Dual Substance Use of Electronic Cigarettes and Alcohol

Electronic cigarettes (ECs) are a modern nicotine delivery system that rapidly grew in widespread use, particularly in younger populations. Given the long history of the comorbidity of alcohol and nicotine use, the rising prevalence of ECs raises the question as to their role in the consumption of a...

Full description

Bibliographic Details
Main Authors: Tanner J. Wetzel, Todd A. Wyatt
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2020.593803/full
_version_ 1818157781266464768
author Tanner J. Wetzel
Todd A. Wyatt
Todd A. Wyatt
Todd A. Wyatt
author_facet Tanner J. Wetzel
Todd A. Wyatt
Todd A. Wyatt
Todd A. Wyatt
author_sort Tanner J. Wetzel
collection DOAJ
description Electronic cigarettes (ECs) are a modern nicotine delivery system that rapidly grew in widespread use, particularly in younger populations. Given the long history of the comorbidity of alcohol and nicotine use, the rising prevalence of ECs raises the question as to their role in the consumption of alcohol. Of the numerous models of ECs available, JUUL is the most popular. This narrative review aims to determine current trends in literature regarding the relationship between EC and alcohol dual use, as well as hypothesize potential pathogenic tissue damage and summarize areas for future study, including second-hand vapor exposure and calling for standardization among studies. In summary, EC users are more likely to participate in hazardous drinking and are at higher risk for alcohol use disorder (AUD). We surmise the pathogenic damage of dual use may exhibit an additive effect, particularly in pathogen clearance from the lungs, increased inflammation and decreased immune response, physical damage to epithelial cells, and exacerbation of chronic obstructive pulmonary disease (COPD)-like illnesses. A better understanding of pathogenic damages is critical to understand the risks placed on dual users when exposed to respiratory pathogens, such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
first_indexed 2024-12-11T15:19:39Z
format Article
id doaj.art-e5536d3c439041708789565b367bc875
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-12-11T15:19:39Z
publishDate 2020-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-e5536d3c439041708789565b367bc8752022-12-22T01:00:25ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-11-011110.3389/fphys.2020.593803593803Dual Substance Use of Electronic Cigarettes and AlcoholTanner J. Wetzel0Todd A. Wyatt1Todd A. Wyatt2Todd A. Wyatt3Department of Environmental, Agricultural and Occupational Health, University of Nebraska Medical Center, Omaha, NE, United StatesDepartment of Environmental, Agricultural and Occupational Health, University of Nebraska Medical Center, Omaha, NE, United StatesPulmonary, Critical Care, and Sleep, University of Nebraska Medical Center, Omaha, NE, United StatesVA Nebraska-Western Iowa Health Care System, Omaha, NE, United StatesElectronic cigarettes (ECs) are a modern nicotine delivery system that rapidly grew in widespread use, particularly in younger populations. Given the long history of the comorbidity of alcohol and nicotine use, the rising prevalence of ECs raises the question as to their role in the consumption of alcohol. Of the numerous models of ECs available, JUUL is the most popular. This narrative review aims to determine current trends in literature regarding the relationship between EC and alcohol dual use, as well as hypothesize potential pathogenic tissue damage and summarize areas for future study, including second-hand vapor exposure and calling for standardization among studies. In summary, EC users are more likely to participate in hazardous drinking and are at higher risk for alcohol use disorder (AUD). We surmise the pathogenic damage of dual use may exhibit an additive effect, particularly in pathogen clearance from the lungs, increased inflammation and decreased immune response, physical damage to epithelial cells, and exacerbation of chronic obstructive pulmonary disease (COPD)-like illnesses. A better understanding of pathogenic damages is critical to understand the risks placed on dual users when exposed to respiratory pathogens, such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).https://www.frontiersin.org/articles/10.3389/fphys.2020.593803/fullalcohol misuseeCIGvapingethanolpolysubstance use
spellingShingle Tanner J. Wetzel
Todd A. Wyatt
Todd A. Wyatt
Todd A. Wyatt
Dual Substance Use of Electronic Cigarettes and Alcohol
Frontiers in Physiology
alcohol misuse
eCIG
vaping
ethanol
polysubstance use
title Dual Substance Use of Electronic Cigarettes and Alcohol
title_full Dual Substance Use of Electronic Cigarettes and Alcohol
title_fullStr Dual Substance Use of Electronic Cigarettes and Alcohol
title_full_unstemmed Dual Substance Use of Electronic Cigarettes and Alcohol
title_short Dual Substance Use of Electronic Cigarettes and Alcohol
title_sort dual substance use of electronic cigarettes and alcohol
topic alcohol misuse
eCIG
vaping
ethanol
polysubstance use
url https://www.frontiersin.org/articles/10.3389/fphys.2020.593803/full
work_keys_str_mv AT tannerjwetzel dualsubstanceuseofelectroniccigarettesandalcohol
AT toddawyatt dualsubstanceuseofelectroniccigarettesandalcohol
AT toddawyatt dualsubstanceuseofelectroniccigarettesandalcohol
AT toddawyatt dualsubstanceuseofelectroniccigarettesandalcohol