Young Adults


Risky behaviors, e-cigarette use and susceptibility of use among college students

M L Saddleson, L T Kozlowski, G A Giovino, L W Hawk, J M Murphy, M G MacLean, M L Goniewicz, G G Homish, B H Wrotniak, M C Mahoney
Published online: 1 Apr 2015

Conclusion: “More e-cigarette users report use of another nicotine product besides e-cigarettes as the first nicotine product used; this should be considered when examining whether e-cigarette use is related to cigarette susceptibility. Involvement in risky behaviours is related to e-cigarette use and susceptibility to e-cigarette use. Among college students, e-cigarette use is more likely to occur in those who have also used other tobacco products, marijuana, and/or alcohol.”

Changes in use of cigarettes and non-cigarette alternative products among college students

Alexandra Loukas, Milena Batanova, Alejandra Fernandez, Deepti Agarwal
Published online: Oct 2015

RESULTS: The most prevalent products used by the entire sample at Wave 1 were cigarettes, followed by hookah, cigars/cigarillos/little cigars, and electronic cigarettes (e-cigarettes). At Wave 2, prevalence of e-cigarette use surpassed use of cigars/cigarillos/little cigars. Snus and chew/snuff/dip were relatively uncommon at both waves. Examination of change in use indicated that e-cigarette use increased across time among both current cigarette smokers and non-cigarette smokers. Prevalence of current e-cigarette use doubled across the 14-month period to 25% among current smokers and tripled to 3% among non-cigarette smokers. Hookah use also increased across time, but only among non-cigarette smokers, whereas it decreased among current cigarette smokers. Use of all other non-cigarette alternatives remained unchanged across time. Logistic regression analysis was used to examine the socio-demographic predictors of Wave 2 e-cigarette use, the only product that increased in use among both current cigarette smokers and non-cigarette smokers. Results indicated that Wave 1 current cigarette use and Wave 1 current e-cigarette use, but not gender, age, or race/ethnicity, were significantly associated with Wave 2 e-cigarette use.

Electronic Cigarette Trial and Use among Young Adults: Reasons for Trial and Cessation of Vaping

Lois Biener, Eunyoung Song, Erin L. Sutfin, John Spangler, Mark Wolfson

Conclusion: …”We also see that about one third of former smokers and over 7% of never smokers report having tried e-cigarettes, and current use is 10% and 2% in these groups, respectively. Similar findings have led others to raise concerns that e-cigarette use is a threat to public health because it can lead to combustible tobacco use, presumably among those who otherwise would not have become smokers [2]. However, it is extremely rare for e-cigarette use to be the first exposure to nicotine in young adults. It was reported by fewer than 0.4% of the never smokers, and none of the current and former smokers. This may be a cohort effect, and e-cigarette use as the initial exposure to nicotine may become more common as younger cohorts, who are experimenting with vaping at higher and higher rates, mature [19]. Nevertheless, in this cohort, 99.6% of young adult never-smokers who tried e-cigarettes had previously used or experimented with another form of tobacco, suggesting that in these young adults tobacco is a gateway to e-cigarettes, rather than the reverse.”…


A Randomized Trial Comparing the Effect of Nicotine Versus Placebo Electronic Cigarettes on Smoking Reduction Among Young Adult Smokers

Tuo-Yen Tseng, Jamie S Ostroff, Alena Campo, Meghan Gerard, Thomas Kirchner, John Rotrosen, Donna Shelley
Published online: 16 Jan 2016

Study subjects (n = 99) were young adult (21–35), current smokers

A diverse young adult sample of current everyday smokers, who were not ready to quit, was able to reduce smoking with the help of ECs.


Adverse Childhood Experiences and Health Indicators in a Young Adult, College Student Sample: Differences by Gender

Timothy J. Grigsby, Christopher J. Rogers, Larisa D. Albers, Stephanie M. Benjamin, Katherine Lust, Marla E. Eisenberg, Myriam Forster

Approximately 51.7% of the sample reported at least one ACE

We observed graded relationships between levels of ACE exposure and physical, mental, and behavioral health indicators including cigarette use, e-cigarette use, drinking and driving, obesity, lifetime depression, suicide ideation and attempt, non-suicidal self-injury, and lack of restful sleep.

ACE-exposed females reported worse mental health status than ACE-exposed males while males reported more substance use than females. Most outcomes did not vary significantly by sex.


Perverse Psychology How Anti-Vaping Campaigners Created the Youth Vaping “Epidemic”

Michelle Minton
Published online: 15 Jun 2020

It is reasonable for anti-tobacco advocates to worry about youth experimentation with nicotine, but the evidence is clear that their interventions have backfired and made the problem worse. Their attempts to dissuade teenagers from vaping increased their awareness of the behaviour, made it more attractive, and convinced them that everyone around them was doing it.

Anti-tobacco advocates argue that the government can end the “epidemic” by raising the minimum tobacco age to 21, banning non-tobacco e-cigarette flavors, and increasing funding for anti-vaping education. But, as this paper has demonstrated, these measures will not only fail, they will actually make matters worse by increasing the coolness of vaping and youth attraction to it.

Teen vaping did not escalate despite the increased anti-vaping messaging. Adolescents’ curiosity and subsequent experimentation with vaping rose because of anti-vaping messaging.