A Comparison of Mental and Behavioral Health Risks Factors Associated With Current Dual Use of Electronic Cigarette and Conventional Tobacco Cigarettes With Exclusive Tobacco Cigarette Use and Nonuse Among Adults in the United States

Abstract

Background and Objectives While health risks associated with tobacco cigarette use are well‐known, additional risks of dual use are poorly understood. This study compared mental and behavioral health risk factors associated with the current dual use of e‐cigarettes and conventional tobacco cigarettes with current exclusive users of tobacco cigarettes and nonusers of either e‐cigarettes or tobacco cigarettes. Methods Data from the 2016 National Behavioral Risk Factor Surveillance System (BRFSS) were analyzed (N = 277,034). Current dual use was defined as the current use of tobacco cigarettes and the use of e‐cigarettes, everyday or some days. Multivariate logistic regression analysis was used to assess associations between dual use and mental and behavioral health risks compared with exclusive tobacco cigarette users and nonusers. Results Compared with nonusers, current dual use was associated with increased odds of having more than 14 days of self‐reported poor physical health (adjusted odd ratio [AOR], 1.9; P < .01), more than 14 days of self‐reported poor mental health (AOR, 1.8; P < .01), a diagnosis of depression (AOR, 2.2; P < .001); using smokeless tobacco products (AOR, 1.6; P < .05), alcohol use (AOR, 1.6; P < .01), and marijuana use (AOR, 8.3; P < .001) than current exclusive users of tobacco cigarettes. Conclusions and Scientific Significance The concurrent use of e‐cigarettes and tobacco cigarettes is associated with increased odds of having behavioral and mental health problems. These findings may be indicative of increased health risks associated with dual use, compared with the exclusive use of tobacco cigarettes, and have important implications for public health interventions and policies aimed at mitigating health risk behaviors. (Am J Addict 2020;00:00–00)

Pilot Ecological Momentary Assessment Study of Subjective and Contextual Factors Surrounding E-Cigarette and Combustible Tobacco Product Use among Young Adults

“…Future research is needed to understand whether device type has a unique role in episode type. Second, our findings do not generalize to larger, representative samples of young adults or other unique populations; we collected data in 2018 from a non-representative sample of young adults in CT. For example, national data suggests almost 75% of adults who use both e-cigarettes and cigarettes are non-Hispanic White [ 34 ], however the majority of our sample was non-Hispanic Black or Hispanic. Lastly, these 2018 data may not reflect patterns of dual use with newer e-cigarette devices.…”

Blocking of P2X7r Reduces Mitochondrial Stress Induced by Alcohol and Electronic Cigarette Exposure in Brain Microvascular Endothelial Cells

“…15596026) from Invitrogen (Thermo Fisher Scientific, Carlsbad, MA, USA). Total RNA (500 ng) was converted to complementary DNA (cDNA) using RT 2 PreAMP cDNA Synthesis Kit (Cat. No.…”

“…Polydrug abuse (including smoking, alcohol use disorder) presents a significant health problem [ 1 , 2 ]. During the last few years, electronic cigarettes (e-Cig) have become very popular especially among adolescent users [ 3 ].…”

Passive exposure to e-cigarette emissions is associated with worsened mental health

“…Whether e-cigarette use is associated with anxiety disorders is less well characterized [ 86 , 87 ]. Dual use of combustible and electronic cigarettes has been consistently linked to depressive/internalizing disorders [ 36 , 43 , 61 , 83 , 88 , 89 ]. Findings from the current study provide further evidence in support of an independent link between e-cigarette use and internalizing disorders, as well as evidence that dual users have the greatest risk.…”