Published: Sun, February 03, 2019
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Dramatic Increase in Teens' Smoking Risk With Previous Vaping

Dramatic Increase in Teens' Smoking Risk With Previous Vaping

The counseling might have helped the new vapers feel more at ease about their choice, although it probably couldn't replace visiting a good vape shop or even asking questions and interacting with other vapers on a forum like ECF, where experienced vapers offer tips and encouragement freely. The American Council on Science and Health notes that, "Unlike nicotine gums and patches, vaping, colloquially called e-cigarettes, mimics numerous mechanisms of cigarette smoking, making them less psychologically stressful while easing people off of the nicotine that kept them smoking". Last year, an influential panel of USA experts concluded there was only "limited evidence" of their effectiveness.

In the trial, 886 smokers were randomly divided into groups to receive either up to three months' supply of nicotine replacement products such as patches, gum, lozenges and sprays, or an e-cigarette starter pack with one or two bottles of liquid and encouragement to buy their own choice of future supplies. After one year, 18 percent of e-cigarette users were smoke-free, versus 9.9 percent of those using the other products.

Independent experts said the latest trial, funded by Britain's National Institute for Health Research and carried out by researchers from Queen Mary University of London, was robust and well-conducted.

The study was more rigorous than previous ones, which largely surveyed smokers about e-cigarette use. Participants in this experiment underwent chemical breath testing.

At the end of the year, almost 80 percent of the vapers were still using e-cigarettes, while only 9 percent of the participants in the other group continued with the nicotine replacement therapy.

Despite the impressive findings, Levy and the other experts Gizmodo spoke to said more research is still needed in the USA and elsewhere, using newer devices, before doctors here can wholeheartedly endorse vaping as a superior cessation aid over the standard treatment (likely with regular counseling to boot).

All participants received weekly one-on-one behavioural support for at least four weeks, with expired air carbon monoxide monitoring.

'E-cigarettes were nearly twice as effective as the "gold standard" combination of nicotine replacement products.

Doctors from the U.S. - where experts have tended to be more cautious about e-cigarettes than those in Britain - pointed out that even with e-cigarettes 82 per cent of people failed to give up smoking. Some of the authors have been paid consultants to makers of anti-smoking products.

'E-cigarette vapour contains many toxins and exerts potentially adverse biologic effects on human cells. although toxin levels and biologic effects are generally lower than those of tobacco smoke'.

"We need more studies about their safety profile, and I don't think anyone should be changing practice based on one study, " said Belinda Borrelli, a psychologist specializing in smoking cessation at Boston University. The American Cancer Society took a similar position a year ago.

One reason that e-cigarettes may be more effective for smoking cessation is because they allow smokers to tailor the nicotine dose to their needs, a study suggests.

Stokes and his colleagues explored the influence of e-cigarettes through the Population Assessment of Tobacco and Health Study (PATH), a nationally-representative sample of kids aged 12 to 15 who completed annual questionnaires between 2013 and 2016.

At the end of the year, 18 percent of the vapers were no longer smoking.

"Smokers have a range of options available to help them quit, including nicotine replacement therapy, prescription medication or e-cigarettes".

FILE - Talia Eisenberg, co-founder of the Henley Vaporium, uses her vaping device in New York, Feb. 20, 2014.

A second survey in 2015-2016 assessed how numerous kids had tried either vaping or smoking in the interim. Winning such an endorsement would require large studies that can take years and cost millions of dollars. The findings may deal a blow to the vaping industry, which has come under fire by the FDA for allegedly marketing to teenagers by using fruit flavors.

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