Support for a Policy Regulating Nicotine in Cigarettes ... · Support for low nicotine cigarettes...

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On July 28, 2017, the FDA announced a new emphasis in the federal government's regulatory framework towards tobacco product regulation that would focus on nicotine and support innovations to promote tobacco harm reduction based upon the continuum of risk for nicotine-containing products. The FDA announced a three-pronged regulatory strategy involving: 1. Reducing the nicotine in traditional cigarettes to non-addictive levels 2. Increasing the number of approved nicotine replacement therapies available to smokers 3. Recognizing the potential of electronic cigarettes (ECs) and other non-combustible nicotine delivery products to help smokers transition away from cigarettes The purpose of this study was to examine support for a government policy that would render cigarettes non-addictive so long as people could get nicotine in products other than cigarettes. Data for this study were based on 10,652 adult (18+ years) current and former smokers and vapers who participated in the 2016 ITC Tobacco and E-Cigarette Survey conducted in Canada (CA), England (EN), and the United States (US). Study participants completed the survey online and were recruited two sources: 1. re-contact smokers and recent quitters who participated in previous ITC surveys 2. smokers, recent former smokers, and regular vapers (use at least weekly) were recruited from commercial online panels in each country. Participants were asked: “If you could get nicotine in products other than tobacco, would you support or oppose a law that reduced the amount of nicotine in cigarettes and tobacco, to make them less addictive?The three response options were: 1. Support 2. Oppose 3. Don’t know. In all three countries, the majority of smokers and former smokers indicated support for a government policy that would render cigarettes non-addictive so long as people could get nicotine in products other than cigarettes. Support for the policy differed by country with support highest in CA (70%), followed by EN (64%) and the US (54%). All pairwise differences were significant at p<0.05. In the US and CA, support for the policy was strongest among young adults, but in EN support was more consistent across age groups (data not shown). Support for the policy was slightly higher among non-daily smokers compared to daily smokers. Support for the policy was strong among former smokers regardless of vaping status. Support for the policy was strong among dual users of cigarettes and vaping products. CONCLUSIONS BACKGROUND 68 54 57 73 56 68 0 10 20 30 40 50 60 70 80 Canada United States England Support for low nicotine cigarettes of smokers by country (%) Daily Smoker Non-Daily smoker 75 52 70 69 54 75 0 10 20 30 40 50 60 70 80 Canada United States England Support for low nicotine cigarettes of former smokers by country (%) Former Smokers (current e-cig users) Former Smokers (no current e-cig users) 71 65 61 69 53 60 75 60 69 74 61 70 0 10 20 30 40 50 60 70 80 Canada United States England Support for low nicotine cigarettes of daily/non-daily smokers and vapers by country (%) Daily Smokers, Daily Vapers Daily Smokers, Non-Daily Vapers Non-Daily Smokers, Daily Vapers Non-Daily Smokers, Non-Daily Vapers Support for a Policy Regulating Nicotine in Cigarettes: Findings from The International Tobacco Control (ITC) Project Presented at: Society for Research on Nicotine & Tobacco, Annual Meeting February 21-24, 2018 Baltimore, Maryland Contact: [email protected] METHODS Cummings KM 1 , Nahhas GJ 1 , Smith TT 1 , Fong GT 2,3 , Hammond D 2 , Chung-Hall J 2 , McNeill A 4 , Hitchman S 4 , O’Connor RJ 5 , Borland R 6 , Yong HH 6 1 Medical University of South Carolina; 2 University of Waterloo; 3 Ontario Institute for Cancer Research; 4 King’s College London; 5 Roswell Park Cancer Institute; 6 Cancer Council Victoria N=3205 N=2296 N=3865 N=467 N=390 N=429 N=1818 N=1237 N=2006

Transcript of Support for a Policy Regulating Nicotine in Cigarettes ... · Support for low nicotine cigarettes...

Page 1: Support for a Policy Regulating Nicotine in Cigarettes ... · Support for low nicotine cigarettes of former smokers by country (%) ... Project Presented at: Society for Research on

On July 28, 2017, the FDA announced a new

emphasis in the federal government's

regulatory framework towards tobacco product

regulation that would focus on nicotine and

support innovations to promote tobacco harm

reduction based upon the continuum of risk for

nicotine-containing products.

The FDA announced a three-pronged

regulatory strategy involving:

1. Reducing the nicotine in traditional

cigarettes to non-addictive levels

2. Increasing the number of approved nicotine

replacement therapies available to smokers

3. Recognizing the potential of electronic

cigarettes (ECs) and other non-combustible

nicotine delivery products to help smokers

transition away from cigarettes

The purpose of this study was to examine

support for a government policy that would

render cigarettes non-addictive so long as

people could get nicotine in products other than

cigarettes.

Data for this study were based on 10,652 adult

(18+ years) current and former smokers and

vapers who participated in the 2016 ITC

Tobacco and E-Cigarette Survey conducted in

Canada (CA), England (EN), and the United

States (US).

Study participants completed the survey online

and were recruited two sources:

1. re-contact smokers and recent quitters who

participated in previous ITC surveys

2. smokers, recent former smokers, and

regular vapers (use at least weekly) were

recruited from commercial online panels in

each country.

Participants were asked: “If you could get

nicotine in products other than tobacco,

would you support or oppose a law that

reduced the amount of nicotine in cigarettes

and tobacco, to make them less addictive?”

The three response options were:

1. Support

2. Oppose

3. Don’t know.

In all three countries, the majority of smokers and

former smokers indicated support for a government

policy that would render cigarettes non-addictive so

long as people could get nicotine in products other

than cigarettes.

Support for the policy differed by country with

support highest in CA (70%), followed by EN (64%)

and the US (54%). All pairwise differences were

significant at p<0.05.

In the US and CA, support for the policy was

strongest among young adults, but in EN support

was more consistent across age groups (data not

shown).

Support for the policy was slightly higher among

non-daily smokers compared to daily smokers.

Support for the policy was strong among former

smokers regardless of vaping status.

Support for the policy was strong among dual users

of cigarettes and vaping products.

CONCLUSIONS BACKGROUND

68

54 57

73

56

68

0

10

20

30

40

50

60

70

80

Canada United States England

Support for low nicotine cigarettes of smokers by country (%)

Daily Smoker Non-Daily smoker

75

52

7069

54

75

0

10

20

30

40

50

60

70

80

Canada United States England

Support for low nicotine cigarettes of former smokers by country (%)

Former Smokers (current e-cig users) Former Smokers (no current e-cig users)

7165

6169

5360

75

60

6974

61

70

0

10

20

30

40

50

60

70

80

Canada United States England

Support for low nicotine cigarettes of daily/non-daily smokers and vapers by country (%)

Daily Smokers, Daily Vapers Daily Smokers, Non-Daily Vapers

Non-Daily Smokers, Daily Vapers Non-Daily Smokers, Non-Daily Vapers

Support for a Policy Regulating Nicotine in Cigarettes:

Findings from The International Tobacco Control (ITC) Project

Presented at:

Society for Research on Nicotine &

Tobacco, Annual Meeting

February 21-24, 2018

Baltimore, Maryland

Contact: [email protected]

METHODS

Cummings KM1, Nahhas GJ1, Smith TT1, Fong GT2,3, Hammond D2, Chung-Hall J2, McNeill A4, Hitchman S4, O’Connor RJ5, Borland R6, Yong HH6

1Medical University of South Carolina; 2University of Waterloo; 3Ontario Institute for Cancer Research; 4King’s College London; 5Roswell Park Cancer Institute; 6Cancer Council Victoria

N=3205 N=2296 N=3865

N=467 N=390 N=429

N=1818 N=1237 N=2006