Flavoured nicotine products driving youth addiction, WHO warns

This is especially true among youth users: it’s one of the main reasons young people experiment with tobacco or nicotine products in the first place, according to the UN World Health Organization (WHO).  

Flavoured nicotine and tobacco products are inherently addictive and toxic – often more so than regular tobacco. Flavours increase usage, make quitting harder, and have been linked to serious lung diseases, WHO maintains.  

Despite decades of progress in tobacco control, flavoured products are luring a new generation into addiction and contributing to eight million tobacco-related deaths each year.

Youth-oriented marketing

Nicotine products are often marketed directly toward young people through bright and colourful packaging featuring sweet and fruity flavour descriptors.  

Research shows that this type of advertising can trigger reward centres in adolescent brains and weaken the impact of health warnings.

Young people also report a growing presence of flavoured nicotine product marketing across all social media platforms.

This marketing of flavours works across all forms of nicotine and tobacco products, including cigarettes, e-cigarettes, cigars, pouches and hookahs.  

WHO said flavours such as menthol, bubble gum and cotton candy, are “masking the harshness of tobacco” and other nicotine products, turning what are toxic products “into youth-friendly bait.”  

Call for action

Just ahead of World No Tobacco Day, the UN health agency released a series of fact sheets and called on governments to ban all flavours in tobacco and nicotine products to protect young people from lifelong addiction and disease.

It cited Articles 9 and 10 of the successful 2003 Framework Convention on Tobacco Control (FCTC), which obliges countries to regulate the contents and disclosure of tobacco products, including flavourings.

WHO chief Tedros Adhanom Ghebreyesus said on Friday that “without bold action, the global tobacco epidemic…will continue to be driven by addiction dressed up with appealing flavours.

As of December 2024, over 50 countries had adopted policies regulating tobacco additives, with most targeting flavourings by banning flavour labels or images and restricting the sale of flavored products. Some also control flavour use during production.

However, the WHO noted that tobacco companies and retailers have found ways to circumvent these rules, offering flavour accessories including sprays, cards, capsules and filter tips, to add to unflavoured products.

Still, WHO is urging all 184 FCTC parties (which make up 90 per cent of the world’s population) to implement and enforce strong bans and restrictions on flavoured products and related additives.

Facebook, Instagram addiction in adolescents linked to inequality: Global study of 179,000 children suggests

Adolescents from deprived backgrounds are more likely to report an addiction to Facebook, Instagram, WhatsApp and other social media, according to research published in the peer-reviewed journal Information, Communication and Society.

In the first study of its kind, the findings show a link between economic inequality and problematic use of social network platforms and instant messaging applications. The situation is worse in schools where wealth and social differences exist between classmates.

The authors say the results – based on more than 179,000 schoolchildren in 40 countries – suggest that new strategies are needed on social media use that reduce the impact of deprivation.

Action by policymakers could help limit young people’s dysfunctional or abnormal behaviour, add the authors. These negative patterns include being unable to reduce screen time or lying to friends and family about social media use.

facebook

“These findings indicate the potentially harmful influences of inequality at the individual, school and country level on adolescents’ problematic social media use,” says lead author Michela Lenzi from the University of Padua, Italy, an Associate Professor in psychology.

“Policymakers should develop actions to reduce inequalities to limit maladaptive patterns of social media use by adolescents.”

“As the digital divide continues to close in many countries, economic inequalities persist and remain a robust social determinant of adolescent health and well-being. Schools represent an ideal setting to foster safe and prosocial online behaviours.”

Many young people use social media every day and the benefits to well-being are well-documented, as are the risks.

Problematic social media use (PSMU) is not formally recognised as a behavioural addiction. However, it is regarded as a health issue affecting young people.

Social Media/Photo:indiainternationaltimes

This study aimed to investigate the links between socio-economic inequalities, measured at individual, school and country level, and adolescent PSMU.

In addition, the authors evaluated the role of peer and family support as moderators of these associations.

The findings were based on 179,049 children aged 11, 13 and 15 from 40 countries including most of Europe and Canada. Evidence came from the Health Behaviour in School-aged Children, an international World Health Organization collaborative study carried out every four years.

The researchers asked children to complete questionnaires in order to identify addiction-like behaviour associated with social media. The forms were filled out anonymously while supervised in the classroom by a teacher or trained interviewer.

Any child who reported six or more items was identified as having PSMU. These items included feeling bad when not using social media, trying but failing to spend less time using it, and using social media to escape from negative feelings.

An index based on material assets in the home or family activities was used to calculate scales of deprivation. Items included number of bathrooms, and how many family vacations out of the country in the past year.

The authors measured country wealth, and family/peer social support e.g. degree of help provided from relatives and friends. They also took into account the proportion of the population who used the internet in each country.

 

Findings showed that adolescents who were relatively more deprived than their schoolmates and attended more economically unequal schools were more likely to report PSMU.

The association with a wealth divide among pupils in the same class was stronger in youths with lower peer support. But a link between country income inequality and PSMU was only found in adolescents reporting low levels of family support.

There may be many reasons for the link between economic deprivation and PSMU. One theory suggested by the authors is that sharing images or videos resonates especially with the more deprived adolescents because they associate them with power and status.

They suggest that school-based prevention efforts might target ‘objective and perceived’ social class differences among schoolmates.

Also key, is increasing peer support which the authors found was a protective factor in the relationship between relative deprivation and PSMU.