Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

What the FDA forgets in the battle against e-cigarettes

Charlene Gaw
Policy
December 20, 2018
Share
Tweet
Share

How can we forget John Bender from The Breakfast Club? How can we forget his tousled wave of chestnut hair, cutoff lumberjack shirt, emanating cool with a cigarette perpetually in hand? In light of the 78 percent rise in e-cigarette use by high school students this past year, what we cannot forget is how deftly he convinced his peers to smoke with him. While the dramatic announcement by FDA to regulate e-cigarette sales to teenagers is expansive in its reach and extremely important, we must not forget the power of peer and social media influence to educate our teens. For what significant change has ever been made without an accompanying social and cultural shift?

Let’s start this cultural wave against the rapidly growing e-cigarette usage ourselves. We can start with the basics — just what are e-cigarettes? While seven in ten teens are being marketed e-cigarettes, an alarming majority of teens are unaware of what they contain — 66 percent of teens believe that “just flavoring” is in their e-cigarette, and 13.7 percent of teens report they do not know what is in e-cigarettes. This is a massive information gap to be addressed.

Specifically, teens are more likely to use e-cigarettes than traditional cigarettes. After starting e-cigarette usage, teens are nearly four times as likely to start smoking as compared their non-user peers. E-cigarettes contain nicotine — a highly addictive substance that harms the adolescent brain at its most sensitive time, as it is undergoing maturation. The long-term adverse effects of e-cigarettes have yet to be determined. However, e-cigarettes contain harmful chemicals often found in traditional cigarettes, for which there is plenty of data on detrimental effects on one’s health. Not only are e-cigarettes addictive in the moment, but the damage inflicted has lasting effects on a teen’s life before she has even reached adulthood.

A promising venue to address teen use of e-cigarettes exists in social media. As a past teacher of the teenage population, I personally witnessed teens communicating endlessly and sharing lifestyle tips through Instagram and Snapchat, among other social media platforms. This is supported by research, with young adults self-reporting their greatest preference for information delivery via social media that communicates “concisely, with sources, [and] without authoritative tones.” To properly educate teens, let’s meet them where they are – 95 percent report they have access to a smartphone, and 45 percent say they are online “almost constantly.”

We can combine the power of social media with another significant predictor of future smoking behavior — peer influence and social acceptability. To be most effective, the social media targeting must offer a different social perception of smoking e-cigarettes from being “cool.” One suggestion is to recruit diverse groups of teens to share personal stories of why they choose not to smoke e-cigarettes. This recruitment and engagement process may begin in high school, an access point to most American teens.

What the FDA announcement is forgetting to do is call upon our citizens to use our voices to effect change. Never underestimate the power of your individual voice, my voice, and how our voices reverberate in our own circles. It is individual actions that cause collective change. Who is more convincing, an FDA add describing how “dangerous” e-cigarettes are or a word from a childhood friend of over 10 years? For our children, our future generation, let’s provide information for teens to make thoughtful decisions for themselves. Teenagers — please talk about e-cigarettes with your friends or share this on your Instagram and Twitter platforms. Parents, and other concerned citizens — start real conversations with high schoolers and remember that authoritative tones may only put them into detention with another John Bender.

Charlene Gaw is a medical student.

Image credit: Shutterstock.com

Prev

How a young girl helped me find the light in pediatrics

December 20, 2018 Kevin 1
…
Next

Diagnosed with prostate cancer? You must ask these 10 questions.

December 20, 2018 Kevin 1
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
How a young girl helped me find the light in pediatrics
Next Post >
Diagnosed with prostate cancer? You must ask these 10 questions.

ADVERTISEMENT

More by Charlene Gaw

  • Doctors: It is never too late to step up and fulfill the true potential of your voice

    Charlene Gaw

Related Posts

  • Why can e-cigarettes advertise on TV?

    Michelle Andrews
  • My battle against the nurse’s cap

    Debbie Moore-Black, RN
  • The next legislative battle for children’s health

    Shetal Shah, MD and Heather L. Brumberg, MD, MPH
  • Why developing new antibiotics is a losing battle

    Christopher Johnson, MD
  • The FDA was wrong about Aduhelm

    M. Bennet Broner, PhD
  • Dementia patients want effective drugs. How will the FDA respond?

    Ron Louie, MD

More in Policy

  • How physician burnout and system reform are shaping the future of U.S. health care

    Irim Salik, MD
  • Why doctors must fight for a just health care system

    Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD
  • Unused IV catheters cost U.S. hospitals billions

    Piyush Pillarisetti
  • Why your health care dashboard isn’t working and how to fix it

    Dave Cummings, RN
  • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

    Robert E. White, Jr. & The Doctors Company
  • How new loan caps could destroy diversity in medical education

    Caleb Andrus-Gazyeva
  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Women physicians: How can they survive and thrive in academic medicine?

      Elina Maymind, MD | Physician
    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
  • Recent Posts

    • How to transform your mindset by rewiring your brain with positive language [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • How transplant recipients can pay it forward through organ donation

      Deepak Gupta, MD | Physician
    • Women physicians: How can they survive and thrive in academic medicine?

      Elina Maymind, MD | Physician
    • Why AI in health care needs stronger testing before clinical use [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
  • Recent Posts

    • How to transform your mindset by rewiring your brain with positive language [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a varicocele and how does it affect fertility?

      Martina Ambardjieva, MD, PhD | Conditions
    • How profit-driven hospitals fail long-term patient care

      John Corsino, DPT | Conditions
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

What the FDA forgets in the battle against e-cigarettes
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...