E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status

Hefner, Kathryn R.; Sollazzo, Antonietta; Mullaney, Sean; Coker, Kendell L.; Sofuoglu, Mehmet

doi:10.1016/j.addbeh.2018.10.040

Cited by 62 publications

(26 citation statements)

References 36 publications

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“…A few studies examined e-cigarette use in relation to standard binge drinking among US adolescents and young adults. For example, Hefner et al 36 found binge consuming 5 drinks or more was associated with increased odds of ever tried e-cigarettes among 631 students at a northeastern University. Littlefield et al 37 found odds of standard binge drinking increased among traditional cigarette users, e-cigarette users, and dual users at a state college.…”

Section: Discussionmentioning

confidence: 99%

High-intensity binge drinking is associated with cigarette smoking and e-cigarette use among US adults aged 40–64 years: Findings from the 2017 BRFSS survey

Wang¹

2020

Tob. Induc. Dis.

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INTRODUCTION This study aims to assess the association of cigarette smoking, including e-cigarette use, with level of binge drinking, especially high-intensity and extreme high-intensity binge drinking, among a nationally representative sample of middle-aged US adults. METHODS Data were derived from the 2017 Behavioral Risk Factor Surveillance System (BRFSS). The final sample consisted of 162748 respondents aged 40-64 years (48.7% male). Weighted distributions of sample characteristics were estimated by intensity of binge drinking. Pearson chi-squared tests were used to compare groups. Bivariate and multivariate logistic regressions were used to estimate crude and adjusted odds ratios to indicate the strength of the association between independent variables and each level of binge drinking. RESULTS In all, 2.3% and 0.7% of the sample reported high-intensity and extreme high-intensity binge drinking, respectively. Past-month high-intensity and extreme high-intensity binge drinking were reported in 36.3% and 45.0% of smokers, respectively. Mental distress was positively associated with both levels of high-intensity binge drinking; having multiple chronic health conditions was negatively associated with past-month high-intensity binge drinking. Smokers had 3.27 (95% CI: 2.69-3.98) and 4.14 (95% CI: 3.12-5.49) times greater odds of reporting past-month high-intensity and extreme high-intensity binge drinking, respectively. E-cigarette users had 1.56 (95% CI: 1.01-2.42) times increased odds of reporting past-month high-intensity binge drinking, but not extreme high-intensity binge drinking. The largest odds were seen among dual users reporting extreme high-intensity binge drinking (AOR=6.05; 95% CI: 3.78-9.68) in the past month. CONCLUSIONS Cigarette smoking and e-cigarette use were potentially strong risk factors for high-intensity binge drinking, with cigarette smoking associated with extreme high-intensity binge drinking.

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Section: Discussionmentioning

confidence: 99%

High-intensity binge drinking is associated with cigarette smoking and e-cigarette use among US adults aged 40–64 years: Findings from the 2017 BRFSS survey

Wang¹

2020

Tob. Induc. Dis.

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“…These advertisements influence perceptions of e-cigarettes leading users and nonusers alike to cite e-cigarette use as a healthier alternative to smoking combustible cigarettes and reporting that they believe e-cigarettes contain fewer chemicals, less nicotine, and less smoke than their combustible counterparts [5]. A commonly cited motivation among college students for using e-cigarettes is the belief that it is a healthy alternative to combustible cigarettes [16,21].…”

Section: E-cigarette Marketing Strategiesmentioning

confidence: 99%

A Retrospective Cross-Sectional Study on the Prevalence of E-cigarette Use Among College Students

2020

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E-cigarette use among young adults is a major public health concern. Approximately 17.7-40% of college students have tried or are currently using e-cigarettes. While a few studies have examined e-cigarette use among youth, opportunity exists to understand psychosocial factors that influence college students' e-cigarette behavior. The main purpose of this study is to examine the associations between the constructs of self-efficacy, knowledge, depression and anxiety symptoms, and e-cigarette use among college students. A retrospective cross-sectional survey (20-items) design was used for data collection. Bivariate analysis and analysis of variance (ANOVA) were used to evaluate associations between the independent variables and the dependent variable. A total of 872 college students between the ages of 18 and 25 completed the survey in Qualtrics. A significant association between gender and frequency of e-cigarette use was found (χ 2 = 22.94, p < .001). ANOVA results showed significant relationships between knowledge [F (3, 808) = 9.01, p < 0.001], self-efficacy [F (3, 808) = 4.85, p < 0.01], depression [F (3,808) = 8.31, p < .05], and e-cigarette use. Post hoc analysis revealed students who never used e-cigarettes scored higher on knowledge and self-efficacy than students who used every day, somedays or rarely, indicating never-users have higher knowledge of negative effects associated with e-cigarette use and have higher self-confidence than e-cigarette users. The study's findings highlight that modifiable factors such as knowledge about harmful effects of e-cigarettes and self-confidence are associated with low e-cigarette use. Interventions could be designed to target these modifiable factors.

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“…Approximately 4.5% of adults in the United States regularly use electronic nicotine delivery systems (ENDS; Mirbolouk et al, 2018), including electronic cigarettes, such as personal vaporizers, vape‐pens, e‐cigars, e‐hookahs, vaping devices, JUUL, mod systems, or pod systems. An emerging and growing area of research demonstrates a positive association between ENDS and alcohol use (Bartoli et al, 2014; Cohn et al, 2015; Hefner et al, 2019; Lee, Kim and Cho, 2016; Littlefield et al, 2015; Llanes et al 2019; Roberts et al 2018; Saddleson et al, 2015; Tavolacci et al, 2016). However, most of this work has utilized cross‐sectional, self‐report data assessing general behavior (e.g., relationship between overall ENDS use and overall alcohol use) rather than objectively measuring the occurrence of ENDS and alcohol use in time and place.…”

mentioning

confidence: 99%

“…Both daily and lifetime ENDS use were related to greater hazardous drinking, alcohol use disorder diagnosis, and binge drinking frequency (Roberts et al, 2018). Additionally, lifetime ENDS use (ever using an ENDS) and past 30‐day ENDS use were linked to recent alcohol use, binge drinking (Bartoli et al, 2014; Hefner et al, 2019; Littlefield et al, 2015; Llanes et al, 2019; Saddleson et al, 2015; Tavolacci et al, 2016), and problematic use of alcohol (Tavolacci et al, 2016).…”

mentioning

confidence: 99%

An Experimental Test of the Relationship between Electronic Nicotine Delivery System Use and Alcohol Consumption

Hershberger

Studebaker

Whitt

et al. 2021

Alcoholism Clin & Exp Res

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Background: Increasing research shows that the use of electronic nicotine delivery systems (ENDS) is associated with a higher rate and quantity of alcohol consumption.Methods: The present study used a 2-session, within-subjects design to experimentally examine the relationship between ENDS use and laboratory ad libitum alcohol consumption. A total of N = 31 (mean age = 28.71, SD = 11.17; 45.2% women; 54.8% White/Caucasian) healthy adults from the community who use ENDS and endorsed liking beer completed the study, which included a beer consumption taste-test task that assessed the volume of beer consumed by the participants across 2 counterbalanced sessions: 1 in which concurrent ENDS use was allowed and 1 in which it was not. All analyses controlled for age, race, and gender.Results: The effect of ENDS condition on the volume of beer consumed was not statistically significant, F(1, 30) = 0.03, p = 0.86). Results of linear mixed modeling showed that ENDS puffs were significantly related to alcohol sips (estimate = 0.23, SE = 0.07, p = 0.002) across the ad libitum session.Conclusions: Overall, ENDS use did not increase alcohol consumption; however, the data suggest that ENDS puffs might act as a prime for beer sips or that these 2 behaviors are linked through habit. Future studies should more fully measure and compare global and event-level data on ENDS and alcohol use as they might show disparate patterns of relationships.

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E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status

Cited by 62 publications

References 36 publications

High-intensity binge drinking is associated with cigarette smoking and e-cigarette use among US adults aged 40–64 years: Findings from the 2017 BRFSS survey

High-intensity binge drinking is associated with cigarette smoking and e-cigarette use among US adults aged 40–64 years: Findings from the 2017 BRFSS survey

A Retrospective Cross-Sectional Study on the Prevalence of E-cigarette Use Among College Students

An Experimental Test of the Relationship between Electronic Nicotine Delivery System Use and Alcohol Consumption

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