Relationship Between Electronic Cigarettes and Alcohol Use Behaviors
A Systematic Review and Meta-Analysis
Bibliographic Data
| ID | 21646699 |
|---|---|
| Authors | Pandey Pratima (National Institute of Pharmaceutical Education and Research), Anit Kumar Sinha (National Institute of Pharmaceutical Education and Research), Pramil Tiwari (0000-0003-0442-7880, corresponding author) |
| Year | 2026 |
| Volume | 61 |
| Issue | 10 |
| Pages | 1680-1692 |
| Publication date | 2026-08-24 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Substance Use & Misuse (JOURNAL) |
| Journal identifiers | ISSN: 1082-6084 • E-ISSN: 1532-2491 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10826084.2026.2619020 |
| PMID | 41656110 |
| OpenAlex | W7128384027 |
| Language | EN |
| Citations received | 1 |
| References cited | 71 |
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
Alcohol · Alcohol consumption · Binge drinking · Electronic cigarette · Public health · Smoking epidemiology · Suicide prevention · Alcohol Consumption and Health Effects · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes
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| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |