Commercial Tobacco Use
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- Behavioral Health and Commercial Tobacco
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- Nicotine Pouches and Other Emerging Products
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- Smoke-Free Housing
- Traditional and Sacred Tobacco
Related Topics
Commercial Tobacco Use
- Commercial Tobacco Use Home
- Data and Reports
- Get Help Quitting
- Prevention and Treatment
- Tobacco and Your Health
Learn More
- Behavioral Health and Commercial Tobacco
- E-cigarettes and Vaping
- Flavored Commercial Tobacco
- Menthol Commercial Tobacco
- Nicotine and Nicotine Dependence
- Nicotine Pouches and Other Emerging Products
- Promoting Quitting and Treatment
- Secondhand Smoke and Aerosol
- Smoke-Free Housing
- Traditional and Sacred Tobacco
Related Topics
Contact Info
Commercial Tobacco Use
E-cigarettes and Vaping

E-cigarette use, also known as vaping, is the use of battery-powered devices that heat a liquid – typically containing nicotine, flavorings, and other chemicals – into an aerosol that is inhaled. Vaping pose significant health risks, especially for youth, as nicotine is highly addictive and can harm brain development as teens grow.
On this page:
Vaping and your health
Vaping among Minnesota youth
Vaping and cannabis
Vaping and quitting smoking
Vaping and the environment
How communities can take action to protect youth
Vaping and your health
Vaping poses serious health risks, particularly to the lungs, heart, and mental health. E-cigarettes expose people to harmful chemicals, including nicotine, heavy metals, and other toxic substances. Breathing these chemicals over a long period of time can lead to chronic lung diseases, such as bronchiolitis obliterans (commonly known as "popcorn lung"), and may increase the risk of cardiovascular diseases like high blood pressure and heart attacks. Studies also suggest vaping may impair immune function and contribute to long-term neurological effects due to nicotine’s impact on brain development.
Secondhand aerosol from e-cigarettes also presents health concerns. Unlike secondhand smoke from cigarettes, e-cigarette aerosol contains ultrafine particles, nicotine, and toxic chemicals that can be inhaled by bystanders. Exposure to secondhand aerosol has been linked to respiratory irritation, increased risk of asthma attacks, and potential cardiovascular effects.
E-cigarettes contain extreme concentrations of nicotine, which is highly addictive. Nicotine exposure during adolescence can have serious effects on brain development. Since the brain continues to develop until about age 25, nicotine can interfere with attention, learning, mood regulation, and impulse control. It alters the way brain connections form, increasing the risk of addiction not just to nicotine but to other substances later in life.
Young people who use nicotine may experience heightened anxiety, irritability, and difficulty concentrating, which can negatively impact their academic performance and overall wellbeing. Beyond cognitive effects, nicotine dependence can worsen mental health issues like stress, anxiety, and depression. Many young people mistakenly believe nicotine helps relieve stress, but in reality, it leads to mood fluctuations and withdrawal symptoms that can amplify negative emotions.
No amount of nicotine is safe for youth. Learn more: Nicotine and Nicotine Dependence
Vaping-associated lung injury (EVALI) has led to hospitalizations and even deaths in Minnesota, with symptoms including shortness of breath, fever, cough, vomiting, and chest pain. The last EVALI outbreak peaked in September and October 2019, with 149 confirmed or probable cases and three deaths reported in the state.
Investigations found that THC-containing vaping products, especially those obtained from informal sources like friends or online dealers, were linked to most cases. A likely key contributor was Vitamin E acetate, a thickening agent that used to be commonly found in illicit THC vape cartridges, which was detected in lung fluid samples of affected patients. While Vitamin E acetate was strongly associated with the outbreak, other chemicals in both THC and non-THC products may have contributed to cases.
Avoid using e-cigarettes and vaping products, particularly those containing THC or purchased from unregulated sources, like the internet.
Reporting EVALI Cases
We continue to work with Minnesota health care providers to investigate cases of vaping-associated lung injury. If you’re a health care provider, learn more about vaping-associated lung injury and how to report cases.
Learn more: Reporting EVALI Cases
Vaping among Minnesota youth
While e-cigarettes are the most used commercial tobacco product among youth, data from the 2025 Minnesota Student Survey shows that vaping continues to decline in all grades. For example, vaping among Minnesota 11th graders has dropped from 25% in 2019 to 8% in 2025. However, vaping rates are higher among those experiencing economic hardship, like homelessness or food insecurity, or mental health challenges.
Despite declines in use, Minnesota Youth Tobacco Survey data show that students who vape increasingly reporting signs of nicotine dependence. Overall, 79.6% of students who used e-cigarettes in 2023 reported one or more signs of dependence, an increase from 70.4% in 2020.
Why youth vape

Youth vape for several reasons, including exposure to widespread e-cigarette marketing, the availability of appealing flavors, and social influences. Flavored e-cigarettes – such as fruit, candy, and mint – are especially popular among youth, with most youth starting with flavored varieties.
The tobacco industry uses advertising tactics that attract young people, and many students report seeing e-cigarette promotions in retail stores, online, and on social media. Social factors also play a big role, as many students try vaping because their friends or family members vape.
Not only are e-cigarettes designed to be appealing and addictive, “smart” vapes offer tech features that also appeal to youth. Smart vapes are e-cigarettes that have digital displays with features like animations, games, reward systems, touchscreens, and customizable wallpapers. Some smart vapes can connect to messaging and social media apps on smartphones.
Learn more: Why Youth Vape | Centers for Disease Control and Prevention
Free help quitting for teens
My Life, My Quit™ helps Minnesota teens ages 13-17 quit vaping, smoking, or using other commercial tobacco and nicotine products. My Life, My Quit™ is free and confidential, and teens can text, call, or chat with quit coaches online. Tips and tools are also available online.
Teens can text “Start My Quit” to 36072, visit mylifemyquit.com, or download the app.
Parents and caregivers play a crucial role in preventing youth vaping by setting a good example, having open conversations, and creating a commercial tobacco-free environment at home.
Here’s what parents and caregivers can do:
- Be aware: Know the risks of commercial tobacco use, like smoking, vaping, or using chew, as well as the different types of products kids are using. E-cigarettes are the most used commercial tobacco product among youth, and nearly all e-cigarettes contain nicotine, which is highly addictive.
- Educate and communicate: Talk to your children about the risks of vaping, including nicotine dependence and its effects on brain development and mental health. Keep the conversation open and non-judgmental to help teens feel comfortable discussing their experiences and pressures.
- Set clear expectations: Establish family rules about not using commercial tobacco products. Explain the reasons behind the rules to discourage experimentation.
- Be a role model: Avoid using commercial tobacco yourself to send a strong message about healthy choices.
- Monitor and support: If your child is already vaping or using other commercial tobacco products, encourage them to quit and connect them with resources like quit programs or their healthcare provider.
Learn more: E-cigarettes and Youth: What Parents Need to Know | Centers for Disease Control and Prevention (PDF)
Many Minnesota teachers and school staff report an overwhelming number of youth vaping during the school day. Free tools are available to address vaping in schools. Our webpage Tools to Address Vaping in Schools outlines vaping prevention curricula and offers resources to help schools strengthen policies, engage parents and staff, and support students in quitting. It also highlights the risks of nicotine addiction and its impact on chronic health conditions like asthma and academic performance.
Learn more: Tools to Address Vaping in Schools
Minnesota has multiple counter-marketing campaigns to raise awareness of the dangers of vaping, foster peer-to-peer engagement, and encourage young people to quit.
These campaigns work to change social norms around vaping and the use of other commercial tobacco products, as well as promote resources on wellbeing and tools to help young people quit.
Learn more: Youth Counter-Marketing Campaigns | Commercial Tobacco Use
Vaping and cannabis
Despite significant health risks, vaping cannabis, or THC, has become increasingly popular, particularly among youth and young adults. Cannabis use overall has declined among Minnesota youth, according to data from the Minnesota Student Survey. However, among youth who use cannabis, about one third (32.2%) vape it.
Unlike vaping with e-cigarettes, vaping cannabis delivers high concentrations of the psychoactive compound THC, which can lead to strong and sometimes unpredictable effects. Like nicotine, vaping cannabis also increases the risk for long-term cognitive effects and addiction. The developing brain is particularly vulnerable to THC, with studies indicating potential impacts on memory, learning, and decision-making. Research also suggests that vaping THC-containing products, especially those obtained illicitly, has been linked to serious lung injuries, including EVALI (see Vaping-and your health).
Additionally, exposure to secondhand aerosol from vaping cannabis increases the risk for respiratory irritation, asthma attacks, and potential cardiovascular effects.
As cannabis products evolve, it’s important to be aware of the health risks for both adults and youth. Learn more: Cannabis and Your Health
Vaping and quitting smoking
E-cigarettes are not FDA-approved for quitting smoking or the use of other commercial tobacco products. E-cigarettes haven’t gone through the rigorous testing required to be officially recommended to help people quit – they come in many different types and people use them in various ways, which makes it hard to draw broad conclusions about their effectiveness in helping people quit.
The CDC and FDA emphasize that there are safer, proven methods to quit smoking, such as FDA-approved medications and behavioral counseling, which have been shown to double the chances of quitting successfully.
Get free help to quit smoking or vaping
Most people who smoke, vape, or use dip or chew want to quit. Quitting has both immediate and long-term health benefits. It also helps protect family and friends who may be exposed to secondhand smoke or aerosol, especially infants and those who may have asthma or other chronic health issues.
Free help is available to all people who live in Minnesota. People who use phone coaching and quit medications are twice as likely to successfully quit. Learn more: Get Help Quitting
Free help with Quit PartnerTM

Get free coaching, text and email support, and medications like nicotine patches, gum, or lozenges.
Visit quitpartnermn.com.
Vaping and the environment
E-cigarettes pose a significant environmental threat, generating millions of pieces of hazardous, non-biodegradable waste annually. Disposable e-cigarettes (over 150 million in the U.S. yearly) create toxic plastic, metal, and lithium-ion battery waste. These materials leach nicotine, heavy metals, and lead into ecosystems.
Learn more: The Environmental Impact of Tobacco Products | Campaign for Tobacco-Free Kids (PDF)
Proper vape waste disposal
As hazardous waste, vapes must never be placed in regular trash or recycling bins. These devices contain lithium-ion batteries, which are a fire hazard when damaged, as well as residual nicotine, which is toxic to both human health and the environment.
Contact your local county environmental services department to arrange for free disposal through a designated Hazardous Waste Management facility or a specialized collection event. Learn more: Vaping Liquids, E-cigarettes, and Nicotine Wastes | Minnesota Pollution Control Agency (PDF)
How communities can take action to protect youth
Effective prevention requires a multi-faceted approach, including statewide and community programs, mass media campaigns, and policy change. Communities across the state are working to reduce youth vaping by:
- Raising the minimum tobacco sales age to 21 and removing purchase, use, and possession penalties in local ordinances.
- Restricting the sale of menthol and flavored products.
- Increasing product prices.
- Promoting smoke- and commercial-tobacco-free environments.
These initiatives aim to shift societal norms towards commercial tobacco-free living, and prioritizing youth and young adults is essential, as most people who use commercial tobacco begin before the age of 26. Learn more: Commercial Tobacco Use Prevention and Treatment
Reporting illegal vape sales
The state of Minnesota provides an online form to report the marketing or sale of illegal flavored e-cigarettes, electronic nicotine delivery systems, and oral nicotine pouch products to the Office of the Minnesota Attorney General.
Learn more: Report the Sale of Illegal Vaping Products
Learn more
- Data: Youth Commercial Tobacco Use | Data and Reports
- Data brief: Minnesota Teens Vape Sweet and Minty Flavors (2022) (PDF)
- Data brief: Teen Vaping Initiation in Minnesota (2018) (PDF)
- Data brief: Vaping Erases 15 Years of Progress Lowering Youth Tobacco Use (2020) (PDF)
- Data brief: Which Minnesota Teens Try Vaping? (2018) (PDF)
- Webpage: E-cigarette Use Among Youth | Centers for Disease Control and Prevention
- Data: TEEN+ Data Snapshot 2 – “Smart” Vapes | CDC Foundation (PDF)
- Webpage: Vaping Conversation Guide | American Lung Association
- Guide: How to Talk to Your Kids about Vaping | American Lung Association (PDF)
- Guide: Vaping: What Families Need to Know to Help Protect Children, Teens and Young Adults | Partnership to End Addiction (PDF)
- Webpage: Talk to Your Child about Vaping | American Lung Association
- Guide: Report to Parents: Talking to Kids about Vaping | National Association of Elementary School Principals (PDF)
- Guide: School Waste | Minnesota Pollution Control Agency (PDF)
- Webpage: Tobacco Product Waste: A Toxic Challenge | Public Health Law Center
- Toolkit: Vape Waste Team Toolkit | Tobacco-Free Alliance (PDF)
A resource for schools and other organizations to engage youth in hosting vape waste disposal and education events in their communities.
