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Stanton A. Glantz

Stanton Arnold Glantz is an American professor, author, and tobacco control activist. Glantz is a faculty member at the University… more

H-index: 93
Public Health 27%
Business 22%
profglantz.com
Yes, a campaign by ecig advocates did succeed in getting one of my papers retracted. For details on that in the context of ongoing industry efforts to attack my work and counter science generally, see the oral history UC published on me: digicoll.lib.berkeley.edu/record/267781 (PDF pages 248-268).
profglantz.com
This comment ignores the fact that studies that follow the same kids forward in time (longitudinal studies) consistently find a gateway effect. See profglantz.com/2025/08/26/t... If ecigs were just substituting for cigs, youth ecigs would not have increased way more than smoking dropped.
simonchapman.bsky.social
Which nations today forbid & punish political satire besides Afghanistan, N Korea, Myanmar & USA?

Reposted by: Stanton A. Glantz

getitrightonmj.bsky.social
2/#AB564 = $180M cut annually & 25% reduction in required long-term funding. With federal help shrinking, CA can’t afford to gut prevention & childcare. The real drivers of the illicit market (i.e. overproduction) aren't addressed. @cagovernornewsom.bsky.social must veto!

Read FS: bit.ly/3IheHxN
profglantz.com
You have ignored the information in the papers I sent you about WHO is vaping and that ecigs expanded the epidemic.

Until you stop just repeating your (incomplete) arguments and engage those details it is not worth continuing this conversation.

Reposted by: Stanton A. Glantz

chancethegardener.bsky.social
3/3
There are 3 ways to portray these changes:

DISHONEST: Smoking dropped, BUT vaping increased
ACCURATE: Smoking dropped in association with
increased vaping
PLAUSIBLE: Smoking dropped BECAUSE vaping increased

The 1st denies product substitution is plausible.
profglantz.com
But, thanks to ecigs dramatically increasing teen nicotine use, total nicotine use (cigs plus ecigs) is still above where it would have been absent ecigs.
chancethegardener.bsky.social
Teen smoking has dropped to a 50-year low, near nil.
monitoringthefuture.org/data/bx-by/d...
Teen use of ANY nicotine product has dropped to a 25-year low.
www.cdc.gov/media/releas...
Teen nicotine vaping dropped 70% over the past 5 years to a 10-year low.
www.cdc.gov/media/releas...

All GOOD news.
Prevalence/Trends
Substance Use Prevalence and Trends among 8th, 10th, and 12th Graders
monitoringthefuture.org

Reposted by: Stanton A. Glantz

chancethegardener.bsky.social
Teen smoking has dropped to a 50-year low, near nil.
monitoringthefuture.org/data/bx-by/d...
Teen use of ANY nicotine product has dropped to a 25-year low.
www.cdc.gov/media/releas...
Teen nicotine vaping dropped 70% over the past 5 years to a 10-year low.
www.cdc.gov/media/releas...

All GOOD news.
Prevalence/Trends
Substance Use Prevalence and Trends among 8th, 10th, and 12th Graders
monitoringthefuture.org
profglantz.com
Did you read the papers I linked to? They answer your question.
profglantz.com
This is a great example of cherry picking data to give a misleading picture. Few kids are daily e-cig users or smokers. Setting a daily use standard radically understates the level of addiction. As ecigs have got more addictive, however, days used has increased. pubmed.ncbi.nlm.nih.gov/36342713/
profglantz.com
By whom, specifically?

Yes, gateway and common liability are separate things. Lots of evidence gateway is real and common liability cannot explain all youth initiation. The papers I cited (separately) go into detail on both issues.
profglantz.com
Later research, based on more data (through 2018) found that decline in current cig smoking slowed in 2014 from -0.75 to -0.26 %/year pubmed.ncbi.nlm.nih.gov/33272598/. And direct observation of individuals shows kids who vape more likely to smoke pubmed.ncbi.nlm.nih.gov/40829950/
profglantz.com
No. Ecig advocates claim "common liability," but only some of the kids who start nicotine addiction with ecigs have characteristics similar to those who started with cigs: pubmed.ncbi.nlm.nih.gov/33272598/. This argument is like when cig companies said lung cancer and smoking caused by same genes.
profglantz.com
This new paper sums up a huge number of studies that consistently show that kids who start with ecigs are more likely to start smoking (about three times): pubmed.ncbi.nlm.nih.gov/40829950/ And ecigs carry almost as much disease risk as smoking: pubmed.ncbi.nlm.nih.gov/38411454/
profglantz.com
Nicotine use in adolescence still predicts established use later.
jonathanfoulds.bsky.social
Yes, back in the day, any youth initiation of cigarette smoking was highly predictive of later regular smoking, but those days are gone. How do you think we got to <1% of 12th graders being daily cigarette smokers?

Reposted by: Stanton A. Glantz

jonathanfoulds.bsky.social
Yes, back in the day, any youth initiation of cigarette smoking was highly predictive of later regular smoking, but those days are gone. How do you think we got to <1% of 12th graders being daily cigarette smokers?
profglantz.com
Past 30 day smoking (nicotine) predict established smoking in young adulthood (nicotine addiction tion).
jonathanfoulds.bsky.social
Stan, as you immediately moved on from the topic of this discussion, I assume you accept that the evidence does not support the claim that trying an ecig causes a young person to be more likely to start smoking cigarettes. Also, "any use in the past 30 days" is not nicotine addiction.
profglantz.com
The evidence for a gateway effect is overwhelming There was just another big review published in Tobacco Control. ALL the available longitudinal studies show kids who start nicotine with ecigs are more likely to progress to cigs.

Reposted by: Stanton A. Glantz

jonathanfoulds.bsky.social
Stan, as you immediately moved on from the topic of this discussion, I assume you accept that the evidence does not support the claim that trying an ecig causes a young person to be more likely to start smoking cigarettes. Also, "any use in the past 30 days" is not nicotine addiction.
profglantz.com
What Foulds and the other ecig advocates ignore is that the increase in ecig use was way bigger than the drop in smoking. So ecigs are expanding youth nicotine addiction … by a lot.
jonathanfoulds.bsky.social
Here is the data from USA: Look at the big increase in youth cigarette smoking after the peak in youth nicotine vaping 2018-19. Oh wait, there is none.. in fact youth smoking continued to decline to historic lows. In 2024 only 0.4% of US high school seniors smoked cigarettes daily (>25% in 1997)

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