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...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2020-11-01
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Series: | Frontiers in Physiology |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2020.593803/full |
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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 |
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