Thursday, January 9, 2014
Wanna Puff, Little Girl?
Writing for CNN.com (January 6th),
Harold Wimmer takes a look at the hidden dangers of the phenomenon of
e-cigarettes. Are they a panacea to tobacco addicts looking for a way out? Or
an entry-level attraction that should generate some new tobacco buyers in the
not-too-distant future. Think about it. Think about the child-attracting
mascots that found their way to cigarette labels.
Wimmer notes: “For the makers of electronic cigarettes, today we are living
in the Wild West -- a lawless frontier where they can say or do whatever they
want, no matter what the consequences. They are free to make unsubstantiated
therapeutic claims and include myriad chemicals and additives in e-cigarettes.
“Big
Tobacco desperately needs new nicotine addicts and is up to its old tricks to
make sure it gets them. E-cigarettes are being aggressively marketed to
children with flavors like Bazooka Bubble Gum, Cap'n Crunch and Cotton Candy.
Joe Camel was killed in the 1990s, but cartoon characters are back promoting
e-cigarettes.
“Many
e-cigarettes look like Marlboro or Camel cigarettes. Like their old-Hollywood
counterparts, glamorous and attractive celebrities are appearing on TV
promoting specific e-cigarette brands. Free samples are even being handed out on street
corners.” CNN.com.
“Data
from the 2011 and 2012 National Youth Tobacco Survey (NYTS), a school-based,
pencil-and-paper questionnaire given to U.S. middle school (grades 6–8) and
high school (grades 9–12) students, were used to estimate the prevalence of
ever and current (≥1 day in the past 30 days) use of e-cigarettes, ever and
current (≥1 day in the past 30 days) use of conventional cigarettes, and use of
both. NYTS consists of a cross-sectional, nationally representative sample of
students in grades 6–12 from all 50 states and the District of Columbia (3).
“During
2011–2012, among all students in grades 6–12, ever e-cigarette use increased from
3.3% to 6.8% (Figure [below]); current e-cigarette use increased from 1.1% to
2.1%, and current use of both e-cigarettes and conventional cigarettes increased
from 0.8% to 1.6%. In 2012, among ever e-cigarette users, 9.3% reported never
smoking conventional cigarettes; among current e-cigarette users, 76.3%
reported current conventional cigarette smoking.
“Among
middle school students, ever e-cigarette use increased from 1.4% to 2.7% during
2011–2012 (Figure [below]); current e-cigarette use increased from 0.6% to 1.1%,
and current use of both e-cigarettes and conventional cigarettes increased from
0.3% to 0.7%. In 2012, among middle school ever e-cigarette users, 20.3%
reported never smoking conventional cigarettes; among middle school current
e-cigarette users, 61.1% reported current conventional cigarette smoking.
“Among
high school students, ever e-cigarette use increased from 4.7% to 10.0% during
2011–2012 (Figure [below]); current e-cigarette use increased from 1.5% to 2.8%,
and current use of both e-cigarettes and conventional cigarettes increased from
1.2% to 2.2%. In 2012, among high school ever e-cigarette users, 7.2% reported
never smoking conventional cigarettes; among high school current e-cigarette
users, 80.5% reported current conventional cigarette smoking.
“E-cigarette
experimentation and recent use doubled among U.S. middle and high school
students during 2011–2012, resulting in an estimated 1.78 million students
having ever used e-cigarettes as of 2012. Moreover, in 2012, an estimated
160,000 students who reported ever using e-cigarettes had never used
conventional cigarettes. This is a serious concern because the overall impact
of e-cigarette use on public health remains uncertain. In youths, concerns include
the potential negative impact of nicotine on adolescent brain development (4),
as well as the risk for nicotine addiction and initiation of the use of
conventional cigarettes or other tobacco products.
“FIGURE. Ever electronic cigarette use among middle and high
school students, by year — National Youth Tobacco Survey, United States,
2011–2012”
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