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What in the world has China ever done for us? Vaping – a China invention designed originally to help smokers reduce risks from tobacco. 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. But it hasn’t stopped Chinese courts shutting US provider Jul out of the Chinese market. This is stark contrast to the US where the government views vapes as an ascendant health threat. And in the videos vaping didn’t involve nicotine, again an interesting development. More related posts here.