In 2019, past-month prevalence of JUUL in the U.S. The amount of nicotine delivered by one pod is high compared to many other brands of e-cigarettes, equivalent to a pack of combustible cigarettes ( Labs, 2019), though analyses of JUUL pods and JUUL-compatible replacement pods have reported even higher concentrations of nicotine than published on the packaging ( Goniewicz et al., 2019, Voos et al., 2019). JUUL, a small pod-based nicotine delivery device that vaporizes nicotine salts, has become increasingly popular among adolescents and young adults since its introduction in 2015 ( Vallone, Bennett, Xiao, Pitzer, & Hair, 2019), becoming the most commonly used vaping product among youth in 2019 ( Cullen, Gentzke, & Sawdey, 2019).

Some posters joked about switching to cigarettes or other drugs to quit JUUL. Posters mentioned their extreme difficulty quitting JUUL, numerous failed quit attempts, and numerous barriers to quitting including intense physical and emotional withdrawal symptoms. Reasons for quitting included adverse health effects such as breathing problems and the financial cost of a JUUL habit. Former JUUL users who had quit successfully generally expressed pride but also acknowledged that quitting was very difficult. Methods to quit included evidence-based tobacco cessation methods such as nicotine replacement therapy and enrolling in a text-to-quit program, but they also included non-evidence-based strategies such as buying lower-nicotine pods online or switching to other tobacco products including cigarettes. The most common themes were Methods to quit (25.4%), Have quit (17.8%), Want to quit (16.1%), Reasons to quit (9.6%), Difficulty quitting (7.9%), Barriers to quitting (2.9%), and Curious about quitting (2.1%).

Pic of juul serial code