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Using effective interventions to prevent E-cigarette initiation among children and youth
  1. Yuka Terada1,
  2. Myriam Cadet2
  1. 1Hostos Community College, Bronx, New York, USA
  2. 2Nursing, Hostos Community College, Bronx, New York, USA
  1. Correspondence to Myriam Cadet, Nursing, Hostos Community College, Bronx, New York, USA; myriamjeancadet{at}

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Commentary on: Mylocopos G, Wennberg E, Reiter A, et al. Interventions for preventing E-cigarette use among children and youth: a systematic review. Am J Prev Med. 2024 Feb;66(2):351-370. doi: 10.1016/j.amepre.2023.09.028. Epub 2023 Oct 5.

Implications for practice and research

  • Prioritise multifaceted interventions targeting individuals, schools and communities to develop to avert E-cigarette initiation.

  • Conduct qualitative, quantitative and mixed-method studies to provide evidence-based interventions for healthcare professionals to raise awareness on the prevention of E-cigarette initiation among youth.


In the year 2021, the rate of E-cigarette usage in the past 30 days among individuals aged 8–20 years in 69 countries and territories was reported to be 7.8%.1 In 2023, approximately 4.6% of middle school students had used E-cigarettes in the past 30 days, representing 1 out of every 22 students.2 Among high school students, the prevalence was higher, with 10.0% reporting e-cigarette use in the past 30 days, or 1 out of …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.