Flashy ads and marketing rhetoric have had success promoting e-cigarettes and vape pens as “safe” alternatives to cigarettes. This could not be further from the truth.
Teen vaping is reaching epidemic proportions, with nearly 40% of 12th graders reporting having used a vaping device in the past year, and over 20% of 12th graders reported vaping in the past month. This increase sets a dangerous precedent, and efforts must be made to limit access and significantly reduce the number of teenagers who vape.
What Is Vaping?
Vaping entails inhaling aerosolized particles (vapor) produced when a battery-driven heating element heats a glycerin-based liquid that often contains nicotine, flavoring or even illicit drugs. Vaping is different than smoking, as smoking requires a combustion reaction, while vaping does not. Many people erroneously believe that the chemical process underlying vaping is safer than smoking. Although this is partially true in some instances, there is no question that vaping is bad for your health.
Electronic cigarettes, vape pens and customizable personal vaporizers (“MODS”) are growing in popularity across demographics. Youth vaping is particularly dangerous. Even if teens are not inhaling nicotine or illicit drugs, flavored vape liquids can cause debilitating lung diseases, and the act of vaping can establish a behavioral dependency that substantially increases the likelihood of future vaping or smoking.
What Are Teens Vaping?
An underappreciated aspect of teen vaping is that vape pens can be used to ingest marijuana or other illicit drugs. Because the inhaled vapor can be odorless or pleasantly scented, parents who believe their teens are inhaling pure vapor may be unaware that their teenagers are using drugs. Unlike teens smoking cigarettes, vaping can be difficult to detect, and identifying what compounds are being vaped may be even more challenging. As with marijuana and teens, the best strategy to prevent future addiction is a zero-tolerance policy.
Teen Vaping Facts and Statistics
Teenage vaping statistics show an alarming trend in e-cigarette and vape pen use. Vaping is up across all adolescent age groups measured: Nearly 10% of 8th graders report vaping in the past 30 days (with 6% reporting that they vaped nicotine), and 25% of 12th graders reported vaping within the past 30 days (21% vaped nicotine). A recent report published by the U.S. Surgeon General indicated that e-cigarette use among high school students increased by a whopping 900% between 2011 and 2015.
What Makes Teen Vaping So Popular?
Many teenagers (and adults) erroneously believe that vaping nicotine is safer than smoking cigarettes, and e-cigarette and vape pen manufacturers have pushed this misperception to profit enormously. Teams of designers market eye-catching devices that appeal to teenagers. The fact remains that vaping, even without nicotine or illicit drugs, has no positive health benefits and poses substantial risks.
The answer to the question “why do people vape?” is simple: Unregulated e-cigarette marketing and the ease of access to e-cigarettes and vape pens, in conjunction with substantial misinformation that is often promulgated by e-cigarette brands, have created an environment where teens incorrectly believe that vaping is cool and poses no health risks.
Is Vaping Better than Smoking Cigarettes?
In most cases, vaping is not better than smoking cigarettes. Data suggests that vaping, even if nicotine or illicit drugs are not present in the vapor, predisposes teenagers to future addictive behaviors. A recent study of college students found that e-cigarette use is also significantly associated with illicit drug use and mental health problems. Moreover, contrary to what e-cigarette manufacturers would have the public believe, e-cigarettes are not associated with a decrease in nicotine use. In fact, most smokers who used e-cigarettes in an attempt to quit smoking report that they end up smoking cigarettes and vaping nicotine. Thus, smoking to vaping side effects are likely to include increased — not decreased — nicotine use.
Dangers of Teen Vaping
The risks of vaping have been clearly identified in recent years. Vaping is associated with future nicotine and illicit drug use. The extremely popular JUUL e-cigarette holds about 72% of the vape pen market and offers a wide variety of enticing flavors. Each JUUL cartridge contains as much nicotine as one pack of 20 cigarettes. However, there is no standard nicotine concentration between e-cigarette brands or refillable liquids, so that brands may have more or less nicotine than a pack of cigarettes. Nicotine use is particularly dangerous for adolescents, as it has been shown to affect brain development.
Research on inhaled chemicals associated with vaping (with or without nicotine) are ongoing, but mounting evidence suggests that inhaling vaping products may be dangerous. For example, although vape pen flavorings may be safe to eat, the vaporized particles may be harmful when inhaled. Some vape pens have also been shown to contain heavy metals and chemicals that are associated with cancer.
Side effects of vaping depend somewhat on the product being vaped. It is important to note that vaping is never safe and offers no positive health benefits.
- Nicotine Addiction: Vaping nicotine has been conclusively shown to cause addiction, and even vaping flavored compounds without nicotine or illicit drugs have been linked to behavioral dependency.
- Marijuana Addiction: E-cigarettes and vape pens have been significantly linked to marijuana use among adolescents and young adults. Moreover, teens addicted to marijuana are more likely to use alcohol and other illicit drugs.
- Addiction to Illicit Drugs: Vape pens provide a sneaky way for teenagers to use dangerous drugs, including synthetic cannabinoids, cocaine, GHB, MDMA, and heroin.
Teen Vaping and Nicotine Addiction Health Risks
The health risks of vaping are becoming increasingly clear and are similar to the health risks of smoking. Nicotine use, particularly among teenagers, has incredibly negative short and long term health implications. Nicotine is profoundly addictive, and even tobacco-free nicotine has negative effects on the cardiovascular system. Daily use of e-cigarettes doubles the risk of heart attack, and when e-cigarettes and conventional cigarettes are used concurrently, the risk is five-fold. For teenagers, nicotine poses particular risks because it affects brain development, with negative effects on the areas of the brain that regulate attention, learning, and impulse control. Teens who use nicotine are at substantially elevated risk for developing lifelong nicotine addiction. Despite the common misconception that e-cigarettes are safer than smoking, a growing body of evidence indicates that long term effects of vaping are incredibly detrimental to physical and mental health.
- Impact on Brain Receptors: A great deal is known about nicotine and the brain. Nicotine affects brain receptors for the neurotransmitter acetylcholine (ACh). The result of nicotine use is that the brain thinks it has too much ACh and reduces its production of ACh. ACh is crucial for processes ranging from muscle movement to memory formation. Nicotine also has potent effects on the dopamine system, which regulates the “reward pathway,” causing chemical changes in the brain that reinforce the “need” for more nicotine.
- Increased Likelihood of Smoking Cigarettes in Future: A preponderance of evidence indicates that teenagers who vape nicotine are significantly more likely to smoke cigarettes in the future.
- Diseases Caused By Vaping: A recent Harvard study found that more than 90% of flavored vape liquids had harmful levels of the flavoring chemical diacetyl and 2,3-pentanedione. Inhalation of these chemicals is associated with the development of bronchiolitis obliterans (“popcorn lung”), a debilitating disease that damages lung tissue and causes chronic cough and shortness of breath and chronic pulmonary obstruction disorder (COPD).
- Vaping and Cancer: Many vape pen and e-cigarette manufacturers tout their products as being safer than conventional cigarettes because there is no tobacco combustion, which is significantly linked to lung cancer development. In spite of their claims, vaping (with or without nicotine) may result in inhalation of potential carcinogens, including volatile organic compounds (VOCs), flavoring chemicals and formaldehyde. Secondhand vapors are also currently being evaluated; preliminary data suggests that exhaled vapors significantly worsen indoor air quality.
Is Vaping Addictive Without Nicotine?
Although the powerfully addictive properties of nicotine make e-cigarettes riskier than flavor-only vape pens, overwhelming evidence indicates that vape pens can instill behavioral dependency. Moreover, the side effects of vaping without nicotine include debilitating lung diseases (popcorn lung, COPD and asthma) from aerosolized flavoring, inhalation of cancer-causing volatile organic compounds, deposition of heavy metals in the mouth and lungs and inflammation that promotes lung fibrosis.
Vaping As A Behavioral Addiction
Behavioral addiction is very real. For example, you probably know someone who compulsively bites their fingernails, and gambling addiction has ruined many lives. Nicotine-free vaping can instill powerful behavioral dependency issues. Many people who use flavor-only vape pens during routine “smoke breaks” find that they begin to anticipate the scheduled vape session. If they are unable to participate, they may report a preoccupation with vaping, loss of concentration and depressed mood.
Signs of Teen Vaping Addiction
Many teens vape openly, citing vague evidence that e-cigarettes and vape pens reduce cigarette use. This argument does not apply to individuals who have never had nicotine addictions, and most data does not support that e-cigarettes reduce smoking in nicotine-addicted adults. The bottom line is that vaping is never safe, and teenagers are at a particularly high risk for long-term nicotine addiction and associated diseases and disorders.
Many teenagers hide their vaping from their parents. Signs your kid is vaping include:
- Increased thirst: Vaping dehydrates the mouth and throat
- “Vaper’s Tongue”: Vaping is associated with a loss of flavor perception, so vapers often add extra salt or spices to food
- Reduced Caffeine Intake: Nicotine is a stimulant that, when combined with caffeine, can cause anxiety
- Chronic Cough: Vaping (with or without nicotine) is irritating to lung tissue, which is why a serious complication of vape-induced cough is pneumonia
- Unfamiliar USB Drives or Electronic Devices: Vape pens and e-cigarettes have capitalized on the popularity of electronic devices
- Sweet Smells: Flavored vape liquid comes with names like “cotton candy,” “creme brulee” and “tutti frutti”
- Secrecy/Paranoia: Teens who are hiding vaping from their parents may be especially resentful of perceived intrusions
- Irritability: Vaping nicotine can quickly lead to dependence and addiction. Withdrawal symptoms often present as irritability and mood swings
Key Points: The Rise of Teen Addiction
Some key points to remember about teen vaping include:
- Teen vaping has increased at an alarming rate in the past decade, with 25% of 12th graders reporting that they have vaped within the past 30 days
- Teenagers are at particular risk for adverse effects of vaping, including nicotine addiction
- Vaping is associated with increased illicit substance use
- Vaping is addictive, whether or not nicotine is present
- Flavored vaping liquids are not safe; chemicals, like diacetyl, can lead to profoundly debilitating conditions like lung disease and asthma
- Adolescent brains are still developing; vaping can cause substantial chemical and structural changes that will negatively affect development
There is no safe way to vape. Even when nicotine or illicit drugs are not present, aerosolized particles can be harmful to lungs and developing brains.
If you are concerned that your teen is addicted to alcohol or other drugs, please call The Recovery Village today. We can help you and your loved ones regain control of your lives.
National Institute on Drug Abuse. “Teens using vaping devices in record numbers.” December 2018. Accessed July 26, 2019.
Miech, Richard A, et al. “Adolescent Vaping and Nicotine Use in 2017–2018 — U.S. National Estimates.” New England Journal of Medicine, January 2019. Accessed July 26, 2019.
Richter, Linda. “What is Vaping?” Center on Addiction, October 2018. Accessed July 26, 2019.
Johns Hopkins Medicine. “5 Truths You Need to Know About Vaping.” Accessed July 26, 2019.
U.S. Department of Health and Human Services. “E-Cigarette Use Among Youth and Young Ad[…]the Surgeon General.” 2016. Accessed July 26, 2019.
Grant, Jon E, et al. “E-Cigarette Use (Vaping) is Associated w[…]University Students.” Annals of Clinical Psychiatry, February 2019. Accessed July 26, 2019.
National Academies of Sciences, Engineering, and Medicine. “Public health consequences of e-cigarettes.” The National Academies Press, 2018. Accessed July 26, 2019.
Centers for Disease Control and Prevention. “Quick Facts on the Risks of E-cigarettes[…]s, and Young Adults.” March 2019. Accessed July 26, 2019.
Raven, Kathleen. “Nicotine Addiction From Vaping Is a Bigg[…] Than Teens Realize.” Yale Medicine, March 2019. Accessed July 26, 2019.
Breitbarth, Andreas K; Morgan, Jody; Jones, Alison L. “E-cigarettes—An unintended illicit drug delivery system.” Drug and Alcohol Dependence, November 2018. Accessed July 26, 2019.
National Institute on Drug Abuse. “Tobacco, Nicotine, and E-Cigarettes.” January 2018. Accessed July 26, 2019.
Cleveland Clinic. “E-Cigarettes: Tobacco-Free, But Your Hea[…]ay Still Be at Risk.” September 2014. Accessed July 26, 2019.
UCSF Center for Tobacco Control Research and Education. “First evidence of long-term health damag[…]isk of Heart Attacks.” February 2018. Accessed July 26, 2019.
National Institute on Drug Abuse. “Brain Power: Grades 6-9 – Nicotine.” June 2007. Accessed July 26, 2019.
Harvard T.H. Chan School of Public Health. “Common e-cigarette chemical flavorings m[…]mpair lung function.” February 2019. Accessed July 26, 2019.
American Cancer Society. “What Do We Know About E-cigarettes?” June 2019. Accessed July 26, 2019.
Schober, Wolfgang, et al. “Use of electronic cigarettes (e-cigarettes) impairs indoor air quality and increases FeNO levels of e-cigarette consumers.” International Journal of Hygiene and Environmental Health, July 2014. Accessed July 26, 2019.
Rapaport, Lisa. “Even without nicotine, e-cigarettes can still damage lungs.” Reuters Health, February 2018. Accessed July 26, 2019.
Grant, Jon E., et al. “Introduction to Behavioral Addictions.” The American Journal of Drug and Alcohol Abuse, September 2010. Accessed July 26, 2019.
Burgert, Natasha. “How to Tell if Your Kid Is Vaping.” U.S. News, July 2018. Accessed July 26, 2019.
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