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Use of non-cigarette tobacco products tied to teen smoking

(Reuters Health) – – Teens who strive e-cigarettes, hookah pipes and different non-cigarette tobacco products are extra probably to take up cigarette smoking than their friends who by no means pattern these products, a U.S. research suggests.

Researchers adopted 10,000 nonsmokers ranging in age from 12 to 17 years outdated for one 12 months to see how their use of different tobacco products influenced the chances that they’d turn out to be people who smoke.

By the top of that 12 months, 469 youth, or about 5 %, had tried a cigarette and 219, or roughly 2 %, had smoked inside the previous month, the research discovered.

Among the small proportion of teenagers who had tried e-cigarettes at the beginning of the research, nonetheless, 19 % had turn out to be people who smoke a 12 months later, as had about 18 % of hookah customers.

“Each type of non-cigarette tobacco product we studied – whether e-cigarettes, cigars, or smokeless tobacco – independently contributed to smoking risk,” mentioned senior research writer Dr. Benjamin Chaffee of the University of California, San Francisco School of Dentistry.

“These products have different properties, but in terms of predicting future smoking among kids, the risk seems to be the same,” Chaffee mentioned by e-mail.

Vaping – a time period for utilizing e-cigarettes and comparable units – was the most well-liked different to conventional cigarettes. About four % of teenagers had vaped at the beginning of the research, adopted by three % who had smoked a hookah, or water pipe, researchers report in JAMA Pediatrics.

Big tobacco corporations, together with Altria Group Inc, Lorillard Tobacco Co and Reynolds American Inc, are all creating e-cigarettes. The battery-powered units characteristic a glowing tip and a heating aspect that turns liquid nicotine and different flavorings right into a cloud of vapor that customers inhale.

More than 2 million middle- and high-school college students tried e-cigarettes in 2016, the U.S. Centers for Disease Control and Prevention reported final 12 months, making this the most well-liked kind of tobacco use amongst younger individuals.

A gentle rise within the proportion of adolescents utilizing e-cigarettes in recent times has sparked alarm amongst tobacco management advocates who concern e-cigarettes will create a brand new era of nicotine addicts who could finally swap to typical cigarettes.

The present research affords contemporary trigger for concern, mentioned Adam Leventhal, director of Health, Emotion & Addiction Laboratory on the University of Southern California in Los Angeles.

“The elevated risk of cigarette use uptake in young populations who use e-cigarettes is strong and consistent, and this risk is amplified by the presence or amount of nicotine in e-cigarettes,” Leventhal, who wasn’t concerned within the research, mentioned by e-mail.

“This study adds to the pile of evidence implicating e-cigarette use in cigarette smoking uptake and also adds new evidence that use of other products also is associated with cigarette smoking uptake,” Leventhal mentioned.

Among youth within the research who had tried multiple product at the beginning, 74 % has used e-cigarettes and 65 % had used a hookah.

Despite the massive dimension of the research inhabitants, one limitation is the comparatively small quantity of tobacco product customers by 12 months finish, notably the two % of youth who admitted sampling a number of of these things previously month. This could have weakened some connections between cigarette smoking and different tobacco products, the authors observe.

Still, mother and father ought to warn kids in regards to the risks of every type of tobacco products, and watch out not to current e-cigarettes as a protected choice, mentioned Thomas Wills, a researcher on the University of Hawaii Cancer Center in Honolulu who wasn’t concerned within the research.

“They can communicate to their children that they disapprove of all tobacco products because all of them carry significant risk for getting addicted and perhaps suffering adverse health consequences,” Wills mentioned by e-mail.

SOURCE: bit.ly/2qoMuwr JAMA Pediatrics, on-line January 2, 2018.

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