<i>Notes from the Field:</i> E-cigarette Use Among Middle and High School Students — United States, 2022

Cooper, Maria; Park-Lee, Eunice; Ren, Chunfeng; Cornelius, Monica E.; Jamal, Ahmed; Cullen, Karen A.

doi:10.15585/mmwr.mm7140a3

Cited by 182 publications

(116 citation statements)

References 4 publications

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“…The use of flavorings in e-cigarettes has been a focus for marketing, and in 2020-2021, approximately eight in ten middle and high school students reported to use flavored e-cigarettes. In 2022, 14.5% of high school students and 3.3% of middle school students reported using e-cigarettes (4,35,36). The flavoring in e-liquids is a mixture of aldehydes such as benzaldehyde in fruits flavor or cinnamaldehyde in cinnamon flavors, diacetyl, acetoin, and acetyl propionyl (37)(38)(39)(40)(41).…”

Section: Toxicity and Components Of E-cigarettementioning

confidence: 99%

“…There was an increase in the number of e-cigarette adult users from 2009 (1.8%) to 2010 (3.4%) (3). Ecigarettes have been the most commonly used tobacco product since 2014 among middle and high school students in the USA (4). Use of e-cigarettes is gaining popularity in the middle and high school adolescents who are either non-smokers -or past/current smokers (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

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A Review of Electronic Cigarettes and Liquid Nicotine Poisoning Exposure Cases in the United States

Ahmed

2022

J Pharm Pharm Sci

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Purpose: In 2007, electronic cigarettes (e-cigarette) were introduced as a smoking cessation device. Since then, its sale and marketing has been expanded annually. Concomitantly, there is an increase in the electronic cigarette (e-cigarette) and liquid nicotine exposure cases reported to the United States (US) poison control centers. The purpose of this review is to assess the exposure cases reported to US poison control centers to characterize the adverse health effects of e-cigarette and liquid nicotine use. Methods: The PubMed database was searched for e-cigarette and e-liquid exposure reports since 2010. The qualitative analysis was conducted to depict the characteristics related to the incident cases and health outcomes of e-cigarette and e-liquid exposure to support public awareness. Results: Since 2010, there was an increase in e-cigarette exposure incidents with ingestion, inhalation, ocular and dermal identified as the commonly reported routes of exposure in both children and adults. The clinical symptoms were well characterized based upon the specific route of exposure. The exposure incidents were categorized into age, sex, type of exposure, symptoms, management site and medical outcome. The children less than 5 years of age were unintentionally exposed followed by both unintentional and intentional exposure in adults. The reported medical outcomes have a range from minor effects exhibiting symptoms that were not bothersome to major effects with life-threatening symptoms, and death. The short-term or acute exposure was mostly associated with mishandling or misuse of the e-cigarette device or e-liquid. The case reports of young adult males who are linked to intensive use of e-cigarettes show lung injury. Conclusion: E-liquid and e-cigarette use continue to pose a serious health risk for both adults and children. There is accumulating data of incidents associated with short-term e-cigarette use or intensive use of e-cigarettes. However, monitoring of the long-term health effect of e-cigarettes is needed in order to raise public awareness among young adults.

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Section: Toxicity and Components Of E-cigarettementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Review of Electronic Cigarettes and Liquid Nicotine Poisoning Exposure Cases in the United States

Ahmed

2022

J Pharm Pharm Sci

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“…While the rate of pediatric e-cigarette use in the United States (US) is down significantly from its peak (from 27.5% in 2019 to 14.1% in 2022 in high school; from 10.5% in 2019 to 3.3% in 2022 in middle school) [ 1 , 2 ], 2.55 million American middle- and high-school students still use e-cigarettes [ 1 ]. E-cigarettes remain the most commonly used tobacco product among youth in the US, with an increasing proportion of tobacco initiation attributable to e-cigarettes [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Youth E-Cigarette Use and Functionally Important Respiratory Symptoms: The Population Assessment of Tobacco and Health (PATH) Study Waves 3 and 4

Stevens

Niaura

et al. 2022

IJERPH

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Respiratory effects of e-cigarette use among youth are not fully understood. This study investigated the longitudinal association between e-cigarette use and a validated index of functionally important respiratory symptoms among US youth. Data from Waves 3–4 of the Population Assessment of Tobacco and Health Study were analyzed. The sample included youth (aged 12–17) without asthma at baseline (Wave 3), who completed a follow-up survey (Wave 4), and were not missing data for analytic variables (n = 3899). Exposure was e-cigarette use status (never, former, or current) at baseline. The outcome was a respiratory symptom index based on responses for seven wheezing items at Wave 4. An index of ≥2 was defined as having functionally important respiratory symptoms. Lagged logistic regression models examined the association between baseline e-cigarette use and functionally important respiratory symptoms at follow-up by combustible tobacco use status (never or ever), and controlling for baseline covariates. At baseline, 13.7% of participants reported former e-cigarette use, and 4.3% reported current use. Baseline e-cigarette use did not increase the odds of having functionally important respiratory symptoms at follow-up regardless of combustible tobacco use status. Future research on larger populations of e-cigarette users with longer follow-up periods will improve our understanding of the respiratory risks associated with e-cigarette use among youth.

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“…5–8 Most importantly, although promoted as a tobacco-cessation tool, population surveillance has shown significant use among young tobacco naïve individuals, many of whom report frequent use. 9–11…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8] Most importantly, although promoted as a tobacco-cessation tool, population surveillance has shown significant use among young tobacco naïve individuals, many of whom report frequent use. [9][10][11] Of particular concern are the rapidly changing design and the innovation of new ENDS products that continue to be introduced into the market. Pod-based e-cigarettes, also known as pod-mods, were introduced onto the market in 2015 and quickly became the dominant product in the e-cigarette space due to their sleekness, ease of concealment, and versatility.…”

Section: Introductionmentioning

confidence: 99%

Pod-based e-cigarette use among college-aged adults in the United States: A survey on the perception of health effects, sociodemographic correlates, and interplay with other tobacco products

Obisesan

Uddin

Boakye

et al. 2022

Preprint

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IntroductionE-cigarette use among youth and young adults remains of public health concern. Pod-based e-cigarettes, including JUUL, significantly changed the e-cigarette landscape in the United States (US). Using an online survey, we aimed to explore the socio-behavioral correlates, predisposing factors, and addictive behaviors among young adult pod-mod users within a University in Maryland, USA.Methods112 eligible college students aged 18-24 years recruited from a University in Maryland who reported using pod-mods were included in this study. Participants were categorized into current/non-current users based on past-30-day use. Descriptive statistics were used to analyze participants’ responses.ResultsOf the 112 participants with mean age 20.5±1.2 years, 56.3% were female, 48.2% White, and 40.2% reported past-30-day (current) use of pod-mods. The mean age of first experimentation with pod-mods was 17.8±1.4 years, while the mean age of regular use was 18.5±1.4 years, with the majority (67.9%) citing social influence as the reason for initiation. Of current users, 62.2% owned their own devices, and 82.2% predominantly used JUUL and menthol flavor (37.8%). A significant proportion of current users (73.3%) reported buying pods in person, 45.5% of whom were below the age of 21. Among all participants, 67% had had a past serious quit attempt. Among them, 89.3% neither used nicotine replacement therapy nor prescription medications. Finally, current use (adjusted odds ratio (aOR):4.52; 95%CI:1.76,11.64), JUUL use (aOR:2.56; 95%CI:1.08,6.03), and menthol flavor (aOR:6.52; 95%CI:1.38,30.89) were associated with reduced nicotine autonomy, a measure of addiction.ConclusionOur findings provide specific data to inform the development of public health interventions targeted at college youth, including the need for more robust cessation support for pod-mod users.

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Notes from the Field: E-cigarette Use Among Middle and High School Students — United States, 2022

Cited by 182 publications

References 4 publications

A Review of Electronic Cigarettes and Liquid Nicotine Poisoning Exposure Cases in the United States

A Review of Electronic Cigarettes and Liquid Nicotine Poisoning Exposure Cases in the United States

Youth E-Cigarette Use and Functionally Important Respiratory Symptoms: The Population Assessment of Tobacco and Health (PATH) Study Waves 3 and 4

Pod-based e-cigarette use among college-aged adults in the United States: A survey on the perception of health effects, sociodemographic correlates, and interplay with other tobacco products

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