E-cigarettes: Good alternative or dangerous gateway?

There has been a lot of conflicting information and research regarding the dangers and effects of e-cigarettes. Some believe that they are useful in helping smokers quit while others see them as just as harmful as tobacco.

  • What’s your opinion on this topic?
  • How effective are e-cigarettes for smoking cessation?
  • What are the public health consequences of e-cigarettes?

E-cigarettes are becoming trendy which is a real shame given the progress in fighting real cigarettes (for want of a better name). I see the following changes since real cigarettes were banned from indoor public spaces - (1) More people aware of the harm caused when smoking was allowed indoors, so serious it has been banned, (2) It is an inconvenience to stand outside and smoke therefore acting as a deterrent, (3) Smoking them is now seen as anti-social and an old habit.

The arrival of E-cigarettes has caused widespread confusion, even amongst my peer group, as there are no clear signs or guidelines as to whether they can be smoked inside or not. And without physical smoke they can be used secretly and very easily fall under the radar in bars and clubs. Along with different flavours and looks, they are fast becoming a new exciting habit, so I think that far from helping people quit, they are attracting new users.


In this regard, findings from a large, longitudinal study with Canadian students support public health concerns that e-cigarette use may contribute to the development of a new population of cigarette smokers. They also support the notion that e-cigarettes are expanding the tobacco market by attracting low-risk youth who would otherwise be unlikely to initiate using cigarettes. Careful consideration will be needed in developing an appropriate regulatory framework that prevents e-cigarette use among youth.

Full text is available at: Risky Business: A Longitudinal Study Examining Cigarette Smoking Initiation among Susceptible and Non-Susceptible E-Cigarette Users in Canada

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Nowadays, there is a lot of interest in e-cigarettes and the impact of its use in public health. Little research has focused on the device itself as a drug delivery unit and its potential for using other psychoactive substances, different than nicotine. A recently published paper analyzes a range of illicit drugs on pharmacodynamics, usual method of administration, the dosage required for toxicity, toxic effects, and evidence of existing use in e-cigarettes in both literature and online illicit drug forums. There is evidence of current use of e-cigarettes to vape almost all illegal types of drugs, which presents both a potential population health risk and a management issue for clinicians.

Full text is available at:

Electronic cigarettes (e-cigarettes) were the most commonly used tobacco product among U.S. middle school and high school students in 2016. More information on the eeasons for E-Cigarette Use among US Middle and High School Students is available at:

Recent study by the Public Health England found vaping to be 95% safer than smoking as it contains much less cancerogenic compounds. So, it most likely is the alternative to smoking regular cigarettes. Overall, there are more alternatives to smoking like squonking etc. Information taken:

Safer 95%??? Measured in terms of what? Please provide details to the methodology.

El uso de los dispositivos electrónicos están de moda y las personas los utilizan como una alternativa al cigarro pero por desinformación los utilizan descomunalmente creyendo que no pasa nada, se sabe que muchas de esas soluciones van cargadas de nicotina y no informan al consumidor. Conozco jóvenes que lo están usando como des estresantes y los combinan con alcohol. Yo pienso que si se tiran mensajes por las diferentes redes sociales para informar sobre sus daños al organismo hubiera una reducción considerable.

Electronic-cigarette use among young people in Wales: evidence from two cross-sectional surveys

Many young people (including never-smokers) have tried e-cigarettes. However, regular use is less common, and is associated with tobacco cigarette use. Longitudinal research is needed to understand age-related trajectories of e-cigarette use and to understand the temporal nature of relationships between e-cigarette and tobacco use.