What are kids vaping? Results from a national survey of US adolescents

Richard Miech, Megan E. Patrick, Patrick M. O’Malley, Lloyd D. Johnston

    Research output: Contribution to journalArticlepeer-review

    77 Scopus citations

    Abstract

    Objective To examine what substances US youth vape. Methods Data come from Monitoring the Future, an annual, nationally representative survey of USA 12th-grade, 10th-grade and 8th-grade students. Respondents reported what substance they vaped the last time they used a vaporiser such as an e-cigarette. Results Among students who had ever used a vaporiser, 65-66% last used ‘just flavouring’ in 12th, in 10th and in 8th grade, more than all other responses combined. In all three grades, the percentage using ‘just flavouring’ was above 57% for males, females, African-Americans, Hispanics, Whites, and students both with and without a parent with a college degree. Nicotine use came in a distant second, at about 20% in 12th and 10th grade and 13% in 8th grade. Taking into account youth who vaped nicotine at last use increases national estimates of tobacco/nicotine prevalence in the past 30 days by 24-38% above and beyond cigarette smoking, which is substantial but far less than estimates that assume all vaporiser users inhale nicotine. Conclusions These results challenge the common assumption that all vaporiser users inhale nicotine. They (a) call into question the designation of vaporisers and e-cigarettes as ENDS (‘Electronic Nicotine Delivery System’), (b) suggest that the recent rise in adolescent vaporiser use does not necessarily indicate a nicotine epidemic, and (c) indicate that vaporiser users can be candidates for primary prevention programmes. Finally, the results suggest the importance of developing different rationales for the regulation of vaporiser devices as compared to the regulation of substances marketed for vaporiser use.

    Original languageEnglish (US)
    Pages (from-to)386-391
    Number of pages6
    JournalTobacco control
    Volume26
    Issue number4
    DOIs
    StatePublished - Jul 2017

    Bibliographical note

    Funding Information:
    This study was supported by the National Institute on Drug Abuse, part of the National Institutes of Health, by grant number R01DA001411.

    Publisher Copyright:
    © 2017, BMJ Publishing Group. All rights reserved.

    Copyright:
    Copyright 2017 Elsevier B.V., All rights reserved.

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