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Electronic cigarettes: achieving a balanced perspective

Journal Editorial Article 1)

Concerns have been raised that the advent of electronic cigarettes (e-cigarettes) may be harmful to public health, and smokers have been advised by important agencies such as the US Food and Drug Administration not to use them.

This paper argues that, while more research is needed on the cost-benefit equation of these products and the appropriate level and type of regulation for them, the harms have tended thus far to be overstated relative to the potential benefits.

In particular: concern over repeated inhalation of propylene glycol is not borne out by toxicity studies with this compound; risk of accidental poisoning is no different from many household devices and chemicals available in supermarkets; concern that e-cigarettes may promote continued smoking by allowing smokers to cope with no-smoking environments is countered by the observation that most smokers use these products to try to quit and their use appears to enhance quitting motivation; concerns over low nicotine delivery are countered by evidence that the products provide significant craving reduction despite this in some cases; and e-cigarettes may help reduce toxin exposure to non-smokers.

This article has been cited by:

1 T. L. Wagener, E. Meier, J. J. Hale, E. R. Oliver, M. L. Warner, L. M. Driskill, S. R. Gillaspy, M. B. Siegel, S. Foster, Pilot Investigation of Changes in Readiness and Confidence to Quit Smoking After E-Cigarette Experimentation and 1 Week of Use, Nicotine & Tobacco Research, 2014, 16, 1, 108 http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1093/ntr/ntt138
2 Amitava Dasgupta, Kimberly Klein, Antioxidants in Food, Vitamins and Supplements, 2014, http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/B978-0-12-405872-9.00004-5
3 S. Cummins, Adding very low nicotine content cigarettes to nicotine replacement therapy and behavioural support increases abstinence at 6 months after the quit date, Evidence-Based Nursing, 2013, 17, 1, 19 http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1136/eb-2012-101160
4 Ellen Meier, Alayna P. Tackett, Theodore L. Wagener, Effectiveness of Electronic Aids for Smoking Cessation, Current Cardiovascular Risk Reports, 2013, 7, 6, 464 http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1007/s12170-013-0343-8
5 Sungkyu Lee, Rachel A. Grana, Stanton A. Glantz, Electronic Cigarette Use Among Korean Adolescents: A Cross-Sectional Study of Market Penetration, Dual Use, and Relationship to Quit Attempts and Former Smoking, Journal of Adolescent Health, 2013, http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/j.jadohealth.2013.11.003
6 Hagai Levine, Tamar Berman, Rebecca Goldsmith, Thomas Göen, Judith Spungen, Lena Novack, Yona Amitai, Tamy Shohat, Itamar Grotto, Exposure to tobacco smoke based on urinary cotinine levels among Israeli smoking and nonsmoking adults: a cross-sectional analysis of the first Israeli human biomonitoring study, BMC Public Health, 2013, 13, 1, 1241 http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1186/1471-2458-13-1241
7 Peter Hajek, Jonathan Foulds, Jacques Le Houezec, David Sweanor, Derek Yach, Should e-cigarettes be regulated as a medicinal device?, The Lancet Respiratory Medicine, 2013, 1, 6, 429 http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1016/S2213-2600%2813%2970124-3
8 Pallav Pokhrel, Pebbles Fagan, Melissa A. Little, Crissy T. Kawamoto, Thaddeus A. Herzog, Smokers Who Try E-Cigarettes to Quit Smoking: Findings From a Multiethnic Study in Hawaii, American Journal of Public Health, 2013, 103, 9, e57 http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.2105/AJPH.2013.301453
9 Ronald J. Peters, Angela Meshack, Mi-Ting Lin, Mandy Hill, Susan Abughosh, The Social Norms and Beliefs of Teenage Male Electronic Cigarette Use, Journal of Ethnicity in Substance Abuse, 2013, 12, 4, 300 http://onlinelibrary.wiley.com/resolve/reference/XREF?id=10.1080/15332640.2013.819310
10 PETER HAJEK, Commentary on Wagener et al. (2012): E-cigarettes: a vulnerable promise, Addiction, 2012, 107, 9 http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2012.03899.x/abstract
11 JEAN-FRANÇOIS ETTER, Commentary on Wagener et al. (2012): Electronic cigarettes – the Holy Grail of nicotine replacement?, Addiction, 2012, 107, 9 http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2012.03909.x/abstract
12 Nathan K. Cobb, David B. Abrams, Commentary on Wagener et al. (2012): Laissez-faire regulation: turning back the clock on the Food and Drug Administration and public health, Addiction, 2012, 107, 9 http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2012.03927.x/abstract
13 THEODORE L. WAGENER, MICHAEL SIEGEL, BELINDA BORRELLI, LET'S KEEP OUR ‘EYE ON THE BALL’: REDUCING TOBACCO-RELATED HARM, Addiction, 2012, 107, 9 http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2012.04012.x/abstract
15 Hayden McRobbie, Chris Bullen, Peter Hajek, Electronic cigarettes for smoking cessation and reduction, The Cochrane Library, http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010216/abstract

z-ref: 69dumf8g

Wagener , et al. (2012), Electronic cigarettes: achieving a balanced perspective, http://scholar.google.com/scholar?q=10.1111/j.1360-0443.2012.03826.x
research/documents/69dumf8g.txt · Last modified: 2014/03/28 23:22 by rainman