{"id":11815,"date":"2022-07-22T16:02:45","date_gmt":"2022-07-22T16:02:45","guid":{"rendered":"https:\/\/www.rmff.org\/?p=11815"},"modified":"2025-12-11T14:51:48","modified_gmt":"2025-12-11T14:51:48","slug":"why-lowering-nicotine-in-cigarettes-could-help-save-hoosier-lives","status":"publish","type":"post","link":"https:\/\/rmff.org\/zh\/2022\/07\/why-lowering-nicotine-in-cigarettes-could-help-save-hoosier-lives\/","title":{"rendered":"Why Lowering Nicotine in Cigarettes Could Help Save Hoosier Lives"},"content":{"rendered":"<p>The U.S. Food and Drug Administration (FDA) recently <a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-announces-plans-proposed-rule-reduce-addictiveness-cigarettes-and-other-combusted-tobacco\" target=\"_blank\" rel=\"noreferrer noopener\">announced<\/a> plans to reduce the amount of nicotine in cigarettes. The agency touted the proposed rule as a change that will help save lives by reducing smoking rates among youth and adults.&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>Which begs the question, will it work?&nbsp;&nbsp;<\/p>\n\n\n\n<p>The answer is complex, but early studies show there\u2019s reason for optimism.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Critics of the proposed rule, including a member of the <em>Wall Street Journal<\/em>\u2019s editorial board who wrote a <a href=\"https:\/\/www.wsj.com\/articles\/the-fdas-anti-nicotine-myopia-juul-cigarettes-smoking-cancer-tobacco-industry-11657053368\" target=\"_blank\" rel=\"noreferrer noopener\">skeptical column<\/a> about it earlier this month, argue that less nicotine in cigarettes will only cause current smokers to smoke more cigarettes to get their fix. The <em>WSJ <\/em>column further argues that nicotine, while highly addictive, isn\u2019t the problem: the cigarettes that carry it are what causes cancer.&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>Proponents of the change\u2013 including the FDA \u2013 say that by reducing the amount of nicotine in cigarettes and other combusted tobacco products, they become less addictive. That, in turn, makes them easier to quit for adults who are already smokers, and less tempting for young people. The latter point is critical because <a href=\"https:\/\/www.lung.org\/quit-smoking\/smoking-facts\/tobacco-use-among-children\" target=\"_blank\" rel=\"noreferrer noopener\">87%<\/a> of adult smokers start before age 18.&nbsp;<\/p>\n\n\n\n<p>The reality may be that both the critics\u2019 predictions and the proponents\u2019 projections turn out to be true to some degree.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Reducing the amount of nicotine in cigarettes may lead some current smokers to smoke more \u2013 at least in the short term. But whether and to what extent this comes to pass is an empirical question, as it will depend on many factors, including people\u2019s demand for nicotine, demand for cigarettes relative to substitutes, budget constraints and willingness to pay.&nbsp;&nbsp;<\/p>\n\n\n\n<p>There\u2019s some evidence that reducing nicotine in cigarettes can help reduce smoking. A series of randomized controlled trials has found that reducing the amount of nicotine in cigarettes can <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4784094\/\" target=\"_blank\" rel=\"noreferrer noopener\">help people quit smoking<\/a> and <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4565618\/\" target=\"_blank\" rel=\"noreferrer noopener\">reduce the amount people smoke<\/a> \u2013&nbsp; <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMsa1502403\" target=\"_blank\" rel=\"noreferrer noopener\">even for people who have no interest in quitting<\/a>.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Additionally, a 2018 <a href=\"https:\/\/protect-eu.mimecast.com\/s\/N76bCZwJ6t5zwLXyHjTgHf?domain=nejm.org\" target=\"_blank\" rel=\"noreferrer noopener\">study<\/a> published in the <em>New England Journal of Medicine <\/em>projects that if nicotine levels in cigarettes were reduced, by the year 2060, the smoking rate would be about 1.4% (compared to the <a href=\"https:\/\/nccd.cdc.gov\/BRFSSPrevalence\/rdPage.aspx?rdReport=DPH_BRFSS.ExploreByLocation&amp;rdProcessAction=&amp;SaveFileGenerated=1&amp;irbLocationType=States&amp;islLocation=98&amp;islState=&amp;islCounty=&amp;islClass=CLASS17&amp;islTopic=TOPIC15&amp;islYear=2020&amp;hidLocationType=States&amp;hidLocation=98&amp;hidClass=CLASS17&amp;hidTopic=TOPIC15&amp;hidTopicName=Current+Smoker+Status&amp;hidYear=2020&amp;irbShowFootnotes=Show&amp;rdICL-iclIndicators=_RFSMOK3&amp;iclIndicators_rdExpandedCollapsedHistory=&amp;iclIndicators=_RFSMOK3&amp;hidPreviouslySelectedIndicators=&amp;DashboardColumnCount=2&amp;rdShowElementHistory=&amp;rdScrollX=0&amp;rdScrollY=0&amp;rdRnd=30318\" target=\"_blank\" rel=\"noreferrer noopener\">current 15.5%<\/a>) and 2.8 million lives would be saved due to the reduction in tobacco-related illnesses.&nbsp;&nbsp;<\/p>\n\n\n\n<p>It\u2019s important to caveat this optimism with the fact that in the 2018 study, projections were based on only eight experts\u2019 estimates of what would happen under the policy proposal. Nonetheless, the study is encouraging.&nbsp;<\/p>\n\n\n\n<p>The most potent argument for the FDA\u2019s move is that it will stop children from becoming smokers. If we reduce nicotine in cigarettes enough, the argument goes, kids will never get addicted in the first place. The theoretical impacts are more certain for this group than for current smokers: they\u2019ll be less likely to become addicted to cigarettes, though they may turn to other nicotine delivery devices, such as e-cigarettes.&nbsp;<\/p>\n\n\n\n<p>Only time will tell how much, and by when, the proposed reduction in cigarettes\u2019 nicotine levels will pay off. But given the scope of the U.S.\u2019 smoking epidemic, it\u2019s a step worth taking. Smoking remains the leading cause of preventable death in the U.S., and in Indiana, <a href=\"https:\/\/www.cdc.gov\/tobacco\/stateandcommunity\/state-fact-sheets\/indiana\/\" target=\"_blank\" rel=\"noreferrer noopener\">more than 11,000<\/a> Hoosiers die from smoking every year. If the proposed rule makes even a small dent in the smoking rate \u2013 as it is likely to, at minimum \u2013 it will go a long way toward saving lives.&nbsp;&nbsp;<\/p>\n\n\n\n<p><em>This blog was written by Dr. Emilyn Whitesell, Senior Director of Learning &amp; Evaluation for the Foundation.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Reducing the amount of nicotine in cigarettes may lead some current smokers to smoke more \u2013 at least in the short term. But there\u2019s also evidence that reducing nicotine in cigarettes can help reduce smoking. <\/p>","protected":false},"author":2,"featured_media":19609,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[16],"tags":[],"class_list":["post-11815","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"acf":[],"_links":{"self":[{"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/posts\/11815","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/comments?post=11815"}],"version-history":[{"count":0,"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/posts\/11815\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/media\/19609"}],"wp:attachment":[{"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/media?parent=11815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/categories?post=11815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rmff.org\/zh\/wp-json\/wp\/v2\/tags?post=11815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}