Last week, the federal government announced a plan to roll out an anti-vaping program in schools across the country.
The education program, called OurFutures , aims to prevent young people taking up vaping. It has been developed by experts from the University of Sydney's Matilda Centre for Research in Mental Health and Substance Use with input from educators and young people.
So why do we need this program, what will it involve, and will it be an effective way to stop young people taking up vaping? Let's take a closer look.
Vaping is on the rise
A survey of Australian high school students in 2022-23 showed almost one in three reported having tried vaping, while one in six had vaped in the previous month.
This represents a significant increase over time, with rates of both lifetime (ever) vaping and vaping in the past month more than doubling since 2017.
However, since this data were collected, new laws to control the supply of and access to vapes have been introduced, which aim to reduce the prevalence of vaping.
Evidence showing the harmful effects of vaping is mounting. A 2022 review found vaping was linked to a range of negative health outcomes including poisoning, addiction, burns to the face, hands and thighs, lung injury, and an increased likelihood of taking up tobacco smoking.
Vapes, or e-cigarettes, have been found to contain a number of chemicals known to cause cancer , including formaldehyde, acetone, and heavy metals such as nickel and lead. This means young vapers are breathing in chemicals found in nail polish remover, plastics, weed killer and industrial glues.
Although we don't yet understand the longer-term health effects of vaping, the evidence we have so far indicates it's vital to stop as many people taking up this habit as possible.
What will the program entail?
OurFutures is designed for children in years 7 and 8 based on research evidence. Students are guided through four online lessons , each of which uses a variety of activities and resources to educate them about the harms of vaping. Lessons also cover information on the impact of social media, assertive communication, and how and where to seek help.
The government says the program will be able to reach more than 3,000 schools across Australia.
Our research and that of others indicates this is an optimal age to reach young people, as it's a time when they are starting to experiment and take up vapes.
This program is also extremely timely, as young people have told us they want vaping prevention messages in their schools to help them make informed decisions. These young people recognise there's a lack of credible information available.
Equally, school professionals (such as principals and teachers) recognise they are unable to deal with the issue of vaping among students on their own , and have been calling for support.
The OurFutures program is currently being trialled in 40 schools across New South Wales, Queensland and Western Australia.
Initial results have been positive. Just after students had completed the program, they knew more about the harms of vaping, and they reported reduced intentions to vape.
However, to our knowledge, full results from the trial have yet to be released. It's also unclear whether these results will be maintained in the longer term.
A review of school-based vaping prevention programs found that although many interventions improved knowledge, attitudes and intentions around vaping in the short term, these effects were not always maintained.
However, this review also suggested programs delivered over multiple sessions, as is the case with OurFutures, were effective in preventing young people taking up vaping over longer periods.
An important element of any public health program is its capacity to be tailored to different populations. Australia is a culturally and linguistically diverse country, with urban, regional, and remote populations. It's currently not clear if and how the program will take these differences into account.
The program should be part of a broader approach
Providing evidence-based, rational information in this way should help many young people doing this program better understand the potential health risks of vaping, and in turn think twice about doing it.
However, school-based education programs are only one strategy in a suite of strategies needed to address youth vaping. Relying solely on young people to change their behaviour is unrealistic and not best practice.
Young people operate in communities, influenced by family, social norms, and societal structures. Education is great, but we need to stop the exposure and access to these harmful products.
Fortunately, Australia's crackdown on vaping is world-leading. We welcome recently announced vaping reforms , including stopping the importation of vapes, selling them solely behind the pharmacy counter, and restricting flavours, which limit their accessibility and appeal for school students.
Since these vape regulations were introduced the Australian Border Force has stopped hundreds of thousands of vapes entering Australia.
The recent Public Health (Tobacco and Other Products) Act 2023 also restricts the advertising and promotion of vapes, including on social media. This means the same bans that apply to tobacco advertising now also apply to vapes.
Our research shows vaping has been widely promoted to young people on social media . Social media companies must ensure the health of their users is prioritised over commercial interests.
Just last week the government called for a "digital duty of care", which would require social media companies to take steps to create a safer online environment for all Australians.
Ultimately, the national vaping prevention program for Australian school students is a positive step. But it needs to be complemented by a range of strategies and continued government investment to support our young people to avoid or stop vaping.