Vaping, smoking and teenage wellbeing: Understanding a growing mental health concern

Tobacco use and mental health are closely linked, and this relationship is particularly significant during adolescence – a formative stage when habits are established and emotional wellbeing can be especially vulnerable. In recent years, many young people in the UK and the US have experienced rising levels of anxiety, low mood and emotional distress. One contributing factor is the changing pattern of tobacco use, with increasing uptake of e-cigarettes and other nicotine products that are often perceived as less harmful.

Recent research published in PLOS Mental Health highlights a clear association between tobacco use in teenagers and poorer mental health. Adolescents who use e-cigarettes or other tobacco products are more likely to report symptoms linked to depression and anxiety than those who do not use tobacco at all. The risk appears to be highest among young people who use both vaping products and other forms of tobacco, suggesting that multiple types of use may intensify mental health challenges.

Although the findings do not show that tobacco use directly causes mental health problems, they point to an important pattern that parents, teachers, healthcare professionals and young people themselves should not ignore. Tobacco use may both signal existing emotional difficulties and contribute to worsening mental wellbeing, creating a cycle that can be difficult to break without appropriate support.

Overall, this research reinforces the need for early mental health awareness and prevention. Promoting emotional wellbeing, encouraging healthy coping strategies, and tackling all forms of tobacco use together – rather than separately – could help reduce long-term harm. Open conversations, tailored support and accessible mental health resources remain vital in protecting adolescent health in an increasingly complex environment.