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13 Contributing Factors Marketing Early marketing strategies used by companies producing and selling e-cigarettes as they were first introduced in the United States in 2006 were largely adult-focused, in that e-cigarettes were marketed as a safer alternative to conventional cigarettes and an easier way to quit smoking than other nicotine-cessation devices

Smoking rates are much higher among Asian-American and Pacific-Islander men than among Asian-American and Pacific-Islander women, regardless of country of origin

Restricting the shape, materials and safety features of packaging for all vaping and nicotine products Evidence on the appeal of tobacco packaging has found that packaging design, including shape, can affect how appealing products are to young people (Ford and others, 2013)