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Structural Conditions as Cause: Explaining the Rapid Rise in Youth E-Cigarette Use by Re-thinking Models of

Jason Hirsch1,2, Robert Schwartz2,3,4,5

  • 1Department of Anthropology, University of Toronto, Toronto, Ontario, Canada.

Substance Use & Misuse
|August 11, 2021
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Summary
This summary is machine-generated.

The surge in youth e-cigarette use is better understood by focusing on societal factors, not just addictive substances. Expanding addiction models reveals wider dimensions of susceptibility.

Keywords:
addictione-Cigarettesneurobiologypolitical economysocial determinantssusceptibilityvapingyouth

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Area of Science:

  • Public Health
  • Sociology
  • Neurobiology

Background:

  • Rapid and widespread youth e-cigarette use has surprised researchers.
  • Dominant addiction models overemphasize addictive substances as the primary cause.
  • A focus on specific substances limits understanding of addiction phenomena.

Purpose of the Study:

  • To re-conceive addiction models beyond a substance-centric view.
  • To introduce the concept of 'structural susceptibility' to addiction.
  • To explain the rise in youth e-cigarette use through broader societal factors.

Main Methods:

  • Drawing upon neurobiology, history, public health theory, and social theory.
  • Analyzing addictive substances as escape mechanisms from societal structures.
  • Examining the predisposition of societies to addiction.

Main Results:

  • Addictive substances can be viewed as a response to social structures.
  • Societies can be predisposed to addiction on a large scale.
  • Youth e-cigarette use is linked to wider societal predispositions.

Conclusions:

  • Understanding addiction requires expanding models beyond individual substances.
  • Structural susceptibility offers a more comprehensive framework for addiction.
  • A wider analytical view is crucial for addressing addiction, including e-cigarette use.