The adverse effects of vaping in young people

Judith Meehan , Mairead Heffron , Helen Mc Avoy , Ciara Reynolds , Louise Kyne , Des W Cox
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Abstract

Vapes or e-cigarettes are battery operated devices that heat a liquid until it becomes a vapour, which is inhaled. Typically, e-liquids contain nicotine, different flavourings, and propylene glycol. Vaping devices are either disposable vapes or rechargeable. Vapes were initially developed as stop smoking aid but they have now become a recreational product popular among teenagers.

Vaping has increased at an alarming rate among teenagers and young adults in Ireland. The European Schools Project for Alcohol and Other Drugs (ESPAD) survey 2019 showed that almost 4 in 10 Irish 16-year-olds had tried vaping and 15 % currently use them. More worrying is the dramatic rise in the use of disposable vapes in recent years. An Action on Smoking and Health (ASH) UK survey data revealed a 9-fold increase from 2021 to 2023 in their use (7.7 % to 69 %) among 11–17-year-old vapers.

A combination of clever marketing by vaping companies, a strong social media presence, attractive flavours and easy accessibility has contributed to the increasing use of vapes by young people.

Exposure of children and adolescents to nicotine in vaping solutions can lead to long-term negative impacts on brain development, as well as addiction. Many teenagers who vape experience poor concentration, anxiety, mood disorders and sleep disturbance. A paper from NEJM in 2022 reported a case series where chronic vaping resulted in small airway fibrosis of the airways. A systematic review conducted in 2021 concluded that teenager vapers were three to five times more likely to take up tobacco smoking when compared with non-vapers.

Strong legislation is required to ban the sale of disposable vapes to teenagers along with controls on marketing online. Healthcare Professionals should ask and counsel their patients about vaping. Increased public awareness and education for Health care professionals on teenage vaping needs to be addressed.

Vaping has become a global public health issue that must be addressed urgently.

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青少年吸食电子烟的不良影响
Vapes 或电子烟是一种由电池驱动的设备,可以加热液体,直到液体变成蒸汽,然后吸入。通常情况下,电子烟液含有尼古丁、不同的香料和丙二醇。电子烟设备有一次性电子烟和可充电电子烟两种。吸食器最初是作为戒烟辅助工具而开发的,但现在已成为青少年喜爱的娱乐产品。欧洲学校酒精和其他药物项目(ESPAD)2019 年的调查显示,每 10 个 16 岁的爱尔兰人中就有近 4 人尝试过吸食电子烟,15% 的人目前正在吸食电子烟。更令人担忧的是,近年来一次性吸食器的使用率急剧上升。英国吸烟与健康行动组织(ASH)的一项调查数据显示,从2021年到2023年,在11-17岁的吸食者中,一次性吸食器的使用率增加了9倍(从7.7%增加到69%)。吸食器公司巧妙的营销、强大的社交媒体、诱人的口味和便捷的获取方式,这些因素的结合促使年轻人越来越多地使用吸食器。许多吸食电子烟的青少年会出现注意力不集中、焦虑、情绪紊乱和睡眠障碍等问题。2022 年《美国国家医学杂志》(NEJM)上的一篇论文报告了一个系列病例,长期吸食导致呼吸道小气道纤维化。2021 年进行的一项系统回顾得出结论,青少年吸食者吸食烟草的几率是不吸食者的三到五倍。医疗保健专业人员应向其病人询问吸食电子烟的情况并提供相关建议。需要提高公众对青少年吸食电子烟的认识,并对医疗保健专业人员进行这方面的教育。
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Global pediatrics
Global pediatrics Perinatology, Pediatrics and Child Health
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