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• W2511805403 abstract "HomeCirculationVol. 134, No. 9Letter by Lempert et al Regarding Article, “Menthol and Nonmenthol Cigarette Smoking: All-Cause Deaths, Cardiovascular Disease Deaths, and Other Causes of Death Among Blacks and Whites” Free AccessLetterPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessLetterPDF/EPUBLetter by Lempert et al Regarding Article, “Menthol and Nonmenthol Cigarette Smoking: All-Cause Deaths, Cardiovascular Disease Deaths, and Other Causes of Death Among Blacks and Whites” Lauren K. Lempert, JD, MPH, Valerie Yerger, ND and Stanton A. Glantz, PhD Lauren K. LempertLauren K. Lempert From Center for Tobacco Control Research and Education, Cardiovascular Research Institute, University of California, San Francisco (L.K.L., S.A.G.); and Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco (V.Y.). Search for more papers by this author , Valerie YergerValerie Yerger From Center for Tobacco Control Research and Education, Cardiovascular Research Institute, University of California, San Francisco (L.K.L., S.A.G.); and Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco (V.Y.). Search for more papers by this author and Stanton A. GlantzStanton A. Glantz From Center for Tobacco Control Research and Education, Cardiovascular Research Institute, University of California, San Francisco (L.K.L., S.A.G.); and Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco (V.Y.). Search for more papers by this author Originally published30 Aug 2016https://doi.org/10.1161/CIRCULATIONAHA.116.024115Circulation. 2016;134:e119–e120To the Editor:The 2009 Family Smoking Prevention and Tobacco Control Act exempted menthol from the list of “characterizing flavors” prohibited in tobacco products, but gave the Food and Drug Administration authority to act on menthol. Munro et al1 reported that 84% of black smokers used menthol cigarettes in comparison with 27% of white smokers, and that, controlling for race and smoking intensity, menthol cigarettes were not associated with a different risk of death from cardiovascular disease than nonmenthol cigarettes. Although menthol per se was not associated with higher cardiovascular disease risk, tobacco companies have targeted black communities effectively with specialized marketing to promote menthol cigarettes, which contributes to tobacco-related disparities.2 In 2011 the Food and Drug Administration’s Tobacco Products Scientific Advisory Committee concluded that “removal of menthol cigarettes from the marketplace would benefit public health in the United States,”3 and a 2012 study found that 44% of black menthol smokers said they would try to quit smoking if menthol were banned.4In May 2016, the Food and Drug Administration published its “deeming rule” extending its jurisdiction over cigarettes and smokeless tobacco to all tobacco products. The rule, as submitted to the White House,5 included 17 pages of substantial evidence demonstrating menthol’s impact on public health, including the fact that “[m]enthol in cigarettes also is likely associated with increased dependence, with consistent findings showing that menthol smokers are more likely to smoke their first cigarette within five minutes of waking (a well-established measure of dependence), and are less likely to successfully quit smoking.”The rule, as submitted to the White House, would have resulted in all newly deemed menthol products to have been ordered off of the market by November 6, 2016, and would remain off the market unless the manufacturers could demonstrate these products protect public health.The White House, however, deleted these 17 pages, leaving menthol and other flavored products to remain on the market, missing an important opportunity to protect the public health of all Americans, especially blacks.Lauren K. Lempert, JD, MPHValerie Yerger, NDStanton A. Glantz, PhDDisclosuresNone.FootnotesCirculation is available at http://circ.ahajournals.org.References1. Munro HM, Tarone RE, Wang TJ, Blot WJ. Menthol and nonmenthol cigarette smoking: all-cause deaths, cardiovascular disease deaths, and other causes of death among blacks and whites.Circulation. 2016; 133:1861–1866. doi: 10.1161/CIRCULATIONAHA.115.020536.LinkGoogle Scholar2. Yerger VB, Przewoznik J, Malone RE. Racialized geography, corporate activity, and health disparities: tobacco industry targeting of inner cities.J Health Care Poor Underserved. 2007; 18(4 suppl):10–38. doi: 10.1353/hpu.2007.0120.CrossrefMedlineGoogle Scholar3. FDA Tobacco Products Scientific Advisory Committee. Menthol Cigarettes and Public Health: Review of the Scientific Evidence and Recommendations. 2011.http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/UCM247689.pdf. Accessed June 20, 2016.Google Scholar4. O’Connor RJ, Bansal-Travers M, Carter LP, Cummings KM. What would menthol smokers do if menthol in cigarettes were banned? Behavioral intentions and simulated demand.Addiction. 2012; 107:1330–1338. doi: 10.1111/j.1360-0443.2012.03822.x.CrossrefMedlineGoogle Scholar5. Department of Health and Human Services and Food and Drug Administration. TAB B 2014-850 Deeming Final Rule Redline Changes. Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Restrictions on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products. 21 CFR Parts 1100, 1140, and 1143 [Docket No. FDA-2014-N-0189]. 2016. https://www.regulations.gov/#!documentDetail;D=FDA-2014-N-0189-83193. Accessed June 20, 2016.Google Scholar Previous Back to top Next FiguresReferencesRelatedDetails August 30, 2016Vol 134, Issue 9 Advertisement Article InformationMetrics © 2016 American Heart Association, Inc.https://doi.org/10.1161/CIRCULATIONAHA.116.024115PMID: 27572884 Originally publishedAugust 30, 2016 PDF download Advertisement" @default.
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