|
KMID : 1231220180090020061
|
|
Journal of the Korean Society for Research on Nicotine and Tobacco
2018 Volume.9 No. 2 p.61 ~ p.70
|
|
|
E-cigarette, Changing Paradigm: ‘Trojan Horse’ or ‘Harm Reduction’
|
|
Cheong Yoo-Seock
|
|
|
Abstract
|
|
|
|
There is ongoing debate within the public health community as to whether e-cigarettes have a potential role in smoking cessation; whether use of e-cigarettes can reduce harm for individual users; whether widespread use of the devices has the potential to reduce or increase population-level harm; and how best to regulate e-cigarettes to minimize both individual and population-level harm. but Although the long-term effects of e-cigarette use are not known, producing nicotine aerosol from a solution rather than by burning tobacco gives rise to fewer harmful substances than cigarette smoke does to smokers and non-smokers. Because of the likely lesser health risks associated with vaping, some experts advocate wider availability and softer regulation, and see e-cigarettes as holding great potential to help smokers quit or switch to a harm-reducing way to consume nicotine. Others argue that it is not sound public health policy to allow e-cigarettes onto the market until such time as robust evidence is available supporting the safety of e-cigarettes and their efficacy in reducing harm. They cite the addictiveness of nicotine, and the potential for harm from ongoing use of e-cigarettes compared with complete cessation of all nicotine and tobacco products. Other serious issues include the possibilities that e-cigarette use might promote nicotine use among non-smokers, especially children; serve to renormalise smoking; or serve as a gateway to the use of combustible cigarettes or illicit drugs. On the bases of the scientific evidence on e-cigarette, this article explore benefits and harms to public health to guide practice, policy, and regulation through reviewing two major reports and special debate articles. A reframing of societal nicotine use through the lens of ‘harm reduction’ is an extraordinary opportunity to enhance the impact of tobacco control efforts in Korea.
|
|
|
KEYWORD
|
|
|
E-cigarette, Harm reduction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|