Harm Minimization and Tobacco Control: Reframing Societal Views of Nicotine Use to Rapidly Save Lives

David Abrams, Allison M. Glasser, Jennifer L. Pearson, Andrea C. Villanti, Lauren K. Collins, Raymond Niaura

Research output: Contribution to journalReview article

Abstract

Inhalation of the toxic smoke produced by combusting tobacco products, primarily cigarettes, is the overwhelming cause of tobacco-related disease and death in the United States and globally. A diverse class of alternative nicotine delivery systems (ANDS) has recently been developed that do not combust tobacco and are substantially less harmful than cigarettes. ANDS have the potential to disrupt the 120-year dominance of the cigarette and challenge the field on how the tobacco pandemic could be reversed if nicotine is decoupled from lethal inhaled smoke. ANDS may provide a means to compete with, and even replace, combusted cigarette use, saving more lives more rapidly than previously possible. On the basis of the scientific evidence on ANDS, we explore benefits and harms to public health to guide practice, policy, and regulation. A reframing of societal nicotine use through the lens of harm minimization is an extraordinary opportunity to enhance the impact of tobacco control efforts.

Original languageEnglish (US)
Pages (from-to)193-213
Number of pages21
JournalAnnual Review of Public Health
Volume39
DOIs
StatePublished - Apr 1 2018

Fingerprint

Harm Reduction
Nicotine
Tobacco
Tobacco Products
Smoke
Poisons
Pandemics
Inhalation
Lenses
Public Health

Keywords

  • e-cigarettes
  • harm minimization
  • nicotine
  • smoking
  • tobacco

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Harm Minimization and Tobacco Control : Reframing Societal Views of Nicotine Use to Rapidly Save Lives. / Abrams, David; Glasser, Allison M.; Pearson, Jennifer L.; Villanti, Andrea C.; Collins, Lauren K.; Niaura, Raymond.

In: Annual Review of Public Health, Vol. 39, 01.04.2018, p. 193-213.

Research output: Contribution to journalReview article

Abrams, David ; Glasser, Allison M. ; Pearson, Jennifer L. ; Villanti, Andrea C. ; Collins, Lauren K. ; Niaura, Raymond. / Harm Minimization and Tobacco Control : Reframing Societal Views of Nicotine Use to Rapidly Save Lives. In: Annual Review of Public Health. 2018 ; Vol. 39. pp. 193-213.
@article{d737d3b01d3447b8ba9d3304cd496ebd,
title = "Harm Minimization and Tobacco Control: Reframing Societal Views of Nicotine Use to Rapidly Save Lives",
abstract = "Inhalation of the toxic smoke produced by combusting tobacco products, primarily cigarettes, is the overwhelming cause of tobacco-related disease and death in the United States and globally. A diverse class of alternative nicotine delivery systems (ANDS) has recently been developed that do not combust tobacco and are substantially less harmful than cigarettes. ANDS have the potential to disrupt the 120-year dominance of the cigarette and challenge the field on how the tobacco pandemic could be reversed if nicotine is decoupled from lethal inhaled smoke. ANDS may provide a means to compete with, and even replace, combusted cigarette use, saving more lives more rapidly than previously possible. On the basis of the scientific evidence on ANDS, we explore benefits and harms to public health to guide practice, policy, and regulation. A reframing of societal nicotine use through the lens of harm minimization is an extraordinary opportunity to enhance the impact of tobacco control efforts.",
keywords = "e-cigarettes, harm minimization, nicotine, smoking, tobacco",
author = "David Abrams and Glasser, {Allison M.} and Pearson, {Jennifer L.} and Villanti, {Andrea C.} and Collins, {Lauren K.} and Raymond Niaura",
year = "2018",
month = "4",
day = "1",
doi = "10.1146/annurev-publhealth-040617-013849",
language = "English (US)",
volume = "39",
pages = "193--213",
journal = "Annual Review of Public Health",
issn = "0163-7525",
publisher = "Annual Reviews Inc.",

}

TY - JOUR

T1 - Harm Minimization and Tobacco Control

T2 - Reframing Societal Views of Nicotine Use to Rapidly Save Lives

AU - Abrams, David

AU - Glasser, Allison M.

AU - Pearson, Jennifer L.

AU - Villanti, Andrea C.

AU - Collins, Lauren K.

AU - Niaura, Raymond

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Inhalation of the toxic smoke produced by combusting tobacco products, primarily cigarettes, is the overwhelming cause of tobacco-related disease and death in the United States and globally. A diverse class of alternative nicotine delivery systems (ANDS) has recently been developed that do not combust tobacco and are substantially less harmful than cigarettes. ANDS have the potential to disrupt the 120-year dominance of the cigarette and challenge the field on how the tobacco pandemic could be reversed if nicotine is decoupled from lethal inhaled smoke. ANDS may provide a means to compete with, and even replace, combusted cigarette use, saving more lives more rapidly than previously possible. On the basis of the scientific evidence on ANDS, we explore benefits and harms to public health to guide practice, policy, and regulation. A reframing of societal nicotine use through the lens of harm minimization is an extraordinary opportunity to enhance the impact of tobacco control efforts.

AB - Inhalation of the toxic smoke produced by combusting tobacco products, primarily cigarettes, is the overwhelming cause of tobacco-related disease and death in the United States and globally. A diverse class of alternative nicotine delivery systems (ANDS) has recently been developed that do not combust tobacco and are substantially less harmful than cigarettes. ANDS have the potential to disrupt the 120-year dominance of the cigarette and challenge the field on how the tobacco pandemic could be reversed if nicotine is decoupled from lethal inhaled smoke. ANDS may provide a means to compete with, and even replace, combusted cigarette use, saving more lives more rapidly than previously possible. On the basis of the scientific evidence on ANDS, we explore benefits and harms to public health to guide practice, policy, and regulation. A reframing of societal nicotine use through the lens of harm minimization is an extraordinary opportunity to enhance the impact of tobacco control efforts.

KW - e-cigarettes

KW - harm minimization

KW - nicotine

KW - smoking

KW - tobacco

UR - http://www.scopus.com/inward/record.url?scp=85044845453&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044845453&partnerID=8YFLogxK

U2 - 10.1146/annurev-publhealth-040617-013849

DO - 10.1146/annurev-publhealth-040617-013849

M3 - Review article

VL - 39

SP - 193

EP - 213

JO - Annual Review of Public Health

JF - Annual Review of Public Health

SN - 0163-7525

ER -