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Health promotion and public health
Self-perceptions of e-cigarettes among adolescents: a health safety concern
  1. Geetha Ajay1,
  2. Myriam Cadet2
  1. 1 Nursing, Eugenio Maria de Hostos Community College, Bronx, NY, USA
  2. 2 Nursing, SUNY Downstate Medical Center, Brooklyn, New York, USA
  1. Correspondence to Dr Geetha Ajay, Nursing, Eugenio Maria de Hostos Community College, Bronx, NY 10451, USA; GAJAY{at}

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Commentary on: Sharma A, McCausland K, Jancey J. Adolescent’s Health Perceptions of E-cigarettes: A Systematic Review. Am J Prev Med, 60(5), 2021: 716–725. doi:10.1016/jamepre.2020.12.013

Implication for research and practice

  • There is a need for awareness among nurses of the lack of understanding among adolescents of the risks associated with e-cigarettes.

  • More research is needed to examine misconceptions of e-cigarette smoking and addiction among adolescents.


One of the most popular tobacco products used by adolescents in the USA is e-cigarettes. According to the CDC, nearly 20% of high school students and 5% of middle school students use e-cigarettes. Also, it has been reported that nearly 40% of high school students and 20% of middle school students used e-cigarettes at least 20 out of the last 30 days.1 E-cigarettes are also capable of causing significant damage to adolescents’ health when smoking.2 Smoking is a public health …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.