Stanford researchers decided to ask Juul as part of a study on tobacco use that they have conducted in 10…
Stanford researchers decided to ask Juul as part of a study on tobacco use that they have conducted in 10 colleges in California. In the first phase of the study, completed in 2014 and 2015, more than 700 students in ninth or 12 th responded to their use and perceptions of tobacco products. The new results come from follow-up forms supplemented by 445 participants from this study. They were in 12 th or some years of high school when the new tasks were collected.
The participants answered questions about whether they ever heard of Juul; whether and how often they used conventional cigarettes, juul or other types of e-cigarettes; their use of flavored e-cigarette products; their perceptions of the social acceptability of the various products and their perceptions of the products’ risks and benefits. Participants who used any type of e-cigarette also completed a standard questionnaire to assess the degree of nicotine addiction.
About half of the participants had heard of Juul and 1
5.6 percent used the brand. Other e-cigarettes were used by 30.4 percent of participants, while conventional cigarettes were smoked by 24.3 percent of participants. About two thirds of the participants who used these products used more than one type of product: A combination of Juul, other e-cigarettes and conventional cigarettes.
The participants reported that Juul was about twice as often as smoking conventional cigarettes when asked about the use of tobacco products in the past seven or over 30 days.
The participants felt that Juul e-cigarettes were less harmful or addictive than other products mentioned in the survey. But among the participants who had tried Juul, 58.8 percent reported that they had used Juul within the last 30 days. Among participants who had tried other e-cigarettes or conventional cigarettes reported 30.1 percent and 28.3 percent use in the past 30 days. This was the most striking difference between Juul users and users of other e-cigarettes and conventional cigarettes, and worries about higher levels of abuse among Juul users, “said Halpern-Felsher. Response to the validated questionnaire for loss of autonomy over nicotine use suggested similar levels of nicotine addiction between Juul users and those using other e-cigarettes, she noted, although the sensitivity of the questionnaire may have been limited by the relatively small number of participants.
The study’s results emphasize the need for clear public health concerns about the risks of new types of e-cigarettes, including Juul, the researchers said. “The absence of clear messages is interpreted as security among young people,” said McKelvey. Nicotine-containing products are especially risky for teenagers, she added. “The sooner you are exposed to nicotine, the greater your likelihood of becoming addicted to your whole life.”
Teachers and parents also need better information, said Halpern-Felsher. “We must come before identification and explanation of new and different nicotine-containing products so we can regulate them and protect young people from using them,” she said. “It took quite a while for teachers to begin to realize that this product [Juul] existed and that what they saw in the classroom was not USB files.”
Halpern-Felsher and her team have developed a free tobacco protection kit available online for teachers, parents and others working with young people.
Mike Baiocchi, a professor of medicine at Stanford Prevention Research Center, was also a writer of the newspaper. Baiocchi is a member of Stanford Bio-X, and Halpern-Felsher is a member of Stanford’s Child Health Research Institute and the Stanford Cancer Institute.
The research was funded by the National Cancer Institute (Contribution 1P50CA180890), the US Food and Drug Administration Center for Tobacco Products and the Child Health Research Institute.
Stanford’s Department of Pediatrics also supported the work
Also, publication on October 19th is a comment from Halpern-Felsher about a tobacco prevention curriculum developed by Juul. The commentary, which will be apparent from Journal of Adolescent Health expresses concern at several aspects of Juul’s curriculum. Juul gives schools an economic incentive of $ 10,000 to use the curriculum and does not follow the best methods for youth housing education, according to the commentary.
For example, the curriculum does not discuss the role of industry in the marketing of tobacco or nicotine-containing products for young people, does not mention Juul by name and does not discuss why young people use e-cigarettes or mention that tasteful products like Juul may be especially appealing to them. Co-author of the commentary is Jessica Liu, a doctoral student at Yale University who completed a summer education in Halpern-Felsher’s lab.
Earlier this month, the researchers also published a study in Addictive Behaviors Addictive Behaviors exploring teenagers’ perception of advertising for flavored e-cigarette fluids. E-cigarette manufacturers, including Juul, claim that their tastes are not marketed to teenagers. But when asked to show ads for flavored e-cigarette fluids, most 255 participants in the study said they thought the ads were targeted at their age group. McKelvey is the lead author of this study and Halpern-Felsher is the senior author. Other Stanford co-authors are Baiocchi; Research associates Divya Ramamurthi; and Sheila McLaughlin, a program coordinator in child and adolescent medicine.