VAPINGThe science and culture of electronic cigarette use

Kent PTSA - March 5, 2019

What Are E-CigarettesBattery Atomizer/ Coil

NicotinePropylene glycol

Vegetable glycerinFlavorants

Absorbent Material/ Cotton

CHKS Data - Marin County (2017-18)

Early e-cigarettes

The New Generation

The Usual Suspects

● Owned by cigarette companies

● Not about creating a healthy alternative

● Increases their capital

Who owns what? •JUUL – Independent {previously PaxLab} (15 Billion $$ Company ||

64% Market Share)

•MarkTen – Altria {previously Philip Morris} (owns Marlboro,

Parliament, Virginia Slims)

•Logic – Japan Tobacco International (largest e-cigarette market

share in the world)

•Vuse – RJ Reynolds (owns Camel, Newport) (13% Market Share

•Blu – Imperial (owns Kool, Salem, Winston)

How E-Cig Companies Appeal to Youth● Colorful decorations

● Appealing flavors

● Advertising target youth deliberately

● Futuristic design appeals○ “I want the new upgrade!”

Targeting Youth- Instagram accounts: ImShmacked, Bangerbuddy, Barstool, etc.

- Using teen influencers to advertise products (David Dobrik, Matty Smokes)

- Famous people (Madison Beer, Bella Hadid, Kendall Jenner)

- Creates a social norm: “How bad can it be if everyone does it?”

Health effects of Vape Flavoring● Thousands of Flavors● Chemical flavorings aren’t regulated● May contain carcinogens:

○ Cinnamaldehyde○ 2-Methoxycinnamaldehyde○ Benzaldehyde

● Acetyls contribute to lung disease (Stanford)

Signs a teen might be vaping•Fruity Aroma or Marijuana smell

•Unfamiliar handheld gadgets

•Batteries and Chargers

•Discarded Atomizers

Not an Alternative!● Misconception that vaping is better than smoking● Essentially just as bad - with the exception of tar● 1 Juul Pod = 59 mg nicotine = 1 pack /20 cigs● Vaping/Juuling is a segue to smoking cigarettes

The BB Activity

Health Effects● Similar to smoking cigarettes● Diacetyl → Causes Popcorn Lung ● Scar Tissue → Breathing Issues● Heart attacks risk doubles● COPD

•Propylene glycol•Glycerin•Flavorings (many)•Nicotine•NNN•NNK•NAB•NAT•Ethylbenzene•Benzene•Xylene•Toluene•Acetaldehyde•Formaldehyde•Naphthalene•Styrene•Benzo(b)fluoranthene

•Chlorobenzene•Crotonaldehyde•Propionaldehyde•Benzaldehyde•Valeric acid•Hexanal•Fluorine•Anthracene•Pyrene•Acenaphthylene•Acenapthene•Fluoranthene•Benz(a)anthracene•Chrysene•Retene•Benzo(a)pyrene•Indeno(1,2,3-cd)pyrene

•Benzo(ghi)perylene•Acetone•Acrolein•Silver•Nickel•Tin•Sodium•Strontium•Barium•Aluminum•Chromium•Boron•Copper•Selenium•Arsenic•Nitrosamines•Polycyclic aromatic hydrocarbons

•Cadmium•Silicon•Lithium•Lead•Magnesium•Manganese•Potassium•Titanium•Zinc•Zirconium•Calcium•Iron•Sulfur•Vanadium•Cobalt•Rubidium

HARMFUL CHEMICALS FOUND IN CIGARETTES

Quitting and Addiction

● 85% start before 18● 85% relapse after trying to quit (nicotine)● Nicotine addiction happens more quickly

than all drugs beside opiates○ Withdrawal analogies; starvation, extreme

dehydration, phone separation :)

LAWS AND REGULATIONSIn 2016 the FDA passed the Deeming Law requiring all NEW E-cigarettes that are

put on the market to meet the standards of the Food Drug and Cosmetic Act.

Many e-cigarette companies (JUUL, MarkTen, Blu, Logic & Vuse) had already

been developed at this point and were grandfathered into the law.

The deeming law states that compliance for existing products (those listed

above) have until 2022 to file for exemptions before they will test their products.

{This Law has been postponed}

All E-Cigs wont get regulated until 2022.

Cannabis productsVaporizers, Dab Pens

Use Cannabis oil, wax, concentrates

- HIGHLY potent (~95% thc)

What does TUPE do about it?

- Constantly educating ourselves and each other

- Lesson for all 9th grade Social Issues students (45 min)

- Lessons for others by invitation (e.g. JV Football, Middle Schools, etc.)

- Planned schoolwide event partnering with Wellness center Spring ‘19

- Intervention w/all students caught (1st offense*)

- 2 lunchtime meetings with Mr. Hirsch

Feedback from Prevention efforts

50% of students who vape reported reducing

their intake in the weeks since the presentation

Feedback from Interventions

85% said intervention made them think that vaping was worse than they thought (31% “a lot”, 54% “some”)*

84% recognize vaping as “very dangerous” to one’s health*

38.5% report quitting following intervention*

46% report vaping less than before intervention*

* meetings between

January & May; survey

in June

HOW TO HELP: PREVENTION vs. INTERVENTIONPREVENTION

- Forbidden Fruit is not yet a factor because mind is not yet made up

- Studies consistently show power of “perceived parent restrictions” & monitoring

- Williams, et al 2010- Benchaya, et al 2011- (Monitoring) Perozzi 2007

- Hard and soft tactics both work- You know your child

INTERVENTION

- “Forbidden Fruit” is a factor because desire is already established (Cialdini)

- Hard tactics = Compliance but not commitment

- Soft tactics = more difficult but can achieve commitment

COLLABORATIVE EFFORTWithin School

- Administrative Support- Wellness Center- Peer Resource

Community at large

- Coalition Connection- Local Government

- B.O.S. meeting at 10 o’clock today

- Smoke Free Marin- Youth Advisory Council

Do your P.A.R.T.- Plan

- Time & Place matter- There is help: Quit lines, Wellness counseling

- TUPE team

- Acknowledge- Your concern & feelings- Their desires, concerns, questions

- Respond- One sided vs. a 2-way street

- Time: it might take time to sink in & change habits

- “Do” instead of “don’t”

Good news!You being here makes a difference

Q&A!

WORKS CITEDBenchaya, Mariana C. “Non-Authoritative Parents and Impact on Drug Use: the Perception of Adolescent Children.” Journal of Pediatrics (Brazil), vol. 87, no. 3, 2011, pp. 238–244.

Cabane, Olivia Fox. The Charisma Myth: Master the Art of Personal Magnetism. Portfolio Penguin, 2013.

Cialdini, Robert B. Influence: the Psychology of Persuasion. Collins, 1984.

Perozzi, Maria E. “EXAMINING ADOLESCENT DRINKING AND ADOLESCENTS’ PERCEPTIONS OF PARENTAL MONITORING, COMMUNICATION, AND PARENTING STYLE IN A RURAL SETTING.” Pennsylvania State University, Virginia Polytechnic Institute and State University, 10 Aug. 2007, citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.528.3822&rep=rep1&type=pdf.

Shakya, Holly B. “Parental Influence on Substance Use in Adolescent Social Networks.” Archives of Adolescent and Pediatric Medicine, vol. 166, no. 12, Dec. 2012, pp. 1132–1139.

Tobacco Prevention Toolkit. “Tobacco Prevention Tool Kit.” Tobacco Prevention Toolkit, Stanford University Medical School, 2018, med.stanford.edu/tobaccopreventiontoolkit.html.

Williams, Rebecca J. “The Impact of Parent-Child Discussions and Parent Restrictions on Adolescent Alcohol Consumption.” Hawai'i Medical Journal, vol. 69, no. 6, June 2010, pp. 145–147.