Relationship Between Electronic Cigarettes and Alcohol Use Behaviors: A Systematic Review and Meta-Analysis.
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| Title: | Relationship Between Electronic Cigarettes and Alcohol Use Behaviors: A Systematic Review and Meta-Analysis. |
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| Authors: | Pratima, Pandey (AUTHOR), Sinha, Anit Kumar (AUTHOR), Tiwari, Pramil (AUTHOR) |
| Source: | Substance Use & Misuse. 2026, Vol. 61 Issue 10, p1680-1692. 13p. |
| Subjects: | Alcoholism risk factors, Substance abuse, Risk assessment, Medical information storage & retrieval systems, Risk-taking behavior, Prediction models, Electronic cigarettes, Smoking, Nicotine, Binge drinking, Meta-analysis, Descriptive statistics, Systematic reviews, MEDLINE, Odds ratio, Alcohol drinking, Online information services, Confidence intervals, Data analysis software, Disease complications |
| Geographic Terms: | Canada, United States |
| Abstract: | Background: Nicotine and alcohol are among the most commonly co-used substances. The rise in e-cigarette use, particularly among younger populations, has introduced new dynamics in substance use behaviors, potentially altering traditional consumption patterns and raising concerns about the relationship between e-cigarette use and alcohol consumption. This systematic review and meta-analysis aimed to synthesize existing data to elucidate the relationship between e-cigarette use and alcohol consumption behaviors. Methods: A literature search was conducted across PubMed, Embase, and Web of Science up to July 15, 2024. Studies reporting measures of association between alcohol behaviors and e-cigarette use were included. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using random-effects models, with heterogeneity assessed via the I2 statistic and prediction intervals. The Newcastle-Ottawa Scale was used for quality assessment. All statistical analyses were performed in R software version 4.4. Results: Among the 4,771 records screened, 34 studies were included. The meta-analysis revealed a significant association between alcohol use and e-cigarette use (pooled OR = 1.796, 95% CI: 1.412 to 2.285). Additionally, binge drinking was strongly associated with e-cigarette use (pooled OR = 3.078, 95% CI: 2.364 to 4.007). E-cigarette users were also more likely to engage in alcohol consumption (pooled OR = 3.731, 95% CI: 2.137 to 6.514) and binge drinking (pooled OR = 4.071, 95% CI: 3.209 to 5.166). Conclusion: The findings indicate a possible relationship between e-cigarette use and alcohol consumption and binge drinking. Integrated prevention strategies addressing the co-use of these substances, particularly among youth and young adults, are needed. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Nicotine and alcohol are among the most commonly co-used substances. The rise in e-cigarette use, particularly among younger populations, has introduced new dynamics in substance use behaviors, potentially altering traditional consumption patterns and raising concerns about the relationship between e-cigarette use and alcohol consumption. This systematic review and meta-analysis aimed to synthesize existing data to elucidate the relationship between e-cigarette use and alcohol consumption behaviors. Methods: A literature search was conducted across PubMed, Embase, and Web of Science up to July 15, 2024. Studies reporting measures of association between alcohol behaviors and e-cigarette use were included. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using random-effects models, with heterogeneity assessed via the I2 statistic and prediction intervals. The Newcastle-Ottawa Scale was used for quality assessment. All statistical analyses were performed in R software version 4.4. Results: Among the 4,771 records screened, 34 studies were included. The meta-analysis revealed a significant association between alcohol use and e-cigarette use (pooled OR = 1.796, 95% CI: 1.412 to 2.285). Additionally, binge drinking was strongly associated with e-cigarette use (pooled OR = 3.078, 95% CI: 2.364 to 4.007). E-cigarette users were also more likely to engage in alcohol consumption (pooled OR = 3.731, 95% CI: 2.137 to 6.514) and binge drinking (pooled OR = 4.071, 95% CI: 3.209 to 5.166). Conclusion: The findings indicate a possible relationship between e-cigarette use and alcohol consumption and binge drinking. Integrated prevention strategies addressing the co-use of these substances, particularly among youth and young adults, are needed. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10826084 |
| DOI: | 10.1080/10826084.2026.2619020 |
