Kouzoukas, E;
Navas, C;
Zawertailo, L;
Fougere, C;
Bacon, SL;
Chadi, N;
Evans, WK;
... Selby, P; + view all
(2026)
The health effects of vaping and e-cigarettes: consensus recommendations.
International Journal of Drug Policy
, 148
, Article 105117. 10.1016/j.drugpo.2025.105117.
(In press).
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Abstract
Objective To develop evidence-informed recommendations on the health effects of e-cigarettes to guide healthcare practitioners and the public to balance individual and population harm reduction. Methods Systematic and umbrella reviews investigating the health effects of e-cigarette use were conducted (September 2017 – January 2024). An international panel of subject matter experts (n = 23) and people in Canada with lived experience (n = 7) participated in a two-day, hybrid meeting, and used a consensus-based approach to develop recommendations. A guidance resource and four accompanying knowledge products were tested for usability with end users. Results Consensus was reached on 14 recommendations spanning four health effects: carcinogen exposure, cardiovascular health, respiratory health, and nicotine dependence. Quality of evidence was voted as ranging from high/moderate to moderate/low, and strength of most recommendations was voted as strong. Conclusions Guidance has been informed by best available evidence and expertise, providing direction to support decision-making. The use of established methods to evaluate divergent published literature combined with consensus-building methods among a range of stakeholders on vaping is possible. As higher quality evidence continues to emerge, recommendations will require iterative refinement.
| Type: | Article |
|---|---|
| Title: | The health effects of vaping and e-cigarettes: consensus recommendations |
| Location: | Netherlands |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.drugpo.2025.105117 |
| Publisher version: | https://doi.org/10.1016/j.drugpo.2025.105117 |
| Language: | English |
| Additional information: | © 2025 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
| Keywords: | Consensus, E-cigarettes, Guidance, Nicotine, Public health, Vapes |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10219759 |
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