Nicotine and the Developing Human A Neglected Element in the Electronic Cigarette Debate

被引:269
作者
England, Lucinda J. [1 ]
Bunnell, Rebecca E. [1 ]
Pechacek, Terry F. [1 ]
Tong, Van T. [2 ]
McAfee, Tim A. [1 ]
机构
[1] CDC, Natl Ctr Chron Dis Prevent & Hlth Promot, Off Smoking & Hlth, Atlanta, GA 30341 USA
[2] CDC, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Reprod Hlth, Atlanta, GA 30341 USA
关键词
ENVIRONMENTAL TOBACCO-SMOKE; HIGH-SCHOOL-STUDENTS; UNITED-STATES; BRAIN-DEVELOPMENT; LUNG-FUNCTION; SNUFF USE; EXPOSURE; ACETYLCHOLINE; EXPRESSION; RECEPTORS;
D O I
10.1016/j.amepre.2015.01.015
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
The elimination of cigarettes and other combusted tobacco products in the U.S. would prevent tens of millions of tobacco-related deaths. It has been suggested that the introduction of less harmful nicotine delivery devices, such as electronic cigarettes or other electronic nicotine delivery systems, will accelerate progress toward ending combustible cigarette use. However, careful consideration of the potential adverse health effects from nicotine itself is often absent from public health debates. Human and animal data support that nicotine exposure during periods of developmental vulnerability (fetal through adolescent stages) has multiple adverse health consequences, including impaired fetal brain and lung development, and altered development of cerebral cortex and hippocampus in adolescents. Measures to protect the health of pregnant women and children are needed and could include (1) strong prohibitions on marketing that increase youth uptake; (2) youth access laws similar to those in effect for other tobacco products; (3) appropriate health warnings for vulnerable populations; (4) packaging to prevent accidental poisonings; (5) protection of non-users from exposure to secondhand electronic cigarette aerosol; (6) pricing that helps minimize youth initiation and use; (7) regulations to reduce product addiction potential and appeal for youth; and (8) the age of legal sale. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine
引用
收藏
页码:286 / 293
页数:8
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