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. References 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.
Comment No. 361