Parents' Awareness and Perceptions of JUUL and Other E-Cigarettes

Am J Prev Med. 2019 Nov;57(5):695-699. doi: 10.1016/j.amepre.2019.06.012. Epub 2019 Aug 13.


Introduction: The purpose of this study is to examine awareness, attitudes, and related knowledge of e-cigarettes, and JUUL specifically, among parents of middle and high school students.

Methods: Data were collected in October-November 2018 from a nationally representative sample of U.S. parents of middle and high school students aged 11-18 years (n=2,885) to examine e-cigarette and JUUL awareness, concern about e-cigarette use, and school communication regarding e-cigarettes. Weighted frequencies and percentages are reported; Rao-Scott chi-square tests examined differences by school level. Data were analyzed in 2019.

Results: Although most parents (96.2%) had seen or heard of e-cigarettes, only 55.9% had seen or heard of JUUL, and only 44.2% accurately identified an image of JUUL as a vaping device. Many parents reported concern about adolescent e-cigarette use (60.6%), but fewer reported concern about their own child's use (32.9%). Most parents (73.5%) reported receiving no communication from their child's school about e-cigarettes or JUUL.

Conclusions: There are notable gaps in parents' awareness of JUUL. School-to-parent communication efforts are necessary to build parents' knowledge of e-cigarettes like JUUL to prevent the growing youth uptake of these novel and addictive products.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Electronic Nicotine Delivery Systems*
  • Female
  • Health Education / organization & administration
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Parents / psychology*
  • Schools / organization & administration*
  • Surveys and Questionnaires
  • Vaping / prevention & control*