Tobacco products in all forms are highly addictive because they contain nicotine, one of the most addictive substances used by humans. High-nicotine content in e-cigarettes poses as a potentially disastrous innovation in the 21st century and a well-known public health threat to our vulnerable children’s future and their overall health and well-being.
Even though we clearly know that the nicotine is addictive and poses significant challenges to smoking cessation, sophisticated social media campaigns tend to unduly discount the risks and overstate the benefits of e-cigarettes. Distorted risk perceptions are associated with adolescents’ decisions to initiate e-cigarette use, decisions they will likely regret in adulthood.
We need Health Canada’s sensible presence in e-cigarette prevention and control efforts, including federal government regulation over e-cigarette flavored products, online sales, and social marketing. We need creative strategies to put our children on a path to a healthy, tobacco-free lifestyle and ensure that young leaders influence future tobacco control policies in Canada and globally.[1-3]
E-cigarettes should carry health warnings like combustible tobacco, which could counteract misinformation suggesting that they are a less harmful and safer alternative to combustible tobacco. We should train student leaders to become peer counselors in their schools to help their peers to quit e-cigarettes. School administrators, teachers, parents, caregivers, and public health officials should build a meaningful partnership to address this issue in schools.
Every adolescent consultation is a golden opportunity for a “teachable moment,” and engaging adolescents about their desire to change health behaviors and referring them to further support can make it more likely for them to make and sustain behavioral change. Developing clinical guidelines incorporating the current best evidence to facilitate clinical decisions and gain more insight into the complex reality of e-cigarettes is of utmost importance.
—Aki Nilanga Bandara
—Senara Wanniarachchi, BSc
—Vahid Mehrnoush, MD
4. Cohen DJ, Clark EC, Larsen PJ, et al. Identifying teachable moments for health behavior counseling in primary care. Patient Educ Couns 2011;85(2):e8-15. www.ncbi.nlm.nih.gov/pmc/articles/PMC4389220.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
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For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org