adolescents’ awareness of the nicotine strength and e-cigarette status of JUUL e-cigarettes.

Introduction:
This text summarizes a study examining adolescents' awareness of the nicotine strength and e-cigarette status of JUUL products. The study surveyed high school students in Connecticut and asked them about their perceptions of JUUL's nicotine strength and whether they considered JUULs to be e-cigarettes. The study found that many adolescents were unaware of JUUL's high nicotine concentration and did not consider JUULs to be e-cigarettes.

Key Points:

* The study surveyed 3170 high school students in Connecticut.
* Participants were asked about their perceptions of JUUL's nicotine strength and whether they considered JUULs to be e-cigarettes.
* The study found that many adolescents were unaware of JUUL's high nicotine concentration.
* When informed that JUULs contain 5% nicotine, more adolescents thought JUULs contain low or medium nicotine.
* The study also found that 38.9% of adolescents did not consider JUULs to be a type of e-cigarette or were unsure.
* Believing JUULs are not e-cigarettes differed by JUUL use status, with ever and past-month users more likely to think JUULs are e-cigarettes than never users.
* The study suggests that regulatory efforts are needed to establish understandable nicotine concentration labels and clarify what products constitute e-cigarettes.

Main Message:
The study highlights the importance of clear labeling and regulation of e-cigarette products, particularly in regards to nicotine concentration and what constitutes an e-cigarette. Many adolescents are unaware of the high nicotine concentration in JUUL products and do not consider JUULs to be e-cigarettes. This lack of awareness and understanding could lead to inadvertent exposure to high nicotine levels and addiction risk. Regulatory efforts are needed to ensure that nicotine concentration labels are understandable and that products are labeled accordingly, as well as to clarify what products constitute e-cigarettes.

Morean ME, Bold KW, Kong G, et al. adolescents’ awareness of the nicotine strength and e-cigarette status of JUUL e-cigarettes. Drug and alcohol dependence. 2019;204:107512. doi:10.1016/j.drugalcdep.2019.05.032