Electronic Cigarettes and Youth in the United States: A Call to Action (at the Local, National and Global Levels)
Department of Pediatrics, University of Pennsylvania School of Medicine and PolicyLab and the Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Department of Pediatrics, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY 11794, USA
Author to whom correspondence should be addressed.
Children 2019, 6(2), 30; https://doi.org/10.3390/children6020030
Received: 17 January 2019 / Revised: 7 February 2019 / Accepted: 14 February 2019 / Published: 20 February 2019
(This article belongs to the Special Issue Tobacco and Nicotine Use and Exposure Among Children and Adolescents)
E-cigarettes have emerged and soared in popularity in the past ten years, making them the most common tobacco product used among youth in the United States (US). In this review, we discuss what the Surgeon General has called a public health “epidemic”—the precipitous increase in youth use of e-cigarettes and the health consequences of this behavior. Further, we review tobacco control policy efforts (e.g., Tobacco 21, banning flavors, advertising restrictions, and clean indoor air laws)—efforts proven to be critical in reducing cigarette smoking and smoking-related disease and death among US children and adults—including their potential and challenges regarding managing and mitigating the emergence of e-cigarettes. Finally, we close with a discussion of the efforts of transnational tobacco companies to rebrand themselves using e-cigarettes and other new products.