E-Cigarette Use in South Dakota

South Dakota

Electronic cigarettes, also called e-cigarettes or vape pens, are electronic devices that use heat to make an aerosol that is inhaled by the user. In recent years, there has been an increase in the popularity of e-cigarettes, especially among youth. The aerosol made by e-cigarettes contains toxic substances that can cause cancer and serious lung disease. Use of e-cigarettes is associated with increased odds of developing respiratory symptoms or wheezing and respiratory disease. A 2017 study also found e-cigarette use in adolescence to be a strong predictor of regular cigarette use in adulthood. 

E-cigarettes are typically used to deliver the highly addictive compound nicotine or tetrahydrocannabinol (THC), the active component of cannabis, and may contain flavorings and other additives. Nicotine is harmful to pregnant women and their developing fetuses and has also been found to negatively affect brain development in children and adolescents. Additives in e-cigarettes include other harmful substances such as cancer-causing chemicals and flavoring chemicals that are linked to serious lung disease and lung injury.

According to America’s Health Rankings analysis, populations with a higher prevalence of e-cigarette use include:

• Men compared with women. 
• Adults ages 18-44 compared with older adults.
• Hawaiian/Pacific Islander and multiracial adults compared with Asian, Black or Hispanic adults. 
• Adults with a high school diploma or GED degree compared with college graduates.
• Adults with annual household incomes less than $75,000 compared with adults with higher income levels. 
• Lesbian, gay, bisexual and queer (LGBQ+) adults compared with straight adults.

Regulations and policies to prevent e-cigarette-related harms include: 

• Restricting flavors, including menthol, on all e-cigarette products.
• Restricting the concentration of nicotine products.
• Regulating e-cigarette companies directly by increasing taxes on and limiting density of e-cigarette distributors.
• Restricting e-cigarette advertisements online and on social media platforms such as YouTube, Twitter and Instagram, particularly ads targeting youth.
• Reporting on and assessing lung injuries caused by e-cigarette use.

The Community Preventive Services Task Force recommends internet-based interventions to help adults quit smoking. Internet-based tobacco cessation interventions provide information, coaching and social support to individuals interested in quitting. Internet content can be tailored to meet the specific needs of communities. Interventions may also include text messaging, phone calls and medications. 

Studies show mixed results on whether e-cigarettes are an effective smoking cessation method. For this reason, the Food and Drug Administration does not recommend e-cigarettes as a method to quit smoking.

Reducing current e-cigarette use among adolescents is a Healthy People 2030 goal.

Bhatta, Dharma N., and Stanton A. Glantz. “Association of E-Cigarette Use With Respiratory Disease Among Adults: A Longitudinal Analysis.” American Journal of Preventive Medicine 58, no. 2 (February 1, 2020): 182–90. https://doi.org/10.1016/j.amepre.2019.07.028.

Dasgupta, Nabarun, and Alfredo Morabia. “Experimental Forum 2: Two Years After the 2020 Food and Drug Administration Guidance on E-Cigarette Flavors.” American Journal of Public Health 112, no. 7 (July 2022): 995–98. https://doi.org/10.2105/AJPH.2022.306921.

England, Lucinda J., Rebecca E. Bunnell, Terry F. Pechacek, Van T. Tong, and Tim A. McAfee. “Nicotine and the Developing Human.” American Journal of Preventive Medicine 49, no. 2 (August 16, 2015): 286–93. https://doi.org/10.1016/j.amepre.2015.01.015.

Mravec, Boris, Miroslav Tibensky, Lubica Horvathova, and Pavel Babal. “E-Cigarettes and Cancer Risk.” Cancer Prevention Research 13, no. 2 (February 1, 2020): 137–44. https://doi.org/10.1158/1940-6207.CAPR-19-0346.

Soneji, Samir, Jessica L. Barrington-Trimis, Thomas A. Wills, Adam M. Leventhal, Jennifer B. Unger, Laura A. Gibson, JaeWon Yang, et al. “Association Between Initial Use of E-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults: A Systematic Review and Meta-Analysis.” JAMA Pediatrics 171, no. 8 (August 1, 2017): 788–97. https://doi.org/10.1001/jamapediatrics.2017.1488.

Wickstrom, Ronny. “Effects of Nicotine During Pregnancy: Human and Experimental Evidence.” Current Neuropharmacology 5, no. 3 (September 1, 2007): 213–22. https://doi.org/10.2174/157015907781695955.

Xie, Wubin, Alayna P. Tackett, Jonathan B. Berlowitz, Alyssa F. Harlow, Hasmeena Kathuria, Panagis Galiatsatos, Jessica L. Fetterman, et al. “Association of Electronic Cigarette Use with Respiratory Symptom Development among U.S. Young Adults.” American Journal of Respiratory and Critical Care Medicine 205, no. 11 (June 2022): 1320–29. https://doi.org/10.1164/rccm.202107-1718OC.