<i>Notes from the Field:</i> E-Cigarette Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2021

Park-Lee, Eunice; Ren, Chunfeng; Sawdey, Michael D.; Gentzke, Andrea S.; Cornelius, Monica E.; Jamal, Ahmed; Cullen, Karen A.

doi:10.15585/mmwr.mm7039a4

Cited by 263 publications

(250 citation statements)

References 2 publications

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“…Specifically, one in five U.S. high school students and one in ten middle school students reported current use of e-cigs in 2020 [ 17 , 18 ]. The CDC and FDA analysis of the 2021 NYTS, conducted during January 18 – May 21, 2021, showed an estimated 2.06 million U.S. middle and high school students reporting current use of e-cigs [ 19 ]. The authors, however, cautioned that because the 2021 NYTS was fully conducted amid the COVID-19 pandemic through mostly online data collection, estimates from this year's survey should not be compared to previous NYTS survey waves that were primarily conducted on school campuses [ 19 ].…”

Section: Prevalence Of Smoking and Youth Vapingmentioning

confidence: 99%

“…The FDA's decision came on the heels of the 2021 NYTS report showing an estimated 2.06 million U.S. middle and high school students as current users of e-cigs, with Puff Bar, Vuse, and Juul among the most popular brands [ 19 ]. In its decision, the FDA stated that it was aware that 10% of high school students who used e-cigs, named Vuse as their favorite brand in the 2021 NYTS [ 63 ].…”

Section: Vaping Regulationsmentioning

confidence: 99%

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From Tobacco Cigarettes to Electronic Cigarettes: The Two Sides of a Nicotine Coin

Besaratinia

2021

Front. Oral. Health

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Tobacco smoking-related diseases, including cardiovascular disease, pulmonary disease, stroke, and cancer in multiple organ sites, are the leading causes of preventable death, worldwide. Youth electronic cigarette use (vaping) is an evolving public health problem in the United States and around the world. Many of the same toxicants and carcinogens present in tobacco smoke are also found in electronic cigarette vapor, although mostly at substantially lower levels. The reduced concentrations of these chemicals in electronic cigarette vapor may imply lower health risk; however, they cannot equate to no risk. To date, the long-term health consequences of vaping are largely unknown. This “Perspective” provides a concise chronology of events leading up to an unprecedented global challenge, namely the convergence of global tobacco epidemic and youth vaping epidemic. Current state of knowledge, outstanding questions in the field, present challenges, and future directions in research are highlighted. The existing data show a continued and dynamic evolution of the converged epidemics. The goal should be to prevent youth vaping while improving smoking cessation strategies. In smokers who are unable or unwilling to quit smoking, the objective should be to provide “provably” safe or less-harmful alternatives, which should “completely” or “substantially” substitute tobacco cigarettes.

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Section: Prevalence Of Smoking and Youth Vapingmentioning

confidence: 99%

Section: Vaping Regulationsmentioning

confidence: 99%

From Tobacco Cigarettes to Electronic Cigarettes: The Two Sides of a Nicotine Coin

Besaratinia

2021

Front. Oral. Health

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“…In 2019, it was also reported that two in three (64%) current smokers and one in five (20%) non-smokers aged 18-24 have tried e-cigarettes; 4.1% of young people aged 14-24 years used e-cigarettes in Australia [12]. In the USA, it has increased particularly among middle and high school students and the prevalence of current use (in the last 30 days) was 13.1% (3.6 million students) in 2021, where the majority (80%) of current users reported using flavoured e-cigarettes [13]. Similar to this, other developed countries, such as Canada, New Zealand and the United Kingdom, also observed a higher rate of vaping [14].…”

Section: Introductionmentioning

confidence: 99%

Electronic Cigarettes or Vaping: Are There Any Differences in the Profiles, Use and Perceptions between a Developed and a Developing Country?

Rahman

Joseph

Nimmi

2022

IJERPH

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The use of electronic cigarettes or vaping is currently increasing in popularity globally. Debate continues regarding their potential role for smoking cessation. We aimed to compare the profiles, use and perceptions of using e-cigarettes amongst online forum users in a developed and a developing country. A cross-sectional survey was conducted among members of different popular online forums in Australia and Bangladesh who were current or ex-users of e-cigarettes. There were 422 study participants, 261 (62%) from Australia and 161 (38%) from Bangladesh. The mean age was 36.3 (±12) years and 83% were men. Australians were more likely to be exclusive users of e-cigarettes (70% vs. 30%, AOR 3.05 [95% CI 1.63–5.71]), but less likely to be dual users of smoking and e-cigarettes (43% vs. 57%, 0.36 [0.19–0.69]); they were also more likely to mention that the perceived reasons for using were their low cost, good taste/flavour, safety and assistance in reducing or quitting smoking (66% vs. 34%, 5.10 [2.04–12.8]), but less likely to mention a social/cool image as a reason for use (23% vs. 77%, 0.11 [0.01–0.87]) compared with Bangladeshi participants. About two-thirds of the participants in both countries perceived the use of e-cigarettes as less addictive than cigarettes and more than three-quarters perceived them as less harmful. E-cigarette users in Australia were more likely to use them to reduce or quit cigarettes compared with those in Bangladesh, and dual use was common in Bangladesh. These findings warrant the consideration of precautions for promoting e-cigarettes as a harm reduction strategy for smoking cessation in developing countries, such as Bangladesh.

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“…8 While pandemic shelter-in-place orders disrupted youth access and reduced utilisation, 9 11% of high school students reported current e-cigarette use in 2021 and 85.8% of those current users said they used flavoured e-cigarettes. 10 Vaping uptake (with or without characterising flavours) is also associated with smoking initiation among youth and emerging adults. 11 Flavour exemptions, lack of e-cigarette product regulation and industry marketing may contribute to increased access and disparities in tobacco and e-cigarette product use in the USA.…”

Section: Introductionmentioning

confidence: 99%

Public support for policies to regulate flavoured tobacco and e-cigarette products in rural California

et al. 2022

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IntroductionFlavoured tobacco control policy exemptions and electronic cigarette products may contribute to increased youth access and tobacco use disparities.MethodsWe assessed public support among California Central Valley residents for four policies to regulate flavoured tobacco products and e-cigarettes. The probability-based, multimode survey was conducted with English-speaking and Spanish-speaking registered voters (n=845) across 11 counties between 13 and 18 August 2020. Weighted logistic regression analyses measured odds of policy support, adjusting for predictor variables (attitudes and beliefs) and covariates.ResultsThe weighted sample was 50% female and predominantly Latino (30%) or non-Hispanic white (46%); 26% had a high school education or less, and 22% an annual household income <US$30 000. Overall, 58% support a comprehensive flavoured tobacco product sales ban, and 59% support a flavoured e-cigarette product sales ban. In addition, 81% support limiting the amount of nicotine in e-cigarette pods, and 91% support mandating vaping health warning signs at local retailers. Flavour bans were more likely to be backed by women, seniors, Latinos, non-smokers and non-vapers. Participants who believe minors have more access to flavoured products had greater odds of supporting all policies. Those aware of the association between e-cigarettes and lung injury were more likely to support non-ban policies. Participants who believe e-cigarettes help to reduce tobacco use or e-cigarettes are relatively less addictive were less likely to support bans.DiscussionFindings add to mounting evidence of support for policies to regulate flavoured tobacco and e-cigarette products. Results on attitudes and beliefs elucidate how these factors influence support.

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Notes from the Field: E-Cigarette Use Among Middle and High School Students — National Youth Tobacco Survey, United States, 2021

Cited by 263 publications

References 2 publications

From Tobacco Cigarettes to Electronic Cigarettes: The Two Sides of a Nicotine Coin

From Tobacco Cigarettes to Electronic Cigarettes: The Two Sides of a Nicotine Coin

Electronic Cigarettes or Vaping: Are There Any Differences in the Profiles, Use and Perceptions between a Developed and a Developing Country?

Public support for policies to regulate flavoured tobacco and e-cigarette products in rural California

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