Flavored Tobacco Product Use Among US Youth Aged 12-17 Years, 2013-2014

Adolescent E-Cigarette, Hookah, and Conventional Cigarette Use and Subsequent Marijuana Use

“…It is important to note that the prevalence of e-cigarette and hookah use in the current study are comparable to those rates identified in national studies. 43 Lastly, this is an observational study and the first to examine these associations. Inferences regarding whether the identified associations are causal cannot be made but should be the subject of future research.…”

Flavored Electronic Cigarette Use and Smoking Among Youth

“…20 Although the current use of cigarettes among youth has been declining, e-cigarette use is gaining popularity, with 16.0% of high school students and 5.3% of middle school students reporting use of e-cigarettes in the past 30 days in 2015. 1 The majority of youth who have ever used e-cigarettes started with a flavored product, 2 and >60% of current youth e-cigarette users report use of a flavored product. 5 However, new rules issued by the Food and Drug Administration in May 2016 to regulate e-cigarettes and other tobacco-related products do not restrict the sale of candyflavored and fruit-flavored noncigarette products, including flavored e-cigarettes.…”

“…One recent study found that the leading reason for youth e-cigarette use in 2013 to 2014 was the availability of appealing flavors, with 81% of youth e-cigarette users citing this reason. 2 Although the 2009 Family Smoking Prevention and Tobacco Control Act banned cigarettes with characterizing flavors (eg, candy, fruit, and clove) except menthol, this rule is not applied to e-cigarettes. 3 As a result, >460 brands and 7700 flavors of e-cigarettes are on the market, including flavors such as candy crush, gummy bear, and bubble gum.…”

“…This information is critically needed to understand the role of e-cigarette flavoring in youth tobacco use. To address the gaps in knowledge, we used data from the 2014 National Youth Tobacco Survey (NYTS) and specifically sought to (1) examine the association between flavored e-cigarette use and intention to initiate cigarette smoking among never-smoking youth, (2) analyze the association between flavored e-cigarette use and intention to quit tobacco use in the next 12 months among current youth smokers, and (3) assess the association between flavored e-cigarette use and youth perception of the danger of tobacco.…”

Electronic cigarettes and youth: a gateway that must be shut

“…Whereas Canada's official prohibition on nicotine-containing e-cigarettes has largely kept advertisements out of traditional media here, they are rampant on Internet and social media sites, where youth can be exposed to them readily. The typical fruit and candy flavourings of e-cigarette liquids are the number one reason they appeal to youth, 4 and as with tobacco products, may mitigate deterrence from the initial harsh sensations that nicotine induces until dependence develops and fosters ongoing use.…”