Brenda Douglass, DNP, APRN, FNP-C, CDE, CTTS, Susan Solecki, DrPH, APRN, FNP-BC, PPCNP-BC, and Theresa Fay-Hillier, DrPH, MSN, PMHCNS-BC, Drexel University College of Nursing and Health Professions, Philadelphia, PA.
J Addict Nurs. 2020 Apr/Jun;31(2):79-84. doi: 10.1097/JAN.0000000000000332.
The vaping of nicotine products has overwhelmingly gained national attention as the new public health crisis. The use of electronic nicotine delivery systems and products such as electronic cigarettes, JUUL, pods, or vaporizers is now a worldwide multibillion dollar industry. Despite the notable gains decreasing harmful smoking behaviors of traditional cigarettes among youth, these public health initiatives have been significantly nullified by the indiscriminate exposure of these highly addictive products by nicotine manufacturers to the adolescent population. Although touted as a safer alternative to traditional tobacco smoking and an effective cessation method to quit traditional cigarette smoking, there are no definitive data, to date, substantiating that this is true. Currently, adolescents are the predominant population using electronic nicotine delivery systems and at the greatest risk to the negative effects of nicotine exposure (U.S. Department of Health & Human Services, 2016). The purpose of this article is to identify the health impact and potential dangers related to the vaping epidemic that conflict with teens' risk beliefs that vaping is harmless. To protect American youth, a comprehensive approach for harm reduction to this deadly problem is imperative, including product warnings and regulation, public media campaigns, economic and social strategies, and policy initiatives.
尼古丁产品的吸食已经引起了全国范围内的关注，成为了新的公共卫生危机。电子尼古丁输送系统和产品的使用，如电子烟、JUUL、烟弹或蒸发器，现在已经成为一个价值数十亿美元的全球性产业。尽管年轻人中传统香烟的有害吸烟行为显著减少，但这些公共卫生措施已经被尼古丁制造商不加区分地向青少年群体广泛暴露这些高度成瘾产品的行为所大大抵消。尽管电子烟被吹捧为传统烟草吸烟的更安全替代品，并且是一种有效的戒烟方法，但迄今为止，没有确凿的数据证明这是事实。目前，青少年是使用电子尼古丁输送系统的主要人群，也是接触尼古丁暴露负面影响的最大风险人群（美国卫生与公众服务部，2016 年）。本文的目的是确定与青少年认为吸电子烟无害的风险观念相冲突的与吸电子烟流行相关的健康影响和潜在危险。为了保护美国的青少年，必须采取全面的减少伤害措施来解决这一致命问题，包括产品警告和监管、公共媒体宣传、经济和社会策略以及政策倡议。
