Two new trends in adolescent substance use have emerged: e-cigarette use and nitrous oxide (N20) use. E-cigarettes are often tried out before traditional cigarettes, are easily available and regarded as harmless by adolescents. Studies increasingly show negative health effects of regular e-cigarette use, including the risk of becoming a smoker of traditional cigarettes and nicotine addiction. N20 use has also become increasingly popular, and follows after cannabis and ecstasy use in prevalence rates. As with e-cigarette use, most users are not aware of potential health risks of N20 use, while particularly longer-term and heavy use may yield negative neurological and psychiatric effects. The misconception of risks, and high availability of both inhalants warrant better education to prevent poor outcomes.
Keywords: Adolescent substance use; E-cigarettes; Nitrous oxide; Risk perception; Vaping.
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