YOUTH AND JUUL USE

On September 12, 2018, the FDA declared youth electronic cigarette use as an epidemic. The Bureau of Tobacco Free Florida supports the FDA’s action to protect our youth against nicotine addiction. Read our statement here.

Electronic cigarettes come in many shapes and sizes. E-cigarettes have a battery, a heating element and a place to hold e-liquid. Most e-liquids contain nicotine, which is a highly addictive chemical. As the e-cigarette industry continues to evolve, one device known as JUUL has become popular among youth.

According to the company, original JUUL pods contain approximately as much nicotine as an entire pack of cigarettes, or 200 puffs, at a nicotine concentration of five percent.[1] Its discrete size and design make it easy to disguise at home, in public, and even at school.

JUUL is extremely popular among Generation Z (those born after 1996) and has become prevalent on social media as a topic of conversation. The trend has grown so much that it has generated its own slang verb, “JUULing.”

The rise of e-cigarette use among youth is cause for concern.

  • Nationally, kids and young adults are more likely than adults to use e-cigarettes.[2]
  • In Florida, middle school and high school students are using e-cigarettes more than any other tobacco product.[3]
    • In 2012, 3.3% of high school students in Florida were currently using an electronic cigarette.[4] In 2017, the e-cigarette use rate among Florida high school students was 15.7 percent– far higher than any other tobacco product.
    • More than one in three Florida high school students reported trying an e-cigarette in 2017.

Using nicotine during adolescence can harm the developing brain and affect teens’ susceptibility to addiction.[5] There is also evidence that today’s e-cigarette user could be tomorrow’s conventional smoker.[6],[7],[8],[9],[10],[11] While not every type of e-cigarette uses nicotine, most do – including the increasingly popular JUUL. Among current youth and young adult JUUL users, 63% did not know that this product always contains nicotine, according to a Truth Initiative study published in April 2018.[12]

For tips on talking to your kids about e-cigarette use, please check out our guide, “How to Talk to Your Kids About Tobacco” at tobaccofreeflorida.com/tipsforparents.

________________________________________________________

[1] JUUL | The Smoking Alternative, Unlike Any E-Cigarette or Vape.”  JUUL | The Smoking Alternative, Unlike Any E-Cigarette or Vape.

[2] U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General—Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016.

[3]Florida Youth Tobacco Survey (FYTS), Florida Department of Health, Bureau of Epidemiology, 2017.

[4]  Florida Youth Tobacco Survey (FYTS), Florida Department of Health, Bureau of Epidemiology, 2012.

[5] U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General—Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016.

[6] Center for Public Health Systems Science. Association of Noncigarette Tobacco Product Use With Future Cigarette Smoking Among Youth in the Population Assessment of Tobacco and Health (PATH) Study, 2013-2015.. Watkins SL, Glantz SA, Chaffee BW. JAMA Pediatriacs. Published online January 02, 2018. doi:10.1001/jamapediatrics.2017.4173.

[7] Coleman BN, Apelberg BJ, Ambrose BK, et al. Association between electronic cigarette use and openness to cigarette smoking among US young adults. Nicotine Tob Res. 2015; 17(2):212-218.

[8] 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. Tob Control doi:10.1136/tobaccocontrol-2015-052705.

[9] Smokefree.gov. E-cigarettes and National Adolescent Cigarette Use: 2004–2014.. Dutra Lauren M, ScD and Glantz Stanton A, PhD. Pediatrics. American Society of Pediatrics. doi: 10.1542/peds.2016-2450. January 2017.

[10] Miech R, Patrick ME, O’Malley PM, et al E-cigarette use as a predictor of cigarette smoking: results from a 1-year follow-up of a national sample of 12th grade students Tobacco Control Published Online First: 06 February 2017. doi: 10.1136/tobaccocontrol-2016-053291.

[11] Soneji S, Barrington-Trimis JL, Wills TA, et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and meta-analysis. JAMA Pediatrics. 2017;171(8):788-797.https://jamanetwork.com/journals/jamapediatrics/article-abstract/2634377?redirect=true.

[12] Truth Initiative. “63% Of Youth Are Unaware That JUUL e-Cigarettes Contain Nicotine.” Truth Initiative, Truth Initiative, 26 June 2018, truthinitiative.org/news/juul-e-cigarettes-gain-popularity-among-youth.