Should you be driving?

Aussie drink-driving laws have similar penalties, but our BAC level is still at .05. This will be moved to .02 in the coming years.
Be safe for you, your family and the person you may injure because, you thought you were ‘ok to drive!’



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Research has demonstrated an association between e-cigarette use (vaping) and initiation of combustible cigarette (tobacco) use among youth. This study used data from a US national sample (N=3426, age 15–27) to examine the magnitude of this association among youth with e-cigarette use from 2017 to 2019, when “pod mod” devices—which deliver high nicotine concentrations—had the largest share of the market.

  • Compared with youth who had never had e-cigarette use, those who initiated it in 2018 were 7 times more likely to initiate combustible cigarette use in 2019 (adjusted odds ratio [aOR], 7.29), and 8 times more likely to have current combustible cigarette use (aOR, 8.26).
  • Other predictors of combustible cigarette use included male gender, household tobacco use, and sensation seeking.

Comments: E-cigarette use during adolescence greatly increases the risk of later combustible cigarette use. The popularity of vaping is a concern because the vast majority of adults with combustible cigarette use initiated it in their teen years. While e-cigarettes were introduced to the marketplace as a solution to the public health problem of smoking, the popularity of “pod mod” devices among adolescents may result in these devices introducing a greater number people to smoking than the number of those they help to quit.

Sharon Levy, MD

Reference: Hair EC, Barton AA, Perks SN, et al. Association between e-cigarette use and future combustible cigarette use: evidence from a prospective cohort of youth and young adults, 2017–2019Add Behav. 2021;112:106593.