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Regulating the Use of Electronic Devices for Vaping and Vaping to Promote Youth and Young Adult Health

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 1910

Special Issue Editors


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Guest Editor

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Guest Editor
Department of Public Health Sciences, College of Health Sciences, West Chester University, West Chester, PA 19380, USA
Interests: tobacco control; health and healthcare policy; health equity; global health

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Guest Editor
1. Department of Health Promotion & Behavioral Science, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
2. Department of Epidemiology, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
Interests: nicotine dependence; flavors; tobacco and cannabis co-use
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Special Issue Information

Dear Colleagues,

The complexities surrounding the use of electronic devices used for vaping (e-cigarettes, e-hookah, e-cigars, heat not burned) and the triad of tobacco, nicotine, and cannabis use (natural or synthetic), particularly among youth and young adults under the age of 26, present a significant public health challenge. The dramatic rise in vaping in the past 10 years among this age group threatens decades of progress in tobacco control. These products can harm brain development, increase lung injury, and raise long-term cardiovascular risk. Effective regulation of electronic devices used for vaping, especially for young people, is crucial for public health. However, such regulations remain weak globally, and attempts to regulate are frequently thwarted by the tobacco industry and affiliated groups. To address this problem, we invite submissions for a Special Issue focusing on strategies to regulate electronic devices and vaping behaviors and protect youth and young adult health. This issue seeks to explore the multifaceted factors influencing the regulation of electronic devices used for vaping and to address the urgent need for evidence-based strategies to mitigate the public health risks associated with vaping. We encourage submissions that explore various aspects of regulation, including but not limited to the following: (1) effectiveness of product prohibitions in reducing vaping behaviors, (2) impact of marketing restrictions on adolescent vaping behavior, (3) evaluation of age verification measures for online product sales, (4) health outcomes associated with vaping, and (5) the role of several actors, including the tobacco industry, in the regulation of electronic devices and vaping behaviors.

By fostering interdisciplinary dialogue and sharing innovative approaches, this Special Issue aims to advance our understanding of effective strategies to safeguard youth and young adult health in the context of regulation. Submissions are welcome from researchers across public health, policy, medicine, psychology, and related fields consistent with IJERPH policy concerning tobacco company funding. https://www.mdpi.com/1660-4601/15/12/2831 

Prof. Dr. Hadii M. Mamudu
Dr. Nene Okunna
Dr. Dale Mantey
Guest Editors

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • youth and young adult
  • vaping
  • tobacco control
  • nicotine
  • cannabis
  • flavored tobacco
  • electronic smoking devices
  • e-cigarettes
  • e-hookah
  • regulatory science
  • electronic nicotine delivery systems

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Published Papers (2 papers)

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Research

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11 pages, 1617 KiB  
Article
Perceptions of Health Risks and Accessibility: A Social Media-Based Pilot Study of Factors Influencing Use of Vaping and Combustible Tobacco Products
by Enitan Banjo, Zoya Ahadian, Nikita Kasaraneni, Howard Chang, Sarala Perera, Kristen Emory and Laura E. Crotty Alexander
Int. J. Environ. Res. Public Health 2025, 22(5), 800; https://doi.org/10.3390/ijerph22050800 - 20 May 2025
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Abstract
The prevalence of e-cigarette use (vaping) in young adults is concerning, particularly because the initiation of combustible tobacco use is higher in e-cigarette vapers. It is unclear why young, never-smoker vapers decide to start smoking cigarettes, but they may be influenced by perceptions [...] Read more.
The prevalence of e-cigarette use (vaping) in young adults is concerning, particularly because the initiation of combustible tobacco use is higher in e-cigarette vapers. It is unclear why young, never-smoker vapers decide to start smoking cigarettes, but they may be influenced by perceptions of health risks and accessibility. We designed a social media questionnaire to assess factors driving the initiation of combustible tobacco use by e-cigarette vapers (multi-inhalant use) and switches between inhalant types. Respondents reported an earlier initiation of combustible tobacco versus vaping (18 vs. 19, respectively, p < 0.0001), greater ease of obtaining combustibles versus vaping products (p < 0.01), and pleasure of vaping being equivalent to that of smoking. The majority of subjects (57%) reported smoking first prior to adding vaping devices, 32% reported initiating both smoking and vaping within 12 months of one another, and 11% reported initiating vaping first. Among respondents (n = 864) who switched from vaping to smoking (n = 104), the primary reasons included 1. the perception that smoking was healthier (44%) and 2. greater accessibility of cigarettes (40%). For those who switched from smoking to vaping (n = 178), the predominant motivations included 1. having friends or family who vape (40%) and 2. the perception that vaping was healthier (36%). Among multi-inhalant users (n = 223), key factors driving this behavior included 1. increased enjoyment (47%) and 2. greater variety (42%). Our findings imply that there is no single, dominant reason driving the initiation of combustible use or switching from one inhalant to another. Further, tobacco users are receiving mixed messaging, leading many to believe that combustible tobacco is the healthier option. Public health interventions are needed to prevent the initiation of e-cigarette vaping by youth and to educate the public about the health effects of tobacco products. Full article
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Review

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15 pages, 354 KiB  
Review
What Strategies Do Healthcare Providers Use to Promote Adolescents’ Vaping Cessation? A Scoping Review
by Naima Nimmi, Bindu Joseph, Habib Bhurawala, Smita Shah, Anita Munoz and Muhammad Aziz Rahman
Int. J. Environ. Res. Public Health 2025, 22(6), 839; https://doi.org/10.3390/ijerph22060839 - 27 May 2025
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Abstract
Background: Healthcare providers (HCPs) can play a pivotal role in providing vaping cessation support to adolescents. They can screen adolescents for vaping, offer interventions to quit, and educate adolescents about the dangers of vaping, including nicotine addiction. This review aims to assess the [...] Read more.
Background: Healthcare providers (HCPs) can play a pivotal role in providing vaping cessation support to adolescents. They can screen adolescents for vaping, offer interventions to quit, and educate adolescents about the dangers of vaping, including nicotine addiction. This review aims to assess the knowledge, attitudes, and practices of HCPs regarding vaping cessation promotion to adolescents. Methods: We conducted a scoping review following the Arksey and O’Malley framework and searched five databases, including MEDLINE, PubMed, PsycINFO, CINAHL, and Scopus, to identify relevant articles. We created a comprehensive search strategy using keywords relevant to healthcare providers, adolescents, practices, and vaping. Results: A total of 1387 articles were identified from the initial search, and 14 were included. There was considerable variation regarding the knowledge, attitudes, and practices of HCPs in supporting adolescents. Although 50–92% of HCPs reported some knowledge about vaping, significant gaps persisted, especially regarding health effects and cessation strategies. Many HCPs lacked confidence in discussing vaping with adolescent patients. While most of the HCPs, 86%, screened for cigarette smoking, only 14% routinely screened adolescents for vaping. They expressed concerns about vaping as a gateway to tobacco use and believed that it was less harmful than cigarettes. HCPs encountered barriers with a lack of time, knowledge, and screening tools in supporting adolescents to quit vaping, particularly related to counselling, treatment recommendations, and referral procedures. Conclusions: There is an urgent need for enhanced understanding, evidence-based guidelines, and clinical tools for HCPs to address the current vaping epidemic among adolescents. Full article
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