Interdisciplinary Approaches to Promote Adolescents' Oral Health and Reduce Disparities

AADR: Adolescent e-cigarette use

AADR applauds NIDCR's previous investments in e-cigarette research and encourages continued investment in this area. According to Food and Drug Administration Commissioner Scott Gottlieb, e-cigarette use among adolescents has reached "epidemic" levels. (1) E-cigarettes are the most popular tobacco product used by middle and high school students, and there is evidence that e-cigarettes may lead adolescents who never would have smoked combustible cigarettes to do so. (2, 3, 4) Studies have also shown differential e-cigarette use based on race and future college plans with Whites and Hispanics and those with plans to complete fewer than 4 years of college more likely to use e-cigarettes. (5) Longitudinal studies to assess long-term oral health effects of e-cigarette use are needed, especially those that investigate any role e-cigarettes may play in further driving oral health disparities.




1. Food and Drug Administration. 2018. Statement from FDA Commissioner Scott Gottlieb, M.D., on new steps to address epidemic of youth e-cigarette use. Silver Spring, MD: Food and Drugs Administration, U.S. Department of Health and Human Services.

2. Dunbar MS, Davis JP, Rodriguez A, Tucker JS, Seelam R, D'Amico EJ. 2018. Disentangling Within- and Between-Person Effects of Shared Risk Factors on E-cigarette and Cigarette Use Trajectories From Late Adolescence to Young Adulthood. Nicotine & Tobacco Research.nty179-nty179.

3. National Academies of Sciences, Engineering, and Medicine. 2018. Public health consequences of e-cigarettes. Washington, DC: The National Academies Press.

4. Wang T, Gentzke A, Sharapova S, Cullen K, Ambrose B, Jamal A. 2018. Tobacco Product Use Among Middle and High School Students — United States, 2011–2017. MMWR Morb Mortal Wkly Rep. 67:629-633.

5. U.S. Department of Health and Human Services. 2016. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Promotion, Office on Smoking and Health.


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Comment No. 361