Electronic cigarette policy recommendations: A scoping review

Benjamin R. Brady, Jennifer S. De La Rosa, Uma S. Nair, Scott Leischow

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Objective: There is a lack of consensus on whether e-cigarettes facilitate or threaten existing tobacco prevention strategies. This uncertainty is reflected in organizations’ conflicting e-cigarette position statements. We conducted a scoping review of position statements in published and gray literature to map the range and frequency of e-cigarette use recommendations. Methods: We collected 81 statements from international health organizations. Two coders independently performed qualitative content analysis to categorize e-cigarette recommendations. We explored differences based on organization type, geography, and the year recommendations were published. Results: We identified 5 recommendation types: encourage smokers to use e-cigarettes as a cessation aid or as an alternative source of nicotine (N = 5); support individuals who use e-cigarettes to quit smoking (N = 20); avoid using until more research is available (N = 19); restrict access based on available evidence (N = 30); and prohibit e-cigarette marketing and sale (N = 7). Conclusion: Organizations presented diverse e-cigarette use recommendations. The variation related to organizations’ differing tobacco prevention priorities and level of confidence in current e-cigarette research. These differences may create confusion. Additional research can examine whether this variability influences stakeholders’ attitudes or behavior.

Original languageEnglish (US)
Pages (from-to)8-104
Number of pages97
JournalAmerican journal of health behavior
Issue number1
StatePublished - Jan 2019


  • E-cigarette
  • Electronic cigarette
  • Scoping review
  • Smoking policy
  • Tobacco control

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


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