Mental health matters? An examination of how anxiety and depression influence the alcohol-e-cigarette use relationship

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-09-26 DOI:10.1016/j.addbeh.2025.108504

Veronica L. Richards , Jason A. Oliver , Steven J. Pan , Summer G. Frank-Pearce , Michael A. Smith , Catherine S. Nagawa , Amy M. Cohn

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引用次数: 0

Abstract

Background

E-cigarette use has grown in popularity and is independently associated with alcohol use and mental health (anxiety/depression), but the interactions between alcohol and anxiety/depression with e-cigarette use have not been examined. We examined whether anxiety/depression would influence the association of both alcohol use frequency and heavy episodic drinking (HED) with e-cigarette use frequency, hypothesizing that alcohol use would be more strongly related to e-cigarette use among those with current anxiety/depression.

Methods

N = 11,006 adults (55 % female; 71 % non-Hispanic White, M age = 42) completed assessments of demographics, past 30-day e-cigarette and alcohol use, and current symptoms of anxiety and depression. Regression models including past 30-day e-cigarette users only (N = 2,395) examined the moderating effects of anxiety/depression (yes/no) on the alcohol-e-cigarette frequency relationship, examining alcohol use frequency and HED separately.

Results

More than one-fifth (21.7 %) of the total sample reported any past 30-day e-cigarette use. Among e-cigarette users, past 30-day alcohol use frequency was associated with e-cigarette use frequency but did not significantly differ by mental health status (IRR = 1.02, 95 % 1.01, 1.02). HED was not associated with e-cigarette use frequency, regardless of mental health status (IRR = 1.02; 95 % CI: 0.93, 1.11).

Conclusion

The relationship between current alcohol use and e-cigarette use frequency was not statistically different between individuals who endorsed current anxiety and/or depression vs. those who did not. Findings support the need to consider other substance use within e-cigarette smoking prevention and cessation efforts. Additional longitudinal research is needed to infer directionality and causality.

查看原文本刊更多论文

心理健康问题？关于焦虑和抑郁如何影响酒精-电子烟使用关系的研究。

背景：电子烟的使用越来越受欢迎，并且与酒精使用和心理健康（焦虑/抑郁）独立相关，但尚未研究酒精和焦虑/抑郁与电子烟使用之间的相互作用。我们研究了焦虑/抑郁是否会影响酒精使用频率和重度间歇性饮酒（HED）与电子烟使用频率的关联，并假设在当前焦虑/抑郁的人群中，酒精使用与电子烟使用的关系更为密切。方法：N = 11,006名成年人（55%为女性，71%为非西班牙裔白人，年龄为42岁）完成了人口统计、过去30天电子烟和酒精使用以及当前焦虑和抑郁症状的评估。仅包括过去30天电子烟使用者（N = 2395）的回归模型检查了焦虑/抑郁（是/否）对酒精-电子烟频率关系的调节作用，分别检查了酒精使用频率和HED。结果：超过五分之一（21.7%）的总样本报告过去30天使用过电子烟。在电子烟使用者中，过去30天的酒精使用频率与电子烟使用频率相关，但与心理健康状况没有显著差异（IRR = 1.02, 95% 1.01, 1.02）。无论心理健康状况如何，HED与电子烟使用频率无关（IRR = 1.02; 95% CI: 0.93, 1.11）。结论：当前酒精使用和电子烟使用频率之间的关系在承认当前焦虑和/或抑郁的个体与不承认当前焦虑和/或抑郁的个体之间没有统计学差异。研究结果支持在电子烟预防和戒烟工作中考虑其他物质使用的必要性。需要进一步的纵向研究来推断方向性和因果关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.