E-Cigarette Use by Young Adult Nonsmokers: Next-Generation Nicotine Dependence?
Authors: Anne N. Thorndike
Journal: Annals of Internal Medicine (2018)

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. 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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. 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