Despite the early promise of e-cigarettes as a potential smoking cessation tool, the actual uptake of these products has been the source of much controversy. There have been growing concerns about the exponential rise in the use of e-cigarettes and vaping products among youth and adolescents, with the proportion of those aged 11–15, 16–17 and 18 years in Great Britain using e-cigarettes more than doubling between 2021 and 2023 to reach 4.6%, 15.0% and 18%, respectively.1 The 2023 US Annual National Youth Tobacco Survey has reported more than 2.1 million current e-cigarette users in the US, with 25% being daily users.2 E-cigarettes represent the most popular tobacco products among American youth for the 10th year in a row, feeding growing concerns from public health agencies worldwide about the potential health effects of e-cigarettes in this vulnerable demographic. In an era when direct tobacco advertising targeting youth has long been banned and strict regulation has led to smoking combustible cigarettes going largely out of fashion among youth,3–5 this begs the question: why are e-cigarettes so popular in this demographic? Aside from the obvious factors related to the fact that nicotine is addictive and e-cigarettes are discreet, cheap and easy to obtain, the answer may lie in the subtle and creative ways e-cigarette manufacturers have …

中文翻译：

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加强证据基础，支持对基于社交媒体的青少年电子烟产品广告进行更严格的监管


尽管电子烟早期被承诺作为一种潜在的戒烟工具，但这些产品的实际使用却引起了很多争议。人们越来越担心青少年中电子烟和电子烟产品的使用呈指数级增长，英国 11-15 岁、16-17 岁和 18 岁人群中使用电子烟的比例增加了一倍多2021 年至 2023 年间将分别达到 4.6%、15.0% 和 18%。1 2023 年美国年度全国青少年烟草调查显示，美国目前有超过 210 万电子烟用户，其中 25% 是日常用户。2 E -香烟连续十年成为美国年轻人中最受欢迎的烟草产品，这引起了世界各地公共卫生机构对电子烟对这一弱势群体潜在健康影响的日益担忧。在这个时代，针对青少年的直接烟草广告早已被禁止，严格的监管导致吸食可燃卷烟在青少年中基本上不再流行，3-5这就引出了一个问题：为什么电子烟在这一人群中如此受欢迎？除了与尼古丁成瘾性和电子烟谨慎、廉价且易于获得这一事实相关的明显因素之外，答案可能在于电子烟制造商的微妙而富有创意的方式……