Understanding the Implications of the "vaping Epidemic" Among Adolescents and Young Adults: A Call for Action

Overview

Journal Subst Abus

Publisher Sage Publications

Specialties Medical Education
Psychiatry

Date 2019 Mar 19

PMID 30883295

Citations 44

Authors

Nicholas Chadi

Scott E Hadland

Sion K Harris

Affiliations

Soon will be listed here.

Abstract

In the past 5 years, the use of nicotine delivered through electronic cigarettes ("e-cigarettes") has sky-rocketed among adolescents and young adults. E-cigarettes, with their high nicotine content, appealing flavors, low costs, wide availability, and discreet designs threaten 5 decades of progress in the fight against tobacco use. Aside from the increased risk of subsequent use of traditional cigarettes, marijuana, opioids, and other illicit drugs, building evidence indicates that e-cigarette use also exposes youth to several acute and long-term health risks that greatly outweigh the as-yet unfounded potential benefits from the use of e-cigarettes as a smoking reduction or cessation tool in this age group. We discuss some of the latest research on e-cigarettes, highlighting risks and harms associated with their use in adolescents and young adults, and suggest opportunities for action, including the enforcement of age, sales and marketing limitations, and concerted research and public health efforts to help curb what has become a new nicotine epidemic among youth.

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References

Jamal A, Gentzke A, Hu S, Cullen K, Apelberg B, Homa D . Tobacco Use Among Middle and High School Students - United States, 2011-2016. MMWR Morb Mortal Wkly Rep. 2017; 66(23):597-603. PMC: 5657845. DOI: 10.15585/mmwr.mm6623a1. View

Myung S, Park J . Efficacy of Pharmacotherapy for Smoking Cessation in Adolescent Smokers: A Meta-analysis of Randomized Controlled Trials. Nicotine Tob Res. 2018; 21(11):1473-1479. DOI: 10.1093/ntr/nty180. View

Harvey J, Chadi N . Strategies to promote smoking cessation among adolescents. Paediatr Child Health. 2016; 21(4):201-8. PMC: 4934162. DOI: 10.1093/pch/21.4.201. View

Marynak K, Gammon D, Rogers T, Coats E, Singh T, King B . Sales of Nicotine-Containing Electronic Cigarette Products: United States, 2015. Am J Public Health. 2017; 107(5):702-705. PMC: 5388940. DOI: 10.2105/AJPH.2017.303660. View

Williams R, Derrick J, Ribisl K . Electronic cigarette sales to minors via the internet. JAMA Pediatr. 2015; 169(3):e1563. PMC: 4408777. DOI: 10.1001/jamapediatrics.2015.63. View

Durkin S, Bayly M, Brennan E, Biener L, Wakefield M . Fear, Sadness and Hope: Which Emotions Maximize Impact of Anti-Tobacco Mass Media Advertisements among Lower and Higher SES Groups?. J Health Commun. 2018; 23(5):445-461. DOI: 10.1080/10810730.2018.1463320. View

Rubinstein M, Delucchi K, Benowitz N, Ramo D . Adolescent Exposure to Toxic Volatile Organic Chemicals From E-Cigarettes. Pediatrics. 2018; 141(4). PMC: 5869331. DOI: 10.1542/peds.2017-3557. View

Wasowicz A, Feleszko W, Goniewicz M . E-Cigarette use among children and young people: the need for regulation. Expert Rev Respir Med. 2015; 9(5):507-9. DOI: 10.1586/17476348.2015.1077120. View

Tsai J, Walton K, Coleman B, Sharapova S, Johnson S, Kennedy S . Reasons for Electronic Cigarette Use Among Middle and High School Students - National Youth Tobacco Survey, United States, 2016. MMWR Morb Mortal Wkly Rep. 2018; 67(6):196-200. PMC: 5815490. DOI: 10.15585/mmwr.mm6706a5. View

10.

Yuan M, Cross S, Loughlin S, Leslie F . Nicotine and the adolescent brain. J Physiol. 2015; 593(16):3397-412. PMC: 4560573. DOI: 10.1113/JP270492. View

11.

Thombs B, Garcia A, Reid D, Pottie K, Parkin P, Kate M . Recommendations on behavioural interventions for the prevention and treatment of cigarette smoking among school-aged children and youth. CMAJ. 2017; 189(8):E310-E316. PMC: 5325732. DOI: 10.1503/cmaj.161242. View

12.

Trivers K, Phillips E, Gentzke A, Tynan M, Neff L . Prevalence of Cannabis Use in Electronic Cigarettes Among US Youth. JAMA Pediatr. 2018; 172(11):1097-1099. PMC: 6248134. DOI: 10.1001/jamapediatrics.2018.1920. View

13.

Kim H, Lim J, Buehler S, Brinkman M, Johnson N, Wilson L . Role of sweet and other flavours in liking and disliking of electronic cigarettes. Tob Control. 2016; 25(Suppl 2):ii55-ii61. PMC: 5489117. DOI: 10.1136/tobaccocontrol-2016-053221. View

14.

Zhan Y, Liu R, Li Q, Leischow S, Zeng D . Identifying Topics for E-Cigarette User-Generated Contents: A Case Study From Multiple Social Media Platforms. J Med Internet Res. 2017; 19(1):e24. PMC: 5291865. DOI: 10.2196/jmir.5780. View

15.

Duke J, Lee Y, Kim A, Watson K, Arnold K, Nonnemaker J . Exposure to electronic cigarette television advertisements among youth and young adults. Pediatrics. 2014; 134(1):e29-36. DOI: 10.1542/peds.2014-0269. View

16.

Soneji S, Yang J, Knutzen K, Moran M, Tan A, Sargent J . Online Tobacco Marketing and Subsequent Tobacco Use. Pediatrics. 2018; 141(2). PMC: 5810598. DOI: 10.1542/peds.2017-2927. View

17.

Goriounova N, Mansvelder H . Short- and long-term consequences of nicotine exposure during adolescence for prefrontal cortex neuronal network function. Cold Spring Harb Perspect Med. 2012; 2(12):a012120. PMC: 3543069. DOI: 10.1101/cshperspect.a012120. View

18.

Kandel E, Kandel D . Shattuck Lecture. A molecular basis for nicotine as a gateway drug. N Engl J Med. 2014; 371(10):932-43. PMC: 4353486. DOI: 10.1056/NEJMsa1405092. View

19.

Marynak K, Kenemer B, King B, Tynan M, MacNeil A, Reimels E . State Laws Regarding Indoor Public Use, Retail Sales, and Prices of Electronic Cigarettes - U.S. States, Guam, Puerto Rico, and U.S. Virgin Islands, September 30, 2017. MMWR Morb Mortal Wkly Rep. 2017; 66(49):1341-1346. PMC: 5730213. DOI: 10.15585/mmwr.mm6649a1. View

20.

Curran K, Burk T, Pitt P, Middleman A . Trends and Substance Use Associations With E-Cigarette Use in US Adolescents. Clin Pediatr (Phila). 2018; 57(10):1191-1198. DOI: 10.1177/0009922818769405. View