Vaping USA: Talking with Kids About e-Cigarettes

The tobacco industry promotes e-cigarettes as a way to kick smoking.

But for teens, e-cigarettes are a gateway drug to tobacco addiction, according to the California Tobacco Control Program. 

Vaping – or inhaling the aerosol (“vapor”) from e-cigarettes -- is not the harmless cigarette substitute tobacco companies make it out to be. Besides being addictive, vaping can lure teens to smoke, according to a leading scientific panel

Studies show that youth who use e-cigarettes  – many of which are candy-flavored to attract kids – are three times more likely to smoke traditional cigarettes a year later, according to a study in the Tobacco Control Journal.

This is a particular concern for children and teens with trauma from ACEs, or Adverse Childhood Experiences such as abuse or neglect. Since brain development can be disrupted by chronic stress and undermine kids’ ability to cope with negative emotions, kids with ACEs often adopt unhealthy coping mechanisms, such as smoking and substance abuse, according to the Substance Abuse and Mental Health Services Administration (SAMSHA). One study found that each ACE increased the odds of smoking by 20 to 30%.

“The tobacco industry is betting big on e-cigarettes to hook its next generation of customers, working hard to mislead people that vaping products, such as e-cigarettes, are harmless,” according to the California program Tobacco Free California. “That is just not true.”

Among other things, chemicals found in e-cigarette’s liquid make it harder for the heart to pump blood, according to American Heart Association research. And a study from Harvard showed that one of those chemicals – diacetyl – is associated with an insidious respiratory disease called popcorn lung.

Some e-cigarette users have had seizures after a few puffs or a day of vaping, according to a new alert by the Food and Drug Administration.

There are even cases of e-cigarettes exploding, causing extensive burns, broken teeth and at least two deaths.

But e-cigarettes are still the most popular form of tobacco in high school. Here are some tips for parents with teens:

Start with a few questions, suggests New York Times writer Lisa Damour. “Setting judgment to the side, ask, ‘What’s your take on e-cigarettes?’ or ‘Do you know kids who are vaping?’ or something along those lines.” The answer, says Damourj, will shape the rest of your conversation.

Listen to what they have to say. Teens often think their parents are big spoilsports. Let them know you can understand why they want to push the limits. As Damour says, “In the end, we want our teenagers to weigh their options and be self-protective. We can model this approach by saying, ‘Look, it’s not that I hate fun. It’s that I love you.’”

Concede what’s known and what isn’t. Rather than get in an argument over whether e-cigarettes are more hazardous than cigarettes, admit there are unknowns. But do let them know about the hazards that scientists are aware of.

Discuss the deceptive nature of e-cigarette advertising. Research show that teens are rarely put off smoking by learning about health risks or programs to resist peer pressure. However, campaigns that target the untruthful nature of cigarette advertising have proven effective. According to the CDHS, kids tend to bristle at the thought that they’re being manipulated by adults.

Set limits. Some parents take a more hands-off approach, admitting the limits of their power and telling their teen they hope he or she makes the right choice. But if you’d rather give your teens another reason not to start vaping, let them know there will be consequences if they do.


References

Alcala, H. (2016, October 4. Adverse Childhood Experiences and Use of Tobacco Products). Journal of Community Health.

Damour, L. (2018, January 23). How to Talk to Teenagers About Vaping. New York Times

Environmental Health Perspectives. “Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products, Including Fruit-, Candy-, and Cocktail-Flavored E-Cigarettes”. Retrieved from https://ehp.niehs.nih.gov/doi/10.1289/ehp.1510185

Reuters Health News. (2019, April 3). USA Warns of Potential Seizure Risk of Some Users of e-Cigarettes. 

Thomas A Wills, Rebecca Knight, James D Sargent, Frederick X Gibbons, Ian Pagano, Rebecca J Williams. Longitudinal study of e-cigarette use and onset of cigarette smoking among high school students in Hawaii. Tobacco Control Journal.

Tobacco Free California, California Tobacco Control Program. E-Cigarettes.Retrieved fromhttps://tobaccofreeca.com/topics/e-cigarettes/

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