Vape Nation?

My exposure to electronic cigarettes (or vapes) was with seasoned smokers looking for a healthier opportunity, or a path to help wean themselves off nicotine all together. I had seen some research that suggested teen trial of vaping was growing – this was from E-Cigarettes: Youth and Trends in Vaping – Journal of Pediatric Health Care, volume 29, issue 6, pages 555 – 557 (November – December 2015)

Among youth in the United States, e-cigarette use rose from 3.3% in 2011 to 6.8% in 2012 (Grana, Benowitz, & Glantz., 2014). This increase resulted in an estimated 1.78 million middle and high school students having used e-cigarettes (CDC, 2013). The trial and use of e-cigarettes have been higher among youth in Europe and Asia. A recent study on Korean youth found the trial use of e-cigarettes rose from 0.5% in 2008 to 9.4% in 2011 (Lee, Grana, & Glantz., 2014), and among youth 10 to 15 years of age in Poland the rate of those who had ever used e-cigarettes was 62% in 2014 (Hanewinkel & Isensee, 2015).

Now what I don’t know is how good the research quoted actually was, or the factors in ‘trialling’.

You also have to remember that there is a big health research grant eco-system that depends on tobacco control which has sprung up over the past 40 years which will affect the framing of the data.

I am not saying tobacco isn’t harmful, but it is useful to understand the likely factors framing the presentation of information.

I was surprised by this video from the Shanghai Vap Expo in China. It was more like going to a skateboarding convention back in the day:

  • Lots of independent resellers from around the world for vaping liquid – mirroring the variety of skateboard parts makers. Many of the formulations on sale had no tobacco
  • Vaping tricks and demonstrations
  • Clear tying of vaping to sub-cultures: hip-hop, race-girl type outfits. Pretty much any ancillary activity would expect around a Red Bull event or the X-Games

Vaping is clearly being positioned as a central part of a youth sub-culture in China.