4.6 Review

Youth vaping: a review and update on global epidemiology, physical and behavioral health risks, and clinical considerations

Journal

EUROPEAN JOURNAL OF PEDIATRICS
Volume 181, Issue 2, Pages 453-462

Publisher

SPRINGER
DOI: 10.1007/s00431-021-04220-x

Keywords

Adolescents; E-cigarettes; Vaping; Mental health; Review

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Youth electronic cigarette use has significantly increased worldwide in the past decade, leading to public health concerns. Recent research shows that there are physical and behavioral health risks associated with youth vaping, emphasizing the importance for clinicians to pay close attention and intervene.
Worldwide, youth electronic cigarette use (vaping) has risen significantly over the past decade. This public health concern has spurred many high-quality studies characterizing country-specific prevalence, risk factors, physical and behavioral health complications, and optimal methods of assessment and counseling for youth vaping. Clinicians remain underexposed to this recent work, limiting translation of evidence into higher quality patient care. This review aims to provide pediatricians and other clinicians working with youth a clinically focused survey of key research findings and considerations based on recent evidence. This narrative review surveys emerging trends in EC use across different countries, reasons for youth vaping, characteristics of vaping materials that promote youth use, associations with combustible cigarette use, relation with cannabis and other illicit substances, physical and behavioral health risks associated with vaping, and methods of assessment, counseling, and intervention for problematic vaping in youth. Since vaping remains a relatively new phenomenon, long-term health consequences remain unknown. Conclusion: Youth vaping is an increasingly well-studied phenomenon with both physical and behavioral health risks. Pediatricians and other youth-focused clinicians can apply the lessons of recent research in work with youth and their families.

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