A new Dutch study reports unusually high levels of nicotine dependence among secondary school pupils, with more than one-third of teenage smokers saying they wake up at night because they need nicotine. The research, published in the European Journal of Pediatrics, surveyed 978 students across five schools and found that 396 had smoked or vaped in the past year and 183 used nicotine daily. Most began around age 13 and often progressed to cigarettes, which researchers said highlights the need for stronger limits on youth access.
Doctors involved in the study said night-time vaping is a clear marker of addiction and warned that many parents remain unaware their children smoke. Addiction expert Reinout Wiers of the University of Amsterdam told de Volkskrant he was surprised by the extent of night-time use, calling it “alarming.”
The findings coincide with a new government anti-vaping campaign, amid repeated warnings from lung specialists as severe vaping-related medical cases emerge in the Netherlands. Other research has found that some youth-favored vapes contain toxic metals, carcinogenic chemicals, and nicotine levels above legal limits.










