Teen vaping use grows along with parental concern about the trend
Posted February 5, 2018 3:57 p.m. EST
Updated July 13, 2018 2:07 p.m. EDT
Raleigh, N.C. — While the number of teens smoking cigarettes has significantly declined, vaping appears to be growing in popularity, a trend that has raised concern among many parents.
Although vaping has become a popular way for adults to wean themselves from smoking nicotine cigarettes, researchers say they still don't know if vaping is safe for young people.
Kevin Dignan, a high school senior, said he vapes because it's better than smoking cigarettes.
"Vaping seems like it's just a little bit healthier," he said. "And it's just a cooler way to smoke.. It's just a fad that’s in right now."
Parents and doctors are concerned
"Vaping is the inhalation (and) exhalation of a vapor or aerosol," said Dr. Momen Wahidi, a pulmonologist at Duke University Hospital.
He agrees that vaping is better than cigarettes for adults who are trying to quit smoking, but adds that it may have the opposite effect on teens.
"There are now studies that show that teenagers who have used e-cigarettes are eight times more likely to switch to conventional cigarettes than their peers who never used e-cigarettes," Wahidi said.
He said because vaping is relatively new in the U.S., we don't have enough scientific data yet to deem the practice safe.
"I would tell my kids that these are chemicals that we are putting in our bodies (and) in our lungs that we don't know the long-term effects of," Wahidi said.
Mary Wilkinson, a high school senior, said: "I think its probably better than smoking cigarettes, but I think it's still bad for you. It's definitely not good for your lungs."
A December 2017 study by the National Institute of Drug Abuse found that while smoking is declining among teens, one in three high school seniors are vaping.
"I think it is very common at our school," Mary said. "I think it's a huge epidemic for our generation."
Rebecca Wheeler, a health educator, speaks about addiction to students at Raleigh's Poe Center.
"As an educator, I want to know why youth are using it," she said. "Nicotine in any form is addictive."
Vaping uses a variety of flavored liquids that Wheeler says appeal to young people.
"Now, all of a sudden, we're starting to see the e-cigs," Wheeler said. "And that social norming of smoking can start to creep back in when we least expect it."
Rod Crews owns the Quick Shop Discount on New Bern Avenue in Raleigh. He said he only sells vaping products to adults because the FDA prohibits sales to anyone under 18.
"Predominately, that's the No. 1 reason why more people ultimately come in is because they want to quit cigarettes," he said.
Why are teens vaping?
Despite the FDA rules, teens are vaping.
Said Mary: "You just find an 18-year-old to buy it for you."
Wheeler said we should try to understand why underage kids are doing it.
"They're trying to cope with those outside stressors, and if that's one of the main reasons, we need to help them learn how to deal with and cope with stress," Wheeler said.
She said parents also need to teach their children the art of refusal.
"If you feel uncomfortable (or) if a friend is asking you to do something you don't want to do, how are you going to use those refusal skills to be able to protect yourself?
Wahidi says its time to change the popular narrative that vaping is safe for teens.
"We have made such strides in decreasing the use of tobacco products, and now we have to deal with this new addition of potentially harmful products," he said.
The Poe Center is concerned that many vaping shops are being opened in neighborhoods that are close to where teens hang out, specifically schools. Center officials say cities should consider stricter zoning laws to more closely regulate their location.
The National Academies of Sciences, Engineering, and Medicine takes a comprehensive look at evidence on the human health effects of e-cigarettes and vaping. For full report: Click here
Exposure to nicotine
- There is conclusive evidence that exposure to nicotine from e-cigarettes is highly variable and depends on the characteristics of the device and the e-liquid, as well as on how the device is operated.
- There is substantial evidence that nicotine intake from e-cigarettes among experienced adult e-cigarette users can be comparable to that from conventional cigarettes.
Exposure to toxic substances
- There is conclusive evidence that in addition to nicotine, most e-cigarettes contain and emit numerous potentially toxic substances.
- There is substantial evidence that except for nicotine, exposure to potentially toxic substances from e-cigarettes (under typical conditions of use) is significantly lower compared with conventional cigarettes.
Dependence and abuse liability
- There is substantial evidence that e-cigarette use results in symptoms of dependence on e-cigarettes.
- There is moderate evidence that risk and severity of dependence is lower for e-cigarettes than for conventional cigarettes.
- There is moderate evidence that variability in the characteristics of e-cigarette products (nicotine concentration, flavoring, device type, and brand) is an important determinant of the risk and severity of dependence on e-cigarettes.
- There is conclusive evidence that completely substituting e-cigarettes for conventional cigarettes reduces users’ exposure to many toxicants and carcinogens present in conventional cigarettes.
- There is substantial evidence that completely switching from regular use of conventional cigarettes to e-cigarettes results in reduced short-term adverse health outcomes in several organ systems.
Use by youth and young adults
- There is substantial evidence that e-cigarette use by youth and young adults increases their risk of ever using conventional cigarettes.