Thread by @ATSPeds

@MSUPedsPulm here. Bringing you some highlights from #ATS2020 #B81 PEDIATRIC YEAR IN REVIEW. Childhood Health Consequences of Electronic Cigarettes. Enid Neptune, MD. Johns Hopkins Sch of Med, Baltimore, MD.

#1: Age of tobacco use initiation and association with current use and nicotine dependence among US middle and high sch… pubmed.ncbi.nlm.nih.gov/30498008/
First tobacco use ≤13 yo associated with daily and past 30-day use of non-cigarette tobacco products and nicotine dependence.

Up to ¾ of youth nicotine users start before the age of 16
Increased risk of nicotine dependence in those who start in early adolescence

#2: Demographics, Substance Use Behaviors, and Clinical Characteristics of Adolescents With e-Cigarette, or Vaping, Pro… pubmed.ncbi.nlm.nih.gov/32421164/
Adolescents and young adults disproportionately develop EVALI.

Adolescents more likely to obtain products from “informal sources”
Adolescents with EVALI more frequently have a history of asthma and mental, emotional, or behavioral disorders, such as ADHD

#3: Association of Electronic Cigarette Use With Subsequent Initiation of Tobacco Cigarettes in US Youths pubmed.ncbi.nlm.nih.gov/30707232/
Use of e-cigs increases the risk of future cigarette use.
Effect is increased in youths felt to be low risk for future addiction.

#4: Adolescent E-cigarette use trajectories and subsequent alcohol and marijuana use pubmed.ncbi.nlm.nih.gov/31862618/
Both high and low levels of e-cigarette use patterns are associated with increasing use of other substances (alcohol and marijuana use) over time.

#5: Efficacy and Safety of Varenicline for Adolescent Smoking Cessation: A Randomized Clinical Trial pubmed.ncbi.nlm.nih.gov/31609433/
Varenicline plus brief counseling did not promote long-term cessation in teens/young adults but may hasten abstinence.

Stay tuned for more to come from the other sessions!