Thursday, April 16, 2015

Many teens try e-cigs , but few become regular users

BMJ: Many teens try e-cigs , but few become regular users, and most of those who do so smoke conventional cigarettes E-cigarettes are popular with teens, including those who have never smoked, but few of those who try them become regular  users, while most of those who do so are also smokers, finds  research published in the online journal  BMJ Open. The researchers base their findings on the results of two nationally representative surveys of primary and secondary  schoolchildren from more than 150 schools in Wales carried out in 2013 and 2014.

In all, 1601 children were  quizzed about their use of e-cigarettes. Use of e-cigarettes at least once was more common than  having smoked a conventional cigarette among all age groups,  except the oldest (15 - 16 year olds). Some 5.8% of 10 - 11 year olds had tried e-cigarettes — far more  than had tried tobacco (1.6%) — while a sizeable proportion  (12.3%) of 11 - 16 year olds said they had used e - cigarettes,  irrespective of gender, ethnic background, or family affluence. This contrasts with the patterning seen in smoking, where all  these factors come into play, suggesting that e - cigarettes may have wider appeal among all sectors of the teen population, say  the researchers. Similarly, the proportion of teens who had used e - cigarettes, but who had never smoked, rose from 5.3% among  10 - 11 year olds, to 8% among 15 - 16 year olds. But only 1.5% (125) of those aged 11 - 16 said they used e - cigarettes regularly — defined as at least once a month. This  included 0.3% of those who claimed they had never smoked  conventional  cigarettes. These figures suggest that “ e - cigarettes are unlikely to make a  major direct contribution to adolescent nicotine addiction at  present,” write the researchers, who point out that the World  Health Organization has recognised that there is little  evidence  on whether e - cigarettes may or may not act as a gateway to  conventional smoking. The odds of regular e - cigarette use were 100 times higher  among current weekly smokers than among non - smokers, and  50 times higher among those who had smoked cannabis The strong link between current smoking and e - cigarette use  suggests that teens are not using these products to help them  quit smoking, say the researchers. They admit that a lack of consensus about what constitutes  ‘use’ of an e - cigarette presents someth ing of a challenge for  research in this area, and suggest that further much longer term  studies to include the generation of young people who have  grown up with e - cigarettes are needed before firmer  conclusions can be drawn