Choose your
Mental Health
Your mental health is just as important as your physical health. So, when it comes to protecting it, knowing how vaping and smoking impacts your mental wellness is important. Tobacco companies market vapes as a de-stressor and want you to think vaping is a healthy alternative to smoking, but they’re not telling the truth.
Research shows those who vape are 2x as likely to be diagnosed with depression than those who don’t.
When you’re addicted, vaping might seem like a quick fix, but that’s just nicotine covering your withdrawal. And though quitting vapes can be hard, it can improve your mental health as much as antidepressants.1, 2, 3
Choose
the facts
Tobacco companies have a history of using attractive flavors and packaging to target teens. But there are tons of not-so-pretty risks when it comes to vaping. Knowing the facts can help you keep sight of your values and priorities. 4
That’s right.
Vapes contain the same cancer-causing chemicals as cigarettes, have nicotine which can weaken your immune system, and have been shown to double the risk of chronic bronchitis symptoms such as coughing and wheezing.6, 7, 8, 9
NOT QUITE.
Vaping can actually cause all of the above. Vapes contain the same cancer-causing chemicals as cigarettes, have nicotine which can weaken your immune system, and have been shown to double the risk of chronic bronchitis symptoms such as coughing and wheezing.6, 7, 8, 9
That’s right.
Studies show vaping products contain NEARLY 2,000 chemicals, many of which are toxic.10
Hobbies
Money
Vapes and cigarettes aren’t cheap. Buying them could stop you from affording what you’d rather spend money on, like hobbies, clothes, or entertainment.*
In Washington State, it’s illegal for anyone under 21 to purchase vaping or commercial tobacco products.
Addiction
Relationships
Younger siblings and friends may consider you a role model. Vaping and smoking can damage that trust or influence others to use, putting those who matter most to you at risk.
Traditional tobacco has been used for spiritual and medicinal purposes by Indigenous peoples for centuries and continues to be used today. The tobacco plant is considered a sacred gift by many Native American communities. 16
Commercial tobacco is mass-produced by big tobacco companies for profit. They add harmful chemicals and using can cause health issues or death. 16
Health
Harmful chemicals
Targeting
Vaping and commercial tobacco companies target vulnerable groups like BIPOC and LGBTQ+ communities, which means they are more likely to use and face addiction.23
environment
Vaping products are often littered. They don’t biodegrade and are toxic to the environment and animals.24
Get Familiar with the FAQS
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Is vaping safer than cigarettes?
No. Both are harmful, containing highly addictive nicotine and chemicals linked to lung disease, cancer, and heart failure. Nicotine can also impact brain development and some vapes contain amounts equal to that in 48 cigarettes.25, 26
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Can vaping help me quit smoking?
The Food and Drug Administration has not approved vaping to help quit cigarettes. And studies show young people who vape are over 3X as likely to smoke cigarettes a year later. If you’re struggling to quit, check out these resources.27
- Are vape flavors safe?
- Are there health risks from secondhand vape?
Vape companies were recently caught red-handed for their illegal marketing practices and forced to pay millions in a Washington state lawsuit.
Learn moreChoose Healthy Coping
When life gets overwhelming, reaching for a vape or cigarette may seem like a quick fix, but nicotine can actually keep you from finding your calm. The next time things get stressful, give one (or more!) of these ideas a go.
Choose Getting Help
If you or a friend are struggling with nicotine addiction or just need someone to talk to, help is out there.
Support with quitting
2Morrow Health
A free and anonymous app that helps you deal with difficult thoughts, urges, and cravings caused by nicotine.
download app
This is Quitting
A text-to-quit vaping service for people in Washington ages 13-24. Text DITCHVAPE to 88709.
Washington State Quitline
Offers free, confidential, 1-on-1 counseling to help people quit smoking, vaping, or other tobacco products. Call 1-800-QUIT-NOW (1-800-784-8669).
Asian smokers’ quitline
Offers free 1-on-1 counseling and resources to help people quit smoking in Cantonese, Mandarin, Korean, and Vietnamese.
Learn more
Live Vape Free
A youth texting program for teens ages 13 to 17 that is fun, easy-to-navigate, and teaches the skills to quit vaping for good. Text VAPEFREE to 873373.
Support with mental health
TEEN LINK
A free, confidential help line for teens by teens. Call, text, or chat 1-866-833-6546 evenings from 6pm-10pm PT.
Washington Recovery Help Line
A 24/7 confidential help line for anyone struggling with substance abuse or mental health. Call 1-866-789-1511.
Crisis text line
A free 24/7 text-based crisis intervention service. Text HOME to 741741 to connect with a crisis counselor.
Native and strong lifeline
A crisis line dedicated to supporting Washington’s American Indian and Alaska Native communities. Call or text 9-8-8 +4.
988 Suicide & Crisis lifeline
A free 24/7 crisis line that provides confidential support for those in distress. Call or text 9-8-8.
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View all sources
Choose your mental health
1 The Subcommittee on Economic and Consumer Policy. (2020). Update on the Subcommittee’s E-Cigarette Investigation (PP. 1-46).
2 Association Between E-Cigarette Use and Depression in the Behavioral Risk Factor Surveillance System, 2016-2017.
3 Smokefree.gov, Vaping Addiction and Nicotine Withdrawal, 2022
Choose the facts
4 American Lung Association, 8 of the Top Strategies Big Tobacco Used to Target Kids with E-Cigarettes , 2023
11 Surgeon General’s Advisory on E-cigarette Use Among Youth, 2018
12 American Lung Association, The Impact of E-Cigarettes on the Lung, 2022
13 Campaign for Tobacco- Free Kids, Industry Watch E-Cigarettes: Flavored Products Fuel a Youth Epidemic, 2022
14 Smokefree.gov, Vaping Addiction and Nicotine Withdrawal, 2022
15 Bi-Directional Associations of Electronic and Combustible Cigarette Use Onset Patterns with Depressive Symptoms in Adolescents. William V. Lechner, Tim Janssen, Christopher W. Kahler, Janet Audrain-McGovern, and Adam M. Leventhalc
16 Keep it Sacred: National Native Network, Traditional vs. Commercial Tobacco
17 Campaign for Tobacco-Free Kids, The Toll of Tobacco in Washington, 2023
18 American Lung Association, The Impact of E-Cigarettes on the Lung, 2022
19 Yang I, Sandeep S, Rodriguez J. The Oral Health Impact of Electronic Cigarette Use: A Systematic Review. Crit Rev Toxicol. 2020 Feb;50(2):97-127. doi: 10.1080/10408444.2020.1713726. Epub 2020 Feb 11. Erratum in: Crit Rev Toxicol. 2020 Apr 14;1. PMID: 32043402.
20 Center for Disease Control and Prevention, Health Effects of Cigarette Smoking, 2021
21 Obisesan OH, Mirbolouk M, Osei AD, et al. Association Between e-Cigarette Use and Depression in the Behavioral Risk Factor Surveillance System, 2016-2017. JAMA Netw Open. 2019;2(12):e1916800. doi:10.1001/jamanetworkopen.2019.16800
22 Substance Abuse and Mental Health Services Administration (SAMHSA): Reducing Vaping Among Youth and Young Adults. SAMHSA Publication No. PEP20-06-01-003. Rockville, MD: National Mental Health and Substance Use Policy Laboratory, Substance Abuse and Mental Health Services Administration, 2020
23 National LGBT Cancer Network, Smoking is a Social Justice Issue & We are Fighting for Our Lives
24 UNDO. Vapes: 3 Types of Toxic Waste in 1, 2022
25 American Heart Association, Is Vaping Better Than Smoking?, 2024
26 Daily Mail, How many cigarettes are ‘in’ an Elf Bar? Everything you need to know about Britain’s best-selling vape, 2023
27 The Vaping Epidemic in Adolescents. Jenssen BP, Wilson KM. What is new in electronic-cigarettes research? Current Opinion in Pediatrics. 2019;31(2):262–266. doi: 10.1097/mop.0000000000000741.
28 Tobacco Free Colorado, Vape: Myths vs. Facts, 2021
29 FDA, Results from the Annual National Youth Tobacco Survey, 2023
30 American Nonsmokers’ Rights Foundation, Electronic Smoking Devices and Secondhand Aerosol, 2024
31 UNDO, E-cigarettes’ sneaky secondhand vapor: Is it harmful?, 2022
Quiz answers
5 The Truth, The Facts, 2023
6 American Cancer Society, What Do We Know About E-Cigarettes, 2022
7 American Lung Association. “Another Gross Reason to Put Down the E-Cigarettes.” Each Breathe: A Blog by the American Lung Association, 27 June 2019
8 McConnell R, Barrington-Trimis JL, Wang K, ET AL. Electronic Cigarette Use and Respiratory Symptoms in Adolescents. 2017;195(8):1043-1049.
9 Center for Disease Control and Prevention, Health Effects of Cigarette Smoking, 2021
10 Characterizing the Chemical Landscape in Commercial E-Cigarette Liquids and Aerosols by Liquid Chromatography–High-Resolution Mass Spectrometry. Mina W. Tehrani, Matthew N. Newmeyer, Ana M. Rule, and Carsten Prasse. Chemical Research in Toxicology 2021 34 (10), 2216-2226 DOI: 10.1021/acs.chemrestox.1c00253
Choose getting help
32 The 2021 Washington State Healthy Youth Survey: http://www.askhys.net/