References

Action on Smoking and Health. Electronic Cigarettes. 2021. https//ash.org.uk/resources/view/electronic-cigarettes (Accessed on 22 March 2023)

Action on Smoking and Health. Fears of growth in children vaping disposables backed up by new national survey. 2022a. https//ash.org.uk/media-centre/news/press-releases/fears-of-growth-in-children-vaping-disposables-backed-up-by-new-national-survey (Accessed on 14 April 2023)

Action on Smoking and Health. Use of e-cigarettes (vapes) among young people in Great Britain. 2022b. https//ash.org.uk/uploads/Use-of-e-cigarettes-among-young-people-in-Great-Britain-2022.pdf?v=1661866458 (Accessed on 22 March 2023)

Addicott MA, Sweitzer MM, McClernon FJ The Effects of Nicotine and Tobacco Use on Brain Reward Function: Interaction With Nicotine Dependence Severity. Nicotine Tob Res. 2019; 21:(6)764-771 https://doi.org/10.1093/ntr/nty059

Albudaiwi D ‘The SAGE Encyclopedia of Communication Research Methods.’. In: Allen M (ed). : SAGE Publications; 2017

Al-Hamdani M, Manly E Smoking cessation or initiation: The paradox of vaping. Prev Med Rep. 2021; 22 https://doi.org/10.1016/j.pmedr.2021.101363

American Academy of Child and Adolescent Psychiatry. Stress Management and Teens. 2019. https//www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Helping-Teenagers-With-Stress-066.aspx (Accessed on 19 April 2023)

Aravind AP, Kunadian B An exploratory evaluation of vaping-related education in high school curriculum. International Journal of Educational Research and Review. 2022; 3:(4)

UK to clamp down on vape products targeted at teens. 2023. https//www.ft.com/content/1b90e59a-ef8f-4593-844f-fcea47ce1239 (Accessed on 14 April 2023)

Bartlett L, Buscot MJ, Bindoff A, Chambers R, Hassed C Mindfulness Is Associated With Lower Stress and Higher Work Engagement in a Large Sample of MOOC Participants. Front Psychol. 2021; 12 https://doi.org/10.3389/fpsyg.2021.724126

Blume LF, Lines S The Role of the School Nurse in Creating a Vape-Free School. NASN Sch Nurse. 2020; 35:(3)166-172 https://doi.org/10.1177/1942602X20913261

British Association for Behavioural & Cognitive Psychotherapies. How do I become qualified in CBT?. 2021. https//babcp.com/Careers/Training-in-CBT/How-do-I-become-qualified-in-CBT (Accessed on 19 April 2023)

Brose LS, Hitchman SC, Brown J, West R, McNeill A Is the use of electronic cigarettes while smoking associated with smoking cessation attempts, cessation and reduced cigarette consumption? A survey with a 1-year follow-up. Addiction. 2015; 110:(7)1160-1168 https://doi.org/10.1111/add.12917

Cabinet Office and Department of Health and Social Care. Advancing our health: prevention in the 2020s – consultation document. 2019. https//www.gov.uk/government/consultations/advancing-our-health-prevention-in-the-2020s/advancing-our-health-prevention-in-the-2020s-consultation-document (Accessed on 22 March 2023)

Cairns G, Angus K, Hastings G, Caraher M Systematic reviews of the evidence on the nature, extent and effects of food marketing to children. A retrospective summary. Appetite. 2013; 62:209-215 https://doi.org/10.1016/j.appet.2012.04.017

Cancer Research UK. E-cigarette marketing in the UK: Evidence from adult and youth surveys and policy compliance studies. 2021. https//www.cancerresearchuk.org/sites/default/files/e-cigarette_marketing_in_the_uk_fullreport_march_2021.pdf (Accessed on 22 March 2023)

Carney R, Bradshaw T, Yung AR Physical health promotion for young people at ultra-high risk for psychosis: An application of the COM-B model and behaviour-change wheel. Int J Ment Health Nurs. 2016; 25:(6)536-545 https://doi.org/10.1111/inm.12243

Centers for Disease Control and Prevention. About Electronic Cigarettes (E-Cigarettes). 2022. https//www.cdc.gov/tobacco/basic_information/e-cigarettes/about-e-cigarettes.html (Accessed on 22 March 2023)

Chemnovatic. Denmark: flavoured e-liquids ban, TPD registration for nicotine pouches and shortfills. 2021. https//chemnovatic.com/blog/denmark-flavoured-e-liquids-ban-tpd-registration-for-nicotine-pouches-and-shortfills/ (Accessed on 13 April 2023)

Dawe NJ, Sealey K School nurses: undervalued, underfunded and overstretched. British Journal of School Nursing. 2019; 12:(8)376-381

Department of Health and Social Care. One month until the end of tobacco displays. 2012. https//www.gov.uk/government/news/one-month-until-the-end-of-tobacco-displays (Accessed on 14 April 2023)

Vaping among teens: A growing trend?. 2022. https//lordslibrary.parliament.uk/vaping-among-teens-a-growing-trend/ (Accessed on 22 March 2023)

Ford T, Parker C, Salim J, Goodman R, Logan S, Henley W The relationship between exclusion from school and mental health: a secondary analysis of the British Child and Adolescent Mental Health Surveys 2004 and 2007. Psychol Med. 2018; 48:(4)629-641 https://doi.org/10.1017/S003329171700215X

Galvan A Adolescent development of the reward system. Front Hum Neurosci. 2010; 4 https://doi.org/10.3389/neuro.09.006.2010

Goldberg JM, Sklad M, Elfrink TR, Schreurs KMG, Bohlmeijer ET, Clarke AM Effectiveness of interventions adopting a whole-school approach to enhancing social and emotional development: a meta-analysis. European Journal of Psychology of Education. 2019; 34:(4)755-782

Groom AL, Vu TT, Landry RL The Influence of Friends on Teen Vaping: A Mixed-Methods Approach. Int J Environ Res Public Health. 2021; 18:(13) https://doi.org/10.3390/ijerph18136784

Halder S, Mahato AK Cognitive Behavior Therapy for Children and Adolescents: Challenges and Gaps in Practice. Indian J Psychol Med. 2019; 41:(3)279-283 https://doi.org/10.4103/IJPSYM.IJPSYM_470_18

Healthy Schools. Catch Your Breath – the smoking and vaping programme for schools. https//healthyschoolscp.org.uk/pshe/smoking-and-vaping-local-offer/ (Accessed on 16 April 2023)

Henry L, Smithson CW, Steurer LM, Ercole PM The Feasibility of a School Nurse-Led Mindfulness Program. J Sch Nurs. 2022; 38:(6)519-525 https://doi.org/10.1177/10598405211001833

Hitchman SC, Brose LS, Brown J, Robson D, McNeill A Associations Between E-Cigarette Type, Frequency of Use, and Quitting Smoking: Findings From a Longitudinal Online Panel Survey in Great Britain. Nicotine Tob Res. 2015; 17:(10)1187-1194 https://doi.org/10.1093/ntr/ntv078

Hoekstra BA, Young VL, Eley CV, Hawking MK, McNulty CA School Nurses' perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study. BMC Nurs. 2016; 15 https://doi.org/10.1186/s12912-016-0194-y

Things That Happen to Your Body When You Stop Vaping. 2023. https//www.thehealthy.com/addiction/smoking/health-improvements-stop-vaping/ (Accessed on 2 May 2023)

Jankowski M, Krzystanek M, Zejda JE, Majek P, Lubanski J, Lawson JA, Brozek G ‘E-Cigarettes are More Addictive than Traditional Cigarettes-A Study in Highly Educated Young People.’. International Journal of Environmental Research and Public Health. 2019; 16:(13)

Jenkin G, Madhvani N, Signal L, Bowers S A systematic review of persuasive marketing techniques to promote food to children on television. Obesity Reviews. 2014; 15:(4)281-293

Jeong W, Choi DW, Kim YK Associations of electronic and conventional cigarette use with periodontal disease in South Korean adults. J Periodontol. 2020; 91:(1)55-64 https://doi.org/10.1002/JPER.19-0060

Jha V, Kraguljac A Assessing the Social Influences, Self-Esteem, and Stress of High School Students Who Vape. Yale J Biol Med. 2021; 94:(1)95-106

Laranjo L Social Media and Health Behavior Change, 1st edn. In: Syed-Abdul S, Gabarron EYS, Lau A (eds). London: Elsevier; 2016

Liang Y, Zheng X, Zeng D, Zhou X Impact of Flavor on Electronic Cigarette Marketing in Social Media.: Springer International Publishing; 2016

Livingston JA, Chen CH, Kwon M, Park E Physical and mental health outcomes associated with adolescent E-cigarette use. J Pediatr Nurs. 2022; 64:1-17 https://doi.org/10.1016/j.pedn.2022.01.006

Lotfalian S, Spears CA, Juliano LM The effects of mindfulness-based yogic breathing on craving, affect, and smoking behavior. Psychol Addict Behav. 2020; 34:(2)351-359 https://doi.org/10.1037/adb0000536

Teen Vaping: What You Need to Know. 2022. https//childmind.org/article/teen-vaping-what-you-need-to-know/ (Accessed on 22 March 2023)

McConnell R, Barrington-Trimis JL, Wang K Electronic Cigarette Use and Respiratory Symptoms in Adolescents. Am J Respir Crit Care Med. 2017; 195:(8)1043-1049 https://doi.org/10.1164/rccm.201604-0804OC

McHugh RK, Hearon BA, Otto MW Cognitive behavioral therapy for substance use disorders. Psychiatr Clin North Am. 2010; 33:(3)511-525 https://doi.org/10.1016/j.psc.2010.04.012

McKelvey K, Baiocchi M, Ramamurthi D, McLaughlin S, Halpern-Felsher B Youth say ads for flavored e-liquids are for them. Addict Behav. 2019; 91:164-170 https://doi.org/10.1016/j.addbeh.2018.08.029

McLoone J, Rapee R Comparison of an anxiety management programme for children implemented at home and school: lessons learned. School Mental Health. 2012; 4:(4)231-242

Medicines and Healthcare Products Regulatory Agency. E-cigarettes: regulations for consumer products. 2022. https//www.gov.uk/guidance/e-cigarettes-regulations-for-consumer-products (Accessed on 14 April 2023)

Mental Health Foundation. Smoking and mental health. 2021. https//www.mentalhealth.org.uk/explore-mental-health/a-z-topics/smoking-and-mental-health (Accessed on 19 April 2023)

Miyashita L, Foley G E-cigarettes and respiratory health: the latest evidence. J Physiol. 2020; 598:(22)5027-5038 https://doi.org/10.1113/JP279526

NASN. Vaping Toolkit Provides Resources for School Nurses. 2021. https//schoolnursenet.nasn.org/nasn/blogs/nasn-inc/2021/12/06/vaping-toolkit-provides-resources-for-school-nurse (Accessed on 16 April 2023)

National Health Service. Mindfulness. 2022. https//www.nhs.uk/mental-health/self-help/tips-and-support/mindfulness/ (Accessed on 25 April 2023)

National Institute for Health and Care Excellence. Social, emotional and mental wellbeing in primary and secondary education. 2022. https//www.nice.org.uk/guidance/NG223 (Accessed on 17 April 2023)

National Institute for Health and Care Excellence. Tobacco: preventing uptake, promoting quitting and treating dependence. 2023. https//www.nice.org.uk/guidance/ng209/chapter/Recommendations-on-preventing-uptake#adult-led-interventions-in-schools (Accessed on 16 April 2023)

National Institute of Mental Health. Substance Use and Co-Occurring Mental Disorders. 2023. https//www.nimh.nih.gov/health/topics/substance-use-and-mental-health (Accessed on 13 April 2023)

Modeling Behaviour for Children Has Long-Lasting Effects. 2018. https//psychcentral.com/news/2018/05/27/modeling-behavior-for-children-has-long-lasting-effects#1 (Accessed on 14 April 2023)

NHS. Using e-cigarettes to stop smoking. 2022. https//www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/ (Accessed on 2 May 2023)

NHS Digital. Decrease in smoking and drug use among school children but increase in vaping, new report shows. 2022. https//digital.nhs.uk/news/2022/decrease-in-smoking-and-drug-use-among-school-children-but-increase-in-vaping-new-report-shows (Accessed on 14 April 2023)

Nursing & Midwifery Council. The Code. 2018. https//www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf (Accessed on 14 February 2023)

Office for Health Improvement & Disparities. Child oral health: applying All Our Health. 2022. https//www.gov.uk/government/publications/child-oral-health-applying-all-our-health/child-oral-health-applying-all-our-health (Accessed on 22 March 2023)

Pbert L, Druker S, DiFranza JR Effectiveness of a school nurse-delivered smoking-cessation intervention for adolescents. Pediatrics. 2011; 128:(5)926-936 https://doi.org/10.1542/peds.2011-0520

Pentz MA, Shin H, Riggs N, Unger JB, Collison KL, Chou CP Parent, peer, and executive function relationships to early adolescent e-cigarette use: a substance use pathway?. Addict Behav. 2015; 42:73-78 https://doi.org/10.1016/j.addbeh.2014.10.040

Pringle J, Doi L, Jindal-Snape D, Jepson R, McAteer J Adolescents and health-related behaviour: using a framework to develop interventions to support positive behaviours. Pilot Feasibility Stud. 2018; 4 https://doi.org/10.1186/s40814-018-0259-7

Prochaska JO, DiClemente CC Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983; 51:(3)390-395 https://doi.org/10.1037//0022-006x.51.3.390

Rostron BL, Cheng YC, Gardner LD, Ambrose BK Prevalence and Reasons for Use of Flavored Cigars and ENDS among US Youth and Adults: Estimates from Wave 4 of the PATH Study, 2016-2017. Am J Health Behav. 2020; 44:(1)76-81 https://doi.org/10.5993/AJHB.44.1.8

Royal College of Nursing. An RCN Toolkit for School Nurses: Supporting your practice to deliver services for children and young people in educational settings. 2019. https//www.rcn.org.uk/Professional-Development/publications/pub-007320 (Accessed on 21 April 2023)

Vaping Age Restrictions in the UK and Worldwide. 2022. https//www.podsalt.com/blog/post/vaping-age-restrictions-in-the-uk-and-worldwide (Accessed on 22 March 2023)

Most U.S. teens who use cellphones do it to pass time, connect with others, learn new things. 2019. https//www.pewresearch.org/fact-tank/2019/08/23/most-u-s-teens-who-use-cellphones-do-it-to-pass-time-connect-with-others-learn-new-things/ (Accessed on 16 April 2023)

Soneji S, Barrington-Trimis JL, Wills TA Association Between Initial Use of e-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults: A Systematic Review and Meta-analysis [published correction appears in JAMA Pediatr. 2018 Jan 1;172(1):92-93] [published correction appears in JAMA Pediatr. 2018 Jan 1;172(1):98] [published correction appears in JAMA Pediatr. 2020 May 1;174(5):509]. JAMA Pediatr. 2017; 171:(8)788-797 https://doi.org/10.1001/jamapediatrics.2017.1488

Steinberg L A Social Neuroscience Perspective on Adolescent Risk-Taking. Dev Rev. 2008; 28:(1)78-106 https://doi.org/10.1016/j.dr.2007.08.002

Sunday S, Hanafin J, Clancy L Increased smoking and e-cigarette use among Irish teenagers: a new threat to Tobacco Free Ireland 2025. ERJ Open Res. 2021; 7:(4)00438-2021 https://doi.org/10.1183/23120541.00438-2021

Truth Initiative. The 3 main reasons youth use e-cigarettes. 2020. https//truthinitiative.org/research-resources/emerging-tobacco-products/3-main-reasons-youth-use-e-cigarettes (Accessed on 13 April 2023)

Truth Initiative. Flavoured Tobacco Fact Sheet. 2021. https//truthinitiative.org/sites/default/files/media/files/2021/06/Truth_FlavoredTobacco_FactSheet2021_FINAL.pdf (Accessed on 14 April 2023)

Truth Initiative. This is Quitting. 2023. https//truthinitiative.org/thisisquitting (Accessed on 16 April 2023)

Tseng M.-F., Huang C.-C., Tsai S. C.-S., Tsay M.-D., Chang Y.-K., Juan C.-L., Hsu F.-C., Wong R.-H ‘Promotion of Smoking Cessation Using the Transtheoretical Model: Short-Term and Long-Term Effectiveness for Workers in Coastal Central Taiwan.’. Tobacco Use Insights. 2022; 15:(1)110-114

UNICEF. The Adolescent Brain: A Second Window of Opportunity. 2018. https//www.unicef-irc.org/article/1750-the-adolescent-brain-a-second-window-of-opportunity.html (Accessed on 22 March 2023)

Vinci C Cognitive Behavioral and Mindfulness-Based Interventions for Smoking Cessation: a Review of the Recent Literature. Curr Oncol Rep. 2020; 22:(6) https://doi.org/10.1007/s11912-020-00915-w

Virgili F, Nenna R, Ben David S E-cigarettes and youth: an unresolved Public Health concern. Ital J Pediatr. 2022; 48:(1) https://doi.org/10.1186/s13052-022-01286-7

West R Time for a change: putting the Transtheoretical (Stages of Change) Model to rest. Addiction. 2005; 100:(8)1036-1039 https://doi.org/10.1111/j.1360-0443.2005.01139.x

West R Time for a change: putting the Transtheoretical (Stages of Change) Model to rest. Addiction. 2005; 100:(8)1036-1039 https://doi.org/10.1111/j.1360-0443.2005.01139.x

Whittaker R, McRobbie H, Bullen C, Rodgers A, Gu Y, Dobson R Mobile phone text messaging and app-based interventions for smoking cessation. Cochrane Database Syst Rev. 2019; 10:(10) https://doi.org/10.1002/14651858.CD006611.pub5

Zhu SH, Sun JY, Bonnevie E, Cummins SE, Gamst A, Yin L, Lee M Four hundred and sixty brands of e-cigarettes and counting: implications for product regulation. Tobacco Control. 2014; 25:(3)3-9

E-cigarette use A look at how school nurses can address this growing trend

02 December 2023
Volume 4 | British Journal of Child health · Issue 6

Abstract

Over recent years, the prevalence of teenage vaping in the UK has significantly increased. (NHS Digital, 2022), making this a key area of concern for school nurses. This paper will examine the attitudes of adolescents toward vaping and their reasons for doing so. It will also consider the current ways in which adolescent vaping is addressed in education and by school nurses. Further approaches and recommendations which may enhance school nursing practice will also be considered.

Electronic cigarettes, also known as e-cigarettes or vapes, are devices which were intended to be used to assist an individual with reducing the number of traditional cigarettes they smoke, or cease smoking completely. The practice of using e-cigarettes is known as vaping (Centers for Disease Control and Prevention [CDC], 2022). In e-cigarettes, liquid which usually contains nicotine, the addictive substance found in traditional cigarettes, is heated to create a vapour which is then inhaled (CDC, 2022). E-cigarettes come in a variety of models; early generation e-cigarettes were disposable and designed to resemble the look of a traditional cigarette, whereas newer models tend to be larger in size and rechargeable (Action on Smoking and Health [ASH], 2021).

Despite it being illegal to purchase any e-cigarettes or vaping liquid in the United Kingdom for anyone below the age of 18 years (Rubery, 2022), a survey completed in 2022 by Action on Smoking and Health (ASH) reported that 7% of young people aged 11–17 were current e-cigarette users; this represents an increase of 3.7% from 2021 (ASH, 2022a). The survey also showed that the use of disposable products among young people aged 11–17 who vapped increased from 7.7% in 2021, to 52% in 2022 (ASH, 2022a).

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