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E-cigarettes and the Youngest, Not a Problem in Europe: No Data Yet

      Chen et al.
      • Chen X.
      • Yu B.
      • Wang Y.
      Initiation of electronic cigarette use by age among youth in the U.S.
      provided frightening facts: “e-cigarette smoking is initiated as young as age 7 years while peak initiation of conventional cigarette is 14–15 years.” The term gateway appeared soon in titles of articles about e-cigarettes because nicotine, smoked or vaped, is a most potent addictive product, even more when associated with flavor.
      • Meier E.M.
      • Tackett A.P.
      • Miller M.B.
      • Grant D.M.
      • Wagener T.L.
      Which nicotine products are gateways to regular use? First-tried tobacco and current use in college students.
      Nevertheless, no one expected initiation could have been so early. As the early age of smoking initiation is a major risk factor for smoking-related morbidities and all-cause mortality,
      • Choi S.H.
      • Stommel M.
      Impact of age at smoking initiation on smoking-related morbidity and all-cause mortality.
      Chen et al.’s finding needs robust and rapid responses. Their call for “further research to strengthen tobacco use prevention” is far too weak.
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      References

        • Chen X.
        • Yu B.
        • Wang Y.
        Initiation of electronic cigarette use by age among youth in the U.S.
        Am J Prev Med. 2017; 53: 396-399https://doi.org/10.1016/j.amepre.2017.02.011
        • Meier E.M.
        • Tackett A.P.
        • Miller M.B.
        • Grant D.M.
        • Wagener T.L.
        Which nicotine products are gateways to regular use? First-tried tobacco and current use in college students.
        Am J Prev Med. 2015; 48: S86-S93https://doi.org/10.1016/j.amepre.2014.09.018
        • Choi S.H.
        • Stommel M.
        Impact of age at smoking initiation on smoking-related morbidity and all-cause mortality.
        Am J Prev Med. 2017; 53: 33-41https://doi.org/10.1016/j.amepre.2016.12.009
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        Am J Prev Med. 2016; 50: e27https://doi.org/10.1016/j.amepre.2015.09.032
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        Am J Prev Med. 2014; 47: e13https://doi.org/10.1016/j.amepre.2014.09.019
      1. Haut Conseil de la Santé Publique. Bénéfices-risques de la cigarette électronique pour la population générale. www.hcsp.fr/explore.cgi/avisrapportsdomaine?clefr=541. Accessed October 29, 2017.

      2. Britton J. Electronic cigarettes and smoking cessation in England. www.bmj.com/content/354/bmj.i4819/rr. Accessed October 29, 2017.

      Linked Article

      • Initiation of Electronic Cigarette Use by Age Among Youth in the U.S.
        American Journal of Preventive MedicineVol. 53Issue 3
        • Preview
          The rapid increase in electronic cigarette (e-cigarette) smoking among U.S. youth requires data regarding the age pattern of initiation risk for effective tobacco use prevention.
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      • Author Response to: “E-cigarettes and the Youngest, Not a Problem in Europe: No Data Yet”
        American Journal of Preventive MedicineVol. 54Issue 4
        • Preview
          Tobacco control faces a new challenge: the introduction of, and the increase in, using electronic cigarettes (e-cigarettes) that are claimed to be an aid for smoking cessation. This is the major motivation for our research on e-cigarette smoking initiation by age.1 To date, it is still controversial whether e-cigarettes can help smokers quit. In 2016, Lancet published a systematic review and meta-analysis of 38 studies, including 20 with control groups and two clinical trials, which concluded using e-cigarettes makes smokers less likely to quit smoking.
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