煙草商吸引孩子們上癮

發佈於 May 10, 2022

煙草商的替代客戶無法合法購買他們的產品，但這並未阻止大煙草商營銷機器耗資數十億美元，以社交媒體廣告、有趣的口味，以及看似比父母使用的香煙危害更小的產品來針對孩子銷售。1

煙草商將商業模式建立在加倍致力讓年輕人上癮，他們在對孩子實驗新產品及新口味，並觀察何種最有效果的同時，也在危害孩子們的健康。這個產業創造出薄荷醇、藍莓、香蕉冰及北極清涼薄荷等口味，以掩蓋孩子們不喜歡的煙草刺激苦味，讓開始使用煙草產品更輕易，甚至更難戒除。2 3 大煙草商依賴年輕人使用他們的產品以賺取利潤，並得以繼續維持業務。4 口味電子煙是孩子們的首選產品，5 而使用電子煙的青少年有超出3倍的可能性成為日常吸煙者。6

絕大多數使用煙草的加州高中生都吸電子煙，7 而吸電子煙與使用其他煙草產品(如香煙)相較，更容易吸入及吸收更高濃度的尼古丁。8 尼古丁與海洛因一樣會令人上癮，9 不但會毒害發育中的大腦，還會重塑大腦對尼古丁產生更多渴望，10 如此會導致尼古丁戒斷症狀，如頭痛、煩躁，以及無法集中注意力。11 12 13 我們已知尼古丁會影響學習，14 並會增加焦慮不安、15 情緒波動、16 和暴躁易怒的感覺。17

但這並非都與電子煙有關，其他的煙草產品由於具有眾多口味、價格低廉，而且易於購買，因此也同樣深具吸引力，例如無煙的煙草，如鼻煙或嚼煙，以及雪茄煙和小雪茄。不幸的是，這些產品對於發育中的大腦和身體也同樣有害，因為其中都含有尼古丁。

這是應該打破上癮循環的時刻。我們有力量在加州創造更美好、無煙草的未來，而且必須從阻止大煙草商以孩子們為目標而導致疾病與死亡開始！

U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health 2016.
Park-Lee E, Ren C, Sawdey MD, et al. Notes from the Field: E-Cigarette Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2021. MMWR Morb Mortal Wkly Rep 2021;70:1387–1389. DOI: http://dx.doi.org/10.15585/mmwr.mm7039a4
Zhu S, Braden K, Zhuang Y et al. Results Of The Statewide 2019-20 California Student Tobacco Survey. San Diego: Center for Research and Intervention in Tobacco Control (CRITC), University of California San Diego; 2021.
Maloney J. Against All Odds, the U.S. Tobacco Industry Is Rolling in Money; Profits are booming, despite government regulation, huge legal settlements and fewer smokers. The Wall Street Journal. April 27, 2017. Accessed March 11, 2019.
Zhu S, Braden K, Zhuang Y et al. Results Of The Statewide 2019-20 California Student Tobacco Survey. San Diego: Center for Research and Intervention in Tobacco Control (CRITC), University of California San Diego; 2021.
Pierce JP, Chen R, Leas EC, et al. Use of E-cigarettes and Other Tobacco Products and Progression to Daily Cigarette Smoking. Pediatrics. 2021;147(2):e2020025122. doi:10.1542/peds.2020-025122
Zhu S, Braden K, Zhuang Y et al. Results Of The Statewide 2019-20 California Student Tobacco Survey. San Diego: Center for Research and Intervention in Tobacco Control (CRITC), University of California San Diego; 2021. https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CTCB/CDPH%20Document%20Library/ResearchandEvaluation/FactsandFigures/2019-20CSTSBiennialReport_7-27-2021.pdf. Accessed December 3, 2021.
Truth Initiative. E-cigarettes: Facts, stats and regulations. truthinitiative.org. https://truthinitiative.org/research-resources/emerging-tobacco-products/e-cigarettes-facts-stats-and-regulations. Published June 15, 2021. Accessed February 16, 2022.
U.S. Department of Health and Human Services. The Health Consequences of Smoking: Nicotine Addiction A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control, Center for Health Promotion and Education, Office on Smoking and Health, 1988.
U.S Surgeon General. Know the Risks. e-cigarettes.surgeongeneral.gov. https://e-cigarettes.surgeongeneral.gov/knowtherisks.html. Accessed March 10, 2022.
Centers for Disease Control and Prevention. Quick Facts on the Risks of E-cigarettes for Kids, Teens, and Young Adults. Cdc.gov. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/Quick-Facts-on-the-Risks-of-E-cigarettes-for-Kids-Teens-and-Young-Adults.html. Reviewed April 7, 2022. Accessed April 14, 2022.
Centers for Disease Control and Prevention. 7 Common Withdrawal Symptomscdc.gov. https://www.cdc.gov/tobacco/campaign/tips/quit-smoking/7-common-withdrawal-symptoms/index.html. Reviewed June 18, 2021. Accessed April 14, 2022.
Centers for Disease Control and Prevention. Nicotine. Cdc.gov. https://www.cdc.gov/niosh/npg/npgd0446.html. Reviewed October 30, 2019. Accessed April 14, 2022.
US Surgeon General. Surgeon General’s Advisory on E-cigarette Use Among Youth. e-cigarettes.surgeongeneral.gov. . 2018. Accessed April 18, 2019.
Kutlu MG, Gould TJ. Nicotine modulation of fear memories and anxiety: Implications for learning and anxiety disorders. Biochem Pharmacol. 2015;97(4):498–511. doi:10.1016/j.bcp.2015.07.029
Etter JF, Ussher M, Hughes JR. A Test of Proposed New Tobacco Withdrawal Symptoms. Addiction. 2012;108(1):50-59. doi:10.1111/j.1360-0443.2012.03981.x
Hughes JR. Effects of abstinence from tobacco: Valid symptoms and time course. Nicotine Tob Res. 2007;9(3):315-327. doi:10.1080/14622200701188919