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Item The relationship between e-cig use, alcohol consumption, and smoking prohibition where alcohol is consumed(2015-11-09) Hershberger, Alexandra Raemin; Cyders, Melissa Anne; Stewart, Jesse; Zapolski, Tamika C.; Grahame, Nicholas J.Smoke-free legislation in the United States has unintentionally resulted in a decline in alcohol consumption. However, more recently electronic-cigarettes (e-cigs), which are associated with alcohol use, are reportedly being used to circumvent smoking bans. The present study surveyed community dwelling individuals in the United States reporting e-cigs may be used where they drink (N=365, mean age=33.63, SD=9.91, 53.2% female, 78.9% Caucasian) to examine how e-cig use and alcohol consumption varies by the presence of smoking prohibition where one consumes alcohol. Results indicated that smoking prohibition was associated with a greater likelihood of being an ecig user than a cigarette user (OR=3.40, p<.001) and a higher likelihood of being an e-cig user than a dual user (OR=3.37, p<.001). Smoking prohibition was not associated with AUDIT scores (B=-0.06, p=.21), total drinks (B=-.07, p=.19), or average drinks (B=-0.02, p=.76). E-cig users reported significantly fewer average drinks when smoking is prohibited as compared to allowed, t(55)=3.26, p=.002. Overall, current results suggest smoking prohibition is associated with a greater likelihood of being an e-cig user; however, smoking prohibitions are not associated with alcohol consumption and related problems in the current participants, who all reported being able to use e-cigs where they consume alcohol. Future research should address potential conceptual, methodological, and sample limitations in order to better discern this relationship, as this line of research could have important implications for e-cig policy and alcohol use treatmentItem Transitioning from cigarettes to electronic cigarettes increases alcohol consumption(Taylor & Francis, 2016-12-05) Hershberger, Alexandra R.; VanderVeen, J. Davis; Karyadi, Kenny A.; Cyders, Melissa A.; Psychology, School of ScienceObjective Electronic cigarettes (e-cigs) are a nicotine delivery device that have recently been linked to alcohol use. Many individuals that smoke cigarettes transition to e-cigs as an alternative to cigarette use, despite potential negative health effects of e-cigs. No research to date has examined how former smokers that have transitioned to e-cigs differ from former smokers that do not use e-cigs, particularly in relation to alcohol use. Further, no research has examined how former smokers that use e-cigs regularly or socially may differ in alcohol consumption. Method Using an online community dwelling sample (Former smokers N=198, mean age=34.70, SD=11.45, 56.1% female, 78.3% Caucasian, 37.9% e-cig users), the present study assessed smoking status and alcohol use, with the latter assessed using a Timeline Followback calendar and the Alcohol Use Disorder Identification Test (AUDIT). Results In all former smokers, total drinks (b=4.01, p=0.02) and average drinks per drinking day (b=0.61, p=.01) were both related to e-cig use status, with e-cig users reporting higher alcohol consumption. Among e-cig using former smokers, social users, but not regular users, showed positive relationships with AUDIT scores, b=1.90, p=.02, total drinks, b=9.12, p<.001, average drinks, b=0.98, p=.006, and hazardous drinking status, OR=3.21, p=.01. Conclusions Findings suggest that: (1) former smokers who use e-cigs may have a potential for higher alcohol use; and (2) those who use e-cigs socially may be at heightened risk for hazardous patterns of alcohol consumption. This should be taken into consideration by healthcare providers.Item Vaping Among Indiana Youth(Richard M. Fairbanks School of Public Health, 2020-03) Kooreman, HaroldThe U.S. Surgeon General and other public health officials have described the use of e-cigarettes, or vaping, by young people as an epidemic. E-cigarettes are electronic devices that heat a liquid (called e-liquid) typically containing nicotine, flavoring, and other chemicals to produce an aerosol that is inhaled by a user. Although nicotine is the most common drug that young people vape, vaping marijuana is also increasing in popularity. Although the long-term health effects of vaping are not currently known, e-cigarettes do pose a number of risks to young people. First, the use of e-cigarettes serves as a gateway to future combustible cigarette use. Second, because most e-liquid contains nicotine and because the adolescent brain is particularly sensitive to nicotine, the use of e-cigarette products places young people at heightened risk for nicotine dependence. Third, the chemicals contained in e-liquid have never been approved by the Food and Drug Administration for inhalation.