Teens who try e-cigarettes more likely to start smoking
Posted on: 06:32 PM IST Aug 20, 2015
US teens who try electronic cigarettes may be more than twice as
likely to move on to smoking conventional cigarettes as those who have
never tried the devices, researchers from the University of Southern
California said on Tuesday.
The findings, published in the journal
JAMA, offer some of the best evidence yet at establishing a link
between e-cigarettes and smoking, said Dr Nancy Rigotti, an expert in
tobacco research at Massachusetts General Hospital and author of an
editorial accompanying the study.
A sales clerk exhales vapor while smoking
with a vaporizer during a wait for customers at the e-cigarette shop
Henley Vaporium in New York, June 23, 2015. (Reuters/Lucas
Jackson/Files)
"Adolescent brains appear to be especially susceptible
to becoming addicted to nicotine when exposed," Rigotti told Reuters
Health in an email.
About 2 million middle - and high-school
students tried e-cigarettes in 2014, triple the number of teen users in
2013, the Centers for Disease Control and Prevention reported in April.
The
data sparked alarm among tobacco control advocates who fear
e-cigarettes will create a new generation of nicotine addicts who may
eventually switch to conventional cigarettes.
Big tobacco
companies, including Altria Group, Lorillard Tobacco and Reynolds
American, are all developing e-cigarettes. The battery-powered devices
feature a glowing tip and a heating element that turns liquid nicotine
and other flavorings into a cloud of vapor that users inhale.
An
international review of published research by the Cochrane Review in
December concluded that the devices could help smokers quit but said
much of the existing evidence on e-cigarettes was thin.
In the
latest study, the University of Southern California researchers surveyed
roughly 2,500 Los Angeles high-school students about tobacco use three
times over the course of a year. The study began in the fall of ninth
grade, when the students were about 14 and not smoking.
At the start of the study, 220 students said they had tried electronic cigarettes, the researchers said.
If
the students admitted to using e-cigarettes, they were more than twice
as likely to report smoking cigarettes during the course of the study,
while the likelihood more than tripled for taking up hookah and more
than quadrupled for cigars.
"Our research does suggest that teens
who use e-cigarettes for recreational purposes may be more likely to
later advance to trying regular cigarettes and other smokable tobacco
products," lead author Adam Leventhal of the University of Southern
California Health, Emotion and Addiction Laboratory said in an email.
Although
the findings are not definitive, Rigotti said they offered the first
evidence in a study looking at the same population over time to show
that teens who use e-cigarettes are more likely to eventually try
conventional cigarettes than those who do not use the devices.
E-cigarettes
are available to more than half the world's population and may generate
$10 billion in annual sales by 2017, Dr Andrew Chang and Dr Michele
Barry, both of Stanford University School of Medicine, wrote in a second
editorial published with the study.
Children who try these
products may be more likely to become smokers, Chang said, and they also
may be at increased risk for accidental overdoses from drinking
nicotine fluids intended for e-cigarette cartridges.
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