E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status
Electronic cigarettes (e-cigarettes) are popular among college students, who display risky alcohol use patterns. However, little is known about patterns of co-use of e-cigarettes and alcohol. Further, relationships between e-cigarette use and mental illness among college students are unclear. Colleg...
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| Veröffentlicht in: | Addictive behaviors 2019-04, Vol.91, p.12-20 |
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| creator | Hefner, Kathryn R. Sollazzo, Antonietta Mullaney, Sean Coker, Kendell L. Sofuoglu, Mehmet |
| description | Electronic cigarettes (e-cigarettes) are popular among college students, who display risky alcohol use patterns. However, little is known about patterns of co-use of e-cigarettes and alcohol. Further, relationships between e-cigarette use and mental illness among college students are unclear.
College student participants (N = 631) at a northeastern U.S. university were invited via email to participate in a survey about e-cigarettes and alcohol use. Mental health was self-reported diagnosis of psychiatric (depression, bipolar disorder, schizophrenia, PTSD, anxiety disorder, personality disorder), and substance (alcohol and other drug) use disorders. Current use of e-cigarette, combustible cigarette, and other tobacco products were assessed via self-reported past 30-day use frequency. Alcohol consumption was assessed via number of self-reported standard alcoholic beverages consumed during a typical drinking episode. Participants also reported regarding co-use of alcohol, e-cigarettes and/or combustible cigarettes. Participants were categorized as non-drinkers, moderate drinkers or binge drinkers, and associations between e-cigarette use, drinking patterns and mental health diagnoses were examined.
E-cigarette use was associated with drinking alcohol χ2 = 18.62, p |
| doi_str_mv | 10.1016/j.addbeh.2018.10.040 |
| format | Article |
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College student participants (N = 631) at a northeastern U.S. university were invited via email to participate in a survey about e-cigarettes and alcohol use. Mental health was self-reported diagnosis of psychiatric (depression, bipolar disorder, schizophrenia, PTSD, anxiety disorder, personality disorder), and substance (alcohol and other drug) use disorders. Current use of e-cigarette, combustible cigarette, and other tobacco products were assessed via self-reported past 30-day use frequency. Alcohol consumption was assessed via number of self-reported standard alcoholic beverages consumed during a typical drinking episode. Participants also reported regarding co-use of alcohol, e-cigarettes and/or combustible cigarettes. Participants were categorized as non-drinkers, moderate drinkers or binge drinkers, and associations between e-cigarette use, drinking patterns and mental health diagnoses were examined.
E-cigarette use was associated with drinking alcohol χ2 = 18.62, p < .001, and binge drinking (vs. moderate drinking) χ2 = 12.20, p < .001. Students who had tried e-cigarettes reported drinking more alcohol per episode (χ2 = 15.94, p < .001). E-cigarette use was more prevalent among those with psychiatric and substance use disorders χ2 = 11.65, p < .001.
Drinking college students (especially binge drinkers) and those with mental illness may have heightened risks for e-cigarette use. More research is needed to elucidate relationships between risky alcohol and/or nicotine use and mental illness, and to guide appropriate prevention and intervention efforts for vulnerable college students.
•Many college students report having used electronic cigarettes (EC).•Those who drink alcohol and binge drink are more likely to use EC.•EC use is more prevalent among college students with mental illness.•Perceptions and motivations to use EC in drinkers are similar to clinical samples.•EC use appears to co-occur with risky substance use in vulnerable students.</description><identifier>ISSN: 0306-4603</identifier><identifier>EISSN: 1873-6327</identifier><identifier>DOI: 10.1016/j.addbeh.2018.10.040</identifier><identifier>PMID: 30396534</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Alcohol Drinking - epidemiology ; Alcohol Drinking in College ; Alcohol use ; Alcoholic beverages ; Anxiety ; Beverages ; Binge drinking ; Binge Drinking - epidemiology ; Bipolar disorder ; Cigarettes ; College students ; Drinking ; Drinking behavior ; Electronic cigarettes ; Electronic Nicotine Delivery Systems ; Female ; Humans ; Male ; Mental disorders ; Mental Disorders - epidemiology ; Mental Health ; Mental health care ; Nicotine ; Post traumatic stress disorder ; Prevalence ; Schizophrenia ; Self Report ; Smoking ; Students - statistics & numerical data ; Substance use ; Surveys and Questionnaires ; Tobacco ; Universities ; Vaping - epidemiology ; Young Adult</subject><ispartof>Addictive behaviors, 2019-04, Vol.91, p.12-20</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Apr 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-f8c53d23aecfa15e020fb900b5606a75286bd4777ed402e476649cb930b22ace3</citedby><cites>FETCH-LOGICAL-c491t-f8c53d23aecfa15e020fb900b5606a75286bd4777ed402e476649cb930b22ace3</cites><orcidid>0000-0002-5208-7860 ; 0000-0003-4722-8283</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.addbeh.2018.10.040$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30396534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hefner, Kathryn R.</creatorcontrib><creatorcontrib>Sollazzo, Antonietta</creatorcontrib><creatorcontrib>Mullaney, Sean</creatorcontrib><creatorcontrib>Coker, Kendell L.</creatorcontrib><creatorcontrib>Sofuoglu, Mehmet</creatorcontrib><title>E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status</title><title>Addictive behaviors</title><addtitle>Addict Behav</addtitle><description>Electronic cigarettes (e-cigarettes) are popular among college students, who display risky alcohol use patterns. However, little is known about patterns of co-use of e-cigarettes and alcohol. Further, relationships between e-cigarette use and mental illness among college students are unclear.
College student participants (N = 631) at a northeastern U.S. university were invited via email to participate in a survey about e-cigarettes and alcohol use. Mental health was self-reported diagnosis of psychiatric (depression, bipolar disorder, schizophrenia, PTSD, anxiety disorder, personality disorder), and substance (alcohol and other drug) use disorders. Current use of e-cigarette, combustible cigarette, and other tobacco products were assessed via self-reported past 30-day use frequency. Alcohol consumption was assessed via number of self-reported standard alcoholic beverages consumed during a typical drinking episode. Participants also reported regarding co-use of alcohol, e-cigarettes and/or combustible cigarettes. Participants were categorized as non-drinkers, moderate drinkers or binge drinkers, and associations between e-cigarette use, drinking patterns and mental health diagnoses were examined.
E-cigarette use was associated with drinking alcohol χ2 = 18.62, p < .001, and binge drinking (vs. moderate drinking) χ2 = 12.20, p < .001. Students who had tried e-cigarettes reported drinking more alcohol per episode (χ2 = 15.94, p < .001). E-cigarette use was more prevalent among those with psychiatric and substance use disorders χ2 = 11.65, p < .001.
Drinking college students (especially binge drinkers) and those with mental illness may have heightened risks for e-cigarette use. More research is needed to elucidate relationships between risky alcohol and/or nicotine use and mental illness, and to guide appropriate prevention and intervention efforts for vulnerable college students.
•Many college students report having used electronic cigarettes (EC).•Those who drink alcohol and binge drink are more likely to use EC.•EC use is more prevalent among college students with mental illness.•Perceptions and motivations to use EC in drinkers are similar to clinical samples.•EC use appears to co-occur with risky substance use in vulnerable students.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol Drinking in College</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Anxiety</subject><subject>Beverages</subject><subject>Binge drinking</subject><subject>Binge Drinking - epidemiology</subject><subject>Bipolar disorder</subject><subject>Cigarettes</subject><subject>College students</subject><subject>Drinking</subject><subject>Drinking behavior</subject><subject>Electronic cigarettes</subject><subject>Electronic Nicotine Delivery Systems</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Health</subject><subject>Mental health care</subject><subject>Nicotine</subject><subject>Post traumatic stress disorder</subject><subject>Prevalence</subject><subject>Schizophrenia</subject><subject>Self Report</subject><subject>Smoking</subject><subject>Students - statistics & numerical data</subject><subject>Substance use</subject><subject>Surveys and Questionnaires</subject><subject>Tobacco</subject><subject>Universities</subject><subject>Vaping - epidemiology</subject><subject>Young Adult</subject><issn>0306-4603</issn><issn>1873-6327</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd2KFDEQhYMo7jj6BiIBb-2x8tPpbi8EWdYfWPDGvQ7ppHo6Q09nTNIL-xi-sRlnXUcEr0JOVX11qEPISwYbBky93W2Mcz2OGw6sLdIGJDwiK9Y2olKCN4_JCgSoSioQF-RZSjsAxptaPiUXAkSnaiFX5MdVZf3WRMwZ0xtqJhvGMNElYfnMju5xzmaiI5opj-_oTcJf8gGjxUP2YU40DBTPINTsw7ylNkwTbpGmvLjCKOz-7hz_L720mryk5-TJYKaEL-7fNbn5ePXt8nN1_fXTl8sP15WVHcvV0NpaOC4M2sGwGoHD0HcAfa1AmabmreqdbJoGnQSOslFKdrbvBPScG4tiTd6fuIel36OzxUo0kz5EvzfxTgfj9d-V2Y96G261EnUry5XX5PU9IIbvC6asd2GJc_GsOWsV45JxVbrkqcvGkFLE4WEDA30MUu_0KUh9DPKoliDL2Ktzdw9Dv5P7Yx_LjW49Rp2sx9mi8xFt1i74_2_4CeK6sz8</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Hefner, Kathryn R.</creator><creator>Sollazzo, Antonietta</creator><creator>Mullaney, Sean</creator><creator>Coker, Kendell L.</creator><creator>Sofuoglu, Mehmet</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5208-7860</orcidid><orcidid>https://orcid.org/0000-0003-4722-8283</orcidid></search><sort><creationdate>20190401</creationdate><title>E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status</title><author>Hefner, Kathryn R. ; Sollazzo, Antonietta ; Mullaney, Sean ; Coker, Kendell L. ; Sofuoglu, Mehmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-f8c53d23aecfa15e020fb900b5606a75286bd4777ed402e476649cb930b22ace3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcohol Drinking in College</topic><topic>Alcohol use</topic><topic>Alcoholic beverages</topic><topic>Anxiety</topic><topic>Beverages</topic><topic>Binge drinking</topic><topic>Binge Drinking - epidemiology</topic><topic>Bipolar disorder</topic><topic>Cigarettes</topic><topic>College students</topic><topic>Drinking</topic><topic>Drinking behavior</topic><topic>Electronic cigarettes</topic><topic>Electronic Nicotine Delivery Systems</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Health</topic><topic>Mental health care</topic><topic>Nicotine</topic><topic>Post traumatic stress disorder</topic><topic>Prevalence</topic><topic>Schizophrenia</topic><topic>Self Report</topic><topic>Smoking</topic><topic>Students - statistics & numerical data</topic><topic>Substance use</topic><topic>Surveys and Questionnaires</topic><topic>Tobacco</topic><topic>Universities</topic><topic>Vaping - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hefner, Kathryn R.</creatorcontrib><creatorcontrib>Sollazzo, Antonietta</creatorcontrib><creatorcontrib>Mullaney, Sean</creatorcontrib><creatorcontrib>Coker, Kendell L.</creatorcontrib><creatorcontrib>Sofuoglu, Mehmet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Addictive behaviors</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hefner, Kathryn R.</au><au>Sollazzo, Antonietta</au><au>Mullaney, Sean</au><au>Coker, Kendell L.</au><au>Sofuoglu, Mehmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status</atitle><jtitle>Addictive behaviors</jtitle><addtitle>Addict Behav</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>91</volume><spage>12</spage><epage>20</epage><pages>12-20</pages><issn>0306-4603</issn><eissn>1873-6327</eissn><abstract>Electronic cigarettes (e-cigarettes) are popular among college students, who display risky alcohol use patterns. However, little is known about patterns of co-use of e-cigarettes and alcohol. Further, relationships between e-cigarette use and mental illness among college students are unclear.
College student participants (N = 631) at a northeastern U.S. university were invited via email to participate in a survey about e-cigarettes and alcohol use. Mental health was self-reported diagnosis of psychiatric (depression, bipolar disorder, schizophrenia, PTSD, anxiety disorder, personality disorder), and substance (alcohol and other drug) use disorders. Current use of e-cigarette, combustible cigarette, and other tobacco products were assessed via self-reported past 30-day use frequency. Alcohol consumption was assessed via number of self-reported standard alcoholic beverages consumed during a typical drinking episode. Participants also reported regarding co-use of alcohol, e-cigarettes and/or combustible cigarettes. Participants were categorized as non-drinkers, moderate drinkers or binge drinkers, and associations between e-cigarette use, drinking patterns and mental health diagnoses were examined.
E-cigarette use was associated with drinking alcohol χ2 = 18.62, p < .001, and binge drinking (vs. moderate drinking) χ2 = 12.20, p < .001. Students who had tried e-cigarettes reported drinking more alcohol per episode (χ2 = 15.94, p < .001). E-cigarette use was more prevalent among those with psychiatric and substance use disorders χ2 = 11.65, p < .001.
Drinking college students (especially binge drinkers) and those with mental illness may have heightened risks for e-cigarette use. More research is needed to elucidate relationships between risky alcohol and/or nicotine use and mental illness, and to guide appropriate prevention and intervention efforts for vulnerable college students.
•Many college students report having used electronic cigarettes (EC).•Those who drink alcohol and binge drink are more likely to use EC.•EC use is more prevalent among college students with mental illness.•Perceptions and motivations to use EC in drinkers are similar to clinical samples.•EC use appears to co-occur with risky substance use in vulnerable students.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>30396534</pmid><doi>10.1016/j.addbeh.2018.10.040</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5208-7860</orcidid><orcidid>https://orcid.org/0000-0003-4722-8283</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0306-4603 |
| ispartof | Addictive behaviors, 2019-04, Vol.91, p.12-20 |
| issn | 0306-4603 1873-6327 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6358487 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Alcohol Drinking - epidemiology Alcohol Drinking in College Alcohol use Alcoholic beverages Anxiety Beverages Binge drinking Binge Drinking - epidemiology Bipolar disorder Cigarettes College students Drinking Drinking behavior Electronic cigarettes Electronic Nicotine Delivery Systems Female Humans Male Mental disorders Mental Disorders - epidemiology Mental Health Mental health care Nicotine Post traumatic stress disorder Prevalence Schizophrenia Self Report Smoking Students - statistics & numerical data Substance use Surveys and Questionnaires Tobacco Universities Vaping - epidemiology Young Adult |
| title | E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status |
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