New Study Says Juul Has Fuelled Surge In Youth Tobacco Use

A study recently published in Pediatrics, alleges that the sharp increase in Juul use has reversed decades of progress in declining tobacco use. 

Titled, “Daily E-cigarette Use and the Surge in JUUL Sales: 2017–2019,” the study concluded that over a million teens started vaping from 2017 to 2019. The authors do not differentiate between vaping and tobacco use, and therefore do not take into account that the increase in vaping has decreased smoking rates.

Infact, analyzing cross-sectional data from the CDC’s National Youth Tobacco Survey data between 1999 and 2020, researchers at the University of Alabama at Birmingham have recently found that cigarette smoking amongst teens has consistently decreased in parallel with an increase in vaping.

The research team found that while the use of e-cigarettes has drastically increased since 2014 and is the most commonly used nicotine or tobacco product among middle and high school students, this has led to a sharp decrease in the use of more harmful combustible tobacco products.

Nicotine products should be differentiated according to their relative health risks
They also found that the CDC’s any tobacco product use measurement, a binary measurement which asks if someone has used any tobacco product in the past 30 days, fails to differentiate between the use nicotine products’ in terms of their risks. “The majority of cigarette brands contain similar ingredients, concentration and chemicals,” said Ruoyan Sun, Ph.D., assistant professor in the UAB School of Public Health’s Department of Health Care Organization and Policy and a study researcher.

“Conversely, there are a wide variety of e-cigarette products with different chemical levels and makeups. To track nicotine and tobacco use patterns and their associated risks more accurately, surveys need to account for the frequency of product use and product-specific risks.”