Youth and Young adult Use of Pod-Based Electronic Cigarettes From 2015 to 2019: a Systematic Review.

Introduction:
This text is a systematic review of recent peer-reviewed scientific literature on pod-based electronic cigarettes (e-cigarettes) from 2015 to 2019. The review aimed to identify articles that presented primary data on pod-based e-cigarettes and their association with youth and young adult use. The authors found that pod-based e-cigarettes have become popular among youth and young adults due to efficient nicotine delivery, appealing flavors, sleek designs, and ease of concealment. The review highlights the potential health risks associated with the use of pod-based e-cigarettes and the need for stronger regulations on product design, social media, marketing channels, and youth access.

Key Points:

* Pod-based e-cigarettes enhance the delivery of nicotine and have greater dependence potential compared to other e-cigarettes.
* Youth and young adult use of pod-based e-cigarettes can be attributed to social acceptability, convenient product features, and aggressive social media marketing.
* The brand JUUL has prioritized social media marketing and has seen rapid sales growth.
* Product design standards should impose restrictions on product features such as nicotine content and stealth features.
* Research is needed to assess whether exposure to social media marketing of pod-based e-cigarettes leads to its use or intention to use.
* Direct marketing channels that reach youth should be banned, and indirect marketing through social media, celebrities, and social media influencers should be restricted.
* Parents' knowledge and perceptions of pod-based e-cigarettes should be assessed.

Main Message:
The review highlights the potential health risks associated with the use of pod-based e-cigarettes, particularly among youth and young adults. The authors emphasize the need for stronger regulations on product design, social media, marketing channels, and youth access to prevent youth uptake of pod-based e-cigarettes. health communications that clearly communicate the health risks of nicotine dependence and the potential for addiction should be developed and disseminated to youth and young adults. additionally, research is needed to assess the long-term health risks and benefits of using pod-based e-cigarettes and to better understand the factors that contribute to their appeal and use among youth and young adults.

Lee SJ, Rees VW, Yossefy N, Emmons KM, Tan aSL. Youth and Young adult Use of Pod-Based Electronic Cigarettes From 2015 to 2019: a Systematic Review. JaMa pediatrics. 2020;174(7):714-720. doi:10.1001/jamapediatrics.2020.0259