New study shows link between e-cigarette ads and use among youth

e-cig pic

There is a link between exposure to e-cigarette advertisements and the use of e-cigarettes by middle and high school students, according to a new study by the Centers for Disease Control and Prevention. This is the first study to assess the link between exposure to e-cigarette advertising and current e-cigarette use, and it concludes that efforts to reduce youth exposure to advertising are critical to prevent youth from using e-cigarettes as well as other tobacco products.


The study, published in the April 2016 edition of the journal Pediatrics, assessed current (past 30-day) use of e-cigarettes and exposure to e-cigarette advertising in four different types of media: retail stores, the internet, TV/movies, and magazines/newspapers. The National Youth Tobacco Survey (NYTS) is a school-based, self-administered questionnaire given to more than 22,000 middle and high school students in 2014.


Analyzing data from the 2014 NYTS, CDC researchers found that the greater the exposure to e-cigarette advertisements among middle and high school students, the greater the odds of their e-cigarette use. As noted in CDC’s Jan. 5, 2016, Vital Signs report on e-cigarette advertising exposure among youth, spending on e-cigarette advertising rose from $6.4 million in 2011 to an estimated $115 million in 2014. During the same time, current e-cigarette use among youth soared; from 1.5 percent in 2011 to 13.4 in 2014 among high school students, and from 0.6 percent in 2011 to 3.9 percent in 2014 among middle school students. In 2014, e-cigarettes became the most commonly used tobacco product among youth, surpassing conventional cigarettes.

“Kids should not use any type of tobacco product, including e-cigarettes,” said CDC Director Tom Frieden, M.D., M.P.H. “Exposure to e-cigarette advertising is associated with youth e-cigarette use – and that is concerning to me as CDC Director, as a doctor, and as a parent.”


Protecting young people


States and localities can consider strategies to reduce youth exposure to e-cigarette advertising and marketing which include:

  • Limiting tobacco product sales to facilities that never admit youth,
  • Restricting the number of stores that sell tobacco products and how close they can be to schools,
  • Limits on internet sales of e-cigarettes and other tobacco products




“Many of the ads we’re seeing for e-cigarettes today – that rely on sex, independence and rebellion – look eerily like the ads that were used to sell cigarettes and other conventional tobacco products for generations,” said Brian King, Ph.D., deputy director for research translation in the CDC’s Office on Smoking and Health. “Any tobacco use by youth is dangerous to their health. The unrestricted marketing of e-cigarettes and dramatic increases in their use by youth could reverse decades of progress in preventing tobacco use among youth.”


FDA has regulatory authority over cigarettes, cigarette tobacco, roll-your-own tobacco, and smokeless tobacco. The agency is finalizing a rule that, if finalized as proposed, will bring additional tobacco products such as e-cigarettes, hookahs, and some or all cigars under that same authority. Regulating the manufacturing, distribution, and marketing of tobacco products – coupled with proven population-based strategies – can reduce youth tobacco use and initiation. These strategies include funding tobacco control programs at CDC-recommended levels, increasing prices of tobacco products, implementing and enforcing comprehensive smoke-free laws, and sustaining hard-hitting tobacco cessation and prevention media campaigns.



U.S. Department of Health and Human Services


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Preventive health care can help Americans stay healthier throughout their lives. Those enrolled in health insurance coverage can use the “Roadmap to Better Care and a Healthier You” (English and Spanish) to learn about their benefits, including how to connect to primary care and the preventive services that are right for them, so that they can live a long and healthy life.

Tullahoma Receives Healthier Tennessee Community Grant

$5,000 award to be used for local wellness initiatives

 NASHVILLE – The Governor’s Foundation for Health and Wellness today announced Tullahoma has been awarded a $5,000 Healthier Tennessee Community Grant to help sustain community-wide projects and activities that encourage and enable physical activity, healthy eating and tobacco abstinence.

“We are pleased to present this grant to Tullahoma in recognition of the great work being done there and with the belief that it will boost efforts to improve the health of local citizens and the overall quality of life in the community,” Governor’s Foundation CEO Richard Johnson said.

To earn the grant, Tullahoma’s Health Council achieved:

  • At least 50 percent of K-8 teachers using GoNoodle, an interactive, online tool that encourages exercise during the school day.
  • At least 15 percent of faith communities with 100 or more members using Small Starts @ Worship wellness programs.
  • At least 20 percent of workplaces with 35 or more employees using Small Starts @ Work wellness programs.

“We are pleased to be a part of the Healthier Tennessee Community initiative, and we will use these grant funds to continue our wellness plans,” Tullahoma Mayor Lane Curlee said. “I want to thank all the Tullahoma Wellness Council for helping us achieve this grant, and I also want to thank the businesses and faith communities who signed up for Small Starts. When you think about it, nothing is more important than the health and well-being of the people who live here. By being designated a Healthier Tennessee Community, we are improving the lives of many through encouraging physical activity, better nutrition and tobacco abstinence.”

In Tennessee, one in four adults smokes, and one in five high school students uses tobacco. Approximately 31 percent of the population is classified as obese and an additional 34 percent are overweight, and type-2 diabetes and high blood pressure are at epidemic levels.


The Healthier Tennessee Communities initiative takes a local approach to improving Tennesseans’ health by engaging citizens and local leaders in cities, towns, counties and neighborhoods across the state.

To be designated a Healthier Tennessee Community, Tullahoma must initiate and sustain community-wide events and activities that support physical activity, healthy eating and tobacco abstinence, and then track and measure outputs and accomplishments of the program.

Counties currently working to become Healthier Tennessee Communities include: Bedford, Benton, Bradley, Crockett, Decatur, Dyer, Gibson, Giles, Grundy, Hickman, Lauderdale, Loudon, Macon, Maury, Marshall, McMinn, Obion, Polk, Rhea, Weakley and Wilson.

The cities taking part are: Arlington, Clarksville, Collegedale, Cookeville, Crossville, Franklin, Germantown, Kingsport, and Tullahoma.

For more information about the Healthier Tennessee Community program and other Healthier Tennessee initiatives, visit



About the Governor’s Foundation for Health and Wellness

The Governor’s Foundation for Health and Wellness is a non-profit corporation dedicated to enabling and encouraging Tennesseans to lead healthier lives. Based in Nashville, the Foundation brings together a statewide coalition of employers, health insurers, hospital systems, local governments, school systems and healthcare-focused foundations and community organizations to effect positive, measurable change. The Foundation’s Healthier Tennessee initiative strives to increase the number of Tennesseans who are physically active for at least 30 minutes five times a week, promote a healthy diet, and reduce the number of people who use tobacco.