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Prohibition of e-cigarettes in the US: Are prohibitions where alcohol is consumed related to lower alcohol consumption?

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Abstract

Recently, research has suggested negative consequences related to electronic cigarette (e-cig) use, including the increased risk for alcohol use and abuse. Previous work found that cigarette smoking ban legislation lowered overall smoking and alcohol use rates; however, researchers have not yet examined the potential effects of prohibiting e-cig use. The present study surveyed 617 individuals from a community-based online sample in the US (mean age = 33.33, SD = 10.50, 54.7 per cent female) who reported their smoking/e-cig use status, alcohol consumption, and the presence of e-cig prohibitions where they consume alcohol. E-cig prohibition was associated with a lower likelihood of being an e-cig user (OR = 0.12, p < 0.001) or dual user (use both cigarettes and e-cigs) (OR = 0.07, p < 0.001). Alcohol Use Disorder Identification Test scores (b = −1.92, p < 0.001), total drinks consumed over 14 days (b = −4.58, p = 0.002), and average drinks per drinking day (b = −0.71, p < 0.001) were all lower when e-cigs were prohibited. Findings are an initial step in this line of research and suggest important future work examining implications of e-cig prohibition recommendations and policy.

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References

  1. American Cancer Society. (2014). Electronic cigarettes (e-cigarettes). CA: A Cancer Journal for Clinicians, 64, 169–170.

    Google Scholar 

  2. Dawkins, L. and Corcoran, O. (2013). Acute electronic cigarette use: nicotine delivery and subjective effects in regular users. Psychopharmacology, 231(2), 401–407.

    Article  Google Scholar 

  3. Dawkins, L., Turner, J., Hasna, S. and Soar, K. (2012). The electronic-cigarette: effects on desire to smoke, withdrawal symptoms, and cognition. Addictive Behaviors, 37, 970–973.

    Article  Google Scholar 

  4. Flouris, A. D., Chorti, M. S., Poulianti, K. P., Jamurtas, A. Z., Kostikas, K., Tzatzarakis, M. N. Wallace, et al. (2013). Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function. Inhalation Toxicology, 25, 91–101.

    Article  Google Scholar 

  5. Kahler, C. W., Metrik, J., LaChance, H. R., Ramsey, S. E., Abrams, D. B., Monti, P. M., et al. (2008). Addressing heavy drinking in smoking cessation treatment: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 76, 852–862.

    Article  Google Scholar 

  6. Peters, E. N., Harrell, P. T., Hendricks, P. S., O’Grady, K. E., Pickworth, W. B. and Vocci, F. J. (2015). Electronic cigarettes in adults in outpatient substance use treatment: Awareness perceptions, use, and reasons for use. American Journal on Addictions, 24(3), 233–239.

    Article  Google Scholar 

  7. King, B. A., Alam, S., Promoff, G., Arrazola, R. and Dube, S. R. (2013). Awareness and ever-use of electronic cigarettes among U.S. Adults, 2010–2011. Nicotine and Tobacco Research, 15, 1623–1627.

    Article  Google Scholar 

  8. Kosmider, L., Sobczak, A., Maciej, F., Knysak, J., Zaciera, M., Kurek, J., et al. (2014). Carbonyl compounds in electronic cigarette vapors: Effects of nicotine solvent and batter output voltage. Nicotine and Tobacco Research, 16(10), 1319–1326.

    Article  Google Scholar 

  9. Lerner, C. A., Sundar, I. K., Yao, H., Gerloff, J., Ossip, D. J., McIntosh, S., et al. (2015). Vapors produced by electronic cigarettes and e-juices with flavorings induce toxicity, oxidative stress, and inflammatory response in lung epithelial cells and in mouse lung. PLoS One, 10(2), 1–26.

    Article  Google Scholar 

  10. Schweitzer, K. S., Chen, S. X., Law, S., Van Demark, M. J., Poirier, C., Justice, M. J., et al. (2015). Endothelial disruptive pro-inflammatory effects of nicotine and e-cigarette vapor exposures. American Journal of Physiology-Lung, Cellular, and Molecular Physiology, 309(2), L175–L187.

    Article  Google Scholar 

  11. Sussan, T. E., Gajghate, S., Thimmulappa, R. K., Ma, J., Kim, J., Sudini, K., et al. (2015). Exposure to electronic cigarettes impairs pulmonary anti-bacterial and anti-viral defenses in a mouse model. PLoS One, 10(2), 1–15.

    Article  Google Scholar 

  12. Food and Drug Administration. (2009). FDA and public health experts warn about electronic cigarettes. www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm173222.htm, accessed 5 July 2015.

  13. Hershberger, A., Karyadi, K., VanderVeen, J. D., Cyders, M. A. (2016). Combined expectancies of co-occurring e-cigarette and alcohol use and problematic alcohol consumption across smoking status. Addictive Behaviors, 52, 13–21.

    Article  Google Scholar 

  14. American Non-Smokers Rights Foundation. (2015). 100% smoke-free laws [Map]. http://www.no-smoke.org/goingsmokefree.php?id=519#maps.

  15. Bartecchi, C., Alsever, R. N., Nevin-Woods, C., Thomas, W. M., Estacio, R. O., Bucher, Bartelson B., et al. (2006). Reduction in the incidence of acute myocardial infarction associated with a citywide smoking ordinance. Circulation, 114, 1490–1496.

    Article  Google Scholar 

  16. Khuder, S. A., Milz, S., Jordan, T., Price, J., Silvestri, K. and Butler, P. (2007). The impact of a smoking ban on hospital admissions for coronary heart disease. Preventive Medicine, 45(1), 3–8. CINAHL Complete, EBSCOhost (accessed 19 August 2015).

    Article  Google Scholar 

  17. Hahn, E. J., Rayens, M. K., Butler, K. M., Zhang, M., Durbin, E. and Steinke, D. (2008). Smoke-free laws and adult smoking prevalence. Preventive Medicine, 47, 206–209.

    Article  Google Scholar 

  18. Kasza, K. A., McKee, S. A., Rivard, C. and Hyland, A. J. (2012). Smoke-free bar policies and smoker’ alcohol consumption: Findings from the International Tobacco Control Four Country Survey. Drug and Alcohol Dependence, 126(1–2), 240–245.

    Article  Google Scholar 

  19. Picone, G. A., Sloan, F. and Trogdon, J. G. (2004). The effect of the tobacco settlement and smoking bans on alcohol consumption. Health Economics, 13(10), 1063–1080.

    Article  Google Scholar 

  20. Young-Wolff, K. C., Hyland, A. J., Desai, R., Sindelar, J., Pilver, C. E. and McKee, S. A. (2012). Smoke-free policies in alcohol consumption venues predict transitions in alcohol use disorders in a longitudinal U.S. sample. Drug and Alcohol Dependence, 128(3), 214–221.

    Article  Google Scholar 

  21. Boynton, M. H. and Richman, L. S. (2014). An online daily diary study of alcohol using Amazon’s Mechanical Turk. Drug and Alcohol Review, 33, 456–461.

    Article  Google Scholar 

  22. Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R. and Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption I. Addiction, 88, 349–362.

    Article  Google Scholar 

  23. Shields, A. L. and Caruso, J. C. (2003). Reliability generalization of the alcohol use disorders identification test. Educational and Psychological Measurement, 63(3), 404–413.

    Article  Google Scholar 

  24. Sobell, L. C. and Sobell, M. B. (1992). Timeline followback: A technique for assessing self-reported alcohol consumption. In R. Z. Litten and J. Allen (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72). NJ: Humana Press.

    Chapter  Google Scholar 

  25. Donovan, D. M., Kivlahan, D. R., Longabaugh, R. and Greenfield, S. (2006). Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT and AUDIT zones in defining levels of severity among outpatientds with alcohol dependence in the COMBINE study. Addiction, 10(12), 1696–1704.

    Article  Google Scholar 

  26. DeMarce, J., Burden, J. L., Lash, S. J., Stephens, R. S. and Grambow, S. C. (2007). Convergent validity of the Timeline Followback for persons with comorbid psychiatric disorders engaged in residential substance use treatment. Addictive Behaviors, 32(8), 1582–1592.

    Article  Google Scholar 

  27. Fillmore, M. T. and Jude, R. (2011). Defining “binge” alcohol consumption as five drinks per occasion or alcohol consumption to a.08% BAC: Which is more sensitive to risk? The American Journal on Addictions, 20(5), 468–475.

    Article  Google Scholar 

  28. McCarthy, D. M., Niculete, M. E., Treloar, H. R., Morris, D. H. and Bartholow, B. D. (2012). Acute alcohol effects on impulsivity: Associations with alcohol consumption and driving behavior. Addiction, 107(12), 2109–2114.

    Article  Google Scholar 

  29. Rohsenow, D. J., Monti, P. M., Colby, S. M., Gulliver, S. B., Sirota, A. D., Niaura, R. S., et al. (1997). Effects of alcohol cues on smoking urges and topography among alcoholic men. Alcoholism: Clinical and Experimental Research, 21, 101–107.

    Article  Google Scholar 

  30. Cooney, N., Cooney, J., Perry, B., Carbone, M., Cohen, E., Steinberg, H., et al. (2009). Smoking cessation during alcohol treatment: a randomized trial of combination nicotine patch plus nicotine gum. Addiction, 104(9), 1588–1596. doi:10.1111/j.1360-0443.2009.02624.x.

    Article  Google Scholar 

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Correspondence to Alexandra R. Hershberger.

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Hershberger, A.R., Karyadi, K.A. & Cyders, M.A. Prohibition of e-cigarettes in the US: Are prohibitions where alcohol is consumed related to lower alcohol consumption?. J Public Health Pol 37, 483–499 (2016). https://doi.org/10.1057/s41271-016-0033-0

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