E Zigaretten Testsieger 2014

E-cigarettes or digital nicotine delivery system (ENDS) go by many surname – the most typical name is “e-cigarette,” yet other terms include e-cigs, vapes, vape pens, mods and tanks. For the purposes of this source we refer to ns entire category as “e-cigarettes.”

E-cigarette use amongst young civilization has skyrocketed in recent years and remains weist epidemic levels: around one bei five high institution students offered e-cigarettes in 2020, many des whom were notfall smokers in the zuerst place.

Du schaust: E zigaretten testsieger 2014


What is an e-cigarette?

(updated 6/21)

How much nicotine is in in e-cigarette?

(updated 6/21)

Are e-cigarettes less harmful 보다 cigarettes?

(updated 6/21)

Who zu sein using e-cigarettes?

(updated 3/21)

Can e-cigarettes help people stop smoking?

(updated 3/21)

The wellness effects des vaping

(updated 6/21)

E-cigarette marketing

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How room e-cigarettes regulated?

(updated 6/21)

Why e-cigarette devices are gift sued zum attracting youth kommen sie vaping

(updated 6/21)

How old do you have to be kommen sie purchase e-cigarettes?

(updated 6/21)

How carry out other countries regulate e-cigarettes?

(updated 6/21)
 
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WHAT IS an E-CIGARETTE?

E-cigarettes are devices that operate von heating a flüssig solution kommen sie a high enough temperature dafür that that produces in aerosol that is inhaled.Solutions, sometimes referred to as e-liquids, virtually always encompass nicotine, flavoring and a humectant, such as propylene glycol, to retain moisture und create die aerosol when heated.While many von the flavorings and humectants used in e-liquids schutz been approved über the Food und Drug Administration zum oral consumption, they oase not to be approved zum inhalation. Thus, their health aftermath are notfall well known wie man consumed in this manner .There zu sein growing evidence that using e-cigarettes tun können harm lung health and puts users at greater risk von contracting COVID-19. A current study found that e-cigarette users room five times more likely to prüfen positive for covid19 than those who do not use tobacco products, and that dual users des cigarettes and e-cigarettes are almost seven times more most likely to prüfen positive zum the disease.In august 2019, cases of e-cigarette or vaping use-associated lung injury (EVALI) high solution increased, afflicting e-cigarette users with respiratory und other symptoms, peaking in September 2019. As of February 18, 2020, a total of 2,807 hospitalized EVALI instances had to be reported to ns CDC in the U.S. V 68 instances resulting an deaths.Data native a February 2020 study connected EVALI cases zu vitamin e acetate, in additive an THC-containing vaping products. Vitamin feige acetate was present bei bronchoalveolar-lavage (BAL) fluid an 48 out des 51 EVALI patients from 16 states, yet it was notfall found bei BAL liquid from die comparison gruppe of 99 healthy individuals. Because 82% des the situations with details substance use die info available involved individuals who reported making use of THC-containing products, ns FDA has recommended the consumers prevent purchasing vaping products of any kind on ns street, using thc oil, or editing and enhancing store-bought products.While cases of EVALI have decreased since the anfangsverdacht outbreak, ns California Department von Public wellness reported eight cases of EVALI bei April 2020, the zuerst cases reported zu them because February 2020. Die CDC states, “it ist possible that an ext than one compound or ingredient can be a cause von lung injury, und evidence is not yet sufficient zu rule the end contribution des other toxicants.” the continues zu advise non-smokers zu avoid vaping of any variety and especially products purchased “off the street.”Older generations des e-cigarettes supplied a form of nicotine called free-base nicotine. Die most current generation des e-cigarettes on the market, which incorporate pre-filled pod system like JUUL, refillable systems like Suorin Drop and Kandypens, and disposable system like puff Bar, usage nicotine salts bei the e-liquids.The nicotine salt recipe allow zum much higher levels und efficient delivery des nicotine with much less irritation compared to earlier generations of e-cigarettes — prompting inquiries about die use, purpose und safety des this novel form of nicotine.Higher nicotine e-cigarettes oase driven ns surge in e-cigarette sales an recent years, with those containing punkt least 4% nicotine comprising virtually three-quarters des the e-cigarette market bei 2018. Unlike in Europe, where e-cigarette nicotine concentrations cannot exceed 2%, there room no nicotine concentration restrictions an the united States.
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THE entwickeln OF E-CIGARETTES

E-cigarettes zuerst entered the market in 2007 und have advanced many mal since then, with older versions designed zu resemble continuous cigarettes, cigars, pipes, pens, und even USB speed drives.The latest generation of products feature a sleek, high-tech design und are disposable or use conveniently rechargeable batteries.The most popular, JUUL, zu sein a pre-filled pod system containing nicotine salts the emerged in 2015 und quickly established itself as a leading e-cigarette product. JUUL remains the most well-known reusable e-cigarette device, with 51.6% of the reusable market share in April 2021. JUUL’s share von the whole e-cigarette market is 49.7%.“Copycat” products, such together Suorin Drop, myblu, and Vuse Alto, followed JUUL’s blueprint von high-tech design und high nicotine delivery through nicotine salt e-liquid formulations. These tools are all often referred kommen sie as “JUUL” early out to the ubiquity von the brand, but they are also referred to as “pod mods” because ns e-liquid ist sold in self- had disposable pods.JUUL so inspired copycat gadgets that room specifically compatible with JUUL, consisting of Eonsmoke and Vapor4Life, the deliver similarly high amounts des nicotine bei sleek, discreet tools or bei devices the either usage JUUL ford or oase pods that can be used in JUUL devices.While pre-filled pods or cartridges favor JUUL remain ns most popular maker type, use des disposable e-cigarettes like sprühen Bar, which heats up a cartridge include e-liquid but is disposable and does notfall use pre-filled pods, are promptly increasing bei popularity.Use von disposable e-cigarettes increased about 1,000% (from 2.4% zu 26.5%) amongst high college e-cigarette users und more 보다 400% (from 3% kommen sie 15.2%) amongst middle college e-cigarette users during 2019-2020. E-cigarette sales dünn reflect these trends as well: sales des disposable products virtually doubled indigenous 10.3% to 19.8% while prefilled cartridge product sales dropped from 89.4% kommen sie 80.2% from ehrenvoll 2019 zu May 2020.Puff riegel was ns most popular disposable device, with 51.3% of the disposable sector share in April 2021, followed von BIDI Stick with 24%.Disposable e-cigarette commodities like Puff riegel can still be sold bei flavors, in exemption that might be control disposable e-cigarettes’ raising popularity.18 since Puff bar is a device built for single use, it ist exempt from die FDA’s enforcement guidance on flavored e-cigarette products. Puff Bar’s website advertises nach oben to 15 different flavors, including “Strawberry,” “Blueberry Ice,” und “Cool Mint” (see “Marketing” section).Recently, Puff bar claims it began using artificial nicotine an its products, leading to uncertainty about its regulatory status.


HOW viel NICOTINE ist IN bei E-CIGARETTE?

Nicotine levels in e-cigarettes are highly variable, with some reaching or exceeding levels found bei combustible cigarettes.

Labeling zu sein not always a reputable indicator von nicotine content, together studies schutz found mislabeling to be a common issue in the category.The way in e-cigarette ist used or modified also affects die delivery of nicotine to bei individual user.Some e-cigarette commodities deliver nicotine as successfully as a cigarette. The use of nicotine salts so lowers die pH des e-liquids, which allows greater concentrations of nicotine kommen sie be delivered with much less irritation. Weil das example, ns maker von JUUL claims the product has a nicotine content like timeless cigarettes, and that it delivers the nicotine up kommen sie 2.7 mal faster than other e-cigarettes.In die U.S., JUUL gadgets were originally presented with a 5% nicotine salt pod. Following suit, JUUL competitors started offering nicotine salt concentrations as high as 7% an what has been dubbed a “nicotine eight race.” However, bei 2018, JUUL introduced a reduced nicotine pod, v 3% nicotine strength. Renowned disposable gadgets such as puff Bars usage nicotine salts and are offered with nicotine toughness as high as 5%.In addition to ns rate des nicotine delivery, the nicotine inhalt of products like JUUL also raises concerns about die potential zum addiction. A 2018 Truth initiative study published bei Tobacco manage found that amongst current youth und young adult JUUL users, ns majority — 63% — did notfall know that ns product constantly contains nicotine. Anecdotally, youth space reporting signs von severe dependence, such together inability to concentrate an class, using bei e-cigarette ~ above waking, and using e-cigarettes punkt night ~ waking with a craving.
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Heated tobacco products

in addition zu e-cigarette products, tobacco companies have introduced neu products the work von heating tobacco instead von burning it. In 2019, IQOS — produced by Philip Morris international — came to be the erste tobacco heating system authorized über the FDA to be marketed und sold in the U.S. Return manufacturers claim that heating tobacco zu sein less harmful than classic cigarettes, current säule on health effects von these devices are sparse and most von what has been published has been von tobacco sector scientists.

For much more information, read truth Initiative’s report top top IQOS an the U.S.


ARE E-CIGARETTES much less HARMFUL than CIGARETTES?

It zu sein generally welcomed that e-cigarettes develop fewer von the toxin found an cigarette smoke. However, it ist becoming increasingly noticeable that this frame zu sein not adequate to tell the entire story regarding individual health and wellness impacts. Die most current evidence says that e-cigarettes may pose their own unique health harms und that comparison kommen sie cigarettes may notfall be the only relevant question zum determining their affect on separation, personal, instance health. Indeed, ns growing evidence of potential health dangers related kommen sie e-cigarette use has angeführt some researchers zu question whether e-cigarettes are safer than combustible cigarettes. Zum more info see “Health Effects”.

The recent outbreak of vaping related lung injuries also supports caution through respect kommen sie e-cigarettes. While a comprehensive number des cases an the current outbreak of vaping associated lung disease (see “Health Effects”) appear kommen sie be related to thcgehalt vaping and the CDC recently established vitamin feige acetate as a chemical of significant concern, ns agency has actually been cautious kommen sie say that has not found a einzel cause und continues zu recommend caution through respect zu all vaping together the ermittlung continues. Punkt minimum, this outbreak significantly demonstrates the dangers of an unregulated market bei inhaled substances v no premarket review zum consumer safety.

We deshalb note ns frequently cited case from windy Health england that e-cigarettes room definitively — 95% — more secure than traditional cigarettes. First, this analysis was originally conducted in 2013, prior to recent research on health and wellness effects von vaping. Moreover, further evaluation into die original research finds that ns evidence zum such a statistic continues to be unclear und not totally comprehensive, among other concerns about author and funding conflicts von interest. Ns Public Health england claim so fails to acknowledge ns reality des the potential weil das negative network public health influence among a population of customers that schutz otherwise never ever used tobacco assets or ns lack von clinical und long-term evidence of these products’ safety in humans, regardless des current smoking cigarettes status.

While a 2018 national Academies von Sciences, Engineering, and Medicine report found considerable evidence that exposure to toxic substances indigenous e-cigarettes zu sein significantly lower compared to combustible cigarettes, recent studies are reflecting that is not the ende of the story on health and wellness impact. It now appears that e-cigarettes may present their own distinct health risks, including to ns respiratory und cardiovascular systems. Given ns products’ fairly recent advent to the marketplace, additional research ist needed zu evaluate die short und long term health impacts von e-cigarettes.

The evidence zum e-cigarettes’ performance as a cessation tool so remains inconclusive and, until bei FDA review, the safest, many evidence-based cessation strategie should include a combination des counseling, nicotine instead of therapy, and/ or cessation drugs favor varenicline, approved von the FDA. Moreover, if the fundamental technology behind e-cigarettes ist consistent, there is enormous variability within the product category and there is no common e-cigarette. Ns products include various ingredients, various hardware und deliver highly variable amounts des nicotine und potentially giftig chemicals, including hefty metals such together cadmium, lead, nickel, tin und copper. This variation makes it difficult zu issue all at once public wellness recommendations about the category and demonstrates the huge and long-standing need for pre-market review of these products.

Consumers need zu consistently recognize what they are getting and whether it is safe — an especially from a product designed kommen sie deliver chemicals von frequent inhalation. The growing evidence of potential wellness risks und lung injuries related to e-cigarette usage has angeführt researchers zu question even if it is e-cigarettes are safer than combustible cigarettes.


PATTERNS des USE

E-cigarette use has increased bei recent years, especially amongst youth and young adults, who usage e-cigarettes an ext than any other period group. An 2018, die rapid rise of tobacco products führen zu the U.S. Surgeon general to issue an advisory about die youth e-cigarette “epidemic.” in 2019, youth e-cigarette use increased kommen sie even greater levels. While die most current studies nur a decrease bei youth use bei 2020, ns rate is ausblüten alarmingly high with practically one in five high college students reporting current e-cigarette use.

YOUTH

The last five years schutz seen enormous spikes an youth e-cigarette use rates.

In 2017, 11.7% von high institution students had actually used bei e-cigarette an the past 30 days. über 2018, that number had risen to 21% and, über 2019, 27.5% of high school students had used e-cigarettes in the past month. That number dropped to 19.6% in 2020.The existing use rate among middle schoolers kommissar from 0.6% an 2011 to 10.5% bei 2019. Ns rate dropped zu 4.7% in 2020.The national Institute on medicine Abuse’s Monitoring die Future research (MTF), instead von measuring high school and middle college prevalence, procedures prevalence bei 8th, 10th, and 12th graders.In 2020 MTF uncovered that 18% des 8th, 10th, and 12th graders report vaping nicotine an the previous 30 days, flat from 18.1% in 2019.The percent of 8th, 10th, und 12th graders making use of JUUL dropped indigenous 15.8% an 2019 to 10.4% in 2020. Since about doubling native 2017 to 2019, (from 7.5% kommen sie 16.5% for 8th graders, 15.8% to 30.7% for 10th graders, und 18.8% zu 35.3% zum 12th graders), ns percentage des teenagers who said they vaped an the previous 12 months remained constant bei 2020 weist 16.6% des 8th graders, 30.7% von 10th graders, and 34.5% of 12th graders.In 2019, reported e-cigarette use among adults over die age of 18 was highest amongst adults aged 18-24 years alt (9.3%). Over geholfen (56%) von these e-cigarette customers reported they had actually never acting cigarettes.E-cigarettes were the second most commonly used tobacco product, with 4.5% (10.9 million) von U.S. Adults reporting use von the product in 2019.Using e-cigarettes increases the likelihood des smoking cigarettes amongst young people, raising comes to that e-cigarettes act together entry nicotine products that might lead to use von more dangerous nicotine products. According to a 2020 study, young people bei the U.S. That had ever before used e-cigarettes bei 2018 had actually 7X higher odds des ever using cigarettes und 8X higher odds des currently utilizing cigarettes one year later, compared with those who had actually never used an e-cigarette. An additional study approximated that e-cigarettes are likely responsible zum 22% of neu ever cigarette use (trying a cigarette) und 15.3% von current tobacco use zum the same group — totaling virtually 200,000 neu cigarette initiators.In 2019, 36.9% des current adult e-cigarette customers were present cigarette smokers.Many young civilization aren’t conscious that e-cigarette assets like JUUL save nicotine. Bei fact, a 2018 Truth initiative study verified that virtually two-thirds des JUUL individuals aged 15-21 were notfall aware the product constantly contains nicotine. A recent study discovered that 99% of all e-cigarette products, (categorized as disposable devices, rechargeable devices, and refillable commodities like prefilled cartridges und e-liquid bottles), sold at convenience stores, supermarkets und similar outlets save on computer nicotine.As rates des use increase, frequency des use (how many times a user vapes in a day) is deshalb rising, describe that users are notfall simply experimenting with e-cigarettes yet are rather using castle habitually. Die 2020 national Youth Tobacco Survey data show the 38.9% des current high college e-cigarette users usage e-cigarettes on 20 job or more über month, nach oben from 34.2% bei 2019.
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Flavored products

In 2020, 82.9% des youth e-cigarette users provided flavored e-cigarettes, consisting of 84.7% des high college users (2.53 million) und 73.9% von middle college users (400,000).Among high college students who at this time used any kind of type of flavored e-cigarettes, ns most frequently used flavor types were fruit (73.1%); mint (55.8%); menthol (37.0%); and candy, desserts, or various other sweets (36.4%). Amongst middle college students who right now used any type of type von flavored e-cigarettes, die most frequently used flavor varieties were fruit (75.6%); candy, desserts, or various other sweets (47.2%); mint (46.5%); und menthol (23.5%).Youth e-cigarette users cite flavors as a top reason they began using e-cigarettes, 2nd only zu use by a family members member or friend.A examine that had middle and high school students reported that 43% of young human being who ever used e-cigarettes tried castle because des appealing flavors.The FDA has also reported that, among current youth users von e-cigarettes, 97% used a flavored e-cigarette in the previous month.While die most frequently used e-cigarette device type among youth was pre-filled pods, such together JUUL, disposable e-cigarettes saw substantial increases. In fact, disposable e-cigarette use amongst current high college e-cigarette individuals increased by approximately 1000% throughout 2019-2020.JUUL continues zu hold a majority des the U.S. E-cigarette sales industry share, but the rise des disposable e-cigarettes und other brands room starting zu erode the lead.The sector share von disposable e-cigarettes almost doubled in just 10 month from august 2019 zu May 2020. Disposable e-cigarettes likely rose an market share after ns FDA limited flavors in non-disposable e-cigarettes, do disposable e-cigarettes through youth appealing spices such together candy and fruit the only flavored products ausblüten available zum purchase.Research argues that menthol, which remains available for sale, has actually continued kommen sie increase bei popularity.By march 2020, menthol-flavored e-cigarette sales had actually risen to an all-time high of 57.7% industry share.2020 NYTS dünn show that 37% von high college e-cigarette users usage menthol flavored e-cigarettes. In fact, following ns FDA’s indict around ns removal von non-menthol-flavored cartridge-based e-cigarettes bei January 2020, menthol e-cigarette sales increased by $59.5M and its sector share shot nach oben from 24% kommen sie 49% during die roughly eight-week period following die announcement. Ns market share des mint e-cigarettes diminished from 26% kommen sie 4% und sales declined by $79.5M during this time, indicating the as other flavors were either voluntarily traction or gotten rid of as a result of policy changes, users simply switched to menthol.

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For an ext information, seen “Flavors”

YOUNG ADULTS

Like youth, young adult aged 18-24 are also using e-cigarettes punkt increasing rates. Young adult use des e-cigarettes every job or part days enhanced from 2.4% bei 2012 and 2013 to 5.2% in 2017, und increased again zu 7.6% in 2018 based on a current analysis.A 2016 report from die Behavioral Risk factor Surveillance system survey discovered that 44.3% von young adult present e-cigarette users were never smokers prior to trying e-cigarettes.Compared v adults aged 25 und older, young adult are much more likely zu try e-cigarettes and report having actually used e-cigarettes an the past 30 days.A study bei Mississippi argues that utilizing JUUL leads to more continual use than other e-cigarettes. That concluded that the continued use of JUUL über Mississippi undergraduate students was more likely than the continued used of other e-cigarettes after in initial trial. Ns study discovered that 30-day use was three zeit higher amongst those who had tried JUUL 보다 a different e-cigarette.The growth in the popularity des e-cigarettes amongst young adults has actually caused concerns that use möchte lead to ns initiation of cigarettes und other tobacco products.

ADULTS

E-cigarette use has actually remained relatively low and stable among adult customers since about 2012. Between 2012 and 2013, 2.4% von adults age 25-44 and 2% von adults age 45-64 supplied e-cigarettes. By 2016, ns rates had actually increased zu 4.2% and 2.8%, respectively. Ns most recent charme for die year 2018 zeigen current use des e-cigarettes remaining weist 4.2% amongst adults 25-44 und 2.1% among adults age 45-64.The overall adult rate des e-cigarette use bei 2018 was 3.2%, under from 3.7% in 2014.Those aged 45 and older are substantially less likely to oase ever tried in e-cigarette compared zu young adults.
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DUAL USE of TOBACCO PRODUCTS

Among all period groups, e-cigarettes space most typically used by those who also use various other tobacco products, such as combustible cigarettes. This pattern is commonly referred zu as “dual use” or “poly tobacco use.”

Among adult users, this is a troubling pattern because it argues that part e-cigarette use may be supplementing smoking instead des replacing it. Due to the fact that there zu sein no safe level des smoking, there are comes to that this behavior suppresses efforts kommen sie completely quit smoking cigarettes (i.e., people choosing to “cut down” instead of quitting cigarette smoking entirely). Some people using e-cigarettes kommen sie quit may experience a period of doppel use together they transition bolzen products, complicating ns issue.

Among youth, the säule tell a various narrative. A 2018 report from the NASEM concluded that there zu sein “substantial proof that e-cigarette use increases risk des ever making use of combustible tobacco cigarettes among youth and young adults,” suggesting that e-cigarette use itself is a danger factor, not nur a correlation with smoking. Much more recent studies schutz suggested that young e-cigarette users room four zeit more likely zu begin smoking cigarettes cigarettes compared zu their peers that do notfall use e-cigarettes.

DUAL usage PREVALENCE

Among adults in 2016, 54.6% des current e-cigarette users also smoked cigarettes.Among adults who used more than one tobacco product bei 2017, the most usual combination was cigarettes and e-cigarettes.Dual use von e-cigarettes and cigarettes is highly common among youth und young adults.A country representative survey an 2016 found that amongst youth and young adult e-cigarette users aged 13-25, much more than geholfen (55.9%) used one more tobacco product bei addition zu e-cigarettes.Among young adults aged 18-35, e-cigarette usage was relevant with much more frequent tobacco smoking und more extensive cigarette use.Young adults (18-35) who offered e-cigarettes die previous year raised their odds of täglich cigarette use über 1.67 and increased their odds des being diagnosed v tobacco usage disorder by 2.58.

JUUL

Since 2016, the e-cigarette in brand geraten JUUL has surged in popularity among young civilization and, as von October 2019, stop 64.4% von the e-cigarette sector share measured von Nielsen. ns traditional tobacco sector took notice des JUUL’s quick ascent. In 2018, Altria, the makers of Marlboro cigarettes, got a 35% stake in the company for $12.8 billion. In September 2019, bei Altria executive, management replaced ns former head des JUUL together CEO.

A 2017 study über Truth initiative found 25% of survey respondents, aged 15-24, known a JUUL e-cigarette machine when bezeichnen a photo of the product. And among those who known JUUL, 25% reported that use of this product is called “JUULing,” indicating the this product is deshalb distinctive, it’s perceived as its own category. However, it’s likely that recognition ist higher jetzt given that JUUL’s sales market share continued kommen sie rise throughout 2018 und top out punkt 75% amongst U.S. E-cigarette sales an July 2019.

The many recent charme from the CDC’s 2019 national Youth Tobacco inspection confirms JUUL’s grip on America’s kids. An ext than 59% von high institution e-cigarette customers reported the JUUL was their “usual brand.” among middle college e-cigarette users, die number was more 보다 54%. This equates zu more 보다 3 million youngsters reporting regular use von JUUL. Untersuchung reporting von Reuters shows that also early bei its operations, JUUL was aware the its products were attracting unprecedented youth use, yet, in the face des enormous revenue growth, the company failed to take efficient action to stem that trends.

Flavors are a oberteil reason why young people begin using e-cigarettes. A 2018 Truth initiative survey uncovered that mint was among ns top three favorite flavors among young JUUL customers aged 12-24, meaning they made decision it tonnage time castle vaped. Neu research mirrors that mint and menthol e-cigarette use among high school users kommissar from 16% in 2016 zu 57.3% bei 2019. Among high school JUUL users, 67.5% reported that their desired flavor was mint or menthol. Another study, conducted prior to JUUL traction its various other flavors from ns market, discovered that mint was one of the most popular flavors among high school student JUUL users, but that menthol was less so. However, research authors themselves caution that leaving both mint and menthol on die market undermines the purpose of removing flavors — which ist to prevent children from making use of e-cigarettes weist all.

Promoted as a “satisfying alternative kommen sie cigarettes,” JUUL is putting a new generation von youth hinweisen risk of nicotine dependence and future cigarette use.

JUUL has spent an ext than $1 million zu market its products on the internet and has actually paid for campaigns on Twitter, Instagram und YouTube. However, recently JUUL announced that it would certainly “suspend every broadcast, print and digital advertising bei the U.S.” that was not clear from die announcement how lang that suspension would certainly last.

QUITTING SMOKING

There are an extensive research gaps bei proving ns effectiveness von e-cigarettes together quit smoking aids. Ns 2020 surgeon General’s Report on smoking cigarettes cessation found that there is “inadequate evidence” to conclude that e-cigarettes increase smoking cessation. Similarly, ns 2018 national Academies (NASEM) report found restricted evidence on the effectiveness of e-cigarettes to promote quitting.

E-cigarettes are deshalb not approved as quit aids über the FDA or ns U.S. Preventative dienstleistungen Task Force.

While some proof supports the use von e-cigarettes as quit devices, recent research argues that their efficacy for quitting zu sein likely overstated.

The 2020 U.S. Operated doctor General’s report on smoking cessation argued that e-cigarettes may help some adult users mitigate their risk des smoking-related illness if users avoid prolonged doppelt use, but found poor evidence to conclude that their use in general boosts smoking cessation, citing die variable components des e-cigarettes, ns different ways bei which they are used and a dearth von evaluative studies.Some evidence suggests that e-cigarettes v nicotine are verbunden with enhanced smoking cessation, compared to non-nicotine e-cigarettes. A 2020 systematic review von 50 studies that had adult smokers an the U.S. And other countries found moderate-certainty evidence that e-cigarettes through nicotine boost quit prices compared kommen sie those making use of nicotine replacement treatment or nicotine-free e-cigarettes. Nicotine e-cigarettes may deshalb help more people zu stop cigarette smoking than no assistance or behavior support alone. Ns NASEM report so reported that an ext frequent e-cigarette use might increase bei individual’s likelihood to quit smoking.A 2018 study among U.S. Adults that explored whether e-cigarettes inspired more successful quit attempts uncovered that users des e-cigarettes had actually 70% lower odds des quitting 보다 non-users.A 2019 study von the U.K. National Health Service and published an the New england Journal of medizin found e-cigarettes may help adults quit. A kopieren, gruppe assigned zu e-cigarettes as a flammability tobacco instead of were much more likely kommen sie remain abstinent punkt one year compared with a kopieren, gruppe using nicotine replacement products (18% vs. 9.9%). However, a majority des e-cigarette individuals were still using e-cigarettes at the one-year follow-up. Researcher noted die study was based on a middle-aged adult population (median age des 41) proactively seeking zu quit smoking und receiving at least four weeks des behavioral support. Notably, ns U.K. Deshalb places severe restrictions on the marketing of e-cigarettes.

While part e-cigarettes may assist some human being quit, die diversity des products as well as ns variations bei quality and the lack von regulation make determining ns potential des any certain product together a quit help difficult. Some smokers oase switched zu e-cigarettes or provided them zu quit tobacco completely, however, e-cigarettes, unlike FDA-approved cessation therapies, lack bei evidence base the demonstrates your safety und efficacy. Truth initiative supports regulation that encourages the development von consistently much less harmful nicotine delivery choices that allow smokers kommen sie quit tobacco altogether or move completely to a much less harmful, well-regulated product.

A recent meta-analysis of using e-cigarettes as smoking cessation tools argued that your efficacy depended upon frequency und type von use. Overall, among adult smokers und adult smokers who expressed motivation to quit, consumer product e-cigarette use — feige cigarettes purchase from retail settings und used hinweisen will von consumers — was notfall significantly relevant with cigarette smoking cessation. In terms of consumer product e-cigarette use, only jeden tag e-cigarette usage was verbunden with boosted smoking cessation, while much less than jeden tag use was relevant with reduced smoking cessation. Wie used an conjunction with smoking cigarettes cessation therapy, however, randomized managed trials discovered that e-cigarette use was significantly associated with enhanced smoking cessation. This existing study provides proof that e-cigarettes marketed as consumer products may not be efficient tools in smoking cessation. An ext evidence ist needed kommen sie understand exactly how e-cigarettes kann aid smoking cigarettes cessation bei a looked after manner.

One study verified that product appeal, consisting of flavoring, zu sein likely to encourage smokers kommen sie try zu use e-cigarettes zu quit. A 2020 study published in JAMA Network open found that among adults, use of flavored e-cigarettes was more likely to be relevant with quitting smoking cigarettes than use von unflavored e-cigarettes, with more than double ns odds des increased adult smoking cigarettes cessation. However, provided that flavored e-cigarettes constitute in overwhelming majority of the e-cigarette market an the U.S., stronger empirical evidence is needed to understand if und how flavors aspect into cigarette smoking cessation.

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However, because die youth e-cigarette epidemic in the vereinigt States and the youth appeal von flavored e-cigarettes go hand in hand, Truth initiative strongly supports removing every flavored e-cigarettes from the market, regardless of device type. Punkt a minimum, an e-cigarette manufacturer must zeigen that the flavor itself is safe, help smokers switch totally from flammability cigarettes, und does not attract youth prior to a product zu sein allowed kommen sie go kommen sie market. In addition zu flavor restrictions, Truth initiative supports solid regulations zu keep every tobacco products, including e-cigarettes, far from youth.