combustible tobacco products nonaddictive offers the potential of assisting current smokers in quitting and substantially reducing the number of smokers over time . The FDA also recognizes the need to work toward a greater role for medicinal nicotine and other therapeutic products in helping smokers to quit and remain nonsmokers.…”

Section: Accelerate Efforts To End Combustible Tobacco Use: Key Stratmentioning

confidence: 99%

“…Nicotine is responsible for addicting users and for fueling the tobacco epidemic, but it is the smoke from combustible tobacco products-not nicotine-that injures and kills millions of smokers. 25 Tobacco products are designed and intended to deliver nicotine to the user, but the toxicity associated with these products varies widely. At one end is the conventional cigarette, which, when burned and inhaled, delivers more than 7000 chemicals to the user, including at least 70 carcinogens, and is designed to cause and sustain addiction to nicotine while killing one-half of all long-term users.…”

Section: Strategy 3: Promote and Support A Comprehensive Tobacco And mentioning

confidence: 99%

“…Making cigarettes and all combustible tobacco products nonaddictive offers the potential of assisting current smokers in quitting and substantially reducing the number of smokers over time. 25,38 The FDA also recognizes the need to work toward a greater role for medicinal nicotine and other therapeutic products in helping smokers to quit and remain nonsmokers.…”

Section: Strategy 3: Promote and Support A Comprehensive Tobacco And mentioning

confidence: 99%

See 2 more Smart Citations

The American Cancer Society public health statement on eliminating combustible tobacco use in the United States

Douglas

Henson

Drope

et al. 2018

CA A Cancer J Clinicians

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Lessons From the Opioid Epidemic to Reinvigorate Tobacco Control Initiatives

Richman

Krumholz

2018

JAMA

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President Trump declared the opioid epidemic a public health emergency. Although some commentators have debated its merits, the declaration has already been successful in 1 regard: it has focused national attention on the problem of opioid misuse and abuse. Indeed, the opioid epidemic is a pressing problem. In 2015, opioids were implicated in 33 000 deaths, representing a 4-fold increase since the early 2000s. 1 Mortality attributable to opioids is particularly concentrated among younger adults, with an estimated 1 million years of potential life lost annually. 2 As devastating as the opioid epidemic is, however, its toll is modest compared to that of another substance: tobacco. Even though tobacco use has rarely made headlines in recent years, cigarette smoking is associated with an estimated 480 000 deaths in the United States annually, totaling approximately 5 million years of potential life lost each year. 3,4 Of these deaths, approximately 41 000 are attributed to secondhand smoke exposure, a number that alone exceeds the number of US residents who die of an opioid overdose. 3 Public outcry over the opioid crisis is by no means misplaced, but the contrast between the relative attention

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FDA’s Innovative Plan to Address the Enormous Toll of Smoking

Cited by 12 publications

References 6 publications

Bottom-up meets top-down: exploring vapers’ accounts of risk in a context of e-cigarette controversies

Bottom-up meets top-down: exploring vapers’ accounts of risk in a context of e-cigarette controversies

The American Cancer Society public health statement on eliminating combustible tobacco use in the United States

Lessons From the Opioid Epidemic to Reinvigorate Tobacco Control Initiatives

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