VAPING The science and culture of electronic cigarette use Kent PTSA - March 5, 2019
What Are E-Cigarettes Battery Atomizer/ Coil Absorbent Material/ Cotton Nicotine Propylene glycol Vegetable glycerin Flavorants
CHKS Data - Marin County (2017-18)
Early e-cigarettes
The New Generation
The Usual Suspects Owned by cigarette ● companies Not about creating a ● healthy alternative Increases their capital ●
Who owns what? • JUUL – Independent {previously PaxLab} (15 Billion $$ Company || 64% Market Share) • MarkTen – Altria {previously Philip Morris} (owns Marlboro, Parliament, Virginia Slims) • Logic – Japan Tobacco International (largest e-cigarette market share in the world) • Vuse – RJ Reynolds (owns Camel, Newport) (13% Market Share • Blu – Imperial (owns Kool, Salem, Winston)
How E-Cig Companies Appeal to Youth Colorful decorations ● Appealing flavors ● Advertising target youth deliberately ● Futuristic design appeals ● “I want the new upgrade!” ○
Targeting Youth - Instagram accounts: ImShmacked, Bangerbuddy, Barstool, etc. - Using teen influencers to advertise products (David Dobrik, Matty Smokes) - Famous people (Madison Beer, Bella Hadid, Kendall Jenner) - Creates a social norm: “How bad can it be if everyone does it?”
Health effects of Vape Flavoring Thousands of Flavors ● Chemical flavorings aren’t regulated ● May contain carcinogens: ● Cinnamaldehyde ○ 2-Methoxycinnamaldehyde ○ Benzaldehyde ○ Acetyls contribute to lung disease ● (Stanford)
Signs a teen might be vaping • Fruity Aroma or Marijuana smell • Unfamiliar handheld gadgets • Batteries and Chargers • Discarded Atomizers
Not an Alternative! Misconception that vaping is better than smoking ● Essentially just as bad - with the exception of tar ● 1 Juul Pod = 59 mg nicotine = 1 pack /20 cigs ● Vaping/Juuling is a segue to smoking cigarettes ●
The BB Activity
Health Effects Similar to smoking cigarettes ● Diacetyl → Causes Popcorn Lung ● Scar Tissue → Breathing Issues ● Heart attacks risk doubles ● COPD ●
HARMFUL CHEMICALS FOUND IN CIGARETTES •Propylene glycol •Chlorobenzene •Benzo(ghi)perylene •Cadmium •Glycerin •Crotonaldehyde •Acetone •Silicon •Flavorings (many) •Propionaldehyde •Acrolein •Lithium •Nicotine •Benzaldehyde •Silver •Lead •NNN •Valeric acid •Nickel •Magnesium •NNK •Hexanal •Tin •Manganese •NAB •Fluorine •Sodium •Potassium •NAT •Anthracene •Strontium •Titanium •Ethylbenzene •Pyrene •Barium •Zinc •Benzene •Acenaphthylene •Aluminum •Zirconium •Xylene •Acenapthene •Chromium •Calcium •Toluene •Fluoranthene •Boron •Iron •Acetaldehyde •Benz(a)anthracene •Copper •Sulfur •Formaldehyde •Chrysene •Selenium •Vanadium •Naphthalene •Retene •Arsenic •Cobalt •Styrene •Benzo(a)pyrene •Nitrosamines •Rubidium •Benzo(b)fluoranthene •Indeno(1,2,3-cd)pyrene •Polycyclic aromatic hydrocarbons
Quitting and Addiction ● 85% start before 18 ● 85% relapse after trying to quit (nicotine) ● Nicotine addiction happens more quickly than all drugs beside opiates ○ Withdrawal analogies; starvation, extreme dehydration, phone separation :)
LAWS AND REGULATIONS In 2016 the FDA passed the Deeming Law requiring all NEW E-cigarettes that are put on the market to meet the standards of the Food Drug and Cosmetic Act. Many e-cigarette companies (JUUL, MarkTen, Blu, Logic & Vuse) had already been developed at this point and were grandfathered into the law. The deeming law states that compliance for existing products (those listed above) have until 2022 to file for exemptions before they will test their products. {This Law has been postponed} All E-Cigs wont get regulated until 2022.
Cannabis products Vaporizers, Dab Pens Use Cannabis oil, wax, concentrates - HIGHLY potent (~95% thc)
- Constantly educating ourselves and What does TUPE do each other about it? - Lesson for all 9th grade Social Issues students (45 min) - Lessons for others by invitation (e.g. JV Football, Middle Schools, etc.) - Planned schoolwide event partnering with Wellness center Spring ‘19 - Intervention w/all students caught (1st offense*) - 2 lunchtime meetings with Mr. Hirsch
Feedback from Prevention efforts 50% of students who vape reported reducing their intake in the weeks since the presentation
Feedback from Interventions 85% said intervention made them think that vaping was worse than they thought (31% “a lot”, 54% “some”)* 84% recognize vaping as “very dangerous” to one’s health* 38.5% report quitting following intervention* 46% report vaping less than before intervention* * meetings between January & May; survey in June
HOW TO HELP: PREVENTION vs. INTERVENTION PREVENTION INTERVENTION - Forbidden Fruit is not yet a factor - “Forbidden Fruit” is a factor because desire is already established (Cialdini) because mind is not yet made up - Hard tactics = Compliance but not - Studies consistently show power of commitment “perceived parent restrictions” & monitoring - Williams, et al 2010 - Soft tactics = more difficult but can - Benchaya, et al 2011 - (Monitoring) Perozzi 2007 achieve commitment - Hard and soft tactics both work - You know your child
COLLABORATIVE EFFORT Within School Community at large - Administrative Support - Coalition Connection - Wellness Center - Local Government - Peer Resource - B.O.S. meeting at 10 o’clock today - Smoke Free Marin - Youth Advisory Council
Do your P.A.R.T. - P lan - Time & Place matter - There is help: Quit lines, Wellness counseling - TUPE team - A cknowledge - Your concern & feelings - Their desires, concerns, questions - R espond - One sided vs. a 2-way street - T ime : it might take time to sink in & change habits - “Do” instead of “don’t”
Good news! You being here makes a difference
Q&A!
WORKS CITED Benchaya, Mariana C. “Non-Authoritative Parents and Impact on Drug Use: the Perception of Adolescent Children.” Journal of Pediatrics (Brazil) , vol. 87, no. 3, 2011, pp. 238–244. Cabane, Olivia Fox. The Charisma Myth: Master the Art of Personal Magnetism . Portfolio Penguin, 2013. Cialdini, Robert B. Influence: the Psychology of Persuasion . Collins, 1984. Perozzi, Maria E. “EXAMINING ADOLESCENT DRINKING AND ADOLESCENTS’ PERCEPTIONS OF PARENTAL MONITORING, COMMUNICATION, AND PARENTING STYLE IN A RURAL SETTING.” Pennsylvania State University , Virginia Polytechnic Institute and State University, 10 Aug. 2007, citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.528.3822&rep=rep1&type=pdf. Shakya, Holly B. “Parental Influence on Substance Use in Adolescent Social Networks.” Archives of Adolescent and Pediatric Medicine , vol. 166, no. 12, Dec. 2012, pp. 1132–1139. Tobacco Prevention Toolkit. “Tobacco Prevention Tool Kit.” Tobacco Prevention Toolkit , Stanford University Medical School, 2018, med.stanford.edu/tobaccopreventiontoolkit.html. Williams, Rebecca J. “The Impact of Parent-Child Discussions and Parent Restrictions on Adolescent Alcohol Consumption.” Hawai'i Medical Journal , vol. 69, no. 6, June 2010, pp. 145–147.
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