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Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use Associated Lung Injury - United States, October 2019.更新:美国 2019 年 10 月,医疗保健提供者评估和护理疑似电子烟或蒸气产品使用相关肺损伤患者的临时指南。
MMWR Morb Mortal Wkly Rep. 2019 Oct 18;68(41):919-927. doi: 10.15585/mmwr.mm6841e3.
2
Incidence of Pediatric Cannabis Exposure Among Children and Teenagers Aged 0 to 19 Years Before and After Medical Marijuana Legalization in Massachusetts.马萨诸塞州医用大麻合法化前后 0 至 19 岁儿童和青少年中儿童大麻暴露的发生率。
JAMA Netw Open. 2019 Aug 2;2(8):e199456. doi: 10.1001/jamanetworkopen.2019.9456.
3
Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults: A Systematic Review and Meta-analysis.青少年和青年中电子烟使用与大麻使用之间的关联:一项系统评价和荟萃分析。
JAMA Pediatr. 2019 Oct 1;173(10):e192574. doi: 10.1001/jamapediatrics.2019.2574. Epub 2019 Oct 7.
4
Prevalence of vaping and smoking among adolescents in Canada, England, and the United States: repeat national cross sectional surveys.加拿大、英国和美国青少年使用蒸气烟和吸烟的流行率:全国重复横断面调查。
BMJ. 2019 Jun 20;365:l2219. doi: 10.1136/bmj.l2219.
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Analysis of trends in the prevalence of cannabis use and related metrics in Canada.加拿大大麻使用流行趋势及相关指标分析。
Health Rep. 2019 Jun 19;30(6):3-13. doi: 10.25318/82-003-x201900600001-eng.
6
The rise of e-cigarettes, pod mod devices, and JUUL among youth: Factors influencing use, health implications, and downstream effects.电子烟、pod mod 设备和 JUUL 在青少年中的兴起:影响使用的因素、健康影响和下游影响。
Drug Alcohol Depend. 2019 Aug 1;201:85-93. doi: 10.1016/j.drugalcdep.2019.04.011. Epub 2019 May 23.
7
Characterising KandyPens-related posts to Instagram: implications for nicotine and cannabis use.分析 Instagram 上与 KandyPens 相关的帖子:对尼古丁和大麻使用的影响。
Tob Control. 2020 Jul;29(4):472-474. doi: 10.1136/tobaccocontrol-2019-055006. Epub 2019 May 30.
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Understanding the implications of the "vaping epidemic" among adolescents and young adults: A call for action.了解青少年和年轻成年人中“蒸气烟流行”的影响:呼吁采取行动。
Subst Abus. 2019;40(1):7-10. doi: 10.1080/08897077.2019.1580241. Epub 2019 Mar 18.
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Examining links between cannabis potency and mental and physical health outcomes.检测大麻效力与精神和身体健康结果之间的关联。
Behav Res Ther. 2019 Apr;115:111-120. doi: 10.1016/j.brat.2018.11.008. Epub 2018 Nov 17.
10
A Survey of Cannabis Acute Effects and Withdrawal Symptoms: Differential Responses Across User Types and Age.大麻急性效应与戒断症状调查:不同用户类型和年龄的差异反应
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大麻雾化:了解一种迅速兴起的趋势所带来的健康风险。

Cannabis vaping: Understanding the health risks of a rapidly emerging trend.

作者信息

Chadi Nicholas, Minato Claudia, Stanwick Richard

机构信息

Division of Adolescent Medicine, Department of Pediatrics, Sainte-Justine University Hospital Center, University of Montreal, Montreal, Québec.

Faculty of Medicine, University of Montreal, Montreal, Québec.

出版信息

Paediatr Child Health. 2020 Jun;25(Suppl 1):S16-S20. doi: 10.1093/pch/pxaa016. Epub 2020 Jun 15.

DOI:10.1093/pch/pxaa016
PMID:33390752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7757764/
Abstract

The rapid emergence of youth vaping has completely changed the landscape of adolescent substance use in Canada and has become a pressing public health issue of our time. While nicotine remains the most common substance encountered in vaping devices, cannabis vaping is now reported by one-third of youth who vape. Though cannabis vaping is thought to generate fewer toxic emissions than cannabis smoking, it has been associated with several cases of acute lung injury and often involves high-potency forms of cannabis, exposing youth to several acute and long-term health risks. The low perceived riskiness of cannabis as a substance and of vaping as a mode of consumption may bring a false sense of security and be particularly appealing for youth who may be looking for a 'healthier way' to use substances. While research is still lacking on how best to support youth who may have already initiated cannabis vaping, concerted efforts among paediatric providers, public health experts, schools, communities, and families are urgently needed to limit the spread of cannabis vaping among Canadian youth.

摘要

青少年电子烟使用的迅速兴起彻底改变了加拿大青少年物质使用的局面,已成为我们这个时代紧迫的公共卫生问题。虽然尼古丁仍是电子烟设备中最常见的物质,但现在有三分之一的青少年电子烟使用者报告吸食大麻电子烟。尽管吸食大麻电子烟被认为比吸食大麻产生的有毒排放物更少,但它已与几起急性肺损伤病例有关,并且通常涉及高浓度大麻,使青少年面临多种急性和长期健康风险。大麻作为一种物质以及电子烟作为一种消费方式的低感知风险可能会带来一种虚假的安全感,对于那些可能在寻找“更健康方式”使用物质的青少年尤其有吸引力。虽然在如何最好地支持可能已经开始吸食大麻电子烟的青少年方面仍缺乏研究,但儿科医疗服务提供者、公共卫生专家、学校、社区和家庭迫切需要共同努力,以限制大麻电子烟在加拿大青少年中的传播。