Despite the large size of the study population, one limitation is the relatively small number of tobacco product users by year end, particularly the 2 percent of youth who admitted sampling one or more of these items in the past month.
Be aware that this study does not provide proof of causality.
Teens who use e-cigarettes, hookah, chewing tobacco and other cigarette alternatives are nearly twice as likely to eventually smoke cigarettes than teens who never use those alternatives. But new a new line of research conducted by investigators at the University of California, San Francisco (UCSF) suggests many of these adolescents will eventually move on to smoke real cigarettes.
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"If our overall goal is to reduce cigarette use and the burden of disease from tobacco, we have to recognize that these products are encouraging young people to move on to cigarette use", Watkins told MedPage Today.
The report, published Tuesday in JAMA Pediatrics, comes as e-cigarettes are becoming increasingly popular among adolescents. "And even if kids use these products and don't convert to cigarette smoking, it's not the only relevant health concern".
Chaffee said one finding that was particularly striking was that all the different types of non-cigarette tobacco studied were associated with approximately the same increase in risk of future cigarette smoking. A 50-percent reduction in cigarettes per day can help some people get started towards the ultimate goal of being smoke-free. Mean age was 14.3; about half were female and half were white.
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Cigarette ever use at follow-up ranged from 18.8% to 19.2% for youths who, at wave 1, had used e-cigarettes, hookah, non-cigarette combustible tobacco, or smokeless tobacco at baseline. Participants were also asked if they had ever used non-cigarette tobacco products.
Teenagers who have used non-cigarette tobacco products are twice as likely to try conventional cigarettes within a year as those who have not, a new study finds.
It also mandated that tobacco companies place graphic images showing the harmful effects of smoking on the upper part of cigarette packs in 2016.
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They added that the study has direct implications for regulatory policy aimed at preventing youth smoking. The majority of teens who use these products buy vapes and e-cigarettes with these kinds of flavorings, according another study from the University of MI in 2016. Similar results were obtained for past 30-day cigarette use, and for both former and past 30-day use of each noncigarette tobacco product. That's important because cigarette smoking rates have gone down in teens, which could be seen as a win by health advocates.