{"id":690,"date":"2015-04-27T18:55:55","date_gmt":"2015-04-27T18:55:55","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/?p=690"},"modified":"2017-08-21T11:48:03","modified_gmt":"2017-08-21T11:48:03","slug":"primary-care-corner-with-geoffrey-modest-md-e-cigarettes","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/2015\/04\/27\/primary-care-corner-with-geoffrey-modest-md-e-cigarettes\/","title":{"rendered":"Primary Care Corner with Geoffrey Modest MD: E-cigarettes"},"content":{"rendered":"

By: Dr. Geoffrey Modest<\/strong><\/p>\n

So, no great surprise. E-cigarettes are taking over our youth… \u00a0The latest MMWR reviewed tobacco use in middle and high school students in the US, from 2011-2014, revealing profound changes (see here\u200b<\/a> for full MMWR report).<\/p>\n

In brief:<\/p>\n

\u00a0–the CDC and FDA reviewed data of trends in current\u00a0tobacco\u00a0use (defined as: use >=1 day\u00a0within the past 30 days) in middle schools (grades 6-8) and high\u00a0schools (grades 9-12)<\/p>\n

–overall, 24.6% of high school students reported current use of a\u00a0tobacco product, and 12.7% reported use of >= 2 tobacco products<\/p>\n

–in 2014, e-cigarette were the most commonly used tobacco product in middle (3.9%) and high (13.4%) school students<\/strong>, with significant increases in both e-cigarettes and hookahs (p<0.05), and decreases in cigarettes and cigars (so, in sum, no change in overall tobacco use, meaning that 4.6 million students are still exposed to tobacco<\/strong>).<\/p>\n

–overall for high schoolers: e-cigarettes 13.4%, hookahs 9.4%, cigarettes 9.2%, cigars 8.2%, smokeless tobacco 5.5%, snus 1.9%, pipes 1.5%. E-cigarettes were the most common tobacco product used by\u00a0non-Hispanic whites, Hispanics, persons of non-Hispanic\u00a0other races;\u00a0but not in\u00a0non-Hispanic blacks, where cigars were the most used.<\/p>\n

–overall for middle\u00a0schoolers: e-cigarettes 3.9%, hookahs 2.5%, cigarettes 2.5%, cigars 1.9%, smokeless tobacco 1.6%, snus 0.5%, pipes 0.6%<\/p>\n

–see rather striking graph at bottom for high school students. that for middle school is in MMWR, but is basically the same but with lower numbers.<\/p>\n

So, no huge surprise. it is pretty clear that\u00a0e-cigarette marketing and packaging (with an ever-increasing array of seductive flavors) is targeted to kids. And this brings up a few very significant issues. One is the neurobiology–\u00a0that the adolescent brain, when exposed to nicotine, may be more susceptible to long-term\u00a0adverse consequences and addiction. Another is that the marketing and acceptance of e-cigarettes is (as predicted) un-demonizing tobacco products. There have been dramatic and steady gains in decreasing cigarette smoking over the decades, despite advertising overall and\u00a0in particular\u00a0to kids. the large tobacco companies have clearly shifted their approach, at least in the US and Europe (as I understand), to focusing on the socially- and in many cases governmentally-more\u00a0acceptable e-cigarettes.<\/p>\n

See prior blogs for more details:<\/p>\n

This one<\/a> highlights some of the political and medical consequences of e-cigarettes. This one<\/a>\u00a0highlights some of the contaminants found in some e-cigarettes made in China (where 90% of the worldwide e-cigarettes\u00a0are made)<\/p>\n

Here is graph of tobacco use in high-schoolers:<\/p>\n

\"graph\"<\/a>(CDC, 2015).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

By: Dr. Geoffrey Modest So, no great surprise. E-cigarettes are taking over our youth… \u00a0The latest MMWR reviewed tobacco use in middle and high school students in the US, from 2011-2014, revealing profound changes (see here\u200b for full MMWR report). In brief: \u00a0–the CDC and FDA reviewed data of trends in current\u00a0tobacco\u00a0use (defined as: use […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":148,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[14283],"tags":[],"class_list":["post-690","post","type-post","status-publish","format-standard","hentry","category-archive"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/posts\/690","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/users\/148"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/comments?post=690"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/posts\/690\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/media?parent=690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/categories?post=690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/tags?post=690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}