E-Cigarette use among children and young people: the need for regulation

  title={E-Cigarette use among children and young people: the need for regulation},
  author={Adam Wąsowicz and Wojciech Feleszko and Maciej Lukasz Goniewicz},
  journal={Expert Review of Respiratory Medicine},
  pages={507 - 509}
Electronic cigarettes (e-cigarettes) are devices designed to deliver nicotine to the body via the route of inhalation. The principle of operation is based on heating a nicotine solution in propylene glycol and/or glycerine (e-liquid), turning it into aerosol (commonly called ‘vapour’), which is then inhaled by the user. The scientific evidence on the health consequences of long-term e-cigarette use is sparse and currently inconclusive. Young people are the most vulnerable group to initiate use… 
There is a need for more in-depth studies on not only the constitution of e-cigarette products, but also to ascertain whether these produce significant harmful health effects to their users in the short term or in the long run.
Understanding the implications of the "vaping epidemic" among adolescents and young adults: A call for action.
Some of the latest research on e-cigarettes are discussed, highlighting risks and harms associated with their use in adolescents and young adults, and opportunities for action are suggested, 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.
Environmental pollution and emission factors of electronic cigarettes, heat-not-burn tobacco products, and conventional cigarettes
ABSTRACT The increasing popularity of electronic cigarettes (e-cigarettes) and, more recently, the new “heat-not-burn” tobacco products (iQOS) as alternatives to traditional tobacco cigarettes has
Beliefs and reality of e-cigarette smoking
A case of nicotine addiction due to chronic use of electronic cigarettes (e-cigarette) and the beliefs on safety and awareness of their side effects are described to clear out misconceptions of this large-scale condition.
Explosions, Burn Injuries and Adverse Health Effects of Electronic Nicotine Delivery Systems: A Review of Current Regulations and Future Perspectives.
  • Ayesha Ahmed, Beverly Etchey, M. Ahmed
  • Medicine
    Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques
  • 2021
Overall, the current literature demonstrates that ENDS are not a safe alternative to traditional cigarettes due to explosion risks and negative health effects including addiction, adverse respiratory and cardiovascular effects, heavy metal leaching, and toxic byproducts exposure.
Youth Access to Electronic Cigarettes in an Unrestricted Market: A Cross-Sectional Study from Poland
Prior to implementing age-related sales restrictions, youth access to e-cigarettes and paraphernalia did not pose any significant barriers, and Poland’s introduction of a new age limit on e-cigarette sales may help to limit the number of youths who purchase e- cigarettes from vape shops.
E-cigarette use among US adolescents: Perceptions of relative addiction and harm
The perception that e-cigarettes are less addictive and harmful than their conventional counterparts may be an important risk factor for the use of e-cigarette use among adolescents.
Electronic cigarette initiation among minority youth in the United States
Among minority youth, e-cigarette initiation was associated with perceptions of harm and addiction potential, as well as exposure to e- cigarette advertising, which may benefit prevention efforts targeting minority youth who are at risk of becoming e-cigarettes initiators.
Awareness, current use of electronic cigarettes and associated smoking factors in Zhejiang Chinese adolescents
High awareness of e-cigarettes while relatively low use in Chinese adolescents was presented, and smoking-related factors were significantly associated with increased e-cigarette use.


The regulatory challenge of electronic cigarettes.
E-cigarettes likely pose less direct hazard to the individual smoker than tobacco cigarettes and might help smokers quit smoking or reduce harm by smoking fewer tobacco cigarettes, but there are potential harms, including promoting continued smoking of cigarettes and renormalizing cigarette smoking behaviors.
Electronic cigarettes: review of use, content, safety, effects on smokers and potential for harm and benefit.
Allowing EC to compete with cigarettes in the market-place might decrease smoking-related morbidity and mortality and health professionals may consider advising smokers unable or unwilling to quit through other routes to switch to EC as a safer alternative to smoking and a possible pathway to complete cessation of nicotine use.
Nicotine and the Developing Human: A Neglected Element in the Electronic Cigarette Debate.
Calls to Poison Centers for Exposures to Electronic Cigarettes — United States, September 2010–February 2014
Although e-cigarette use is increasing among U.S. adolescents and adults, its overall impact on public health remains unclear and one area of concern is the potential of e-cigarettes to cause acute nicotine toxicity.
Electronic Cigarettes: Vulnerability of Youth.
Starting nicotine use and increasing dependence in the population may be linked with increased tobacco and other addictive substance abuse even if the individual electronic cigarette delivers less harm than a combustible cigarette does.
Electronic cigarettes are a source of thirdhand exposure to nicotine.
  • M. Goniewicz, L. Lee
  • Medicine
    Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
  • 2015
There is a risk for thirdhand exposure to nicotine from e-cigarettes, and levels differ depending on the surface and the e-cigarette brand.
Reasons for Electronic Cigarette Experimentation and Discontinuation Among Adolescents and Young Adults.
E-cigarette prevention efforts toward youth should include limiting e-cigarette flavors, communicating messages emphasizing the health risks of use, and changing social norms surrounding the use of e-cigarettes.
Secondhand exposure to vapors from electronic cigarettes.
Using an e-cigarette in indoor environments may involuntarily expose nonusers to nicotine but not to toxic tobacco-specific combustion products, especially among vulnerable populations, including children, pregnant women, and people with cardiovascular conditions.
Levels of selected carcinogens and toxicants in vapour from electronic cigarettes
The findings of this study are consistent with the idea that substituting tobacco cigarettes with e-cigarettes may substantially reduce exposure to selected tobacco-specific toxicants.
Tripling use of electronic cigarettes among New Zealand adolescents between 2012 and 2014.