Evidence map›Paper›PMID 39515208›Full record

ArticleAddictive behaviors2025

E-cigarette access and age verification among adolescents, young adults, and adults.

Shivani Mathur Gaiha, Lauren Kass Lempert, Crystal Lin, Bonnie Halpern-Felsher

Abstract read
In one paragraph

Article in Addictive behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trends in product characteristics of disposable e-cigarettes sold by US online stores between 2022 and 2024.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  2. Barriers and facilitators to enforcing E-cigarette regulations for online sales.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  3. Article
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  8. Secondhand vape exposure regulation of CFTR and immune function in cystic fibrosis.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shivani Mathur GaihaStanford REACH Lab, Division of Adolescent Medicine, Department of Pediatrics, Stanford University, CA, United States; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Lauren Kass LempertStanford REACH Lab, Division of Adolescent Medicine, Department of Pediatrics, Stanford University, CA, United States.
Crystal LinStanford REACH Lab, Division of Adolescent Medicine, Department of Pediatrics, Stanford University, CA, United States.
Bonnie Halpern-FelsherStanford REACH Lab, Division of Adolescent Medicine, Department of Pediatrics, Stanford University, CA, United States. Electronic address: bonnie.halpernfelsher@stanford.edu.

Funding

PROJECT 5: IMPACT OF CHANGING TOBACCO PRODUCT USE ON HEALTHCARE COSTS FOR GENERAL AND VULNERABLE POPULATIONSU54HL147127 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MAX, WENDY B · 2018 to 2022
$20.4M
Countering E-cigarette Marketing in the Retail Environment among Adolescents and Young AdultsR00CA267477 · NCI · BOSTON CHILDREN'S HOSPITAL · PI SHIVANI MATHUR GAIHA · 2024 to 2026
$738k
Countering E-cigarette Marketing in the Retail Environment among Adolescents and Young AdultsK99CA267477 · NCI · STANFORD UNIVERSITY · PI GAIHA, SHIVANI MATHUR · 2021 to 2023
$442k
NCI NIH HHS K99 CA267477NCI NIH HHS R00 CA267477NHLBI NIH HHS U54 HL147127
6 · The paper itself

Abstract

backgroundAdolescents and young adults continue to access e-cigarettes despite regulatory efforts to prevent sales to those under 21. Prior research on sources of acquiring e-cigarettes excludes key online sources. This study aims to update evidence on where and how different age groups (adolescents, young adults, and adults) access e-cigarettes.

methodsA cross-sectional, online survey of 13-40 year-olds who used e-cigarettes in the past 30 days was conducted from November-December 2021. STUDY OUTCOMES: where past 30-day users obtained and bought e-cigarettes (retail stores; online, including e-cigarette company and multi-brand websites; social media; home delivery applications; and someone they know); and whether and how age was verified.

resultsIn our sample, 55.0% reported obtaining e-cigarettes from retail stores, 44.9% online, and 24.0% from someone they know (n = 2,256), although most 13-17-year-olds obtained their e-cigarettes from someone they know. Double the proportion of 21-40-year-olds (7.0%) and higher than 18-20-year-olds (9.8%), 13.4% of 13-17-year-olds obtained e-cigarettes through social media. Social media, Snapchat, Instagram, and TikTok were common platforms to buy e-cigarettes among those under 21; common sources on social media included friends their age, store/company accounts, and influencers. Approximately 20.0% of those under 21 bought e-cigarettes from internet vendors (including multi-brand websites) and 10.4-15.5% used home delivery applications. Across participants, 14.2% reported that their age was not verified, and 17.8% reported that their age was rarely verified.

conclusionsA sizeable proportion of adolescents and young adults under 21 years and adults above 21 acquired e-cigarettes from retail and online sources. Less than a quarter of those underage reported having their age verified all the time, warranting enforcement of existing age verification regulation and development of strategies to prevent underage access online.

Indexed as

Electronic Nicotine Delivery SystemsAdolescentAdultAge FactorsCommerceCross-Sectional StudiesFemaleHumansInternetMaleSocial MediaVapingYoung AdultAccessAge verificationE-cigarettesOnlinePoint-of-saleRetailSocial mediaTobacco 21

Identifiers

PMID39515208
PMCPMC11625624

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.