Characteristics of e-Cigarette Use Behaviors among US Youth, 2020.

Introduction:
This text provides an analysis of the 2020 National Youth Tobacco Survey data, focusing on e-cigarette use behaviors among US youth. The study includes information on frequency of use, usual e-cigarette brand, access sources, and patterns of flavored e-cigarette use among current e-cigarette users. The survey was conducted from January 16, 2020, to March 16, 2020, and included 14531 students from 180 schools.

Key Points:

* In 2020, 19.6% of high school students and 4.7% of middle school students reported current e-cigarette use.
* among current e-cigarette users, 38.9% of high school users and 20.0% of middle school users reported using e-cigarettes on 20 to 30 days in the past 30 days.
* JUUL was the most commonly reported usual brand among current e-cigarette users, with 25.4% of high school users and 35.1% of middle school users reporting JUUL as their usual brand.
* among current e-cigarette users, the most common source of obtaining e-cigarettes was from a friend (57.1% of high school users and 58.9% of middle school users).
* among current e-cigarette users, 84.7% of high school students and 73.9% of middle school students reported flavored e-cigarette use.
* Fruit-flavored e-cigarettes were the most commonly reported flavor among current exclusive e-cigarette users of prefilled pods or cartridges (67.3%), disposable e-cigarettes (85.8%), and tank-based devices (82.7).
* During the survey period, 5.4% of high school students and 2.2% of middle school students reported daily e-cigarette use.

Main Message:
The study highlights the continued high prevalence of e-cigarette use among US youth, despite a decrease in use from 2019 to 2020. The findings emphasize the importance of addressing factors contributing to e-cigarette use among youth, including local, state, and national strategies, the FDa's expanded youth e-cigarette prevention public education campaign, and the FDa's priority enforcement against certain flavored e-cigarette products. The study also underscores the need for continued actions to ensure sustained progress in preventing and reducing e-cigarette use among US youth.

Wang TW, Gentzke aS, Neff LJ, et al. Characteristics of e-Cigarette Use Behaviors among US Youth, 2020. JaMa network open. 2021;4(6):1. doi:10.1001/jamanetworkopen.2021.11336