The Plant Protection Society of Western Australia (Inc.)
DISCUSSION We believe this is the first national study in the US to examine the association between knowledge and use of HTPs and other tobacco use status (mono/dual/poly tobacco use), as well as other flavored tobacco use (menthol cigarettes and flavored e-cigarettes), consistent with previous findings 12,13,15
However, leading public health organisations, noting harm to children and adolescents from nicotine inhalation, have maintained their goal to reduce all types of tobacco use, including e-cigarettes.34 35 Adolescents who start vaping e-cigarettes have a similar substance use risk profile as those who start smoking cigarettes, including sensation-seeking and hopelessness,36 as well as internalising and externalising mental health problem behaviours.37 Well-known sociodemographic differences in cigarette smoking prevalence across subgroups of age, sex, education and race-ethnicity38 have been replicated for e-cigarette vaping.39 Early evidence suggests that there may have been a shift in social norms among adolescents, with cigarettes now being associated with risk and negative affect, while e-cigarettes are not.40 Some have suggested that adolescents have an equivalent choice between cigarettes and e-cigarettes and that the rise in e-cigarette vaping is associated with a more rapid decline in cigarette smoking41 42 and further, that preliminary evidence suggests that disincentivising e-cigarettes (eg, with taxes) would encourage youth cigarette smoking.43 In this paper, we use three large nationally representative surveys of US residents aged 1724 years with serial cross-sectional prevalence estimates for cigarettes from 1992 and for e-cigarette vaping from 2014
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The upsides and downsides of vaping A substance-abuse expert discusses why vaping is safer than smoking but still dangerous for teens
