Youth Nicotine Use: A Growing Public Health Concern

Nov.25.2022
Youth Nicotine Use: A Growing Public Health Concern
Teenagers in the US are increasingly using e-cigarettes and flavored tobacco products, leading to concerns of nicotine addiction.

According to data from the Centers for Disease Control and Prevention, approximately 1,600 young people in this country will try their first cigarette each day.


According to the 2022 National Youth Tobacco Survey, "3.7% of middle and high school students - about 1 million in total - have tried combustible tobacco products such as cigars or cigarettes," reported Ken Alltucker of USA Today. This isn't even their most popular choice. Survey data shows that e-cigarettes are by far the most popular choice for school-age children. During the study period from January 18 to May 31, "nearly 3.1 million middle and high school students tried e-cigarettes or other tobacco products." Among adolescent e-cigarette users, "85% said they use flavored e-cigarettes, with over half using disposable e-cigarettes.


The number of people using very specific tobacco products is much higher among certain groups, and this is not a coincidence," said Matthew L. Myers, President of the non-profit organization, the Campaign for Tobacco-Free Kids. "This is directly related to the advertising positioning of the tobacco industry.


It is truly concerning that 3 million children are using these products," added Erika Sward, Assistant Vice President for National Advocacy at the American Lung Association.


Seasoning products have fueled this epidemic from the beginning," said Dennis Henigan, Vice President of Law and Regulatory Affairs for the Campaign for Tobacco-Free Kids, to USA Today.


Flavored electronic cigarettes are causing a new generation of Americans to become addicted to nicotine," wrote Margaret Foti, CEO of the American Association for Cancer Research, in a recent STAT news op-ed.


In the past decade, there has been a significant increase in the number of teenagers, young adults, and individuals who have never previously used tobacco products, using flavored electronic cigarettes and other electronic nicotine delivery systems, reaching its peak among high school students in 2019," said Forte. "While the use of these products saw a decline during the COVID-19 pandemic, their popularity is once again on the rise.


According to a report by USA Today, although the US Food and Drug Administration issued a ban in 2020 prohibiting the use of flavor cartridges in e-cigarettes that deliver nicotine, the industry seems to have found a way around this regulation by selling lab-made nicotine instead of tobacco-made nicotine. Earlier this year, the FDA warned synthetic nicotine manufacturers and retailers about the illegal sale and marketing of these products.


Swod warned that, "Until we address the root causes - wholesalers, manufacturers, and distributors - we will continue in this cycle" of young people vaping.


Foti wrote: "Prohibiting flavored (electronic nicotine delivery systems) products would be a powerful strategy for reducing their appeal to young people, and reducing the appeal of these products must be an urgent public health priority.


In late October, the American Cancer Society and the American Society of Clinical Oncology released an updated joint policy statement calling for urgent action to prevent further nicotine addiction. "It includes a ban on all flavored electronic nicotine delivery system products and strengthened regulatory enforcement," she added. The research cited by Foti suggests that young people who use these products are approximately three times more likely to start smoking traditional cigarettes than their peers who do not use them.


As cancer experts, we are increasingly concerned about the growing use of electronic nicotine delivery systems, as adolescents and young people who may not have used traditional tobacco products are now using these devices and risking addiction to nicotine, which in turn could lead to long-term use of combustible tobacco," she added.


According to an article on NewsForKids.net, a platform created by teachers to inform children about news, the problems caused by e-cigarettes could last a lifetime for those who have never smoked before. In the US, cigarettes and e-cigarettes can only be sold to adults, but many companies are attempting to lure young people into trying e-cigarettes by using flavors such as candy or cotton candy, making the e-liquid look like children's juice or candy. Therefore, many young people are starting to use e-cigarettes, believing them to be safe.


It is dangerous for young people's brain development to be exposed to nicotine. The Mayo Clinic states that for some individuals, any amount of tobacco use can quickly lead to nicotine addiction. This is the reality our children are facing.


Statement:


This article is compiled from third-party information and is intended for industry-related communication and learning purposes only.


This article does not represent the views of 2FIRSTS and 2FIRSTS cannot confirm the truthfulness or accuracy of the content. The translation of this article is only intended for industry exchange and research purposes.


Due to limitations in the translator's ability, the translated article may not fully convey the same meaning as the original. Please refer to the original article for accuracy.


2FIRSTS is fully aligned with the Chinese government's position on any domestic, Hong Kong, Macau, Taiwan or foreign-related issues and statements.


The copyright of the compiled information belongs to the original media and author. If there is any infringement, please contact us for removal.



Disclaimer

This article is provided solely for professional research, industry discussion, and informational purposes. Any references to brands, companies, products, technologies, or policies are made for factual reporting and analytical purposes only, and do not constitute endorsement, recommendation, promotion, or advertising by 2Firsts.

Nicotine-containing products, including but not limited to cigarettes, e-cigarettes, heated tobacco products, and nicotine pouches, carry significant health risks. Readers are responsible for complying with all applicable laws and regulations in their respective jurisdictions, including age restrictions and access limitations.

The information contained in this article should not be regarded as investment, legal, medical, regulatory, or commercial advice. While 2Firsts strives to ensure the accuracy and reliability of its content, it does not assume liability for any direct or indirect loss arising from errors, omissions, inaccuracies, or reliance on the information contained herein.

This article is not intended for individuals below the legal age for accessing tobacco or nicotine-related information in their jurisdiction.

 

Copyright Notice

This article is either original content produced by 2Firsts or content reproduced, translated, summarized, or adapted from third-party sources with attribution where applicable. The intellectual property rights of the original content remain with 2Firsts or the respective original rights holders.

No individual or organization may copy, reproduce, distribute, republish, modify, translate, or otherwise use this content without prior authorization. Any unauthorized use may result in legal action.

For copyright-related inquiries, corrections, or removal requests, please contact: info@2firsts.com.

 

AI-Assisted Translation and Editing Notice

Portions of this article may have been translated, edited, or reviewed with the assistance of artificial intelligence tools to improve efficiency and readability. Due to the limitations of AI-assisted translation and editing, discrepancies, omissions, or inaccuracies may exist when compared with the original source.

Where applicable, readers are advised to refer to the original source for the most complete and accurate information. If you identify any errors or believe that any content infringes upon your rights, please contact us at info@2firsts.com, and we will review and address the matter promptly.

FDA Unifies Tobacco Registration and Product Listing Form Across Product Categories
FDA Unifies Tobacco Registration and Product Listing Form Across Product Categories
The U.S. FDA has consolidated two tobacco establishment registration and product listing forms into a redesigned Form FDA 3741 covering all regulated product categories, including e-cigarettes, heated tobacco products and nicotine pouches. The current requirements remain limited to domestic establishments. Separately, the FDA has proposed extending registration and product listing requirements to foreign manufacturers, signaling greater regulatory attention to manufacturing entities and product-level information across the tobacco and nicotine supply chain.
FDA
Sep.30
Gallery | InterTabac 2026 Opens as VAPORESSO, SKE, GREENTANK, GEEK BAR and Other Brands Take the Floor
Gallery | InterTabac 2026 Opens as VAPORESSO, SKE, GREENTANK, GEEK BAR and Other Brands Take the Floor
InterTabac 2026 opened in Dortmund, Germany, on September 15 alongside NUBIZ and InterSupply. According to the latest figures released by the organizer, the three trade shows bring together around 750 exhibitors from 64 countries. On site, 2Firsts observed vaping and related brands including VAPORESSO, DOJO, SKE, GREENTANK, GEEK BAR, HQD and ELUX.
Special Report
Sep.15
Wall Street Journal: U.S. FDA Plans Faster Vape and Nicotine Pouch Reviews, Revisit of 2021 PMTA Rule
Wall Street Journal: U.S. FDA Plans Faster Vape and Nicotine Pouch Reviews, Revisit of 2021 PMTA Rule
The Trump administration is preparing changes intended to accelerate FDA market authorization reviews for e-cigarettes and nicotine pouches, according to The Wall Street Journal. The FDA is expected to revisit its 2021 PMTA rule and may simplify some scientific study requirements and shorten review times. The agency has not formally announced the changes. Over the past year, the FDA has already accelerated nicotine-pouch reviews, expanded ENDS authorizations and upgraded its CTP Portal NextGen application system. As of August 2026, 43 nicotine pouch products and 48 e-cigarette products had received FDA marketing authorization.
Sep.24
2Firsts First Look|China to End VAT Export Rebates on Vape Devices and Nicotine in April 2027, Following Earlier Removal for HTP Devices and Nicotine Vapes
2Firsts First Look|China to End VAT Export Rebates on Vape Devices and Nicotine in April 2027, Following Earlier Removal for HTP Devices and Nicotine Vapes
China's Ministry of Finance and State Taxation Administration announced on October 12, 2026, that value-added tax (VAT) export rebates for vape devices, nicotine and its salts, and certain non-combustible inhalation products will be eliminated from April 1, 2027. The measure adds four tobacco- and nicotine-related customs codes, including 8543400010, which covers vape devices and qualifying empty pods. China previously eliminated rebates for nicotine-containing vaping products and devices under code 8543400090 in April 2026. According to industry classification information held by 2Firsts, the latter currently corresponds to heated tobacco devices. Export excise tax refund and exemption arrangements will remain unchanged.
Special Report
Oct.12
India Steps Up Nicotine Pouch Enforcement as ZYN, White Fox Circulate and Drug Panel Urges Halt to New Nicotine Formulations
India Steps Up Nicotine Pouch Enforcement as ZYN, White Fox Circulate and Drug Panel Urges Halt to New Nicotine Formulations
India's Ministry of Health and Family Welfare has directed states to step up enforcement against nicotine pouch sales, citing increased availability through online and offline channels and concern about nicotine exposure among children. Reuters reported that international brands including ZYN and White Fox are being sold in India. A study led by ICMR-NICPR found pouches in seven of 10 surveyed locations and identified 68 brands and 445 flavors online. Separately, India's Drugs Technical Advisory Board recommended in August that no new nicotine formulation be approved.
Regulations
Sep.28 by 2Firsts Perspectives
FDA Appoints Former Tobacco Enforcement Deputy Jessica Zeller as Director as Agency Weighs PMTA Framework Changes
FDA Appoints Former Tobacco Enforcement Deputy Jessica Zeller as Director as Agency Weighs PMTA Framework Changes
The U.S. Food and Drug Administration (FDA) has named Jessica Zeller director of the Center for Tobacco Products' (CTP) Office of Compliance and Enforcement (OCE), effective November 1, 2026. Zeller, the office's inaugural deputy director, returns from medical device manufacturer Edwards Lifesciences with more than 20 years of regulatory and legal experience. The appointment follows CTP leadership changes and adjustments to tobacco regulation. Bret Koplow became permanent CTP director in September; the FDA revised enforcement priorities for unauthorized e-cigarettes and nicotine pouches in May and announced faster PMTA review procedures. On September 28, the agency said it would evaluate changes to the existing PMTA regulatory framework, including potential rulemaking to replace it.
FDA
Oct.20 by 2Firsts Perspectives