TIME health

An Open Letter to People Bothered by My E-Cig Vapor

Man with an electronic cigarette in a public place.
BSIP—UIG via Getty Images

Sarah Cannon is a graduate of the University of South Florida with a BA in Psychology and a minor in Communications.

I can be conscious not to blow my vapor in your direction, if you''ll be conscious not to send your judgment and complaints in mine

Dear person who can’t stand the smell of my e-cig in this coffee shop,

First of all, I hear your concerns and respect your right to speak out about something that bothers you. However, I have a few things to say in response to your complaints.

After using my vape (e-cigarette) for over a year now, my body feels so much better than when I was smoking cigarettes. I can breathe! I can go up a flight of stairs without huffing for breath halfway. I can go for six months at a time without catching a nasty, lingering cough. My clothing doesn’t reek of smoke all of the time and my car actually smells nice. So, though they are far from perfect, I am enjoying the changes that not smoking cigarettes has brought to my life.

I don’t sit around inhaling lungful after lungful of vape for seven minutes at a time, like I would a real cigarette, so the lingering aura from my habit certainly isn’t hovering for extended periods of time. When I exhale, the vapor is gone within 10 seconds, along with the smell. Funny how just about 10 years ago people were still allowed to smoke actual cigarettes in some restaurants and I didn’t see anyone walking out on their meal due to the smell coming from the smoking section. This was, in fact, the norm for decades and we all got along fine. I’m not saying it was a wonderful arrangement, but people dealt with it.

I understand that for a few moments during your meal you may have a sniff of my vape that you don’t care for, but I’m sure that it isn’t as horrible as you make it sound in your rant. Life is full of mild unpleasantries that we all must deal with on a daily basis, but we can choose to deal with them or let them torment us. Not to mention the smell that lingers on a person’s body after finishing a cigarette, even if it was outside, far outlasts a vape any day.

When I smoked cigarettes, I dealt with inconveniences due to my addiction. I would be forced to leave the company of my friends and family to go stand outdoors, like an outcast or lesser human, so that I could prevent myself from having a withdrawal meltdown. I would sit in freezing weather and torrential downpours so that people like you could enjoy your meals without the offensive and unhealthy fumes of my cigarettes. Not to mention all of the health problems that I caused myself. There was no compromise offered, I had to deal with it. And I did.

Now there is an option available to me that is far less harmful or offensive as cigarettes and, for now, I am allowed to enjoy the company of my friends and family indoors with the rest of society. No longer do I have to huddle under the awning of a building, trying to avoid the rain, nor do I have to freeze my fingers off trying to rush through a cigarette just so everyone else can be satisfied. At last I can feel like I am a part of society again, and not some evildoer who deserves to be sent out to the village gates to hide my atrocious acts.

Vaping isn’t perfect, but it is a compromise. I’m doing my part by not smoking cigarettes and releasing their known carcinogens to the atmosphere, while still dealing with my addiction. I am trying to improve my health, trying to not smell like cigarette smoke all the time, and get to spend time with my loved ones as well. My intent is not to make you uncomfortable. In fact my actions are not about you at all. So I must ask that you not make them about you and respectfully let me and my vape alone. I can be conscious not to blow my vapor in your direction, if you will be conscious not to send your judgment and complaints in mine.

Sarah Cannon is a graduate of the University of South Florida with a BA in Psychology and a minor in Communications.

TIME Ideas hosts the world's leading voices, providing commentary and expertise on the most compelling events in news, society, and culture. We welcome outside contributions. To submit a piece, email ideas@time.com.

TIME Etiquette

An Open Letter to the Person Smoking Their E-Cigarette Indoors

Man smoking e-cigarette in public
BSIP/UIG—Getty Images/Universal Images Group

I see how it could be easy to view the world as your personal "vaping lounge," but I really wish you wouldn't

xojane

This story originally appeared on xoJane.com.

Dear person smoking their e-cig next to me in this coffee shop,

I really hate your e-cigarette.

I’m proud of you for taking steps to quit smoking and, yes, I would much rather you vape than smoke. Smoking is terrible, and I’m not calling for a sweeping ban of e-cigs.

But please, I am imploring you, stop vaping indoors. I know it’s “just water vapor,” but it is water vapor that smells terrible. The vapor that is wafting over from your table to mine does not smell like pancakes; it smells like a synthetic blend of sugar-free butterscotch candies and diacetyl. Sure, this is “better” than cigarette smoke, but stepping in cat poop is better than stepping in dog poop, and both are still terrible options.

I realize that you are breaking no laws. You are technically allowed to “vape” indoors. In large indoor spaces, your habit is not such a big deal. I can walk away from you or you will eventually walk away from me. I may be temporarily annoyed, but this too shall pass.

But just because you are “technically allowed” to do something, that doesn’t mean you should do it. In smaller spaces — spaces from which I cannot escape — in planes, cafes, and restaurants, you need to put that thing away. You are being rude. Like eating a large amount of garlic before boarding a 10-hour flight or wearing strong perfume to an expensive restaurant.

I’m sure you are experiencing a sense of freedom the likes of which you’ve never felt. You no longer have to brave the elements to get your nicotine fix. This must be especially nice if you live in an area with extreme weather. This freedom may let you live out smoking fantasies you never thought possible. I get it; the no smoking signs in airplane bathrooms are so admonishing, even I have been tempted to dismantle those smug little smoke detectors. After enduring all of the restrictions imposed on smokers, I can see how it could be easy to now view the world as your own personal “vaping lounge,” but I really wish that you wouldn’t.

In the case of restaurants and cafes, you are interfering with the food. Flavor is a combination of taste and smell, and with the smell of pina colada air freshener floating under my nose, I am having a hard time enjoying my coffee. Your bubble gum vapor is not welcome when I’m eating a grilled cheese. And — I may be overstepping my bounds here — but I really wish you wouldn’t exhale bacon flavored vapor around my beer. We’ve already established that bacon-flavored beer is pretty terrible. I know you can still smoke in a lot of bars, but I don’t go to those bars. Besides, that’s what the patio is for.

I don’t think I’m being completely unreasonable. Even e-cig companies seem to agree with me:

Even if you are at an establishment that allows vaping and someone sitting next to you seems uncomfortable or requests you to stop vaping, the best thing to do would be to respect their request. At work, it is a good idea to inform your colleagues about what you are doing. Smokers have been notorious because of a few rude ones who blow their tobacco smoke right into people’s faces. But since vaping is so new, the opportunity still exists for the community to create a positive view of this culture.

Currently, you are not creating a positive view of this culture.

Between vaping liquid being called things likes “lizard juice” and those ridiculous holsters, you need all the goodwill you can generate. Subjecting people to cloying, food-esque scents is not the way to go about it. Besides being annoying, you may be giving people headaches or allergic reactions.

I am glad you quit smoking. If the e-cigarette helps someone achieve that goal, I support their decision to purchase and use one. But please be mindful of those around you. Because while vaping is considerably safer than traditional cigarettes, it just doesn’t smell that great.

Claire Lower is a freelance writer living in Florida.

TIME Ideas hosts the world's leading voices, providing commentary and expertise on the most compelling events in news, society, and culture. We welcome outside contributions. To submit a piece, email ideas@time.com.

TIME Addiction

Big Tobacco Is Ramming Home the Message About the Dangers of E-Cigarettes

World Health Organisation Calls For Regulation Of Ecigarettes
In this photo illustration, a woman smokes an E-Cigarette at the V-Revolution E-Cigarette shop in Covent Garden on August 27, 2014 in London, England. Dan Kitwood—Getty Images

Think of it as corporate image enhancement

When it comes to e-cigarettes, large tobacco companies are suddenly stepping up warnings about their own products, the New York Times reports.

“Nicotine is addictive and habit forming, and is very toxic by inhalation, in contact with the skin, or if swallowed,” reads a warning on packets of e-cigarette made by Altria, the company that manufactures Marlboro cigarettes.

Industry experts and critics say the warnings are serving as a legal safeguard or a corporate image-enhancer.

“Is this part of a noble effort for the betterment of public health, or a cynical business strategy? I suspect the latter,” said Dr. Robert K. Jackler, a professor and researcher on e-cigarette advertising at the Stanford School of Medicine.

MarkTen, a prominent e-cigarette brand, features a 100-word warning that, among other things, reiterates that e-cigarettes are not a way to wean oneself off cigarettes. This warning also appears on Reynolds American’s Vuse e-cigarettes.

According to Altria spokesman William Phelps, the MarkTen warning is created with a “a goal to openly and honestly communicate about health effects.”

“Why wouldn’t you warn about ‘very toxic’ nicotine on your cigarettes, when you do so on e-cigarettes?” is Jackler’s only question.

According to the Times, experts say the strategy is low-risk for the big tobacco companies because many people don’t read the warnings anyway.

[NYT]

TIME Addiction

Debate Over E-Cigarettes Lights Up

The debate over the safety of e-cigarettes, and whether they will help smokers to quit, or simply make it easier for them to start or continue lighting up, heated up this week.

On one side of the disagreement are those pushing for regulation. In 2013, the World Health Organization (WHO) began a review of data on e-cigarettes and based on studies conducted so far, last month recommended tighter regulation of the devices to protect consumers’ health. But in a new article published in the journal Addiction, other scientists argue that the WHO misinterpreted the data in a “misleading” way and that the group’s advice for more stringent oversight is problematic.

In the Addiction paper, the authors take issue with nine of WHO’s conclusions, some of which surround the safety of e-cigarettes, their toxin levels, and how likely younger people are to adopt them. They cite some of the same data as the original WHO review did, but interpret it differently, arguing that the benefits of e-cigarettes, especially as an effective tool in helping some smokers to quit, outweigh potential risks from the chemicals and nicotine used in the devices. Therefore, they say, e-cigarettes should be more accessible than the WHO recommendations would allow.

“…The WHO’s approach will make it harder to bring these products to market than tobacco products, inhibit innovation and put off smokers from using e-cigarettes, putting us in danger of foregoing the public health benefits these products could have,” said Ann McNeill, lead author of the paper and professor of tobacco addiction at King’s College London, in a press release. They’re not the only ones who have pushed back against the recommendations. More than 50 experts in public health signed a letter calling for a lighter approach, reported the New York Times.

Why the opposing interpretations of the same data? E-cigarettes are so new that research hasn’t had a chance to catch up with their meteoric rise in popularity. Some of the data based on earlier models of the devices, for example, might not even apply to e-cigs as we know them today, since the product has evolved so rapidly. The body of research is small. And because the devices are so new, much of it is funded by e-cigarette manufacturers.

In the latest paper in Addiction, for example, some of the work by one of the heavily-cited authors of the paper was conducted with funding from the e-cigarette industry.

On the first page in the “competing interests” section, the article discloses the following about Konstantinos Farsalinos of the Onassis Cardiac Surgery Center in Greece (click “Get PDF” at the link):

Some studies performed by KF were carried out using funds provided to his institution (Onassis
Cardiac Surgery Center) by e-cigarette companies.

In the paper’s 45 references, Farsalinos is listed as an author in nine of them; it’s unknown which of those studies were conducted with the help of e-cigarette funding.

It’s not uncommon for someone who makes a product to then sponsor research on that product, and it doesn’t mean the findings are worthless, says Steven Schroeder, a professor in the department of medicine and head of the Smoking Cessation Leadership Center at the University of California, San Francisco. (Schroeder does not conduct research on e-cigarettes.) But it also doesn’t mean the results are entirely objective, either. The potential for bias leads journal editors such as those at the peer-reviewed Addiction to require conflict disclosures from both its authors and its senior editorial staff.

It’s not clear yet whether e-cigarettes will turn out to hurt or help smokers. It’s probable that they will contribute to a range of health effects, both positive — as a smoking cessation device — and negative — as a potential gateway to tobacco-based cigarettes or other drugs. The evidence, at the moment, points in both directions.

TIME Addiction

E-Cigarettes Are Gateway to Substance Abuse and Addiction

An e-cigarette on March 05, 2013 in Paris.
An e-cigarette in Paris on March 05, 2013 Kenzo Tribouillard—AFP/Getty Images

Nicotine, in any form, can prime the brain for harder drugs

For a product so young, e-cigarettes are already generating volumes of research. And the latest, appearing in the New England Journal of Medicine, suggests that e-cigarettes serve as a “gateway drug” — meaning they could make users more likely to use, and become addicted to, other drugs like cocaine.

The wife-husband research team Denise Kandel and Eric Kandel has been studying nicotine for years, and in their earlier work they found that nicotine dramatically enhanced the effects of cocaine by activating a reward-related gene and shutting off inhibition. When mice had nicotine before cocaine, they behaved differently too — they ran around more and spent more time in the space where they were fed, likely driven by a need to satisfy their craving for the drug.

Denise’s epidemiological data shows that similar effects might be occurring in people; most who start taking cocaine were smoking at the time, and her studies showed that nicotine can prime users to turn to harder drugs to keep the reward system satisfied. While e-cigarettes don’t contain the tar and other byproducts of regular tobacco-burning cigarettes, they still rely on nicotine, and the Kandels believe they would lead to similar use of other drugs. “E-cigarettes are basically nicotine-delivery devices,” she says, and Eric agrees. “This is a powerful facilitator for addiction to cocaine and perhaps other drugs as well,” he says. “If people knew that this is in fact the danger … they’d be much less enthusiastic about using nicotine.”

While some, including those in the health community, have supported e-cigs as a tool to help smokers quit, the backlash against them has been building. Last month, the American Heart Association released a policy statement calling for stricter laws, more industry oversight, and a ban on marketing and selling e-cigs to adolescents. Toronto just banned e-cigs from the workplace. And the World Health Organization recommended a host of new regulations around the growing e-cigarette market. At the same time, it’s not clear whether the devices actually help smokers to kick the habit; at least one study found that they don’t.

The Kandels argue that it’s time to consider nicotine’s effect not just on the lungs but on the brain as well. “The fact that this is a significant influence on encouraging or facilitating the use of other drugs is never discussed, and it’s just a major omission,” Eric says.

“We’ve worked very hard to reduce smoking in this country, and I think it’s been a fantastic success,” Denise says. With the introduction of e-cigs, “Now I think we’re on the verge of destroying all of the progress that we’ve [made].”

TIME Addiction

WHO Urges Tighter Regulation of E-Cigarettes

A woman smokes an "Blu" e-cigarette in Washington, D.C., on Sept. 25, 2013.
A woman smokes an "Blu" e-cigarette in Washington, D.C., on Sept. 25, 2013. Jim Watson—AFP/Getty Images

The United Nations agency acknowledged both the "promise and threat" of the $3 billion industry

The World Health Organization recommended countries adopt a raft of tighter regulations over the sale and use of e-cigarettes Tuesday, including a ban on sales to minors, a ban on “vaping” indoors and tighter controls over advertising and flavored products.

The United Nations agency released a report on Tuesday that acknowledged both the “promise and threat” of the e-cigarette market, Reuters reports. The authors cast doubt on e-cigarette makers’ claims that the devices could help smokers kick the habit. Until those claims had been substantiated by a stronger body of scientific evidence, the U.N. health agency recommended that countries adopt regulations that would “minimize content and emissions of toxicants.”

Suggested regulations include restrictions on advertisements promoting e-cigarettes as a healthy alternative to smoking, prohibitions on sales to minors and sweetened flavors that might appeal to minors and a ban on using the devices indoors. The Food and Drug Administration proposed similar restrictions on sales to minors and advertising of e-cigarettes in April, but stopped short of banning television advertising or sweetened flavors.

The report comes amid a widening divide in the scientific community as to whether e-cigarettes constitute a help or a hindrance in the battle to stop people smoking. A group of 53 scientists signed an open letter to the WHO earlier this year urging officials to resist any measures that might suppress sales of e-cigarettes, calling them “part of the solution” in the fight against smoking.

[Reuters]

TIME E-Cigarettes

Toronto Bans E-Cigarettes From City Workplaces

An e-cigarette on March 05, 2013 in Paris.
An e-cigarette in Paris on March 05, 2013 Kenzo Tribouillard—AFP/Getty Images

Mayor Rob Ford reportedly voted against the ban

The Toronto City Council voted 36-2 in favor of banning e-cigarettes from all city workplaces on Monday.

According to a Toronto Sun reporter, Mayor Rob Ford was one of the two votes against the ban.

The vote was part of a marathon session for the city council which could last several days and will address some 400 items from e-cigarettes to traffic lights.

Toronto is not the first major city in North America to issue a prohibition on e-cigarettes. In March, Los Angeles became the third city after New York and Chicago to outlaw e-cigarettes at the office, and Philadelphia followed soon after.

But the L.A. ban extended further than city workplaces with bans in place for bars, restaurants, and parks. In New York, e-cigarette smokers cannot vape anywhere where conventional smoking is also banned, and in Chicago, there’s an indoor smoking ban in place. Smaller cities have also taken up the issue, and it’s expected that more cities will consider similar bans.

Health Canada, the government’s public health department, advised Canadians not to buy e-cigarettes as long ago as 2009, CTV News reports, but there are no formal prohibitions on the sale of e-cigarettes unless they are “expressly intended” for nicotine delivery. That allows many retailers to circumvent a crackdown by regulators.

Earlier this year, the FDA said it would increase its regulation over e-cigarettes, and on Sunday night, the American Heart Association called for stricter oversight, especially when it comes to marketing to kids.

TIME Addiction

E-Cigs Should Only Be “Last Resort” for Quitters, Experts Say

A salesman waits for customers as he enjoys an electronic cigarette at a store in Miami, Florida on April 24, 2014.
A salesman waits for customers as he enjoys an electronic cigarette at a store in Miami, Florida on April 24, 2014. Joe Raedle—Getty Images

E-cigarettes are everywhere—and are reportedly quitters’ favorite tool with some experts claiming it’s a healthy alternative to traditional tobacco. But vaping doesn’t deserve its health halo, says the American Heart Association (AHA) in a policy statement released today in its journal Circulation.

The group calls for an overhaul of how we deal with e-cigs, advocating for stricter laws, industry oversight by the government, and more rigorous research.

Right now, e-cigs are a Wild West industry, with 10 new companies coming to market every month. The FDA doesn’t yet regulate them—though the agency plans to—fueling concerns about possible contaminants, quality control, labeling, and marketing. There’s not much research about the public health impacts of e-cigs. Yet they’re a big business, and sales are expected to rake in $10 billion by 2017, according to predictions by Wells Fargo.

Many people use e-cigs, many of which contain nicotine but not tobacco, to wean themselves off of cigarettes. Their reputation as cigarette-cessation tools is widespread—though more research is needed to see if that reputation is warranted. “We don’t have much data on the efficacy as a cessation aid,” lead author Aruni Bhatnagar, chair of cardiovascular medicine at the University of Louisville, tells TIME. E-cigarettes aren’t approved by the FDA as tools to help people quit, and the AHA says that there’s a lack of evidence that they actually work for that purpose. However, some studies suggest e-cigarettes may perform as well or a bit better than nicotine patches, so they should be viewed as a last resort when other methods fail.

Another concern is marketing to young people. Television ads for e-cigarettes reached an estimated 24 million youth between 2011 and 2013, the AHA report says. And a separate CDC study released today in the journal Nicotine and Tobacco Research found that more than a quarter of a million youth who’ve never tried a cigarette puffed the electronic version in 2013. That’s a three-fold increase from 2011-2013.

“We have grave concerns about industry marketing and advertising of e-cigarettes to children,” Bhatnagar says. The AHA is calling for a federal tax on e-cigarettes, which may help deter young would-be adopters, in addition to a ban on flavorings. (E-cigs come in more than 7,000 flavors like mint and chocolate, which tend to appeal to younger users.) And while many states ban the sale of e-cigarettes to minors, the AHA is calling for a federal ban on the sale to minors.

Walk into any smoke-free area and you’re bound to encounter e-cigarettes—another fact the AHA wants to change by subjecting e-cigarettes to the same laws as tobacco products. On Monday, Toronto joined the growing list of cities banning e-cigs in the workplace.

There’s still a lot we don’t know about e-cigarettes, including how chemicals and nicotine interact with the environment and bystanders, and normalizing smoking behavior undoes years of anti-smoke crusading, the AHA says. So the group recommends that e-cigs be classified as tobacco products to subject them to the same smoke-free air laws.

“We don’t have much data on what their long-term health impact is going to be,” Bhatnagar says. “It will be five to seven years before we know what happens to cardiovascular health.”

TIME Heart Disease

E-Cigs Should Be Last Resort for Quitters, Heart Group Says

A salesman waits for customers as he enjoys an electronic cigarette at a store in Miami, Florida on April 24, 2014.
A salesman waits for customers as he enjoys an electronic cigarette at a store in Miami, Florida on April 24, 2014. Joe Raedle—Getty Images

The American Heart Association calls for tighter e-cigarette regulations, but gives the OK for a small amount of smoking cessation use

Electronic cigarettes should be used to help smokers quit only if proven cessation methods like nicotine patches fail, the American Heart Association said late Sunday.

The AHA acknowledged that e-cigs haven’t yet been proven to be good tools for quitting smoking, though some research has suggested they may be about equal to or slightly better than nicotine patches. The new recommendation is part of the AHA’s policy statement on e-cigarettes. The AHA calls for more regulation of e-cigs, which is something the FDA has promised in the past. The AHA says it fears any further delay in these regulations could have serious public health consequences.

Specifically, the AHA calls for new and stronger regulations for how e-cigarettes are marketed, especially to young people. It recommends a ban on sales to minors, since some research has shown that young people consider using e-cigarettes as a convenient method for smoking. Public health experts have long worried that e-cigarettes could serve as a gateway to other tobacco products, like the much unhealthier conventional cigarettes.

The group says some research suggesting e-cigarettes could normalize smoking are troubling, especially data showing youth exposure to e-cigarette advertising has spiked 250% from 2011 to 2013. “These disturbing developments have helped convince the association that e-cigarettes need to be strongly regulated, thoroughly researched and closely monitored,” AHA CEO Nancy Brown said in a statement.

Whether e-cigarettes are just another vector for nicotine exposure to American youth is a hotly debated topic among public health experts. Some hold the belief that pushing smokers toward lower-level nicotine carriers could ultimately help people quit, while others say there’s no space for more addictive products in the U.S. market.

TIME Addiction

E-Cigs Are Smokers’ Favorite Quitting Tool

A patron demonstrates an e-cigarette at Vape store in Chicago, April 23, 2014.
A patron demonstrates an e-cigarette at Vape store in Chicago, April 23, 2014. Nam Y. Huh—AP

"The fact that there isn't industry-wide, definitive proof that e-cigs help all smokers quit for good may be irrelevant to smokers"

Electronic cigarettes are a more popular tool for smokers trying to quit than nicotine gums and patches, according to a new study of consumer behavior from Kantar Media. As e-cigarettes have exploded from niche product to $2 billion-plus industry, big tobacco isn’t the only industry facing disruption. E-cigarettes are shaking up the pharmaceutical business too.

Of the adults who used a product to help them quit smoking in the past 12 months, 57% chose e-cigarettes, compared with 39% who used a prescription drug like Chantix and 39% who used other over-the-counter methods including nicotine gum and patches, according to the study. The study’s results are based on more than 20,000 responses to a questionnaire about health-related behavior mailed to a random sample of about 50,000 American households. The results do not show whether or not e-cigarettes are effective at helping people quit — just that people are trying them.

E-cigarette makers are legally prohibited from making claims that their products can help smokers quit. Among scientists, the question of whether or not e-cigs can really help smokers quit remains unanswered. A highly publicized study of almost 6,000 smokers trying to quit in England, published in the journal Addiction in May, showed that they were more likely to successfully quit if they used e-cigarettes than products like nicotine patches and gum. But the quit rate, while better than other options, was still relatively low — and this was among a group of smokers highly motivated to quit. The health effects of electronic cigarettes are also largely unknown.

But the Kantar Media study results show that right now, for smokers, the science on e-cigs may not matter. “The fact that there isn’t industry-wide, definitive proof that e-cigs help all smokers quit for good may be irrelevant to smokers,” reads Kantar Media’s summary of the findings. And, whether or not the science supports it, e-cigarettes make their users feel better about their health. E-cigarette users are 35% more likely than all adults to say their current health is much or somewhat better than it was a year ago, according to the study. Cigarette smokers were, unsurprisingly, less likely than most adults to think their health had improved. Interestingly, e-cig users were more likely to report feeling healthier than were people using other smoking-cessation methods.

The study also offers a window into the typical e-cigarette consumer. According to the study, almost 6 million adults in the U.S. use e-cigs, compared with the 44 million who use a tobacco or nicotine product (including cigarettes). E-cig users tend to be young and male and have lower household incomes than the national average and are more likely than other adults to play video games and poker, more likely to watch reality TV, and go to bars and nightclubs. E-cig users are also more likely to live in the South. In the region including Alabama, Kentucky, Mississippi and Tennessee, the ratio of electronic-cigarette users to traditional cigarette smokers is nearly 2 to 1, according to the study.

In light of the demographic findings, it maybe isn’t surprising that so many e-cigarette users prefer them to other methods of quitting. For young guys having fun, it’s more fun to “vape” than to do nothing at all.

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