A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products

David T. Levy, K. Michael Cummings, Andrea C. Villanti, Ray Niaura, David B. Abrams, Geoffrey T. Fong, Ron Borland

Research output: Research - peer-reviewArticle

Abstract

The use of vaporized nicotine products (VNPs), especially e-cigarettes and, to a lesser extent, pressurized aerosol nicotine products and heat-not-burn tobacco products, are being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Considerable controversy has accompanied their marketing and use. We propose a framework that describes and incorporates patterns of VNP and combustible cigarette use in determining the total amount of toxic exposure effects on population health. We begin by considering toxicity and the outcomes relevant to population health. We then present the framework and define different measures of VNP use; namely, trial and long-term use for exclusive cigarette smokers, exclusive VNP and dual (cigarette and VNP) use. Using a systems thinking framework and decision theory we considered potential pathways for current, former and never users of VNPs. We then consider the evidence to date and the probable impacts of VNP use on public health, the potential effects of different policy approaches and the possible influence of the tobacco industry on VNP and cigarette use.

LanguageEnglish (US)
Pages8-17
Number of pages10
JournalAddiction
Volume112
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Nicotine
Tobacco Products
Public Health
Health
Population
Decision Theory
Tobacco Industry
Poisons
Systems Analysis
Marketing
Aerosols
Burns
Hot Temperature
Smoking

Keywords

  • E-cigarettes
  • framework
  • harm reduction
  • industry response
  • public health
  • public policy

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Levy, D. T., Cummings, K. M., Villanti, A. C., Niaura, R., Abrams, D. B., Fong, G. T., & Borland, R. (2017). A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products. Addiction, 112(1), 8-17. DOI: 10.1111/add.13394

A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products. / Levy, David T.; Cummings, K. Michael; Villanti, Andrea C.; Niaura, Ray; Abrams, David B.; Fong, Geoffrey T.; Borland, Ron.

In: Addiction, Vol. 112, No. 1, 01.01.2017, p. 8-17.

Research output: Research - peer-reviewArticle

Levy, DT, Cummings, KM, Villanti, AC, Niaura, R, Abrams, DB, Fong, GT & Borland, R 2017, 'A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products' Addiction, vol 112, no. 1, pp. 8-17. DOI: 10.1111/add.13394
Levy DT, Cummings KM, Villanti AC, Niaura R, Abrams DB, Fong GT et al. A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products. Addiction. 2017 Jan 1;112(1):8-17. Available from, DOI: 10.1111/add.13394
Levy, David T. ; Cummings, K. Michael ; Villanti, Andrea C. ; Niaura, Ray ; Abrams, David B. ; Fong, Geoffrey T. ; Borland, Ron. / A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products. In: Addiction. 2017 ; Vol. 112, No. 1. pp. 8-17
@article{1cc39305391d439fb31ceace91aff193,
title = "A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products",
abstract = "The use of vaporized nicotine products (VNPs), especially e-cigarettes and, to a lesser extent, pressurized aerosol nicotine products and heat-not-burn tobacco products, are being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Considerable controversy has accompanied their marketing and use. We propose a framework that describes and incorporates patterns of VNP and combustible cigarette use in determining the total amount of toxic exposure effects on population health. We begin by considering toxicity and the outcomes relevant to population health. We then present the framework and define different measures of VNP use; namely, trial and long-term use for exclusive cigarette smokers, exclusive VNP and dual (cigarette and VNP) use. Using a systems thinking framework and decision theory we considered potential pathways for current, former and never users of VNPs. We then consider the evidence to date and the probable impacts of VNP use on public health, the potential effects of different policy approaches and the possible influence of the tobacco industry on VNP and cigarette use.",
keywords = "E-cigarettes, framework, harm reduction, industry response, public health, public policy",
author = "Levy, {David T.} and Cummings, {K. Michael} and Villanti, {Andrea C.} and Ray Niaura and Abrams, {David B.} and Fong, {Geoffrey T.} and Ron Borland",
year = "2017",
month = "1",
doi = "10.1111/add.13394",
volume = "112",
pages = "8--17",
journal = "Addiction",
issn = "0965-2140",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products

AU - Levy,David T.

AU - Cummings,K. Michael

AU - Villanti,Andrea C.

AU - Niaura,Ray

AU - Abrams,David B.

AU - Fong,Geoffrey T.

AU - Borland,Ron

PY - 2017/1/1

Y1 - 2017/1/1

N2 - The use of vaporized nicotine products (VNPs), especially e-cigarettes and, to a lesser extent, pressurized aerosol nicotine products and heat-not-burn tobacco products, are being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Considerable controversy has accompanied their marketing and use. We propose a framework that describes and incorporates patterns of VNP and combustible cigarette use in determining the total amount of toxic exposure effects on population health. We begin by considering toxicity and the outcomes relevant to population health. We then present the framework and define different measures of VNP use; namely, trial and long-term use for exclusive cigarette smokers, exclusive VNP and dual (cigarette and VNP) use. Using a systems thinking framework and decision theory we considered potential pathways for current, former and never users of VNPs. We then consider the evidence to date and the probable impacts of VNP use on public health, the potential effects of different policy approaches and the possible influence of the tobacco industry on VNP and cigarette use.

AB - The use of vaporized nicotine products (VNPs), especially e-cigarettes and, to a lesser extent, pressurized aerosol nicotine products and heat-not-burn tobacco products, are being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Considerable controversy has accompanied their marketing and use. We propose a framework that describes and incorporates patterns of VNP and combustible cigarette use in determining the total amount of toxic exposure effects on population health. We begin by considering toxicity and the outcomes relevant to population health. We then present the framework and define different measures of VNP use; namely, trial and long-term use for exclusive cigarette smokers, exclusive VNP and dual (cigarette and VNP) use. Using a systems thinking framework and decision theory we considered potential pathways for current, former and never users of VNPs. We then consider the evidence to date and the probable impacts of VNP use on public health, the potential effects of different policy approaches and the possible influence of the tobacco industry on VNP and cigarette use.

KW - E-cigarettes

KW - framework

KW - harm reduction

KW - industry response

KW - public health

KW - public policy

UR - http://www.scopus.com/inward/record.url?scp=85003680886&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85003680886&partnerID=8YFLogxK

U2 - 10.1111/add.13394

DO - 10.1111/add.13394

M3 - Article

VL - 112

SP - 8

EP - 17

JO - Addiction

T2 - Addiction

JF - Addiction

SN - 0965-2140

IS - 1

ER -