Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Comment
  • Published:

To regulate vaping we need pragmatic, evidence-based policy

Vaping regulation is a global challenge. We discuss evidence on health risks, smoking impacts and policy goals, and advocate for pragmatic, proportionate regulation that reduces smoking harms while minimizing youth uptake and unintended consequences.

This is a preview of subscription content, access via your institution

Access options

Buy this article

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

References

  1. Banks, E. et al. BMC Med. 13, 38 (2015).

    Article  PubMed  PubMed Central  Google Scholar 

  2. Russell, M. A. Br. Med. J. 1, 1430–1433 (1976).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Lindson, N. et al. Cochrane Database Syst. Rev. 2025, CD010216 (2025).

    Google Scholar 

  4. Royal College of Physicians. E-Cigarettes and Harm Reduction: An Evidence Review (RCP, 2024).

  5. Kouzoukas, E. et al. Int. J. Drug Policy 148, 105117 (2026).

    Article  PubMed  Google Scholar 

  6. NEJM Evid. 3, EVIDe2400220 (2024).

  7. Khouja, J. N., Suddell, S. F., Peters, S. E., Taylor, A. E. & Munafò, M. R. Tob. Control 30, 8–15 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  8. Begh, R. et al. Addiction 120, 1090–1111 (2025).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Selya, A. et al. J. Consum. Policy 46, 79–93 (2023).

    Article  CAS  Google Scholar 

  10. Friedman, A. S. & Pesko, M. F. Addiction 117, 3121–3128 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  11. Lim, C. C. W. et al. Addiction https://doi.org/10.1111/add.70281 (2025).

    Article  PubMed  Google Scholar 

  12. Mendelsohn, C. P. et al. Addiction 120, 1379–1389 (2025).

    Article  PubMed  Google Scholar 

  13. Tattan-Birch, H., Brown, J., Shahab, L., Beard, E. & Jackson, S. E. Lancet Reg. Health Eur. 42, 100924 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  14. Jackson, S. E., Tattan-Birch, H., Shahab, L. & Brown, J. BMJ 386, e079016 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  15. Jackson, S. E., Brown, J., Kock, L. & Shahab, L. BMC Med. 22, 503 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sarah E. Jackson.

Ethics declarations

Competing interests

J.B. has received (most recently in 2018) unrestricted research funding from Pfizer and J&J, who manufacture smoking cessation medications. L.S. has received honoraria for talks, unrestricted research grants and travel expenses to attend meetings and workshops from manufactures of smoking cessation medications (Pfizer; J&J) and has acted as paid reviewer for grant awarding bodies and as a paid consultant for health care companies. N.A.R. has received research grants and, in the past, consulting fees from Achieve Life Sciences, which has an investigational smoking cessation medication. She receives royalties for writing about cigarette smoking and electronic cigarettes for an online medical textbook (UpToDate). C.B. received honoraria in 2023, 2024 and 2025 for co-chairing a smoking cessation leaders network among Association of Southeast Asian Nations countries and travel support to attend these meetings, from Kenvue, who manufactures smoking cessation medications. All authors declare that they have never had financial links with tobacco companies, e-cigarette manufacturers or their representatives.

Peer review

Peer review information

Nature Human Behaviour thanks the anonymous reviewers for their contribution to the peer review of this work.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jackson, S.E., Shahab, L., McNeill, A. et al. To regulate vaping we need pragmatic, evidence-based policy. Nat Hum Behav (2026). https://doi.org/10.1038/s41562-026-02461-0

Download citation

  • Published:

  • Version of record:

  • DOI: https://doi.org/10.1038/s41562-026-02461-0

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing