Substance use is often considered a problem to be solved by the surveillance of youth.

The ways in which young dual users in our study talked about vaping for smoking reduction and/or cessation are pretty straightforward, and perhaps not surprising. In a recent Annual Review of Public Health article, Abrams and his colleagues have even argued, that “smokers’ complete displacement of cigarettes can take time, and a period of dual use is expected and can be acceptable along the path to smoking cessation.” 1 This is precisely in line with how our participants are conceptualizing their own dual use.

Narratives from our study are also particularly compelling against the backdrop of tobacco prevention and policy discourses where typically any nicotine and tobacco use among youth is considered excessive. This may be due to explicit goals in tobacco control to eradicate all nicotine and tobacco use, and see preventing uptake among youth as crucial for achieving the “tobacco endgame.” This is not a particularly unusual strategy when discussing any form of drug use among youth, including alcohol and illicit drugs. It is often considered a social problem to be solved by the surveillance of youth and regulation of the products themselves.

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