Most youth use e­-cigarettes for novelty, flavors — not to quit smoking


In 2015, more than half of all students in eighth, 10th and 12th grades who used vaporizers such as e-cigarettes report that a primary reason for use was curiosity to see what they were like.

About 40 percent said that they used them because they tasted good. Far fewer — about 10 percent — said that they used them in an attempt to quit smoking regular cigarettes.

“These results suggest that vaporizers are primarily a new way to use recreational substances more so than a means to end tobacco addiction, at least among adolescents,” said Richard Miech, a senior investigator of the study and research professor at the Institute for Social Research.

The findings come from the 2015 nationwide Monitoring the Future study, which is the first major study to ask U.S. adolescents why they use electronic vaporizers.  The study annually tracks trends in substance use among eighth-, 10th- and 12th-graders. It surveys more than 40,000 students in about 400 secondary schools each year throughout the contiguous United States.

Vaporizers are battery-powered devices with a heating element. They produce an aerosol, also known as a vapor or mist, that users inhale. The aerosol may contain nicotine, although the specific contents of the vapor are proprietary and are not regulated. The liquid that is vaporized comes in hundreds of flavors. Some of these flavors, such as bubble gum and milk chocolate cream, are likely attractive to younger teens.

The specific vaporizer known as the e-cigarette has made rapid in-roads among U.S. adolescents in recent years. In 2015, a substantially higher percentage of adolescents used e-cigarettes in the past 30 days than had smoked regular cigarettes. Specifically, in eighth grade the respective percentages are 9.5 percent vs. 3.6 percent, in 10th grade they are 14 percent vs. 6.3 percent, and in 12th grade they are 16.2 percent vs. 11.4 percent.

“Part of the reason for the popularity of vaporizers such as e-cigarettes is the perception that they do not harm health,” Miech said.

Only 19 percent of eighth-graders believe there is a great risk of people harming themselves with regular use of e-cigarettes. This compares to 63 percent of eighth-graders who think there is a great risk of people harming themselves by smoking one or more packs of tobacco cigarettes a day.

Because e-cigarettes are relatively new, a comprehensive assessment of their health impact — especially their long-term consequences — has yet to be developed, Miech said.

“E-cigarettes seem to be used in different ways at different ages,” he said. “Our finding that so few adolescents use e-cigarettes to stop smoking contrasts with studies of adults, who are more likely to use e-cigarettes to try to stop smoking cigarettes.”

Miech said that removing flavoring from e-cigarettes could be one way to reduce use among youth, while still making e-cigarettes available to adults who want to use them to quit smoking. He points out that in 2009 the Food and Drug Administration prohibited the addition of flavors (except menthol) to cigarettes, which likely helped reduce youth cigarette use.


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