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Teenagers who are flying are more likely to smoke common cigarettes



Teenagers who begin to steep are almost three times more likely to smoke cigarettes than those who do not consume any tobacco product

Teenagers who begin to steep are almost three times more likely to smoke cigarettes than their peers who do not consume any type of tobacco product

According to a recent study, adolescents that begin to steam have almost three times more likely to smoke cigarettes than their peers who do not consume any type of tobacco product

The results are alarming for both medical experts, who prefer children not to stop, as well as for the electronic cigarette industry, which increasingly markets its products as tools to quit smoking for adults.

The study, published in the magazine JAMA Network Open, could not say if the steam caused the children to continue smoking. But the study authors found some strong associations between steaming and then smoking cigarettes, especially for children who would normally be considered "low risk" for the use of substances: those that are not great in the search for emotions, drink or the misuse of recipes, drugs.

The findings are especially relevant in light of the recent announcement of the United States Food and Drug Administration that determines that 3.6 million high school and high school students used electronic cigarettes in 2018.

The article appears immediately after an important clinical study that showed that electronic cigarettes helped a small proportion of adult smokers to quit. The consecutive publications show the loose rope on which the electronic cigarettes and regulators walk: on the one hand, electronic cigarettes can become a useful tool to help adults quit. On the other hand, there is always more evidence that they act as what the FDA commissioner, Scott Gottlieb, has called "in ramp" to the type of cigarette more dangerous and fuel.

The study adds a new link in that worrying correlation chain. "These two articles emphasize the enigma faced by those responsible for public health policies", says Gideon St. Helen, a tobacco researcher at the University of California in San Francisco, who did not participate in the research. There are some limitations, among them that the study analyzes an interval of time before Juul really took off, says Michael Ong, a professor of medicine and public health in UCLA that did not participate either.

That means that the results are not a perfect window to the electronic cigarettes market today. Still, he says, "This study probably gives us the best estimates so far as we could expect in terms of people who use electronic cigarettes when they were young, and what could happen to them".

The study of the Population Population of Tobacco and Health (PATH), a long-term survey in the United States on the use of tobacco products, provided the data for the study. The researchers, led by Andrew Stokes, a global health assistant professor at the University of Boston, analyzed the responses of the surveys of more than 6,100 children from 12 to 15 years between 2013 and 2016, who answered questions about their families, their tolerance to risk and what they did.

About 8.6% said the first tobacco products they used were electronic cigarettes, 5% said they first tested other tobacco products such as nose or cigarettes, and 3.3% said they began to smoke cigarettes .

At the end of the study, the percentage of children who tried at least one or two cigarette bucks had increased to 20.5%. Children who started testing electronic cigarettes were approximately four times more likely to prove them and almost three times more likely to have used cigarettes in the past 30 days compared to classmates who did not smoke or smoke anything. The odds were similar to other tobacco products that are not cigarettes, but less they started with them.

The link between the use of electronic cigarette and the final use of the cigarette was especially strong for low-risk children. These are the children who do not seek emotions, who do not drink or take prescription drugs without a medical prescription, and they thought they would say that if their friends offered them no smoking.

"This alone is worth mentioning", says St. Helen. It is even more surprising that the specific link was not true for children who started with other types of tobacco, such as nose or cigarettes: all children, at low risk, had the same chances of trying cigarettes. "It seems that there is something unique about electronic cigarettes that lead to this highest risk of smoking start among young people at low risk", says St. Helen.

The study authors do not understand why it might be that. Maybe start with the steam so that low-risk children get nicotine, or maybe they normalize the smoking behavior so that cigarettes get smaller off. But researchers handle the figures on how their results could be bad in the United States. They believe that more than 43,400 young cigarette smokers may have started using electronic cigarettes for a period of two years between 2013 and 2016.

However, or mayy that assumes that the bond is causal, what the study can not say safely. (It is an important limitation of the study). In addition, the survey did not ask what electronic cigarettes used the children, so the researchers could not say if specific types of electronic cigarettes pre-used children to use cigarettes later.

And even if he had done it, the results are already outdated because Juul started dominating the market after the survey began. Future studies should investigate how Juul's increase has changed those results, says Ong. Meanwhile, he says, "We are all concerned because it would lead us to greater use because they will be added to a greater extent, given that the amount of nicotine in a capsule of Juul is equal to about 20 cigarettes," he said to The Verge.

The medical community has been waiting for these results, which gives the regulators another reason to try to stop the shooting of young people, says Ong. "The hard thing is that there will always be a counterbalance of 'Is there any value for these products?'" St. Helen agrees, qualifying today's study as a "well-done and rigorous analysis" which highlights the difficult balance that the FDA will have to attack, as it decides how to move forward with the regulation of the growing electronic electronic cigarette industry.

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