Is e-cigarette use associated with persistence or discontinuation of combustible cigarettes? A 24-month longitudinal investigation in young adult binge drinkers.
Journal article
Martinez-Loredo, V., González-Roz, Alba, Dawkins, L., Singh, Desmond, Murphy, James G and MacKillop, J. (2022). Is e-cigarette use associated with persistence or discontinuation of combustible cigarettes? A 24-month longitudinal investigation in young adult binge drinkers. Nicotine & Tobacco Research. https://doi.org/6530318
| Authors | Martinez-Loredo, V., González-Roz, Alba, Dawkins, L., Singh, Desmond, Murphy, James G and MacKillop, J. |
|---|---|
| Abstract | It remains unclear whether electronic cigarette (e-cigarette) use promotes persistent combustible tobacco use or smoking discontinuation over time. Alcohol use is associated with greater risk of adverse health effects of tobacco, and higher likelihood of e-cigarette use, making drinkers a high priority subpopulation. This study examined longitudinal patterns of combustible tobacco and e-cigarette use over 24-months in young adult binge drinkers. A pooled dataset of 1,002 (58.5% female; M age = 22.14) binge drinkers from the United States (60%) and Canada (40%) was used. The primary outcomes were past month combustible tobacco and e-cigarette use. Nicotine dependence was measured using the Fagerström Test of Cigarette Dependence. Alcohol severity was measured using the Young Adult Alcohol Consequences Questionnaire. Latent transition analysis (LTA) was used to identify patterns of cigarette smoking and e-cigarette use over 24 months. The LTA yielded a four-class solution: 1) e-cigarettes-only users (prevalence over time: 7.75-10.10%), 2) dual-product users (2.61-9.89%), 3) combustible-only smokers (8.12-20.70%) and 4) non-users (61.66-80.06%). Dual-product users predominantly transitioned to complete abstinence or exclusively e-cigarette use. In combustible-only smokers, the most common transition was to abstinence, followed by persistence of combustible-only status. At 24-months, 63% of e-cigarettes-only users transitioned to abstinence, with 37% continuing e-cigarettes-only use and 0% transitioning to dual or combustible cigarette use. Dual-product use in young adult binge drinkers was associated with discontinuation of combustible tobacco over time, and e-cigarette-only use was not associated with subsequent combustible tobacco use. These findings suggest that concurrent or exclusive e-cigarette use is not a risk factor for persistence or development of combustible tobacco use in this subpopulation, with dual-product use reflecting a transitional pattern away from combustible use, toward discontinuation. [Abstract copyright: © The Author(s) 2022. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.] |
| Keywords | smoking discontinuation; e-cigarette; young adults; dual use; cigarette smoking; vaping |
| Year | 2022 |
| Journal | Nicotine & Tobacco Research |
| Publisher | Oxford University Press (OUP) |
| ISSN | 1469-994X |
| Digital Object Identifier (DOI) | https://doi.org/6530318 |
| https://doi.org/10.1093/ntr/ntac049 | |
| Publication dates | |
| 17 Feb 2022 | |
| Online | 17 Feb 2022 |
| Publication process dates | |
| Accepted | 15 Feb 2022 |
| Deposited | 09 Mar 2022 |
| Accepted author manuscript | File Access Level Open |
| Additional information | This is a pre-copyedited, author-produced version of an article accepted for publication in Nicotine and Tobacco Research following peer review. The version of record Is e-cigarette use associated with persistence or discontinuation of combustible cigarettes? A 24-month longitudinal investigation in young adult binge drinkers is available online at https://doi.org/10.1093/ntr/ntac049 |
| License | https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
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