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Published online: 2023-05-11
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Novel tobacco and nicotine products and youth in the European Union

Ariadna Feliu1, Carolina Espina1, Cristina Martinez23456, Esteve Fernandez2345
DOI: 10.5603/NJO.a2023.0022
Affiliations
  1. International Agency for Research on Cancer, Lyon, France
  2. Tobacco Control Unit, Cancer Prevention and Control Program, Institut Català d’Oncologia-ICO, Barcelona, Spain
  3. Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge-IDIBELL, Barcelona, Spain
  4. School of Medicine and Health Sciences. Universitat de Barcelona, Barcelona, Spain
  5. CIBER en Enfermedades Respiratorias, CIBERES, Center for Biomedical Research in Respiratory Diseases, Madrid, Spain
  6. Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, United States

open access

Ahead of print
Cancer prevention and public health
Published online: 2023-05-11

Abstract

In recent years, there has been a rapid proliferation of novel tobacco and nicotine products in the market, which have gained in popularity among adolescents. The prevalence of ever user of electronic cigarettes (e-cigs) in Europe among those aged 10–24 ranges from 5.5% to 56.6%, with significant variations across countries. Adolescents have reported several reasons for e-cigs use initiation, including low harm perception, social acceptability, novelty, and peer influence. Despite being marketed as safe alternatives, e-cigs are not risk-free and have already been associated with respiratory diseases. A major concern is their potential to renormalize smoking among non-smokers and to foster nicotine dependence, leading to initiation of conventional cigarette smoking, which would revert actual declining trends in tobacco consumption. Hence, to prevent a setback in the progress made in tobacco control, there is a pressing need for more comprehensive regulation, with a particular focus on adolescents, given that teenage years are key in determining future smoking behaviors.

Abstract

In recent years, there has been a rapid proliferation of novel tobacco and nicotine products in the market, which have gained in popularity among adolescents. The prevalence of ever user of electronic cigarettes (e-cigs) in Europe among those aged 10–24 ranges from 5.5% to 56.6%, with significant variations across countries. Adolescents have reported several reasons for e-cigs use initiation, including low harm perception, social acceptability, novelty, and peer influence. Despite being marketed as safe alternatives, e-cigs are not risk-free and have already been associated with respiratory diseases. A major concern is their potential to renormalize smoking among non-smokers and to foster nicotine dependence, leading to initiation of conventional cigarette smoking, which would revert actual declining trends in tobacco consumption. Hence, to prevent a setback in the progress made in tobacco control, there is a pressing need for more comprehensive regulation, with a particular focus on adolescents, given that teenage years are key in determining future smoking behaviors.

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Keywords

tobacco; novel products; youth; European Union; tobacco control

About this article
Title

Novel tobacco and nicotine products and youth in the European Union

Journal

Nowotwory. Journal of Oncology

Issue

Ahead of print

Article type

Review paper

Published online

2023-05-11

Page views

24

Article views/downloads

30

DOI

10.5603/NJO.a2023.0022

Keywords

tobacco
novel products
youth
European Union
tobacco control

Authors

Ariadna Feliu
Carolina Espina
Cristina Martinez
Esteve Fernandez

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