Adolescent vaping and nicotine use in 2017-2018 - U.S. national estimates

Miech, Richard; Johnston, Lloyd; O’Malley, Patrick M.; Bachman, Jerald G.; Patrick, Megan E.

doi:10.1056/nejmc1814130

Cited by 213Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesImpact of Technology on Adolescents

Adolescent vaping and nicotine use in 2017-2018 - U.S. national estimates

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Miech, Richard, Johnston, Lloyd, O’Malley, Patrick M., Bachman, Jerald G., Patrick, Megan E.·2019·New England Journal of Medicine

DOI 10.1056/nejmc1814130PMC PMC7310988

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Abstract

To the Editor: Geserick et al. (Oct.4 issue) 1 report tracking body-mass index (BMI) in individual children over time.However, they did not use longitudinal analytic strategies.Although Figures 1 and 2 (available with the full text of their article

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In 2019, 25.4% of 12th graders used e-cigarettes within the last 30 days, an increase of 131% from two years earlier.
“According to Monitoring the Future survey data (Miech et al., 2019), 25.4% of 12th graders in 2019 used e-cigarettes within the last thirty days, an increase of 131% from two years previously”
From Unique, long-term effects of nicotine on adolescent brain. (2020) · cites this paper as Miech et al., 2019
The To the Editor section reports Monitoring the Future data showing an increase in nicotine vaping among 12th graders from 2017 to 2018. It does not report 2019 use, a 25.4% prevalence, or a 131% increase over two years; those specifics are not supported by this paper. (LLM, conf=0.88)
Experimental — accuracy not yet measured
E-cigarette use was almost as prevalent among 10th graders, and 8th graders showed a 157% increase in 30-day e-cigarette use over the last two years.
“Use of e-cigarettes was almost as prevalent among 10th graders, and was particularly troubling among 8th graders who showed a 157% increase in 30-day e-cigarette use over the last two years.”
From Unique, long-term effects of nicotine on adolescent brain. (2020) · cites this paper as Miech et al., 2019
The ‘To the Editor’ results report increased nicotine vaping among both 10th- and 8th-graders from 2017 to 2018. They give an 8th-grade increase of 2.6 percentage points over one year, not a 157% increase over two years, and do not establish that use among 10th-graders was almost as prevalent as among 12th-graders. (LLM, conf=0.83)
Experimental — accuracy not yet measured
In the United States, tobacco cigarette use has declined in recent years while e-cigarette use has increased exponentially.
“Whereas the use of tobacco cigarettes has declined in the United States within recent years, the use of electronic cigarettes (e-cigarettes) has increased exponentially (Cullen et al., 2019; Miech et al., 2019).”
From Unique, long-term effects of nicotine on adolescent brain. (2020) · cites this paper as Miech et al., 2019
In “TO THE EDITOR” (page unavailable), the paper reports a sharp rise in nicotine vaping among U.S. adolescents from 2017 to 2018 and says use of six other nicotine products declined, though not significantly. It does not establish exponential growth or a decline in cigarette use across the U.S. population as a whole. (LLM, conf=0.88)
Experimental — accuracy not yet measured
In recent years, cigarette use among teenagers has declined while nicotine vaping has increased substantially.
“Although there has been a decline in teen use of cigarettes in recent years, there has been a huge increase in nicotine vaping.”
From Unique, long-term effects of nicotine on adolescent brain. (2020) · cites this paper as Miech et al., 2019
The To the Editor section reports a sharp increase in nicotine vaping from 2017 to 2018. It also says use of each of six other nicotine products declined in a sample of 12th-graders, but those declines were not statistically significant; it does not establish a broader, multi-year decline in cigarette use among teenagers. (LLM, conf=0.84)
Experimental — accuracy not yet measured
The advent of electronic cigarette products has led to a resurgence of nicotine use among adolescents.
“the advent of electronic cigarette products has led to a resurgence of nicotine use among adolescents [167, 168]”
From Consequences of adolescent drug use (2023) · cites this paper as [168]

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Monitoring the Future national survey results on drug use, 1975-2017: Volume I, secondary school students
Miech, R., Johnston, L. A., O'Malley, P., Bachman, J., Schulenberg, J., & Patrick, M. E. (2005) · doi:10.3998/2027.42/146530 · Cited by 1,771 · see citing works
Self-citation
Public Health Consequences of e-Cigarette Use
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Notes from the field: electronic cigarette use among middle and high school students - United States, 2011-2012.
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“NICOTINE While researchers have been addressing the effects of adolescent nicotine exposure (ANE) for decades, the advent of electronic cigarette products has led to a resurgence of nicotine use among adolescents [167, 168], resulting in the development of a new domain in adolescent nicotine research.”
Background
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“The teen vaping crisis Whereas the use of tobacco cigarettes has declined in the United States within recent years, the use of electronic cigarettes (e-cigarettes) has increased exponentially (Cullen et al., 2019; Miech et al., 2019).”
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Authors: Miech, R., Johnston, L., O’Malley, P. M., Bachman, J. G., & Patrick, M. E.
Affiliations: University of Michigan (US)
University of Minnesota (US)
ORCID: Miech, Richard
Johnston, Lloyd
O’Malley, Patrick M.
Bachman, Jerald G.
Patrick, Megan E.
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 2019-01-10
Volume: 380
Issue: 2
Pages: 192-193
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejmc1814130
PMC: PMC7310988
OpenAlex: W2903818578
Cited by: 213
References: 4
Citations by year: 2026: 4 · 2025: 10 · 2024: 17 · 2023: 23 · 2022: 24 · 2021: 41 · 2020: 54 · 2019: 39 · 2018: 1
FWCI: 23.21
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.nejmgroup.org/legal/terms-of-use.htm (vor)
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01-DA-001411 to R. Miech, P.I.)
Topics: Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Keywords: youth vaping, nicotine use, electronic cigarettes, adolescent tobacco use, body mass index, longitudinal analysis
MeSH terms: Vaping, Adolescent, Health Policy, Humans, Nicotine, United States

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