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Surge in Vaping Among Non-Smokers in England Raises Public Health Concerns
New research published in the Lancet Public Health journal reveals that approximately one million adults in England who did not regularly smoke have now turned to vaping, marking a sevenfold increase since 2021. The study highlights a significant shift in vaping behavior, particularly among young adults, with 14 percent of non-regular smokers aged 18 to 24 now using e-cigarettes.
The survey data, collected from over 153,000 adults between 2016 and 2024, shows that the proportion of adult non-smokers who vape rose dramatically from 0.5 percent before 2021 to 3.5 percent thereafter. This rise coincides with the increasing popularity of disposable e-cigarettes that emerged in the UK in 2020 and 2021.
Sarah Jackson, the study’s lead author and a principal research fellow at University College London’s Alcohol and Tobacco Research Group, noted that the public health implications depend on whether these individuals would have otherwise smoked tobacco. “It is likely that some would have smoked if vaping were not an available option. In this case, vaping is clearly less harmful,” Jackson stated. However, she cautioned that for those who would not have smoked, regular vaping poses greater risks than abstaining altogether.
Peter Hajek, a professor at Queen Mary University of London, emphasized that many individuals are discovering vaping without prior smoking experience. He asserted that allowing less risky alternatives to compete with cigarettes could help reduce smoking rates and associated health issues, such as heart and lung diseases.
Despite the increasing uptake of vaping, the overall smoking rate in the UK has steadily declined since the 1970s, currently standing at around 12.9 percent. E-cigarettes are widely recognized as a less harmful alternative and were the most popular smoking cessation tool in the UK in 2020.
The study also found that heavier drinkers were more likely to vape, with an estimated 22 percent of heavy drinkers using e-cigarettes compared to just 3 percent among those who drink less. The authors pointed out that the new cohort of vapers is predominantly younger, female, and heavier drinkers, with a preference for disposable devices and high-strength nicotine e-liquids.
While the study raises questions about whether current vapers would have otherwise smoked, the increase in the overall proportion of adults who smoke or vape suggests that new users are adopting vaping without previous smoking experience.
As the UK government considers stricter regulations on e-cigarettes, finding a balance between minimizing vaping among non-smokers and ensuring its availability as a cessation tool for smokers poses a significant challenge. A Department of Health and Social Care spokesperson reiterated that while vapes can aid adult smokers in quitting, they should not be used by children or adult non-smokers.
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