Showing posts with label vapers. Show all posts
Showing posts with label vapers. Show all posts

Thursday, August 2, 2018

More Vaping Facts, Not All Good, from 2017 CDC Data


CDC and other U.S. government agencies rarely publish straightforward numbers and conclusions about adult e-cigarette use; their focus is usually on underage use.  Last month, by re-analyzing the federal data, I demonstrated that the number of American vapers declined in 2017 (here); following are additional insights.

As seen in the table below, the number of every-day e-cigarette users increased between 2014 and 2016.  However, in 2017 the number dropped by almost a quarter-million.  The proportions of current, former and never smokers in 2014 were 50%, 46% and 4%.  By 2016 the proportions were 32%, 58% and 10%, indicating that more every-day e-cigarette users were former smokers.  In 2017, the proportion of former smokers inched up again: 32%, 60% and 8%.


Number (in millions) and Prevalence (%) of Every-Day and Some-Day E-Cigarette Use in the U.S., 2014 to 2017





Every-DaySome-DayAll




20142.71 (1.1%)6.20 (2.6%)8.91 (3.7%)
20152.94 (1.2%)5.40 (2.2%)8.34 (3.4%)
20163.03 (1.2%)4.77 (2.0%)7.80 (3.2%)
20172.79 (1.1%)4.09 (1.7%)6.88 (2.8%)
 
The number of some-day e-cigarette users declined in 2017 for the third consecutive year, to 4.09 million – over 2 million fewer than in 2014.  Most were current smokers in all years, but the proportions shifted:  In 2014, they were 80%, 12% and 8% for current, former and never smokers.  By 2016, the proportions were 68%, 18% and 14%; and in 2017, they were 62%, 15% and 23%.

In 2017, there were 1.17 million never smokers who were current vapers, and 80% of this group (933,000) were using e-cigarettes some days.   The vast majority of some-day users were either 18-24 years of age (68%), or 25-34 (23%), suggesting that vaping is displacing smoking in these younger groups.

It is unfortunate that the number of daily and some-day U.S. vapers is declining, as the facts demonstrate that tobacco harm reduction can only be successful if smoke-free tobacco consumption increases among inveterate smokers.


Note: Thanks to Bill Godshall for requesting these additional insights.


Thursday, July 19, 2018

CDC Data Shows That E-Cigarette Use Declined Again in 2017


About 6.9 million Americans were current users of e-cigarettes in 2017, according to data in the 2017 National Health Interview Survey, the source for CDC national smoking estimates.  That’s a million fewer vapers than the prior year, and over two million fewer than in 2014, the first year NHIS surveyed for vaping.    

The number of current vapers who were former smokers had increased through 2016, but dropped in 2017, from 2.62 to 2.3 million.  This is not good news for tobacco harm reduction.

Another fascinating detail from 2017 is that 1.17 million never smokers currently used e-cigs, and over two-thirds of those were 18-24 years old.  This may be an extension of the recent increase in high school vaping (here), but it’s important to note that smoking in this age group is way down (here). 

Vaping has been portrayed as a menacing new epidemic by tobacco and nicotine prohibitionists in government and elsewhere.  It now appears that the misinformation in their anti-vaping messages has been effective (here).  The number of vapers has tragically declined. 

Tuesday, January 29, 2013

A Call to Action

I am not inclined toward political action, but I am inspired by Clive Bates’s call to action against the European Union’s appalling new tobacco directive (here).  Americans should take action at home as well, in support of tobacco harm reduction and an open U.S. market for vastly safer smoke-free products.  I have long argued for this in my blog and at my Smokers Only website (here).

Bates describes the EU directive as doing “three main bad things,” which are analogous in the U.S. to local, state and federal tobacco-prohibition efforts.  The strategies are the same.  The EU directive, he writes:

1. Bans snus, the least hazardous form of tobacco known to mankind, whilst allowing cigarettes to be widely sold.  Snus (or oral tobacco) is much less dangerous than cigarettes, and widely used in Sweden, where it is the main reason why Sweden has much lower rates of cancer and other smoking-related disease than anywhere else in Europe.

Why ban these products when they have been so successful at reducing harm in Sweden?

2. Treats e-cigarettes as though they are medicines – effectively banning or marginalising them…

3. Prevents any claim that one tobacco product is less harmful than another. The truth is that smokeless tobacco products may be many times less harmful than cigarettes, perhaps 10-1000 times less harmful.  So what looks like an attempt to stop false or excessive claims, is actually going to do real harm:

It denies consumers the most relevant information about lower risk tobacco products – information they could use to reduce their own risk and protect their health. This is misleading by omitting the most important information.

Why should a manufacturer bother to make or market these products or invest in innovation if they can’t say the one (truthful) thing that makes them valuable as alternatives to cigarettes? All this does is reinforce the market for the most harmful tobacco products by shielding them from competition from less harmful forms.

This makes a law out of misleading consumers – who benefits from it?

Bates encourages tobacco users to write representatives in their home country and in the EU parliament.  American tobacco consumers who are fed up with unscientific and inappropriate U.S. laws and regulations should do the same with their elected officials and government institutions. 

In other words, tobacco users should engage in political and policy matters that threaten your rights.  You need to protest if your city or state attempts to impose TIP-TOE (Tacit Incremental Prohibition - Tobacco Elimination), which involves banning nearly risk-free smokeless tobacco and e-cigarettes and assuring the continued market dominance of killer cigarettes (here).

You should respond by writing your public officials – mayor, city council members, governor, state and federal legislators.  I have adapted Bates’s Euro-centric suggestions for Americans who wish to express their views.

1. Be decent.  Always be polite and dignified, don’t make accusations or question motives – most public officials want to do a good job.

2. Be engaging.  Assume the official is open-minded but might need some persuading.  Don’t dismiss other views; tackle them.

3. Be authentic.  Express your views in your own words; public officials want to hear genuine heartfelt views, not borrowed text.

4. Be natural.  Formal language and legal terms aren’t required; it’s their job to understand you, not your job to understand the technicalities of legislation.

5. Be concise.  Concentrate on the things that really matter to you and stay focused – if you are writing about e-cigarettes, don’t dilute your message with views on other issues.  Keep it short (max two pages or 800 words) and to the point.

6. Be personal.  E-mail each legislator individually.  You can use the same basic text with each, but the personal touch goes a long way.

7. Be relevant.  When writing to Congress, for example, only write to your own legislators.

Bates also offers some great content suggestions:

1.  Write about your own experience – e.g., have you tried to quit smoking?  What experience have you had with e-cigarettes or smokeless tobacco use?

2. Tell why you think the proposed action will hurt you personally.

3.  Suggest what the official ought to do.

4. Ask questions that require a response; ask for a reply or a meeting.

5.  Explain how the proposed action may limit smokers’ options to quit cigarettes by switching to products that are much less risky, resulting in more smoking-related death and disease.

6. Describe how the proposed action could tie e-cigarettes in regulatory red tape, effectively banning these products by the back door.  It makes no sense to ban safer products while leaving dangerous cigarettes on the market.

7. Explain why the proposed action will make smoke-free products less attractive, more expensive and less innovative – for example by banning flavors, making the packaging look like medicine, and limiting advertising and marketing.

8. Tell the official why it is wrong to pretend that all tobacco and nicotine products are the same – smokers should have accurate information about risks so they can make informed choices.

9.  Explain why all smokeless tobacco products are much safer than cigarettes and are viable substitutes for smoking.  Smokers should not be denied this option.

10.  Convince officals that e-cigarettes should be regulated for what they are – consumer products, placed on the market as alternatives to cigarettes. 

11.  Note that if e-cigarettes are removed from the market, vapers will return to smoking.

12. Tell officials that government should encourage smokers to switch to e-cigarettes or smokeless tobacco, not ban or marginalize these products through regulation.

I will add one more content tip that is especially relevant to Americans: Strongly object to tobacco prohibitionists’ baseless claim that adult access to safer tobacco products is a problem for children.  It isn’t a children’s issue.  FDA regulation will ensure that tobacco companies don’t advertise or sell tobacco to children.  There are 45 million smokers in the U.S., and the eight million who will die from smoking-related illnesses in the next 20 years are not children today; they are adults, 35 years and older.  Preventing youth access to tobacco is vitally important, but that effort should never be used as a smokescreen to condemn smoking parents and grandparents to premature death.

In the U.S., the Consumer Advocates for Smoke-Free Alternatives Association (here) is active on e-cigarette issues.  They post calls to action on their website, and members of CASAA’s board of directors, including Elaine Keller, Kristin Noll-Marsh, Gregory Conley and Carl V. Phillips, are credible, persuasive spokespersons on the full range of smoke-free tobacco issues.

Smokeless tobacco users and switchers should take CASAA’s approach.  This post gives you some basic tools.  Get involved!