An electronic cigarette (e-cigarette) or vape is a device that simulates tobacco smoking. It consists of an atomizer, a power source such as a battery, and a container such as a cartridge or tank. Instead of smoke, the user inhales vapor, often called "vaping".
The atomizer is a heating element that vaporizes a liquid solution called e-liquid that cools into an aerosol of tiny droplets, vapor and air. The vapor mainly comprises propylene glycol or glycerin, usually with nicotine and flavoring. Its exact composition varies, and depends on matters such as user behavior. E-cigarettes are activated by taking a puff or pressing a button. Some look like traditional cigarettes, and most kinds are reusable.
Vaping is less harmful than smoking, but still has health risks, particularly for those with asthma. Limited evidence indicates that e-cigarettes are less addictive than smoking, with slower nicotine absorption rates. |quote=There is moderate evidence that risk and severity of dependence are lower for e-cigarettes than combustible tobacco cigarettes.|quote=...there is substantial evidence that vaping product use delivers lower peak and overall nicotine levels to users than smoking, which may translate to lower dependence risks compared with smoking.
E-cigarettes containing nicotine are more effective than nicotine replacement therapy (NRT) for smoking cessation, but have not been tested as rigorously as nicotine replacement therapy products.
Description
An electronic cigarette consists of an atomizer, a power source such as a battery, and a container for e-liquid such as a cartridge or tank. E-cigarettes come in many shapes and sizes, including disposable devices, refillable devices, and devices with pre-filled cartridges or pods.
E-cigarettes have evolved over time, and the different designs are classified in generations. First-generation e-cigarettes tend to look like traditional cigarettes and are called "cigalikes". Second-generation devices are larger and look less like traditional cigarettes. Third-generation devices include mechanical mods and variable voltage devices. The fourth-generation includes sub-ohm tanks (meaning they have electrical resistance of less than 1 ohm) and temperature control. There are also pod mod devices that use protonated nicotine, rather than free-base nicotine found in earlier generations, providing higher nicotine yields.
Some electronic cigarettes contain synthetic nicotine analogues (for example, 6-methyl nicotine, sometimes marketed under the trade name "Metatine") and makers are trying develop nicotine substitutes.
E-liquid The mixture used in vapor products such as e-cigarettes is called e-liquid. E-liquid formulations vary widely. A typical e-liquid contains propylene glycol and glycerin (95%) with a combination of flavorings, nicotine, and other additives (5%). The flavorings may be natural, artificial, or organic. When e-liquids are heated, by-products such as formaldehyde, acetaldehyde, and acrolein can form, at levels that depend on operating conditions and liquid composition. There are many e-liquid makers and more than 15,000 flavors.
The e-liquid usually contains nicotine from tobacco, but some products use non-tobacco nicotine, including synthetic lab-made nicotine. Many e-liquids use nicotine salts made by adding organic acids such as benzoic acid to nicotine, so as to reduce throat irritation. Some e-liquids also contain synthetic cooling agents.
Many countries regulate what e-liquids can contain. In the US, there are Food and Drug Administration (FDA) compulsory manufacturing standards and American E-liquid Manufacturing Standards Association (AEMSA) recommended manufacturing standards. European Union standards are published in the EU Tobacco Products Directive.
Coils
Vaping cannabis usually involves higher temperatures than nicotine. Internal components of e-cigarettes can add metals and metalloids to the aerosol, including lead, nickel, and antimony.
Use
Popularity
Since entering the market around 2003, e-cigarette use has risen rapidly. In 2011 there were about 7 million adult e-cigarette users globally, increasing to 68 million in 2020 compared with 1.1 billion cigarette smokers. There was a further rise to 82 million e-cigarette users in 2021. This increase has been attributed to targeted marketing and to electronic cigarettes being cheaper and safer than the traditional combustible type. E-cigarette use is highest in China, the US, and Europe, with China having the most users.
Motivation
There are varied reasons for e-cigarette use. Most users are trying to quit smoking, but some use is recreational or as an attempt to get around smoke-free laws. Many people vape to relax, and some because vaping is safer than smoking. The wide choice of flavors and lower price compared to cigarettes are also important factors.
Other motivations include reduced odor and fewer stains. E-cigarettes also appeal to technophiles who enjoy customizing their devices.
Gateway hypothesis
The gateway hypothesis is the idea that using less harmful drugs can lead to more harmful ones. Some users who begin by vaping will go on to also smoke traditional cigarettes. People with mental illnesses, who as a group are more susceptible to nicotine addiction, are at particularly high risk of dual use.
The correlation between vaping and subsequent smoking does not necessarily imply a causal effect. Users may have underlying characteristics that predispose them to nicotine use. There is a genetic association between smoking, vaping, gambling, promiscuity, and risk-taking behaviors. Young people with poor executive function vape, smoke, and drink alcohol more than their peers. E-cigarette users are also more likely to use both cannabis and unprescribed Adderall or Ritalin. Longitudinal studies of e-cigarettes and smoking have been criticized for failing to adequately control for these and other confounding factors.
Smoking rates have declined as e-cigarette usage has grown, especially among young people. This may be because there is little gateway effect at the population level, or because of anti-smoking interventions.
Young adult and teenage users
Worldwide, increasing numbers of young people are vaping. With access to e-cigarettes, young people's tobacco use has dropped by about 75%. Most young e-cigarette users have never smoked, but there is a substantial minority who both vape and smoke. Many young people who would not smoke are vaping. Young people who smoke tobacco or marijuana, or who drink alcohol, are much more likely to vape. Among young people who have tried vaping, most used a flavored product the first time.
Vaping correlates with smoking among young people, even in those who would otherwise be unlikely to smoke.
In the U.S., among young people, e-cigarette use increased rapidly in the late 2010s, peaked in 2019, and had fallen substantially by 2024 (7.8% in high school students and 3.5% in middle school students). During that period, the FDA also expanded enforcement activity against unauthorized e-cigarette products. Despite these declines, e-cigarettes remained the most commonly used tobacco product among US youth for the 11th consecutive year in 2024, while cigarette smoking reached historically low levels (1.4% current use). Compared to e-cigarettes, conventional cigarette use had fallen to 1.7% among high school students and 1.1% among middle school students, the lowest prevalence recorded by the survey, according to the 2024 NYTS. Among young people who used e-cigarettes in 2024, 26.3% reported daily use and 87.6% used flavored products, with fruit flavors being the most common. Analyses of NYTS data indicate that the decline observed between 2023 and 2024 was primarily driven by reductions among high school students. The same report noted that disparities persist, with increased in tobacco product use observed in some groups. US federal reporting has also described a longer-term pattern in which e-cigarette use among young people peaked in 2019 and declined substantially by 2024; during this period, regulatory and enforcement actions against unauthorized e-cigarette products were expanded.
Data from other countries provide additional comparisons. In Great Britain, a 2024 ASH/YouGov youth survey reported that vaping among 11-17 year olds appears to have stabilized after earlier increases (ever-use 18% in 2024 compared with 20% in 2023). The same survey reported current vaping at 7.2% among 11-17 year olds (including less-than-monthly use). Additionally, UK reporting has described proposals in the Tobacco and Vapes Bill, including restrictions aimed at reducing youth uptake. Following 2024 UK survey results, the Royal College of Pediatrics and Child Health called for measures including restrictions on disposable e-cigarettes, flavors, and advertising to reduce youth uptake. In Canada, there was a trend showing 29% of young people reporting to have used e-cigarettes in 2017, increasing to 37% in 2018. In New Zealand, school survey data indicated that regular and daily vaping had declined by 2024 after peaking in 2021 and the 2024/25 the New Zealand Health Survey reported that daily smoking had reduced to below 5.0% among people aged 15–24. ASH New Zealand stated that earlier increases in youth vaping occurred during a period before vaping products were comprehensively regulated in late 2020. In Canada reported that past-30-day vaping among youth aged 12–17 declined from 13.2% in 2019 to 7.2% in 2023. Health Canada also set a target of reducing vaping prevalence among those aged 12 to 17 to below 10% by 2025.
Health effects
History
It is commonly stated that the modern e-cigarette was patented in 2003 by Chinese pharmacist Hon Lik, but tobacco companies had been developing nicotine aerosol generation devices since as early as 1963.
Early prototypes and barriers to entry: 1920s–1990s In 1927, Joseph Robinson applied for a patent for an electronic vaporizer to be used with medicinal compounds. The patent was approved in 1930 but the device was never marketed. In 1930, the United States Patent and Trademark Office reported a patent stating, "for holding medicinal compounds which are electrically or otherwise heated to produce vapors for inhalation." In 1934 and 1936, further similar patents were applied for.
The earliest e-cigarette can be traced to American Herbert A. Gilbert. In 1963, Gilbert applied for a patent for "a smokeless non-tobacco cigarette" that involved "replacing burning tobacco and paper with heated, moist, flavored air". This device produced flavored steam without nicotine. The patent was granted in 1965. Gilbert's invention was ahead of its time. However, it received little attention and was never commercialized because smoking was still fashionable at that time. Gilbert said in 2013 that today's electric cigarettes follow the basic design set forth in his original patent.
The Favor cigarette, introduced in 1986 by public company Advanced Tobacco Products, was another early noncombustible product promoted as an alternative nicotine-based tobacco product. Favor was conceptualized by Phil Ray, one of the founders of Datapoint Corporation and inventors of the microprocessor. Development started in 1979 by Phil Ray and Norman Jacobson. Favor was a "plastic, smoke-free product shaped and colored like a conventional cigarette that contained a filter paper soaked with liquid nicotine so users could draw a small dose by inhaling. There was no electricity, combustion, or smoke; it delivered only nicotine."