Combustible Cigarette Smokers Versus E-cigarette Dual Users Among Latinx Individuals: Differences in Alcohol and Drug Use Severity

Overview

Journal Exp Clin Psychopharmacol

Publisher American Psychological Association

Specialty Pharmacology

Date 2023 Jul 20

PMID 37470998

Authors

Michael J Zvolensky

Justin M Shepherd

Bryce K Clausen

Brooke Y Redmond

Virmarie Correa-Fernandez

Joseph W Ditre

Affiliations

Soon will be listed here.

Abstract

The Latinx population in the United States (U.S.) experiences significant tobacco and other substance use-related health disparities. Yet, little is known about the couse of combustible cigarettes and e-cigarettes (dual use) in relation to substance use behavior among Latinx smokers. The present investigation compared English-speaking Latinx adults living in the United States who exclusively smoke combustible cigarettes versus dual users in terms of alcohol use and other drug use problem severity. Participants were 297 Hispanic/Latinx daily cigarette smokers (36.4% female, = 35.9 years, = 8.87) recruited nationally across the United States using Qualtrics Panels to complete self-report measures of behavioral health outcomes. Five analysis of covariance models were conducted to evaluate differences in overall alcohol consumption, dependence, related problems, hazardous drinking, and drug use problem severity between exclusive combustible cigarette smokers ( = 205) and dual users ( = 92). Results indicated that dual users evinced greater levels of alcohol consumption, dependence, alcohol-related problems, and hazardous drinking compared to exclusive combustible cigarette smokers (s < .001). Dual users also reported greater levels of drug use problems relative to exclusive combustible cigarette smokers ( < .001). The current findings are among the first to document that dual cigarette and e-cigarette use status (compared to exclusive combustible cigarette smoking) may serve as a clinically relevant risk indicator for a range of deleterious substance use problems among Latinx individuals. Future research is needed to corroborate these findings and examine dual-use status as a longitudinal predictor of alcohol and other substance-related problems. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Citing Articles

Differences in anxiety, depression and pain experience among adults with chronic low back pain as a function of nicotine product use.

Zvolensky M, Smit T, Rogers A, Bakhshaie J, Ditre J, Rinker D J Behav Med. 2025; .

PMID: 39789403 DOI: 10.1007/s10865-024-00547-6.

References

Saunders J, Aasland O, Babor T, De la Fuente J, Grant M . Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993; 88(6):791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x. View

Cohen R, Cha A, Terlizzi E, Martinez M . Demographic Variation in Health Insurance Coverage: United States, 2019. Natl Health Stat Report. 2021; (159):1-15. View

Kahler C, Borland R, Hyland A, McKee S, Thompson M, Cummings K . Alcohol consumption and quitting smoking in the International Tobacco Control (ITC) Four Country Survey. Drug Alcohol Depend. 2008; 100(3):214-20. PMC: 2649759. DOI: 10.1016/j.drugalcdep.2008.10.006. View

Unger J, Falcon A . E-cigarette use among Hispanics: Reducing risk or recruiting new tobacco users?. Addict Behav. 2021; 125:107149. DOI: 10.1016/j.addbeh.2021.107149. View

Korte K, Capron D, Zvolensky M, Schmidt N . The Fagerström test for nicotine dependence: do revisions in the item scoring enhance the psychometric properties?. Addict Behav. 2012; 38(3):1757-63. PMC: 4241548. DOI: 10.1016/j.addbeh.2012.10.013. View

Hendricks P, Westmaas J, Ta Park V, Thorne C, Wood S, Baker M . Smoking abstinence-related expectancies among American Indians, African Americans, and women: potential mechanisms of tobacco-related disparities. Psychol Addict Behav. 2013; 28(1):193-205. PMC: 4103623. DOI: 10.1037/a0031938. View

Hershberger A, VanderVeen J, Karyadi K, Cyders M . Transitioning From Cigarettes to Electronic Cigarettes Increases Alcohol Consumption. Subst Use Misuse. 2016; 51(14):1838-45. PMC: 5088053. DOI: 10.1080/10826084.2016.1197940. View

Lee A, Hart J, Walker K, Keith R, Lee Ridner S . Dual Users and Electronic Cigarette Only Users: Consumption and Characteristics. Int J Healthc Med Sci. 2018; 4(6):111-116. PMC: 6234507. View

Liu B, Xu G, Rong S, Santillan D, Santillan M, Snetselaar L . National Estimates of e-Cigarette Use Among Pregnant and Nonpregnant Women of Reproductive Age in the United States, 2014-2017. JAMA Pediatr. 2019; 173(6):600-602. PMC: 6547070. DOI: 10.1001/jamapediatrics.2019.0658. View

10.

Goniewicz M, Smith D, Edwards K, Blount B, Caldwell K, Feng J . Comparison of Nicotine and Toxicant Exposure in Users of Electronic Cigarettes and Combustible Cigarettes. JAMA Netw Open. 2019; 1(8):e185937. PMC: 6324349. DOI: 10.1001/jamanetworkopen.2018.5937. View

11.

Kelly J, Greene M, Bergman B, Hoeppner B . Smoking cessation in the context of recovery from drug and alcohol problems: Prevalence, predictors, and cohort effects in a national U.S. sample. Drug Alcohol Depend. 2018; 195:6-12. PMC: 6359967. DOI: 10.1016/j.drugalcdep.2018.11.017. View

12.

Barrington-Trimis J, Bello M, Liu F, Leventhal A, Kong G, Mayer M . Ethnic Differences in Patterns of Cigarette and E-Cigarette Use Over Time Among Adolescents. J Adolesc Health. 2019; 65(3):359-365. PMC: 6708763. DOI: 10.1016/j.jadohealth.2019.04.002. View

13.

Conway K, Green V, Kasza K, Silveira M, Borek N, Kimmel H . Co-occurrence of tobacco product use, substance use, and mental health problems among adults: Findings from Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health (PATH) Study. Drug Alcohol Depend. 2017; 177:104-111. PMC: 5534376. DOI: 10.1016/j.drugalcdep.2017.03.032. View

14.

Phillips E, Wang T, Husten C, Corey C, Apelberg B, Jamal A . Tobacco Product Use Among Adults - United States, 2015. MMWR Morb Mortal Wkly Rep. 2017; 66(44):1209-1215. PMC: 5679591. DOI: 10.15585/mmwr.mm6644a2. View

15.

Rueda M, Robertson Y, Acott A, Rueda S, Keikhoff A, Guerrero W . Association of tobacco and alcohol use with earlier development of colorectal pathology: should screening guidelines be modified to include these risk factors?. Am J Surg. 2012; 204(6):963-7. DOI: 10.1016/j.amjsurg.2012.07.026. View

16.

Weinberger A, Zhu J, Barrington-Trimis J, Wyka K, Goodwin R . Cigarette Use, E-Cigarette Use, and Dual Product Use Are Higher Among Adults With Serious Psychological Distress in the United States: 2014-2017. Nicotine Tob Res. 2020; 22(10):1875-1882. PMC: 7542656. DOI: 10.1093/ntr/ntaa061. View

17.

Park S, Lee J, Song T, Cho S . Age-associated changes in nicotine dependence. Public Health. 2012; 126(6):482-9. DOI: 10.1016/j.puhe.2012.02.007. View

18.

Harrison E, Desai R, McKee S . Nondaily smoking and alcohol use, hazardous drinking, and alcohol diagnoses among young adults: findings from the NESARC. Alcohol Clin Exp Res. 2008; 32(12):2081-7. PMC: 2626157. DOI: 10.1111/j.1530-0277.2008.00796.x. View

19.

Williams J, Foulds J, Dwyer M, Order-Connors B, Springer M, Gadde P . The integration of tobacco dependence treatment and tobacco-free standards into residential addictions treatment in New Jersey. J Subst Abuse Treat. 2005; 28(4):331-40. DOI: 10.1016/j.jsat.2005.02.010. View

20.

Amin S, Dunn A, Laranjo L . Social Influence in the Uptake and Use of Electronic Cigarettes: A Systematic Review. Am J Prev Med. 2019; 58(1):129-141. DOI: 10.1016/j.amepre.2019.08.023. View