Patterns of concurrent cigarette, alcohol, and e‐cigarette use: Off‐setting or additive behaviors?

Parikh, Anuraag S.; Bhattacharyya, Neil

doi:10.1002/lary.27133

Cited by 14 publications

(6 citation statements)

References 21 publications

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“…This may have implications for the association between marijuana and ecigarette use in the coming years, and the authors predict that this association will become exacerbated with time. Finally, the association between using alcohol and e-cigarettes has also been noted in other studies [20][21][22]. However, it is unclear what underlies this association.…”

Section: Discussionsupporting

confidence: 66%

“…Additionally, e-cigarettes have been associated with a decline in overall health, including lung tissue damage, worse cardiovascular health outcomes and increased inflammatory responses [10][11][12]. Although none in Canada, some international studies have also shown positive associations between risky behaviors such as the use of illicit drugs, marijuana, alcohol and e-cigarette use [13][14][15][16][17][18][19][20][21][22]. Consequently, increased concerns have arisen among substance use researchers since recent e-cigarette designs have grown to accommodate illicit substances.…”

Section: Introductionmentioning

confidence: 99%

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The association between alcohol, marijuana, illegal drug use and current use of E-cigarette among youth and young adults in Canada: results from Canadian Tobacco, Alcohol and Drugs Survey 2017

et al. 2019

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Background: E-cigarettes have grown in popularity around the world since 2003. Although marketed as a smoking cessation tool, e-cigarettes can lead to tobacco cigarette smoking in youth. In Canada, among all age groups, youth and young adults have the highest prevalence of e-cigarette use. The objective of this study was to assess the factors associated with e-cigarette use among youth and young adults in Canada, and to specifically examine the association between alcohol, marijuana and illicit drug use. Methods: Data from the 2017 Canadian Tobacco, Alcohol and Drugs Survey were used. The sample was restricted to those aged 15-24 years (n = 10,322), and main outcome defined as 'E-cigarette use in the past 30-days'. Multivariable logistic regression was performed to assess the association between the main outcome and substance use variables (illicit drug, marijuana and alcohol use), tobacco exposure variables, and demographic and healthrelated factors. Results: 6.2% Canadians aged 15-24 reported using e-cigarettes in the past 30-days, while 23.9% reported having ever tried e-cigarettes. Twenty-three percent of the past 30-day users reported using e-cigarettes every day and 72.5% of the past 30-day users reported having nicotine in their last e-cigarette. Additionally, youth aged 15-17 were 4.95 times more likely to be e-cigarette users as compared to those aged 22-24 (OR: 4.95, 95% CI: 3.1-7.9). Moreover, e-cigarette use was significantly associated with marijuana use (OR:4.17, 95% CI: 2.6-6.7) and alcohol use (OR: 5.08, 95% CI: 2.9-9.0), and approached significance with illicit drug use (OR: 1.68, 95% CI: 1.0-2.9). Furthermore, being a current smoker (OR: 2.93, 95% CI: 1.8-4.7) and male (OR: 2.28, 95% CI: 1.5-3.4) was significantly associated with the outcome. Conclusion: This study is nationally representative and provides insight into e-cigarette use among youth and young adults aged 15-24 years. Given that e-cigarettes can be used as illicit drug delivery systems, more studies are needed to understand how Canadian youth and young adults are using e-cigarettes. Stricter restrictions on public e-cigarette smoking, and awareness campaigns informing youth of risks of e-cigarette smoking should be implemented.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

The association between alcohol, marijuana, illegal drug use and current use of E-cigarette among youth and young adults in Canada: results from Canadian Tobacco, Alcohol and Drugs Survey 2017

et al. 2019

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“…However, these studies were conducted primarily in convenience samples of young adults and used variable definitions of problematic alcohol use. Other studies have found higher rates of alcohol use in e-cigarette users in epidemiological samples, although these studies utilize relatively narrow assessments of alcohol use (Parikh and Bhattacharyya, 2018, Conway et al, 2018). Additional research is needed to replicate and extend these findings using current alcohol use risk classification systems and diagnostic nomenclature in nationally representative samples (Grant et al, 2015).…”

Section: Introductionmentioning

confidence: 96%

Electronic Cigarette Use and Risk of Harmful Alcohol Consumption in the U.S. Population

Roberts

Moore

Peltier

et al. 2018

Alcoholism Clin & Exp Res

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“…In this regard, previous experimental studies have robustly shown that consumption of both alcohol and cocaine use increase the rate of cigarette smoking by enhancing the reinforcing effects of nicotine [39,40]. Third, users of cocaine and alcohol tend not only tend to smoke more, but also frequently consume these substances at the same time [41,42]. It is possible that the repeated pairing of smoking and both alcohol and cocaine use may result in cigarettes being a stimulus that elicits alcohol and cocaine use behavior and vice versa.…”

Section: Discussionmentioning

confidence: 96%

Factors and HCV treatment outcomes associated with smoking among people who inject drugs on opioid agonist treatment: secondary analysis of the PREVAIL randomized clinical trial

et al. 2020

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Background Cigarette smoking has emerged as a leading cause of mortality among people with hepatitis C virus (HCV). People who inject drugs (PWID) represent the largest group of adults infected with HCV in the US. However, cigarette smoking remains virtually unexplored among this population. This study aimed at (1) determining prevalence and correlates of cigarette smoking among HCV-infected PWID enrolled in opiate agonist treatment programs; (2) exploring the association of smoking with HCV treatment outcomes including adherence, treatment completion and sustained virologic response (SVR); and 3) exploring whether cigarette smoking decreased after HCV treatment. Methods Participants were 150 HCV-infected PWID enrolled in a randomized clinical trial primarily designed to test three intensive models of HCV care. Assessments included sociodemographics, presence of chronic health and psychiatric comorbidities, prior and current drug use, quality of life, and HCV treatment outcomes. Results The majority of the patients (84%) were current cigarette smokers at baseline. There was a high prevalence of psychiatric and medical comorbidities in the overall sample of PWID. Alcohol and cocaine use were identified as correlates of cigarette smoking. Smoking status did not influence HCV treatment outcomes including adherence, treatment completion and SVR. HCV treatment was not associated with decreased cigarette smoking. Conclusions The present study showed high prevalence of cigarette smoking among this population as well as identified correlates of smoking, namely alcohol and cocaine use. Cigarette smoking was not associated with HCV treatment outcomes. Given the detrimental effects that cigarette smoking and other co-occurring, substance use behaviors have on HCV-infected individuals’ health, it is imperative that clinicians treating HCV also target smoking, especially among PWID. The high prevalence of cigarette smoking among PWID will contribute to growing morbidity and mortality among this population even if cured of HCV. Tailored smoking cessation interventions for PWID along with HCV treatment may need to be put into clinical practice. Trial registration NCT01857245. Registered May 20, 2013.

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Patterns of concurrent cigarette, alcohol, and e‐cigarette use: Off‐setting or additive behaviors?

Abstract: 2b. Laryngoscope, 1817-1821, 2018.

Cited by 14 publications

References 21 publications

The association between alcohol, marijuana, illegal drug use and current use of E-cigarette among youth and young adults in Canada: results from Canadian Tobacco, Alcohol and Drugs Survey 2017

The association between alcohol, marijuana, illegal drug use and current use of E-cigarette among youth and young adults in Canada: results from Canadian Tobacco, Alcohol and Drugs Survey 2017

Electronic Cigarette Use and Risk of Harmful Alcohol Consumption in the U.S. Population

Factors and HCV treatment outcomes associated with smoking among people who inject drugs on opioid agonist treatment: secondary analysis of the PREVAIL randomized clinical trial

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