England's disposable vape ban: An inadequate solution to youth vaping with potential unintended consequences

IF 5.3 1区 医学 Q1 PSYCHIATRY Addiction Pub Date : 2025-01-16 DOI:10.1111/add.16756
Eve Taylor, Harry Tattan-Birch, Katherine East
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Disposable vapes are the leading type of vape used by young people [<span>6</span>], and since their rise in popularity, the percentage of young people who regularly inhale nicotine has also risen for the first time since the mid-20th century [<span>7</span>]. Disposables have many features that are attractive to youth, including cheap prices, brightly colored packaging and widespread marketing and availability in high street shops [<span>8, 9</span>].</p><p>Although action to reduce youth vaping is urgently needed, vapes—including disposables—are also widely and effectively used by adults to help them stop and reduce harm from smoking cigarettes [<span>10, 11</span>], which are uniquely lethal [<span>12</span>]. Therefore, regulation must be balanced.</p><p>The disposable vape ban will be implemented on 1 June 2025 in England and Wales. Legislation will be under the Department for Environment Food and Rural Affairs (DEFRA), introduced on the grounds that a ban will protect the environment and reduce appeal to children [<span>13</span>]. A wider package of policies was subsequently announced under The Tobacco and Vapes Bill 2024 on 5 November 2024; however, the specifics of many of these policies are vague [<span>14</span>]. Although the disposable vape ban is well-intentioned and might potentially be positive from an environmental perspective, it is unlikely to substantially reduce youth vaping.</p><p>Since public discussion of banning disposable vapes began, manufacturers have created reusable ‘disposable-like’ analogues to their most popular disposable vape devices (Figure 1), and it is possible that people will dispose of these once the e-liquid or battery runs out. Like disposables, these new designs are cheap, easy to operate, widely available and advertised at the point-of-sale and use the same high-strength nicotine–salts-based vape liquid. These factors all increase appeal to youth [<span>8, 9, 15</span>]. Therefore, without additional regulation, young people who would have otherwise used disposable vapes are likely to simply switch to using their reusable, ‘disposable-like’ analogues.</p><p>A package of evidence-based policies is needed to reduce youth vaping. We have decades of research on policy options to reduce the appeal and accessibility of nicotine and tobacco products, such as restricting packaging and marketing, banning advertisements at the point-of-sale, better enforcement of age-of-sale laws and taxation [<span>16</span>]. Policy following these frameworks could greatly reduce the appeal of vaping to youth while keeping it accessible to adults who smoke. The newly announced Tobacco and Vapes Bill would be well placed to introduce these.</p><p>Nonetheless, there are environmental grounds for the ban. Disposable vapes contain environmentally toxic lithium-ion batteries, which could be recharged or recycled, but are usually thrown away. Material Focus estimates that 260-million batteries from vapes were wasted last year in the United Kingdom (UK), causing hundreds of fires in bin lorries and waste sites [<span>17</span>]. As mentioned above, the industry has already introduced new ‘disposable-like’ products, so the extent that this ban will prevent environment harm will depend on how people who use dispoable vapes respond to it. The reduction in waste will be substantial if many switch to, and actually reuse, these ‘disposable-like’ products, but any impact will be reduced if people continue to discard their vapes after the battery or e-liquid runs out.</p><p>There may be other unintended consequences to consider when weighing the benefits of a disposable vape ban against other regulatory policies, some of which have been discussed previously in <i>Addiction</i> [<span>18</span>]. First, it is important to consider what people who use disposable vapes will do after the ban. The ban would affect one in 20 adults in Great Britain (~2.6 million people) and have a disproportionate impact on disadvantaged groups that have higher rates of smoking and typically find it harder to quit [<span>19</span>]. Disposable vapes also have an advantage over other models because of their ease of use, which might make them more appealing to people who smoke and have disabilities or mental health conditions. Commitments are needed to these communities to ensure that affordable and accessible smoking cessation support, including vapes, remain available. Second, misperceptions of the health harms of vaping relative to smoking are worsening and banning disposable vapes while cigarettes (a uniquely lethal product) remain available might unintentionally signal that the former is more harmful than the latter. Such inaccurate perceptions could deter adults who smoke from switching to a less harmful product or lead people who vape to return to smoking [<span>11</span>].</p><p>To conclude, the introduction of modern disposable vapes in England drove a pronounced rise in vaping among young people, including among those who have never smoked. The ban on disposable vapes in England, to be implemented on 1 June 2025, aims to reduce vaping among young people while protecting the environment. Although it is likely that ban will protect the environment, alternative vaping products that appeal to youth are already present on the market. Therefore, a greater package of evidence-based regulation, as well as enforcement of age of sale laws, is likely required to substantially reduce youth use. The newly announced Tobacco and Vapes Bill would be well placed to introduce these.</p><p><b>Eve Taylor:</b> Conceptualization (equal); writing—original draft (equal). <b>Harry Tattan-Birch:</b> Conceptualization (equal); writing—original draft (equal). <b>Katherine East:</b> Conceptualization (equal); writing—original draft (equal).</p><p>H.T.B. is a Deputy Statistics and Methodology Editor at <i>Addiction</i>. K.E. is an Associate Editor at <i>Addiction</i>.</p>","PeriodicalId":109,"journal":{"name":"Addiction","volume":"120 3","pages":"402-404"},"PeriodicalIF":5.3000,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/add.16756","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addiction","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/add.16756","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
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Abstract

Since modern disposable (single-use) vapes entered the market in around 2020, there has been a rapid increase in vaping (e-cigarette use) among young people in many jurisdictions, such as England, Canada, New Zealand and Australia [1-3]. In Great Britain, the percentage of young people (11–17 years) that vape at least once a week near-tripled from 2019 (1.5%) to 2024 (4.2%) [4], with many of those who vape having never regularly smoked cigarettes [5]. Disposable vapes are the leading type of vape used by young people [6], and since their rise in popularity, the percentage of young people who regularly inhale nicotine has also risen for the first time since the mid-20th century [7]. Disposables have many features that are attractive to youth, including cheap prices, brightly colored packaging and widespread marketing and availability in high street shops [8, 9].

Although action to reduce youth vaping is urgently needed, vapes—including disposables—are also widely and effectively used by adults to help them stop and reduce harm from smoking cigarettes [10, 11], which are uniquely lethal [12]. Therefore, regulation must be balanced.

The disposable vape ban will be implemented on 1 June 2025 in England and Wales. Legislation will be under the Department for Environment Food and Rural Affairs (DEFRA), introduced on the grounds that a ban will protect the environment and reduce appeal to children [13]. A wider package of policies was subsequently announced under The Tobacco and Vapes Bill 2024 on 5 November 2024; however, the specifics of many of these policies are vague [14]. Although the disposable vape ban is well-intentioned and might potentially be positive from an environmental perspective, it is unlikely to substantially reduce youth vaping.

Since public discussion of banning disposable vapes began, manufacturers have created reusable ‘disposable-like’ analogues to their most popular disposable vape devices (Figure 1), and it is possible that people will dispose of these once the e-liquid or battery runs out. Like disposables, these new designs are cheap, easy to operate, widely available and advertised at the point-of-sale and use the same high-strength nicotine–salts-based vape liquid. These factors all increase appeal to youth [8, 9, 15]. Therefore, without additional regulation, young people who would have otherwise used disposable vapes are likely to simply switch to using their reusable, ‘disposable-like’ analogues.

A package of evidence-based policies is needed to reduce youth vaping. We have decades of research on policy options to reduce the appeal and accessibility of nicotine and tobacco products, such as restricting packaging and marketing, banning advertisements at the point-of-sale, better enforcement of age-of-sale laws and taxation [16]. Policy following these frameworks could greatly reduce the appeal of vaping to youth while keeping it accessible to adults who smoke. The newly announced Tobacco and Vapes Bill would be well placed to introduce these.

Nonetheless, there are environmental grounds for the ban. Disposable vapes contain environmentally toxic lithium-ion batteries, which could be recharged or recycled, but are usually thrown away. Material Focus estimates that 260-million batteries from vapes were wasted last year in the United Kingdom (UK), causing hundreds of fires in bin lorries and waste sites [17]. As mentioned above, the industry has already introduced new ‘disposable-like’ products, so the extent that this ban will prevent environment harm will depend on how people who use dispoable vapes respond to it. The reduction in waste will be substantial if many switch to, and actually reuse, these ‘disposable-like’ products, but any impact will be reduced if people continue to discard their vapes after the battery or e-liquid runs out.

There may be other unintended consequences to consider when weighing the benefits of a disposable vape ban against other regulatory policies, some of which have been discussed previously in Addiction [18]. First, it is important to consider what people who use disposable vapes will do after the ban. The ban would affect one in 20 adults in Great Britain (~2.6 million people) and have a disproportionate impact on disadvantaged groups that have higher rates of smoking and typically find it harder to quit [19]. Disposable vapes also have an advantage over other models because of their ease of use, which might make them more appealing to people who smoke and have disabilities or mental health conditions. Commitments are needed to these communities to ensure that affordable and accessible smoking cessation support, including vapes, remain available. Second, misperceptions of the health harms of vaping relative to smoking are worsening and banning disposable vapes while cigarettes (a uniquely lethal product) remain available might unintentionally signal that the former is more harmful than the latter. Such inaccurate perceptions could deter adults who smoke from switching to a less harmful product or lead people who vape to return to smoking [11].

To conclude, the introduction of modern disposable vapes in England drove a pronounced rise in vaping among young people, including among those who have never smoked. The ban on disposable vapes in England, to be implemented on 1 June 2025, aims to reduce vaping among young people while protecting the environment. Although it is likely that ban will protect the environment, alternative vaping products that appeal to youth are already present on the market. Therefore, a greater package of evidence-based regulation, as well as enforcement of age of sale laws, is likely required to substantially reduce youth use. The newly announced Tobacco and Vapes Bill would be well placed to introduce these.

Eve Taylor: Conceptualization (equal); writing—original draft (equal). Harry Tattan-Birch: Conceptualization (equal); writing—original draft (equal). Katherine East: Conceptualization (equal); writing—original draft (equal).

H.T.B. is a Deputy Statistics and Methodology Editor at Addiction. K.E. is an Associate Editor at Addiction.

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英国的一次性电子烟禁令:对青少年吸电子烟的不充分解决方案,可能带来意想不到的后果。
自2020年左右现代一次性(一次性)电子烟进入市场以来,英国、加拿大、新西兰和澳大利亚等许多司法管辖区的年轻人使用电子烟的人数迅速增加[1-3]。在英国,从2019年(1.5%)到2024年(4.2%),每周至少吸一次电子烟的年轻人比例增长了近两倍,其中许多吸电子烟的人从未定期吸烟。一次性电子烟是年轻人使用的主要电子烟类型,随着它们的流行,定期吸入尼古丁的年轻人的比例也自20世纪中期以来首次上升。一次性用品有许多对年轻人有吸引力的特点,包括便宜的价格、色彩鲜艳的包装、广泛的营销和高街商店的可用性[8,9]。尽管迫切需要采取行动减少青少年吸电子烟,但成年人也广泛有效地使用电子烟(包括一次性电子烟)来帮助他们停止和减少吸烟的危害[10,11],而吸烟是唯一致命的。因此,监管必须平衡。一次性电子烟禁令将于2025年6月1日在英格兰和威尔士实施。英国环境、食品和农村事务部(DEFRA)将制定相关法律,其理由是禁止食用巧克力将保护环境,减少对儿童的吸引力。随后于2024年11月5日根据《2024年烟草和电子烟法案》宣布了更广泛的一揽子政策;然而,其中许多政策的细节都很模糊。尽管一次性电子烟禁令是出于善意,从环境角度来看可能是积极的,但它不太可能大幅减少青少年的电子烟使用。自从公众开始讨论禁止使用一次性电子烟以来,制造商们已经创造了可重复使用的“类似一次性”的电子烟设备,与他们最受欢迎的一次性电子烟设备类似(图1),一旦电子烟液或电池用完,人们有可能会处理掉这些电子烟。与一次性电子烟一样,这些新设计的电子烟价格便宜,操作方便,随处可见,并在销售点做广告,使用同样的高强度尼古丁盐基电子烟液体。这些因素都增加了对年轻人的吸引力[8,9,15]。因此,如果没有额外的监管,原本会使用一次性电子烟的年轻人很可能会转而使用可重复使用的、“类似一次性”的电子烟。要减少青少年吸电子烟,需要一整套循证政策。我们对减少尼古丁和烟草产品的吸引力和可获得性的政策选择进行了数十年的研究,例如限制包装和营销,禁止在销售点投放广告,更好地执行销售年龄法律和税收政策。遵循这些框架的政策可以大大降低电子烟对年轻人的吸引力,同时让吸烟的成年人也能接触到电子烟。新公布的《烟草和电子烟法案》将很好地介绍这些。尽管如此,这项禁令还是有环境方面的理由。一次性电子烟含有对环境有害的锂离子电池,可以充电或回收,但通常被扔掉。Material Focus估计,去年英国有2.6亿块电子烟电池被浪费,造成了数百起垃圾车和垃圾场的火灾。如上所述,该行业已经推出了新的“类似一次性”的产品,因此这项禁令能在多大程度上防止环境损害将取决于使用一次性电子烟的人对它的反应。如果许多人转而使用并真正重复使用这些“一次性”产品,那么废物的减少将是巨大的,但如果人们在电池或电子烟液耗尽后继续丢弃电子烟,那么任何影响都将减少。在权衡一次性电子烟禁令与其他监管政策的好处时,可能还需要考虑其他意想不到的后果,其中一些已经在之前的Addiction b[18]中讨论过。首先,重要的是要考虑使用一次性电子烟的人在禁令后会做什么。这项禁令将影响到英国二十分之一的成年人(约260万人),对吸烟率较高、通常很难戒烟的弱势群体产生不成比例的影响。一次性电子烟也比其他型号的电子烟有一个优势,因为它们易于使用,这可能会使它们对吸烟、有残疾或精神健康问题的人更有吸引力。需要向这些社区作出承诺,以确保继续提供负担得起和可获得的戒烟支持,包括电子烟。其次,人们对电子烟相对于吸烟对健康的危害的误解正在加剧,在香烟(一种独特的致命产品)仍然存在的情况下,禁止使用一次性电子烟可能会无意中表明前者比后者更有害。 这种不准确的认知可能会阻止吸烟的成年人转向危害较小的产品,或者导致吸电子烟的人重新吸烟。综上所述,现代一次性电子烟在英国的引入导致年轻人吸电子烟的人数显著上升,包括那些从未吸过烟的人。英国将于2025年6月1日实施一次性电子烟禁令,旨在减少年轻人吸电子烟,同时保护环境。尽管禁令可能会保护环境,但市场上已经出现了吸引年轻人的替代电子烟产品。因此,可能需要更大的一揽子基于证据的监管,以及执行销售年龄法律,以大幅减少青少年使用。新公布的《烟草和电子烟法案》将很好地介绍这些。Eve Taylor:概念化(平等);写作-原稿(同等)。哈里·塔坦-伯奇:概念化(平等);写作-原稿(同等)。凯瑟琳·伊斯特:概念化(平等);书面-原稿(等额)。是《成瘾》杂志的副统计和方法论编辑。K.E.是《瘾》杂志的副主编。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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