Beyond Cigarettes: The Risks of Non-Cigarette Nicotine Products and Implications for Tobacco Control

While much is known about the effects of tobacco use, the current state of knowledge regarding non-cigarette nicotine products that do not contain tobacco — such as e-cigarettes and other vaping devices, water pipes and hookah, smokeless tobacco, cigars, and cigarillos — is not robust enough to yield a definitive consensus regarding their relative risks and benefits.

Key Takeaways

The landscape of nicotine product use is changing. Fewer people in the U.S. are smoking cigarettes while more people, particularly youth, are using non-cigarette nicotine products. Key findings include the following:


For parents:


For government policy:


For health care professionals:

Research Methods

In this report, we review and summarize the available research on all non-nicotine products, describe the risk factors and consequences of use and the current regulatory landscape, discuss barriers to reducing use, and offer concrete recommendations for overcoming these barriers. To explore the prevalence and patterns of use of non-cigarette nicotine products, we present findings from an analysis of nationally representative data from the U.S. Centers for Disease Control and Prevention (CDC) on nicotine product use among middle and high school students (from 2014) and among adults, aged 18 and older (from 2013-2014).