Evidence map›Paper›PMID 35988530›Full record

ArticleDrug and alcohol dependence2022

The situational contexts and subjective effects of co-use of electronic cigarettes and alcohol among college students: An ecological momentary assessment (EMA) study.

James J Yang, Hsien-Chang Lin, Tzung-Shiang Ou, Zhaoxue Tong, Runze Li, Megan E Piper, Anne Buu

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Oral Nicotine Pouch Misuse Popularized Online Raises Concerns.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
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  8. Bidirectional Relationships Between Sleep Quality and Nicotine Vaping: Studying Young Adult e-cigarette Users in Real Time and Real Life.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Retrospective and Real-time Measures of the Quantity of E-cigarette Use: An Ecological Momentary Assessment Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

James J YangDepartment of Biostatistics and Data Science, University of Texas Health Science Center, 1200 Pressler St., Houston, TX 77030, USA. Electronic address: James.J.Yang@uth.tmc.edu.
Hsien-Chang LinDepartment of Applied Health Science, School of Public Health, Indiana University-Bloomington, 1025 E. 7th Street, SPH 116, Bloomington, IN 47405, USA. Electronic address: linhsi@indiana.edu.
Tzung-Shiang OuDepartment of Applied Health Science, School of Public Health, Indiana University-Bloomington, 1025 E. 7th Street, SPH 116, Bloomington, IN 47405, USA. Electronic address: outz@indiana.edu.
Zhaoxue TongDepartment of Statistics, Pennsylvania State University, 413 Thomas Building, University Park, PA 16802-2111, USA. Electronic address: zut72@psu.edu.
Runze LiDepartment of Statistics, Pennsylvania State University, 413 Thomas Building, University Park, PA 16802-2111, USA. Electronic address: rzli@psu.edu.
Megan E PiperCenter for Tobacco Research & Intervention, Department of Medicine, University of Wisconsin, 1930 Monroe Street, Suite 200, Madison, WI 53711, USA. Electronic address: mep@ctri.wisc.edu.
Anne BuuDepartment of Health Promotion and Behavioral Sciences, University of Texas Health Science Center, 7000 Fannin St.., Houston, TX 77030, USA. Electronic address: Yuh-Pey.A.Buu@uth.tmc.edu.
Indiana University Bloomington · USPennsylvania State University · USThe University of Texas Health Science Center at Houston · US

Funding

Methodology and measurement for examining short-term and long-term effects of e-cigarette and polysubstance useR01DA049154 · NIDA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BUU, YUH-PEY ANNE, LIN, HSIEN-CHANG · 2019 to 2022
$2.6M
NIDA NIH HHS R01 DA049154
6 · The paper itself

Abstract

introductionUnderstanding the co-use of e-cigarettes and alcohol, including the situational contexts and subjective effects associated with co-use in real-time is necessary for validating this behavior and informing intervention. Yet, the sparse literature has built upon retrospective data.

methodsThis study recruited 686 college students who were currently using e-cigarettes from three campuses in the Midwest and South of U.S in Fall 2019-Fall 2021. An on-line survey was conducted to measure e-cigarette use patterns, GPA, e-cigarette and alcohol dependence symptoms, and respiratory symptoms. A 7-day ecological momentary assessment was used to collect real-time data on e-cigarette and alcohol use, situational contexts and subjective effects.

resultsFrequent drinking e-cigarette users reported more high-risk use behavior including consuming 6 + drinks/occasion and simultaneous use, and reported more e-cigarettes and alcohol related dependence symptoms and respiratory symptoms, compared to infrequent/non-drinker e-cigarette users. Alcohol quantity was positively associated with e-cigarette quantity among the high frequency drinking group. This study identified important use contexts that were associated with higher e-cigarette consumption including use of menthol or fruit flavored e-cigarettes, being in a car, and the presence of others. E-cigarette use and alcohol use both increased the levels of positive affect, physiological sensation, and craving for e-cigarettes, whereas only alcohol use significantly decreased negative affect. No interaction effects between e-cigarette use and alcohol use were found.

conclusionsThe findings highlight the addiction and health risks associated with frequent co-use of e-cigarettes and alcohol, and also call for regulations on nontobacco flavorings in e-cigarette products.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsEcological Momentary AssessmentEthanolHumansMentholRetrospective StudiesStudentsEthanolMentholAlcoholCollege studentCo-usee-cigaretteEMA

Identifiers

PMID35988530
PMCPMC10232334
OpenAlexW4289755418

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.