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Prospective association of e‐cigarette and cigarette use with alcohol use in two waves of the Population Assessment of Tobacco and Health
Author(s) -
Roberts Walter,
Verplaetse Terril,
Peltier Mac Kenzie R.,
Moore Kelly E.,
Gueorguieva Ralitza,
McKee Sherry A.
Publication year - 2020
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.14980
Subject(s) - medicine , environmental health , alcohol , odds ratio , population , electronic cigarette , odds , demography , cohort study , cross sectional study , prospective cohort study , logistic regression , surgery , biochemistry , chemistry , pathology , sociology
Background and Aims Prior cross‐sectional research finds that electronic cigarette (e‐cigarette) use clusters with higher rates of harmful alcohol consumption in the United States adult population. The current study examined prospectively the association between e‐cigarette use, cigarette use and the combined use of e‐cigarettes and tobacco cigarettes and alcohol use outcomes. Design A nationally representative multi‐wave cohort survey (wave 1: September 2013–December 2014, wave 2: October 2014–October 2015). Setting United States. Participants A representative sample of civilian, non‐institutionalized adults who completed waves 1 and 2 of the Population Assessment of Tobacco and Health survey ( n = 26 427). Measurements Participants were categorized into exposure groups according to their e‐cigarette and cigarette use during wave 1. Past 30‐day alcohol use outcomes were (1) National Institute on Alcohol Abuse and Alcoholism (NIAAA)‐defined hazardous alcohol use, (2) total alcohol drinks consumed and (3) alcohol‐related consequences. Findings After controlling for socio‐demographic risk factors and alcohol use at wave 1, all exposure groups showed higher odds of hazardous alcohol use [adjusted odds ratios (aORs) = 2.05–2.12, all P < 0.001] and reported higher past‐month total drinks ( B = 0.46–0.70, all P < 0.001) and more alcohol consequences ( B = 0.63–0.89, all P ≤ 0.10) at wave 2 compared with non‐users. Cigarette users ( B = 0.24, P = 0.038) and dual e‐cigarette/cigarette users ( B = 0.32, P = 0.038) reported higher past‐month total drinks compared with e‐cigarette users. There was no conclusive evidence that non‐daily use of e‐cigarettes or cigarettes predicted poorer alcohol use outcomes compared with daily use. Conclusions In the United States between 2013 and 2015, after adjustment for socio‐demographic characteristics, cigarette and e‐cigarette use were associated with alcohol use 1 year later.