Health
E-Cigarette Use Rises as European Teens Turn Away from Alcohol and Drugs, Survey Finds
Brussels: Teenagers across Europe are increasingly turning to e-cigarettes while reducing their use of alcohol and illegal drugs, according to the latest findings from the European School Survey Project on Alcohol and Other Drugs (ESPAD).
The 2024 report, released this week, analyzed the habits of nearly 114,000 students aged 15 and 16 in 37 countries, offering a comprehensive view of substance use, digital behavior, and lifestyle choices among European adolescents.
Vaping Surges as Smoking Trends Shift
Although traditional cigarette smoking has declined significantly since the 1990s, the report highlights a sharp rise in e-cigarette use. About 44% of surveyed students reported trying e-cigarettes at least once, with 22% using them regularly—up from 14% in the previous survey five years ago.
Researchers noted that many teenagers perceive vaping products as easy to access, contributing to a broader shift toward alternative nicotine consumption. Alarmingly, daily smoking among preteen girls has shown a recent increase, despite the overall decline in cigarette use.
Alcohol Consumption Falls, but Early Drinking Persists
Alcohol use continues to decline across Europe, both in terms of general consumption and binge drinking. However, early initiation remains a concern, with around one-third of teens reporting their first alcoholic drink at age 13 or younger. Approximately 75% of students have tried alcohol at some point.
Denmark (55%), Germany (49%), and Austria (48%) recorded the highest rates of heavy teenage drinking, underscoring ongoing regional challenges despite broader positive trends.
Cannabis Remains Most Common Illegal Drug
Cannabis remains the most widely used illegal drug among European teens, with 12% of students saying they had tried it—a figure that marks the lowest rate since 1995. While boys remain more likely than girls to use cannabis, the gender gap is narrowing.
Other substances such as cocaine, ecstasy, LSD, and amphetamines were used by around 2% of students. Prescription drug misuse is also on the rise, with 8.5% having taken tranquillisers or sedatives and 6.9% using painkillers for recreational purposes.
Shifts in Digital Habits and Gambling
Gaming is a central part of teenage life, with 80% playing video games monthly. Notably, girls’ participation in gaming has surged, rising from 22% in 2015 to 71% last year. At the same time, concerns around social media use are growing. Nearly half of teens reported problematic social media behavior, with increases in harmful use particularly pronounced among boys.
Gambling remains prevalent, with nearly one in four teens having gambled for money in the past year. Rates vary widely—from 9.5% in Georgia to 45% in Italy—despite tighter regulations aimed at protecting minors.
The ESPAD report, conducted every four years, offers critical insights for policymakers and public health officials as they address emerging challenges in youth behavior across Europe.
Health
Global Mental Health Cases Near 1.2 Billion as Anxiety and Depression Drive Sharp Worldwide Rise
A major global analysis has found that mental health conditions have surged to an estimated 1.2 billion people worldwide, driven largely by steep increases in anxiety and depression over the past three decades.
The findings, published in The Lancet as part of the Global Burden of Disease Study 2023, show that the number of people living with mental disorders has almost doubled since 1990, marking a 95% rise. Researchers say major depressive disorder and anxiety disorders have seen even sharper growth, increasing by 131% and 158% respectively, making them the most prevalent mental health conditions globally.
The report describes mental illnesses as widespread conditions that create long-term disability and significant human suffering. It also highlights broader consequences for economies and public services, including reduced productivity, lower workforce participation and increasing pressure on health and welfare systems.
Researchers estimate that in 2023 alone, around 620 million females and 552 million males were affected by mental health conditions. While the overall burden is rising across both sexes, the study points to notable differences in the types and prevalence of disorders.
Among women, depression and anxiety were the most commonly reported conditions, alongside higher rates of eating disorders such as anorexia nervosa and bulimia nervosa. The report links this disparity to a mix of biological, social and structural factors, including exposure to domestic violence, sexual abuse, gender inequality and reproductive health-related changes.
In contrast, neurodevelopmental and behavioural disorders, including attention deficit hyperactivity disorder (ADHD), conduct disorder and autism spectrum conditions, were more frequently diagnosed in men.
Teenagers aged 15 to 19 were identified as the group experiencing the highest mental health burden globally, raising concerns about early onset of conditions and insufficient preventive care for young people.
The study identifies several key risk factors associated with mental illness, including childhood sexual violence, bullying and intimate partner violence. These factors are strongly linked to conditions such as depression, schizophrenia, bipolar disorder and anxiety disorders. However, researchers note that such exposures have remained relatively stable over time and account for only a portion of the overall rise.
According to the authors, broader drivers are likely contributing to the increasing prevalence of mental disorders. These include genetic and biological influences, poverty, inequality, and the growing impact of global crises such as armed conflict, pandemics, natural disasters and climate-related stress.
While mental health conditions have long been a leading cause of disability worldwide, the report warns that the situation is worsening. At the same time, health systems have not expanded services at a pace matching demand.
The authors caution that the gap between rising need and limited access to care is becoming more pronounced, leaving millions without adequate treatment or support.
Health
Europe Records Sharp Rise in Sexually Transmitted Infections, ECDC Warns
Health
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