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Evidence of Nicotine Dependence in Adolescents Who Use Juul and Similar Pod Devices

Author

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  • Rachel Boykan

    (Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA)

  • Maciej L. Goniewicz

    (Roswell Park Comprehensive Cancer Center, Buffalo, NY 14203, USA)

  • Catherine R. Messina

    (Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA)

Abstract

Background : The use of high-nicotine content e-cigarettes (so-called pods, such as Juul) among adolescents raises concerns about early onset of nicotine addiction. Methods : In this analysis of adolescents surveyed from April 2017–April 2018, we compare survey responses and urinary cotinine of pod vs. non-pod using past-week e-cigarette users aged 12–21. Results : More pod users categorized themselves as daily users compared to non-pod users (63.0% vs. 11.0%; p = 0.001); more pod than non-pod users had used e-cigarettes within the past day (76.2% vs. 29.6%; p = 0.001). More pod users responded affirmatively to nicotine dependence questions (21.4% vs. 7.1%; p = 0.04). Urinary cotinine levels were compared among those responding positively and negatively to dependence questions: those with positive responses had significantly higher urinary cotinine levels than those responding negatively. Conclusions : Adolescents who used pod products showed more signs of nicotine dependence than non-pod users. Pediatricians should be vigilant in identifying dependence symptoms in their patients who use e-cigarettes, particularly in those using pod devices.

Suggested Citation

  • Rachel Boykan & Maciej L. Goniewicz & Catherine R. Messina, 2019. "Evidence of Nicotine Dependence in Adolescents Who Use Juul and Similar Pod Devices," IJERPH, MDPI, vol. 16(12), pages 1-6, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2135-:d:240381
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    References listed on IDEAS

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    1. Carmela Protano & Pasquale Avino & Maurizio Manigrasso & Valerio Vivaldi & Franco Perna & Federica Valeriani & Matteo Vitali, 2018. "Environmental Electronic Vape Exposure from Four Different Generations of Electronic Cigarettes: Airborne Particulate Matter Levels," IJERPH, MDPI, vol. 15(10), pages 1-10, October.
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    Cited by:

    1. Yu Wang & Zongshuan Duan & Scott R. Weaver & Lucy Popova & Claire A. Spears & David L. Ashley & Terry F. Pechacek & Michael P. Eriksen & Jidong Huang, 2022. "Consumption of JUUL vs. Other E-Cigarette Brands among U.S. E-Cigarette Users: Evidence from Wave 5 of the PATH Study," IJERPH, MDPI, vol. 19(17), pages 1-12, August.
    2. Lisa D. Gardner & Sherry T. Liu & Haijun Xiao & Gabriella M. Anic & Karin A. Kasza & Eva Sharma & Andrew J. Hyland, 2022. "Electronic Nicotine Delivery System (ENDS) Device Types and Flavors Used by Youth in the PATH Study, 2016–2019," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    3. Evan Floyd & Toluwanimi Oni & Changjie Cai & Bilal Rehman & Jooyeon Hwang & Tyler Watson, 2022. "Validation of a High Flow Rate Puff Topography System Designed for Measurement of Sub-Ohm, Third Generation Electronic Nicotine Delivery Systems," IJERPH, MDPI, vol. 19(13), pages 1-12, June.

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