The advent of new tobacco products such as electronic cigarettes and the dramatic rise in their use, especially by adolescents and young adults, are significant public health concerns. Electronic cigarettes have become the most popular tobacco products for youth and adolescents in the United States and are attracting youth to new avenues for nicotine addiction. Although these products may have benefit by helping some smokers quit or to move to a less harmful product, the long-term health effects of these products and the net public health effect associated with their use remain unclear and widely debated. There is increasing concern that the use of newer tobacco products may catalyze transition to the use of other tobacco products or recreational drugs, particularly in young adults. Therefore, there is urgent need for robust US Food and Drug Administration regulation of all tobacco products to avoid the significant economic and population health consequences of continued tobacco use. Although the American Heart Association acknowledges that the ultimate endgame would be an end to all tobacco and nicotine addiction in the United States, it supports first minimizing the use of all combustible tobacco products while ensuring that other products do not addict the next generation of youth and adolescents. The endgame strategy needs to be coordinated with the long-standing, evidence-based tobacco control strategies that have significantly reduced tobacco use and initiation in the United States.

译文

:电子烟等新烟草产品的问世以及其使用的急剧增加,尤其是青少年和年轻人的使用,是引起公众健康的重大问题。电子烟已成为美国青少年和青少年中最受欢迎的烟草产品,并且正在吸引年轻人进入尼古丁成瘾的新途径。尽管这些产品可以通过帮助某些吸烟者戒烟或转而使用危害较小的产品而受益,但这些产品的长期健康影响以及与使用这些产品有关的净公共健康影响仍然不清楚,并且引起了广泛的争论。人们越来越关注使用较新的烟草产品可能会促使向使用其他烟草产品或休闲药物的使用过渡,特别是在年轻人中。因此,迫切需要美国食品药品管理局对所有烟草制品进行有力的监管,以避免持续使用烟草对经济和人口健康产生重大影响。尽管美国心脏协会承认最终的最终结果将是结束美国所有烟草和尼古丁成瘾,但它支持首先最大程度地减少所有可燃烟草产品的使用,同时确保其他产品不会使下一代年轻人和青少年上瘾。青少年。残局策略需要与长期的循证烟草控制策略相协调,该策略已大大减少了美国的烟草使用和启动。

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