US adolescents are highly addicted to nicotine through e-cigarettes
US adolescents are highly addicted to nicotine through e-cigarettes, as indicated by immediate product use on waking, which has increased from 2014-2021. Glantz S, Jeffers A, Winickoff JP. Nicotine Addiction and Intensity of e-Cigarette Use by Adolescents in the US, 2014 to 2021. JAMA Netw Open. 7 Nov 2022;5(11):e2240671.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2798130
“In this survey study of 151 573 respondents, age at initiation of e-cigarette use decreased, and intensity of use and addiction increased between 2014 and 2021. By 2019, more e-cigarette users were using their first tobacco product within 5 minutes of waking than users of cigarettes and all other tobacco products combined.
These findings suggest that clinicians need to be ready to address youth addiction to these new highly addictive nicotine products during many clinical encounters, and stronger regulation is needed, including comprehensive bans on the sale of flavored tobacco products.”
Stephen Hamann