New Alternative Tobacco Products - A Threat to Adolescent Health.

1. Lily Lee*,† 2. Jenni A. Shearston‡,§ 3. Michael Weitzman, MD*,‡ 1. *Department of Pediatrics, New York University School of Medicine, New York, NY. 2. ‡College of Global Public Health, New York University, New York, NY. 3. †Brooklyn College, City University of New York, New York, NY. 4. §Department of Population Health, New York University School of Medicine, New York, NY. 1. 1. Drummond MB, 2. Upson D Electronic Cigarettes: Potential Harms and Benefits. Drummond MB, Upson D. Ann Am Thorac Soc. 2014;11(2):236–242. doi: 10.1513/AnnalsATS.201311-391FR. [OpenUrl][1][CrossRef][2][PubMed][3] 2. 1. Lauterstein D, 2. Hoshino R, 3. Gordon T, 4. Watkins B, 5. Weitzman M, 6. Zelikoff J The Changing Face of Tobacco Use Among United States Youth. Lauterstein D, Hoshino R, Gordon T, Watkins B, Weitzman M, Zelikoff J. Curr Drug Abuse Rev. 2014;7(1): 29–43. [OpenUrl][4][CrossRef][5][PubMed][6] 3. 1. Maziak W, 2. Jawad M, 3. Jawad S, 4. Ward KD, 5. Eissenberg T, 6. Asfar T Interventions for Waterpipe Smoking Cessation. Maziak W, Jawad M, Jawad S, Ward KD, Eissenberg T, Asfar T. Cochrane Database Syst Rev. 2015 Jul 31;7:CD005549. doi: 0.1002/14651858.CD005549.pub3. Almost all cigarette use in the United States begins during adolescence, and about 3 of every 4 adolescent smokers continue to smoke into adulthood. Although overall cigarette consumption in the United States has decreased by 33% in the last decade, overall tobacco use among middle and high school students has demonstrated little to no decline. The United States has witnessed an increase in the use of new, so-called alternative tobacco products (ATPs). The many types of ATPs vary from the more popular smoked products such as electronic cigarettes (e-cigarettes) and hookahs (also known as water-pipes or narghile) to smokeless products such as snus. These ATPs are believed by the public and adolescents to be less harmful, less addictive, and more stylish than cigarettes. They are being promoted as and perceived by adolescents, the general public, and health care clinicians as safer alternatives to traditional cigarettes. Many in the public health community fear that, in the absence of widespread awareness and regulatory policies, ATPs will encourage adolescents to start smoking and, thus, undermine a decades-long campaign to “denormalize” smoking. Rates of past 30-day use of e-cigarettes among middle and high school students tripled from 2013 to 2014, after doubling the year before. From 2010 to 2014, the percentage of high school seniors who used hookahs in the last year increased from 17% to 23%. In 2014, for the first time, e-cigarettes were reported to be the most commonly used tobacco product by high school students (13.4%), ahead of both hookahs … [1]: {openurl}?query=rft.jtitle%253DAnn%2BAm%2BThorac%2BSoc%26rft.volume%253D11%26rft.spage%253D236%26rft_id%253Dinfo%253Adoi%252F10.1513%252FAnnalsATS.201311-391FR%26rft_id%253Dinfo%253Apmid%252F24575993%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1513/AnnalsATS.201311-391FR&link_type=DOI [3]: /lookup/external-ref?access_num=24575993&link_type=MED&atom=%2Fpedsinreview%2F37%2F7%2F310.atom [4]: {openurl}?query=rft.jtitle%253DCurr%2BDrug%2BAbuse%2BRev%26rft.volume%253D7%26rft.spage%253D29%26rft_id%253Dinfo%253Adoi%252F10.2174%252F1874473707666141015220110%26rft_id%253Dinfo%253Apmid%252F25323124%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [5]: /lookup/external-ref?access_num=10.2174/1874473707666141015220110&link_type=DOI [6]: /lookup/external-ref?access_num=25323124&link_type=MED&atom=%2Fpedsinreview%2F37%2F7%2F310.atom