Faculty, Staff and Student Publications

Language

English

Publication Date

11-1-2025

Journal

Journal of American College Health

DOI

10.1080/07448481.2024.2422327

PMID

39514814

Abstract

Objective: Previous studies had explored the associations between e-cigarette use and alcohol use problems, yet they did not fully consider e-cigarette use contexts. This longitudinal study conducted a prospective examination of e-cigarette use contexts and alcohol use problems among college students.

Participants: College e-cigarette users at three public universities from Fall 2019 to Fall 2020 were included (N = 377).

Methods: A linear mixed model with a random intercept and random slope was employed to examine the longitudinal associations.

Results: Higher frequencies of e-cigarette use (β = 0.38, p < 0.001), being hooked on e-cigarettes (β = 0.96, p < 0.01), using e-cigarettes for socializing purposes (β = 0.58, p < 0.05), and more occasions of co-using e-cigarettes with alcohol (β = 0.05, p < 0.001) were linked to more alcohol use problems.

Conclusions: Intervention efforts should incorporate comprehensive screening that includes both e-cigarette and alcohol use, enhance awareness of peer influence, and provide at-risk populations with education regarding the potential synergistic effects of e-cigarette and alcohol co-use.

Keywords

Humans, Longitudinal Studies, Male, Students, Female, Universities, Young Adult, Electronic Nicotine Delivery Systems, Prospective Studies, Vaping, Adolescent, Alcohol Drinking in College, Adult, Alcohol Drinking, E-cigarette, Vaping, Alcohol, Co-use, College student

Published Open-Access

yes

Included in

Public Health Commons

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