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Teens' Use of E-Cigarettes Increases Risk of Traditional Cigarette Use


The use of e-cigarettes among high school students served as a significant predictor that they would subsequently smoke traditional cigarettes, according to a study published in the January 2018 issue of Pediatrics. Yet the reverse did not hold true among students who reported using traditional cigarettes, as this did not predict future use of e-cigarettes, according to the study, "Trajectories of E-cigarette and Conventional Cigarette Use Among Youth," (published online Dec. 4). Researchers followed 808 students in three public high schools in Connecticut, and analyzed the results of longitudinal surveys that students submitted in 2013, 2014 and 2015 that reported their past-month's use of e-cigarettes and traditional cigarettes. The study found that the frequency of both e-cigarette use and traditional cigarette use also increased over time. The authors suggest more research is needed to develop effective e-cigarette regulation and prevention programs.

Editor's note: A commentary, "E-Cigarettes: A One-Way Street to Traditional Smoking and Nicotine Addiction for Youth," will be published in the same issue of Pediatrics.


The American Academy of Pediatrics is an organization of 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit and follow us on Twitter @AmerAcadPeds