Document Type


Publication Date


Class Instructor(s)

Jacob Adkison, MSN, DNP & Charity Keplinger, DHSc, MPAS, PA-C


Purpose of Review

There has been an increased use of e-cigarettes among adolescents with the CDC reporting that 27.5% of high school students have used e-cigarette in the past 30 days in 2019. This review will highlight marketing restrictions and the lack thereof allowing companies to target adolescents.

Recent Findings

When evaluating the history of traditional combustion cigarette policies there was a steady increase of cigarette users in the 1900s which began to decline after 1964 when aggressive policies and education began to take place. E-cigarettes however are not bound by the same rules and regulations, through a research conducted by Stanford there was evidence that showed e-cigarette companies had similar marketing strategies of targeting children as tobacco companies prior to these various laws.


Currently there is conflicting data about advertisement, as of 2014 there were 466 different e-cigarette brands and research only focused on one company. It is difficult to determine if advertisement is a major contributor to increased adolescent use.

Keywords: E-cigarette, combustion cigarette, JUUL