降低烟草致瘾性措施咨询报告

烟草,控制,研究报告,世界

世界卫生组织六大区域的专家讨论了关于降低烟草致瘾性的已有和**知识，并审查了对个人和社会可能产生的积极和消极后果，以及措施成功实施的条件和挑战，在此基础上形成了本报告。首先研究了烟碱降低措施对吸烟者和非吸烟者的潜在影响，其次探讨了烟碱降低策略对烟草控制的假定社会后果，*后总结了实施降低烟草致瘾性措施的九个方面的潜在挑战，以便决策者能够以结构化的方式了解这一策略的优点。

目录
致谢 1
摘要 2
1 引言 4
2 背景文件 5
3 探讨降低烟草致瘾性策略 6
3.1 假设和讨论范围 6
4 实施降低烟草致瘾性措施对个人和社会潜在的积极和消极影响 8
4.1 对于吸烟者 8
4.2 对于非吸烟者 8
4.3 对烟草控制的预期积极社会影响 9
4.4 对烟草控制的假定负面社会后果 9
5 成功实施降低烟草致瘾性措施和其他与缔约方会议有关的降低烟草致瘾性事项的条件 11
6 实施降低烟草致瘾性措施所面临的挑战 14
7 结果和下一步计划 16
参考文献 17
附录1 与会者名单 18
附录2 背景文件1概要 制造潜在低致瘾性卷烟/烟草的可行性 23
附录3 背景文件2概要 使用潜在低致瘾性卷烟对行为的影响 25
附录4 背景文件3概要 降低烟碱/烟草致瘾性政策对人群和个体健康的潜在影响 27
附录5 背景文件4概要 引入潜在低致瘾性产品的监管方法和影响 28
附录6 背景文件5概要 探索除烟碱以外可导致卷烟和其他烟草制品致瘾的因素 30
附录7 背景文件6概要 探索交流与传播策略，以减少对降低烟碱或烟草致瘾性政策的误解 32
附录8 背景文件7概要 社会经济影响和向社会经济群体引入潜在低致瘾性烟草制品的后果 34
附录9 背景文件8概要 衡量降低致瘾性政策的有效性以及上市前后的监督和监测实施要求 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