{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:38:38Z","timestamp":1792697918055,"version":"4.5.0"},"reference-count":20,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Tob Control"],"accepted":{"date-parts":[[2025,3,15]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Nicotine is highly addictive and plays a dominant role in sustaining commercial tobacco use. This study assesses support for a policy to lower the nicotine levels in both cigarettes and cigars because reducing nicotine levels to less addictive or non-addictive levels is expected to reduce tobacco use and the resulting tobacco-related disease and death. Data came from SpringStyles 2023, a web panel survey of adults in the USA, aged 18 years or older (N=6694). Overall, 79.9% of adults supported this policy, including 69.3% of adults who currently smoke cigarettes, 70.2% of adults who currently smoke cigars and 79.2% of adults who reported that they tried to quit smoking in the past year. These findings can help inform federal, state, local, tribal and territorial efforts to reduce commercial tobacco product use.<\/jats:p>","DOI":"10.1136\/tc-2024-059220","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T11:05:51Z","timestamp":1744110351000},"page":"513-516","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Support among adults for a policy to lower nicotine levels in cigarettes and cigars \u2013 USA, 2023"],"prefix":"10.1136","volume":"35","author":[{"given":"Margaret","family":"Mahoney","sequence":"first","affiliation":[{"name":"Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"},{"name":"Katmai Government Services, LLC, Orlando, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9828-2039","authenticated-orcid":false,"given":"Alexander","family":"Schwank","sequence":"additional","affiliation":[{"name":"Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0796-039X","authenticated-orcid":false,"given":"Maeh","family":"Al-Shawaf","sequence":"additional","affiliation":[{"name":"Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7430-1947","authenticated-orcid":false,"given":"Carissa","family":"Baker Holmes","sequence":"additional","affiliation":[{"name":"Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5612-4019","authenticated-orcid":false,"given":"Michael A","family":"Tynan","sequence":"additional","affiliation":[{"name":"Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,4,8]]},"reference":[{"key":"2026102203551080000_35.4.513.1","unstructured":"U.S. Department of Health and Human Services . The health consequences of smoking\u201450 years of progress: a report of the surgeon general. Atlanta (GA) U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014."},{"key":"2026102203551080000_35.4.513.2","unstructured":"U.S. Department of Health and Human Services . Eliminating tobacco-related disease and death: addressing disparities\u2014a report of the surgeon general. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2024."},{"key":"2026102203551080000_35.4.513.3","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2022-057655"},{"key":"2026102203551080000_35.4.513.4","unstructured":"Family Smoking Prevention and Tobacco Control Act . Pub L no 111-31, section 907. 2009. Available: https:\/\/www.fda.gov\/tobacco-products\/rules-regulations-and-guidance-related-tobacco-products\/section-907-federal-food-drug-and-cosmetic-act-tobacco-product-standards"},{"key":"2026102203551080000_35.4.513.5","unstructured":"U.S. Food and Drug Administration . Tobacco product standard for nicotine level of combusted cigarettes, advance notice of proposed rulemaking: 83 Fed. Reg. 11,818. 2018."},{"key":"2026102203551080000_35.4.513.6","unstructured":"U.S. Food and Drug Administration . FDA news release: fda announces plans for proposed rule to reduce addictiveness of cigarettes and other combusted tobacco products 2022. 2022. Available: https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-announces-plans-proposed-rule-reduce-addictiveness-cigarettes-and-other-combusted-tobacco; https:\/\/web.archive.org\/web\/20221126223402\/https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-announces-plans-proposed-rule-reduce-addictiveness-cigarettes-and-other-combusted-tobacco?utm_campaign=FDA+Announces+Plans+for+Proposed+Rule+to+Reduce+Addictiveness+of&utm_medium=email&utm_source=govdelivery [Accessed 03 Dec 2024]."},{"key":"2026102203551080000_35.4.513.7","unstructured":"Public Health Law Center . U.s. e-cigarette regulations - 50 state review. 2024. Available: https:\/\/www.publichealthlawcenter.org\/resources\/us-e-cigarette-regulations-50-state-review [Accessed 03 Dec 2024]."},{"key":"2026102203551080000_35.4.513.8","unstructured":"Twinamatsiko A . States don\u2019t need to wait for FDA to adopt nicotine reduction endgame strategies: lessons from flavored tobacco litigation. Food Drug Law J 2023;78."},{"key":"2026102203551080000_35.4.513.9","doi-asserted-by":"crossref","unstructured":"Kim H , Gartner C , Edwards R , et al . Public Support for Tobacco Endgame Policies: A Systematic Review and Meta-analysis. Nicotine Tob Res 2024:ntae149. doi:10.1093\/ntr\/ntae149","DOI":"10.1101\/2024.01.07.24300815"},{"key":"2026102203551080000_35.4.513.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.04.016"},{"key":"2026102203551080000_35.4.513.11","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2023-058128"},{"key":"2026102203551080000_35.4.513.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106727"},{"key":"2026102203551080000_35.4.513.13","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13129"},{"key":"2026102203551080000_35.4.513.14","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2023-058454"},{"key":"2026102203551080000_35.4.513.15","unstructured":"Porter Novelli . ConsumerStyles & youthstyles. 2024. Available: https:\/\/styles.porternovelli.com\/consumer-youthstyles\/ [Accessed 10 Dec 2024]."},{"key":"2026102203551080000_35.4.513.16","unstructured":"U.S. Food and Drug Administration . Tobacco product standard for characterizing flavors in cigars, proposed rule: 87 Fed. 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