The situational contexts and subjective effects of co-use of electronic cigarettes and alcohol among college students: An ecological momentary assessment (EMA) study.

The situational contexts and subjective effects of co-use of electronic cigarettes and alcohol among college students: An ecological momentary assessment (EMA) study.
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DOI:
10.1016/j.drugalcdep.2022.109594
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发表时间:
2022-10-01
影响因子:
4.2
通讯作者:
Buu, Anne
Buu, Anne
中科院分区:
医学2区
文献类型:
--
作者:
Yang, James J.;Lin, Hsien-Chang;Ou, Tzung-Shiang;Tong, Zhaoxue;Li, Runze;Piper, Megan E.;Buu, Anne

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了解电子烟和酒精的共同使用,包括实时与共同使用相关的情境背景和主观影响,对于验证这种行为并为干预提供信息是必要的。然而,稀疏的文献都是建立在回顾性数据的基础上的。这项研究招募了 2019 年秋季至 2021 年秋季美国中西部和南部三个校园的 686 名目前正在使用电子烟的大学生。进行了一项在线调查,以测量电子烟的使用模式、GPA、电子烟和酒精依赖症状以及呼吸道症状。采用为期 7 天的生态瞬时评估来收集有关电子烟和酒精使用、情境背景和主观影响的实时数据。与不经常/不饮酒的电子烟使用者相比,经常饮酒的电子烟使用者报告了更多的高风险使用行为,包括每次饮用 6 杯以上饮料和同时使用,并报告了更多的电子烟和酒精相关的依赖症状和呼吸道症状。高频饮酒组的酒精量与电子烟数量呈正相关。这项研究确定了与较高电子烟消费量相关的重要使用环境,包括使用薄荷醇或水果味电子烟、在车内以及有其他人在场。电子烟的使用和酒精的使用都增加了积极情绪、生理感觉和对电子烟的渴望的水平,而只有酒精的使用才显着降低了消极情绪。没有发现电子烟使用和饮酒之间存在相互作用。研究结果强调了频繁同时使用电子烟和酒精所带来的成瘾和健康风险,并呼吁对电子烟产品中的非烟草香料进行监管。
Understanding the co-use of e-cigarettes and alcohol, including the situational contexts and subjective effects associated with co-use in real-time is necessary for validating this behavior and informing intervention. Yet, the sparse literature has built upon retrospective data. This study recruited 686 college students who were currently using e-cigarettes from three campuses in the Midwest and South of U.S in Fall 2019-Fall 2021. An on-line survey was conducted to measure e-cigarette use patterns, GPA, e-cigarette and alcohol dependence symptoms, and respiratory symptoms. A 7-day ecological momentary assessment was used to collect real-time data on e-cigarette and alcohol use, situational contexts and subjective effects. Frequent drinking e-cigarette users reported more high-risk use behavior including consuming 6+ drinks/occasion and simultaneous use, and reported more e-cigarettes and alcohol related dependence symptoms and respiratory symptoms, compared to infrequent/non-drinker e-cigarette users. Alcohol quantity was positively associated with e-cigarette quantity among the high frequency drinking group. This study identified important use contexts that were associated with higher e-cigarette consumption including use of menthol or fruit flavored e-cigarettes, being in a car, and the presence of others. E-cigarette use and alcohol use both increased the levels of positive affect, physiological sensation, and craving for e-cigarettes, whereas only alcohol use significantly decreased negative affect. No interaction effects between e-cigarette use and alcohol use were found. The findings highlight the addiction and health risks associated with frequent co-use of e-cigarettes and alcohol, and also call for regulations on nontobacco flavorings in e-cigarette products.
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