may be a new, dangerous trend for teens who
may be a new, dangerous trend for teens who vape
"Dripping," which differs from normal e-cigarette use that slowly releases the liquid from a wick onto a hot atomizer, may expose users to higher levels of nicotine and to harmful non-nicotine toxins, such as formaldehyde and acetaldehyde known carcinogens.
Sixty-four percent of the surveyed teens said they dripped for the thicker smoke, 39% for the better flavor and 28% for the stronger throat hit or sensation, according to the study published Monday in the journal Pediatrics.
"When people smoke cigarettes, they say they smoke it for, for lack of a better word, a tingling in the back of the throat," said Suchitra Krishnan-Sarin, the study's lead author and a Yale professor of psychiatry who studies substance abuse behaviors.
Electronic cigarettes are battery-operated devices that heat liquid and turn it into vapor instead of smoke which a person inhales. One of the primary concerns about e-cigarette use in teens is increased exposure to nicotine, Krishnan-Sarin said. E-cigarette liquids can contain varying levels of nicotine, and dripping could expose teens to higher levels of the drug, the study states.
While not all e-cigarette products contain nicotine, increased nicotine levels can lead to stronger throat hits, too. The study notes that dripping for these stronger sensations may indicate dripped e-cigarette users are also using nicotine, though researchers did not specifically ask whether they were dripping e-liquid containing nicotine.
"The teen brain has been shown especially sensitive to nicotine," Krishnan-Sarin said.
Yet as e-cigs have increased in popularity, so have alternative uses for electronic smoking devices, such as smoke tricks and competitions. Krishnan-Sarin said a variety of vapor patterns can be produced with thicker clouds, such as "tornadoes and rings."
The study asked 1,874 high school students in Connecticut whether they had ever used an e-cigarette and found that of the 1,080 teens who had, 282 or 26% had also tried dripping.
Study: New concerns raised over teen e-cigarette use
Additionally, dripping was most prevalent among white males and respondents who had tried more tobacco products or used an e-cigarette more in the past month.
The researchers asked only whether the students had tried dripping, though, not whether the dripping was habitual, an area of study Krishnan-Sarin noted needed more research. She also said that it is not known how dripping compares to conventional cigarettes in terms of toxicity.
Ray Story, CEO of Tobacco Vapor Electronic Cigarette Association, said the segment of e-cig users who drip is just a sliver of users, and he discouraged people from turning to dripping as a vaping method.
"At the end of the day, I dont think they serve any kind of purpose. It's for monster clouds, and these individuals are manufacturing their own hardware," Story said. "Many of them really dont have the background or ability to really put these things together. Its a lot of the 'do-it-yourself' type guys that are into this."
Public health Q&A: Are e-cigarettes safe?
In recent years, electronic smoking products have become increasingly popular among teenagers, some of whom may use an e-cigarette but would not otherwise try a tobacco product. The U.S. Food and Drug Administration announced in May 2016 that it would begin regulating all tobacco products made after February 2007, when the e-cigarettes industry began to grow. Nearly all e-cigarettes would need a separate application for approval, and their sale to minors banned.
Story called e-cigarettes an adult product but said he would rather see a teenager use an e-cigarette than a traditional cigarette. He said the industry does need rules and regulations, but he believes vaping can help combat conventional tobacco use with a less harmful alternative.
Krishnan-Sarin, however, said more
research is needed on the long- and short-term effects of
on the rise among teen e-cigarette users, study finds
Scientists surveyed more than 7,000 teenagers from eight high schools in southeastern Connecticut in 2015.
They discovered that more than 26 percent of the 1,080 students who reported having tried an e-cigarette also said they had tried dripping.
Dripping is a term used to refer to putting the e-liquids, or flavor liquids, used in electronic cigarettes directly on to the heating coils of the e-cig, instead of in the cartridge.
The teens who drip report it produces thicker clouds of vapor, a stronger hit in the back of the throat when inhaled, and a more pleasurable taste, researchers said.
Yale University psychiatry professor Suchitra Krishnan-Sarin was the lead author in the study.
One of the concerns I have is when you are looking at the safety and risk of e-cigarettes, one really has to look at the risks of alternative uses also, she explained.
Kids are actually using these electronic products for other behaviors, not just for vaping e-liquids from cartridges or tanks.
White, male teenagers, who had tried multiple tobacco products, and those who had used e-cigarettes on more days in the month before they were surveyed, were more likely to use the devices for dripping, the study concluded.
Scientists still dont know the long and short-term effects of vaping on the lungs, Krishnan-Sarin said.
More research is needed, she added.
The study was published in the journal
I decided to give direct dripping a try a few months in. I noticed the increase flavour and throat hit immediately. I also found it to be a more consistent vape. Personally, I dont mind having to drop liquid every few minutes into my e-cigarette. I have gotten really good at it, and almost never miss the atty. Direct dripping or cartridge use is a personal preference to be sure, but here are some advantages and disadvantages of both:
Advantages of Direct Dripping:
Disadvantages of direct dripping:
Advantages of Using a cartridge:
Disadvantages of using a cartridge:
My suggestion is to try both direct dripping and cartridge use out yourself before deciding which you prefer. Here are a couple videos, one with a direct dripper, and one with a cartridge user. The choice is yours to vape ??
Direct Dripping Video Thanks to DoctorVapor with this quick demonstration on how to direct drip. (broken)
Filling a cartridge Using a syringe ritalee76 uses a simply syringe to refill all of her cartridges. She really as things organized for two weeks worth of vaping! (broken)
Vaping is one thing; dripping is another
In 2003, after his father died from a tobacco habit, a Chinese pharmacist named Hon Lik developed an electronic device to vaporize nicotine. A precursor to what are now called e-cigarettes or vaporizers, the device's goal was to deliver nicotine without the carcinogens.
The guts of electronic cigarettes today are, as a rule, battery-powered heating coils. These coils, known as atomizers, turn liquids often flavored, with nicknames like e-liquid or juice, and frequently but not always containing nicotine into vapor.
As e-cigarettes grew in popularity in the mid-to-late 2000s, users did not stop tinkering with the technology. Mass-produced cartridges, pre-filled with the nicotine liquid of various concentrations, are common.
But one technique eschews the tanks or cartridges; the juice is manually dropped directly onto the coil, and the resulting vapor inhaled. The technique, called "dripping," may be popular among teenage e-cigarette users, report researchers in the journal Pediatrics.
In a survey of 7,000 high schoolers in Connecticut, just over 1,000 reported using e-cigarettes. Of these, one in four said they had tried dripping. The concern, the authors noted, was that teenagers may be attempting to drip but accidentally exposing themselves to unsafe levels of e-liquids.
"What we are discovering with our work with youth is that kids are actually using these electronic products for other behaviors, not just for vaping e-liquids from cartridges or tanks," said Yale University psychiatry professor Suchitra Krishnan-Sarin, an author of the study.
Between 2013 and 2014, rates of e-cigarette use by high schoolers increased from under 5 percent to 13.4 percent, the Centers for Disease Control and Prevention found, at the same time as tobacco use dropped. In 2016, federal law banned children under the age of 18 from buying e-cigarettes. As the new study indicates, the law has not halted teen vaping.
Krishnan-Sarin and her colleagues found that most of those who dripped did so to produce "thicker clouds of vapor." But a few teens reported they dripped because it made the flavors "taste better" or produced a "stronger throat hit;" a fifth said they dripped out of curiosity.
The researchers warned that dripping, instead of a "standard puff" of an e-cigarette, possibly exposed the teenagers to higher concentrations of vaporized nicotine.
The degree of Lik's success in removing the danger from nicotine delivery has been the subject of intense debate. Some studies indicate that it is possible for e-cigarettes to help users quit smoking; others counter that e-cigarettes might desensitize teenagers who vape to the dangers of smoking. But e-cigarette proponents point out that the devices, because they omit the tar-producing combustion of tobacco, are preferable to cigarettes.
Almost all e-cigarette science comes with the caveat that more research is needed. One study led by Virginia Commonwealth University's Alan Shihadeh revealed that dripping at very high coil temperatures produced "high toxicant emissions."
"If I was in a torture chamber and you said I had to puff on something, I'd choose an e-cigarette over a regular cigarette," Shihadeh told the New York Times in 2014. "But if you said I could choose an e-cigarette or clean air, I'd definitely choose clean air."
He went on to say: "And I definitely
Manual Vaping Is
Dangerous For Young People, Research Says (Teen
The Washington Post reports a study found a quarter of teens who have smoked e-cigarettes have also tried "dripping," a method of manually putting nicotine liquid on the coils that turn it into vapor. Typical e-cigarettes include a tank or cartridge where the liquid goes before hitting the coils. Dripping bypasses the cartridge, which researchers worry could lead to people accidentally exposing themselves to unsafe amounts of nicotine liquid.
According to the study published in the journal Pediatrics, a survey of students in eight Connecticut high schools asked about tobacco use, including vaping and dripping. Of the 1080 students who reported having ever smoked an e-cigarette, 26.1% reported also using them for dripping. Reasons for dripping include it apparently producing a thicker cloud of vapor, having more intense flavor, a stronger throat hit, curiosity and more. While the study did not look into chemical levels in people who do it, the researchers note dripping exposes you to toxic chemicals because of the higher temperatures the behavior produces. It also potentially produces an increased risk for nicotine addiction.
"Existing evidence suggests that the use of higher voltages (hence higher temperatures) in e-cigarettes results in higher blood levels of nicotine," the study found. "Hence, if youth are dripping e-liquids with nicotine directly onto the heated atomizers, they could be exposed to higher levels of nicotine than what they might be exposed to from a standard puff of an e-cigarette, raising concerns about nicotine addiction among these young users."
Vaping is often touted as a healthier alternative to smoking cigarettes, but studies have shown mixed results as to whether this is actually true. One study indicated e-cigarettes are just as harmful, if not more so, than regular ones for your oral health, and another study found vaping may be harmful to your heart health. The Surgeon General called vaping a "major health concern," saying teens should not do it or use any other tobacco product. At the same time, another study found people who have only smoked e-cigarettes, not regular cigarettes, had lower exposure to carcinogens and other toxins according to the Washington Post. All this is to say the exact safety of e-cigarettes is still being studied, but research does seem to show they're not totally without risk. Using any tobacco or nicotine product is not without risk, and if smoking a regular e-cigarette is not necessarily safe, modifying the behavior to be more potent is also likely a bad idea.
The bottom line is you probably
shouldn't vape, but if you do, stick to the regular method.
Don't try to hack your nicotine.
Surgeon General Says Vaping Is a Major Public Health
The Washington Post reports the Surgeon General called teens smoking e-cigarettes a "major public health concern," calling on regulatory bodies to start putting policies in place that prevent teens from vaping. After a recent study called e-cigarettes as harmful as regular ones, and studies have shown e-cigarettes have halted the progress the U.S. had made in getting people to quit smoking, this recommendation doesn't come as a total surprise.
We know enough right now to say that youth and young adults should not be using e-cigarettes or any other tobacco product, for that matter, Surgeon General Vivek H. Murthy told the Post. The key bottom line here is that the science tells us the use of nicotine-containing products by youth, including e-cigarettes, is unsafe."
There have been conflicting reports of just how safe e-cigarettes are, which is why the Surgeon General said more work needs to be done to find the final answer. But given his statement and the numerous studies that say vaping is not safe, it seems safe to stick with that - especially since e-cigarettes contain nicotine. The Surgeon General also points out vaping is "strongly associated" with future use of actual tobacco use, which means all those claims that e-cigarettes help you quit smoking are wrong. In fact, e-cigarettes might make people who wouldn't have smoked before pick up the dangerous habit.
According to the CDC, the number of
teens who smoke cigarettes has been on the decline for years
now, but e-cigarettes are likely to thank for the number of
teens using tobacco products holding steady. In 2015, that
number stood at 4.7 million middle and high school students.
Since tobacco is the leading cause of preventable disease in
the U.S., that number is still much too high.