{"id":2730,"date":"2023-05-16T10:38:43","date_gmt":"2023-05-16T08:38:43","guid":{"rendered":"https:\/\/vsm.vivoptim-solutions.com\/?p=2730"},"modified":"2024-09-10T16:18:47","modified_gmt":"2024-09-10T14:18:47","slug":"le-vapotage-a-favoriser-ou-bien-a-deconseiller","status":"publish","type":"post","link":"https:\/\/vsm.vivoptim-solutions.com\/?p=2730","title":{"rendered":"Le vapotage : \u00e0 favoriser ou bien \u00e0 d\u00e9conseiller ?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2730\" class=\"elementor elementor-2730\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-45faa29 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"45faa29\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d99e035\" data-id=\"d99e035\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5aa4d72 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"5aa4d72\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Le vapotage : \u00e0 favoriser ou bien \u00e0 d\u00e9conseiller ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-acfa7eb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"acfa7eb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fe8dea1\" data-id=\"fe8dea1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d23b19c elementor-widget elementor-widget-text-editor\" data-id=\"d23b19c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"expert\" style=\"border-radius: 5px; box-shadow: #49aad6 1px -2px 3px 2px; margin-bottom: 7.5%; margin-left: auto; margin-right: auto; padding: 5%;\"><div class=\"row\"><p class=\"col-lg-4 col-md-6 col-sm-8 col-xl-4 col-xs-8\"><img decoding=\"async\" class=\"size-full wp-image-2016 alignleft\" src=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/pr_chabot.png\" alt=\"\" width=\"194\" height=\"194\" srcset=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/pr_chabot.png 194w, https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/pr_chabot-150x150.png 150w\" sizes=\"(max-width: 194px) 100vw, 194px\" \/><\/p><p class=\"col-lg-8 col-md-6 col-sm-12 col-xl-8 col-xs-12\" style=\"font-size: 0.85em; text-align: left;\"><span style=\"color: #16a085;\"><strong>Notre Expert : Pr Jean-Michel CHABOT<\/strong><\/span><br \/><br \/>Jean-Michel Chabot est m\u00e9decin et Professeur de sant\u00e9 publique. De 2010 \u00e0 2017, il a \u00e9t\u00e9 conseiller m\u00e9dical de la Pr\u00e9sidence de la HAS et membre de la Commission nationale des \u00e9tudes de sant\u00e9 (CNES). De 2002 \u00e0 2004, il avait \u00e9t\u00e9 conseiller au cabinet du ministre de la Sant\u00e9 Jean-Fran\u00e7ois Matt\u00e9i apr\u00e8s avoir \u00e9t\u00e9 secr\u00e9taire de la conf\u00e9rence des Doyens de m\u00e9decine de 1998 \u00e0 2002. Actuellement, il poursuit son activit\u00e9 aux comit\u00e9s de r\u00e9daction de la Revue du Praticien et du Concours Pluripro.<\/p><\/div><\/div><p style=\"margin-bottom: 7.5%; text-align: left;\">Un d\u00e9bat agite aujourd\u2019hui les sp\u00e9cialistes de la lutte contre le tabagisme en Am\u00e9rique du Nord, en particulier ceux du D\u00e9partement de sant\u00e9 publique de l\u2019\u00e9cole de m\u00e9decine de Yale sur la c\u00f4te Est des Etats-Unis. Ce d\u00e9bat tourne autour d\u2019une question simple : <strong><span style=\"color: #000000;\">faut-il ou non, d\u00e9courager ou m\u00eame combattre l\u2019usage de la e-cigarette (que l\u2019on appelle aussi le vapotage) ?<\/span><\/strong><\/p><p style=\"margin-bottom: 7.5%; text-align: left;\">En r\u00e9alit\u00e9, r\u00e9pondre \u00e0 cette question n\u2019est pas aussi simple. Cela d\u00e9pend des patients et plus g\u00e9n\u00e9ralement des groupes de population auxquels on s\u2019adresse.<\/p><p style=\"margin-bottom: 7.5%; text-align: left;\">Et la question est importante, parce que le <strong>vapotage est en augmentation constante depuis maintenant une dizaine d\u2019ann\u00e9es<\/strong>. Ainsi, une enqu\u00eate canadienne, en 2019\/2020, indique des pourcentages de 16 \u00e0 30 % de vapoteurs r\u00e9guliers dans le groupe d\u2019\u00e2ge des 15\/25 ans ; et moindre pour les sujets plus \u00e2g\u00e9s. En France, les donn\u00e9es disponibles sont plus anciennes : environ 6 % de la population, soit 3 millions de personnes dans la tranche d\u2019\u00e2ge 15\/75 ans, selon le Barom\u00e8tre sant\u00e9 2015 de Sant\u00e9 publique France.<\/p><p style=\"margin-bottom: 5%; text-align: left;\">Les termes du d\u00e9bat sont les suivants, \u00e0 la lumi\u00e8re des r\u00e9sultats des nombreuses \u00e9tudes men\u00e9es et publi\u00e9es ces derni\u00e8res ann\u00e9es.<\/p><ul style=\"margin-bottom: 3.5%;\"><li style=\"text-align: left; margin-bottom: 5%;\">D\u2019une part, <span style=\"color: #1abc9c;\"><strong>le vapotage peut \u00eatre encourag\u00e9 chez les adultes fumeurs habituels<\/strong><\/span>, en particulier parce qu\u2019il appara\u00eet comme le meilleur moyen de restreindre et m\u00eame de s\u2019exon\u00e9rer d\u2019un tabagisme.<\/li><li style=\"margin-bottom: 3.5%;\">Mais d\u2019autre part,<strong><span style=\"color: #1abc9c;\"> le vapotage des adolescents &#8211; en forte hausse \u2013 doit \u00eatre combattu<\/span><\/strong>, en particulier parce qu\u2019il constitue un mode d\u2019entr\u00e9e confirm\u00e9 dans le tabagisme classique (et le cas \u00e9ch\u00e9ant dans d\u2019autres types d\u2019addictions).<\/li><\/ul><p style=\"margin-bottom: 7.5%; text-align: left;\">C\u2019est ce dilemme auquel sont confront\u00e9s les responsables \u00e0 qui il revient de conduire les strat\u00e9gies de pr\u00e9vention du tabagisme. De surcro\u00eet, l\u2019apparition r\u00e9cente et l\u2019usage\/attrait croissant d\u2019additifs parfum\u00e9s pour le vapotage compliquent encore les choses : les interdire, comme l\u2019ont fait certains \u00e9tats ou comit\u00e9s aux Etats-Unis, peut limiter le vapotage des adolescents, mais il limite aussi celui des adultes fumeurs de tabac, r\u00e9duisant ainsi leurs chances de vaincre leur tabagisme classique.<\/p><p style=\"text-align: left;\">Bref, le sujet est complexe. <strong>Une solution<\/strong>, qui n\u2019est cependant pas pleinement satisfaisante, pourrait consister \u00e0 <strong>autoriser la vente de tabac sous toutes ses formes et de e-cigarettes aux seuls sujets adultes<\/strong> (et donc \u00e0 l\u2019interdire pour les adolescents) ; en faisant peser des p\u00e9nalit\u00e9s financi\u00e8res aux organisateurs des circuits commerciaux qui y contreviendraient. <span style=\"color: #16a085;\">Mais on sait bien que les interdictions ou plus largement les strat\u00e9gies de \u00ab pr\u00e9vention punitive \u00bb ne constituent pas les solutions id\u00e9ales<\/span>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Addiction<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-2730","post","type-post","status-publish","format-standard","hentry","category-addiction"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"wkhaloui@Vivoptim-solutions.com","author_link":"https:\/\/vsm.vivoptim-solutions.com\/author\/wkhalouivivoptim-solutions-com"},"uagb_comment_info":0,"uagb_excerpt":"Addiction","_links":{"self":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/2730","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2730"}],"version-history":[{"count":5,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/2730\/revisions"}],"predecessor-version":[{"id":3978,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/2730\/revisions\/3978"}],"wp:attachment":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}