E-Cigarette Use by Young Adult Nonsmokers: Next-Generation Nicotine Dependence?

Editorials1 January 2019E-Cigarette Use by Young Adult Nonsmokers: Next-Generation Nicotine Dependence?Anne N. Thorndike, MD, MPHAnne N. Thorndike, MD, MPHMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts (A.N.T.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-2581 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail E-cigarettes are considered a safer alternative to combustible cigarettes because they deliver nicotine without the toxic chemicals produced by burning tobacco. The public health debate about risks and benefits of e-cigarettes currently focuses on 2 groups: adult smokers and youth nonsmokers (1). The health benefits of current smokers completely switching from combustible cigarettes to e-cigarettes may be enormous. However, uptake of e-cigarette vaping by adolescents could lead to initiation of cigarette smoking. In the rapidly evolving landscape of e-cigarettes, concern that vaping is a "gateway" to smoking may overlook a more likely outcome: Teenagers who vape may never switch to ...References1. Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems. Public Health Consequences of E-Cigarettes: A Consensus Study Report of the National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Pr; 2018. Accessed at http://nationalacademies.org/hmd/Reports/2018/public-health-consequences-of-e-cigarettes.aspx on 20 September 2018. Google Scholar2. Mirbolouk M, Charkhchi P, Orimoloye OA, Uddin SMI, Kianoush S, Jaber R, et al. E-cigarette use without a history of combustible cigarette smoking among U.S. adults: Behavioral Risk Factor Surveillance System, 2016. Ann Intern Med. 2019;170:76-9. doi:10.7326/M18-1826 LinkGoogle Scholar3. Bao W, Xu G, Lu J, Snetselaar LG, Wallace RB. Changes in electronic cigarette use among adults in the United States, 2014–2016. JAMA. 2018;319:2039-41. [PMID: 29800201] doi:10.1001/jama.2018.4658 CrossrefMedlineGoogle Scholar4. Soneji S, Barrington-Trimis JL, Wills TA, Leventhal AM, Unger JB, Gibson LA, et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and meta-analysis. JAMA Pediatr. 2017;171:788-97. [PMID: 28654986] doi:10.1001/jamapediatrics.2017.1488 CrossrefMedlineGoogle Scholar5. Huang J, Duan Z, Kwok J, Binns S, Vera LE, Kim Y, et al. Vaping versus JUULing: how the extraordinary growth and marketing of JUUL transformed the US retail e-cigarette market. Tob Control. 2018. [PMID: 29853561] doi:10.1136/tobaccocontrol-2018-054382 CrossrefMedlineGoogle Scholar6. McKay B, Maloney J. Youth vaping has soared in 2018, new data show. The Wall Street Journal. 21 September 2018. Accessed at www.wsj.com/articles/youth-vaping-has-soared-in-2018-new-data-show-1537481424 on 21 September 2018. Google Scholar7. U.S. Food and Drug Administration. Statement from FDA Commissioner Scott Gottlieb, M.D., on new steps to address epidemic of youth e-cigarette use [press release]. Silver Spring: U.S. Food and Drug Administration; 12 September 2018. Accessed at www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm620185.htm on 14 September 2018. Google Scholar8. Dinakar C, O'Connor GT. The health effects of electronic cigarettes. N Engl J Med. 2016;375:1372-81. [PMID: 27705269] CrossrefMedlineGoogle Scholar9. U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services; 2014. Google Scholar10. American Psychiatric Association. Substance-related and addictive disorders. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. 2013. Accessed at https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425596.dsm16 on 2 October 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts (A.N.T.)Acknowledgment: The author thanks Dr. Nancy Rigotti from Massachusetts General Hospital for her valuable feedback during the drafting of this editorial.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-2581.Corresponding Author: Anne N. Thorndike, MD, MPH, Division of General Internal Medicine, Massachusetts General Hospital, 100 Cambridge Street, Suite 1600, Boston, MA 02114; e-mail, [email protected]harvard.edu.This article was published at Annals.org on 9 October 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoE-Cigarette Use Without a History of Combustible Cigarette Smoking Among U.S. Adults: Behavioral Risk Factor Surveillance System, 2016 Mohammadhassan Mirbolouk , Paniz Charkhchi , Olusola A. Orimoloye , S.M. Iftekhar Uddin , Sina Kianoush , Rana Jaber , Aruni Bhatnagar , Emelia J. Benjamin , Michael E. Hall , Andrew P. DeFilippis , Wasim Maziak , Khurram Nasir , and Michael J. 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