Here you will find trusted information from a variety of credible sources so you know the truth about nicotine products. . For instructions to view this page in Spanish, click on en Español.
Source: the CDC - National Youth Tobacco Survey, 2024
Key trends
In 2024, 5 million youth reported using e-cigarettes, which is two-thirds lower than the peak reported use in 2019. However, vaping still remains an urgent issue in U.S. schools due to its serious health impacts. (CDC)
Flavored vaping products have been banned in many states, including California, but Zyn, an oral pouch that contains nicotine powder and flavorings like mint, coffee and citrus is legal and is the fastest-growing segment of the tobacco industry.
New products, like nicotine pouches, are on the rise. (CDC)
Why stave off use
Whether smoking, vaping or using pouches, nicotine enters the bloodstream, crosses the blood brain barrier, and enters the brain within 10-20 seconds. As a teen or young adult, you are uniquely at risk for the effects of nicotine because your brain is not fully developed until you turn 25, on average. (UNDO)
Nicotine products can rewire the teen brain to crave more of the substance and create a nicotine addiction, one of the hardest to overcome. (NIH, Surgeon General’s Report, 2024)
Using nicotine at a young age changes the way connections form in the brain, interferes with attention and learning, and increases anxiety, mood swings, and irritability. (UNDO)
Families Connected Resources
Recommended videos
Pro surfer Alex Gray on the South Bay Families Connected 2019 Vaping Prevention Tour. Together we can turn the tide on the vaping epidemic.
Alex Gray shares perspective on vaping in this short clip.
Curated Gallery of Resources
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It’s not just vapor
The e-cigarette aerosol that users breathe into their lungs and exhale can contain unhealthy and potentially harmful substances, including:
Source: Center for Disease Control
Nicotine - again, even though some e-cigarettes marketed as containing zero percent nicotine have been found to contain nicotine (source: Center for Disease Control).
Ultrafine particles that can be inhaled deep into the lungs
Flavoring such as diacetyl, a chemical linked to a serious lung disease
Volatile organic compounds
Heavy metals such as nickel, tin, and lead
Cancer-causing chemicals (explained below)
The process of heating the nicotine solution produces aldehyde, acetaldehyde, formaldehyde, and acrolein, which are known carcinogens. The glycerin/propylene glycol and 8,000+ flavoring chemicals in e-cigs have only been approved for ingestion (eating). It’s not recommended by the manufacturers that these chemicals be inhaled, as they have not been widely tested for their potential sensitizing, toxic, or irritating characteristics. Learn more about the health risks of e-cigarette vapor and toxicology from Science News for Students and UNDO.
What about vaping cannabis?
Though this page focuses on vaping tobacco products, we would be remiss not to acknowledge that youth also vape cannabis products – either the ground plant itself, waxes often referred to as dabs, or THC and CBD oils. Below we share some of the reasons why you should consider staving off use during your teen years.
Yes, cannabis, also known as marijuana, is legal in California and is used recreationally. And yes, CBD oil can have medicinal benefits. But there are reasons why it's illegal for anyone under age 21 to use cannabis recreationally.
Credible research indicates that marijuana can get in the way of normal brain development, causing brain circuits to wire less optimally. Delaying experimentation and use gives you the best opportunity to have optimal brain functioning and to avoid negative unintended consequences of use.
There is also emerging evidence showing an increased risk of psychosis with frequent use of high potency cannabis. Consider reading these articles: Marijuana and Psychosis (source: Child Mind Institute, published 11/3/23), High-potency cannabis linked to increased risk of psychosis and addiction (source: NBC News, published 7/26/22) & Cannabis and the Teenage Brain (source: Psychology Today, published 7/21/23).
There is incredible variability in how people react to THC, especially given today’s higher potency products. While you might know a friend who uses daily and seems to be functioning just fine, someone else could have a completely different experience with minimal use. In the short term, some stronger varieties can make you physically ill and/or delusional to the point of needing medical care.
Experts agree — stave off use at least until you’re 21. (Sources: NIDA, NIH, The CDC, Scientific American)
Quitting
Nicotine and the young brain (truth initiative) talks about nicotine addiction, “In young people, 5 mg of nicotine a day is enough to establish a nicotine addiction – about the amount of nicotine in one-quarter of an e-cigarette pod.”
“It’s one of the biggest challenges to quitting cigarettes, e-cigarettes, or any tobacco product: Coping with cravings for nicotine withdrawal.” This list of 5 tips for handling nicotine withdrawal (truth initiative) can help you kick the nicotine habit.
The mix of highs and lows over the holidays is a good reason for teens to focus on their health (HHS.gov). Any time you want to get healthy take a look at these tips to help you reach your vape-free goals.
Download a free Quit Guide mobile app, make your own quit plan, find social support, receive free texts, and call 1-800-QUIT-NOW to access free support. Material is available in Spanish and Asian languages (source: CDC.gov Tobacco Campaign). Or click on the button below:
