Electronic nicotine delivery systems (ENDS), also called electronic cigarettes, e-cigarettes, vaping devices, or vape pens, are battery-powered devices used to smoke or “vape” a flavored or unflavored solution which usually contains nicotine. The American Academy of Family Physicians (AAFP) recognizes the increased use of ENDS, especially among youth and young adults, as well as its use by those attempting to quit smoking tobacco.
Current research does not support ENDS as a smoking cessation device and there remain significant concerns about ENDS marketing, safety, quality, and its negative health implications to the public. The AAFP does not recommend the use of ENDS as a smoking cessation device. Further, the AAFP recommends the cessation of ENDS marketing and advertising to children and youth, recognizing its addictive and significant negative health consequences. The AAFP encourages members to screen for ENDS use starting with school-age children, discuss the potentially addictive nature of ENDS, and to recommend cessation interventions with e-cigarette users. The AAFP encourages members to inform patients who use ENDS, especially children, that these products contain nicotine and are addictive. (2014 COD) (July 2024 BOD)