E-cigarettes are also advertised using the same themes and tactics that have been shown to increase youth initiation of other tobacco products, including cigarettes.Several states and communities have restricted the sale of flavored tobacco products, including menthol-flavored products.FDA has since taken additional steps to prohibit certain companies from selling youth-appealing, flavored disposable e-cigarettes and flavored e-liquids without authorization. Food and Drug Administration (FDA) finalized an enforcement policy that prohibits the sale of prefilled cartridge e-cigarettes in any flavor other than tobacco or menthol, unless authorized by FDA. Among middle and high school students who currently used any type of flavored e-cigarette in 2022, the most commonly used flavors were fruit (69.1%), candy, desserts, or other sweets (38.3%), mint (29.4%), and menthol (26.6%).
In 2022, most youth who reported using e-cigarettes used flavored varieties (84.9%).A study from 2013-2014 showed that most youth who use e-cigarettes first start with a flavored variety, and flavors are the primary reason youth report using e-cigarettes.E-cigarettes come in various flavors, including fruit, candy, mint, and menthol.Youth e-cigarette and cigarette use have been associated with mental health symptoms such as depression.The most common reason youth give for continuing to use e-cigarettes is “I am feeling anxious, stressed, or depressed.” 5.middle and high school students give for trying an e-cigarette is “a friend used them.” 5 What may start as social experimentation can become an addiction.But nicotine addiction can be a source of stress. Youth may turn to vaping to try to deal with stress or anxiety, creating a cycle of nicotine dependence.3 People may keep using tobacco products to help relieve these symptoms. Nicotine withdrawal symptoms include irritability, restlessness, feeling anxious or depressed, trouble sleeping, problems concentrating, and craving nicotine.This can result in temporary symptoms of nicotine withdrawal. When a person is dependent on (or addicted to) nicotine and stops using it, their body and brain have to get used to not having nicotine.Additional information about USB-shaped e-cigarettes and actions that parents, educators, and health care providers can take to protect kids is available at CDC’s Infographic.Examples include the MarkTen Elite, a nicotine delivery device, and the PAX Era, a marijuana delivery device that looks like JUUL. Although JUUL is currently the top-selling e-cigarette brand in the United States, other companies sell e-cigarettes that look like USB flash drives.Approximately two-thirds of JUUL users aged 15 – 24 do not know that JUUL always contains nicotine.
News outlets and social media sites report widespread use of JUUL by students in schools, including classrooms and bathrooms.JUUL is one of a few e-cigarettes that use nicotine salts, which allow particularly high levels of nicotine to be inhaled more easily and with less irritation than the free-base nicotine that has traditionally been used in tobacco products, including e-cigarettes.According to the manufacturer, a single JUUL pod contains as much nicotine as a pack of 20 regular cigarettes. All JUUL e-cigarettes have a high level of nicotine.Like other e-cigarettes, JUUL is a battery-powered device that heats a nicotine-containing liquid to produce an aerosol that is inhaled. JUUL is a brand of e-cigarette that is shaped like a USB flash drive.
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