Summary: | Introduction
This study aims to assess the association of cigarette smoking,
including e-cigarette use, with level of binge drinking, especially high-intensity
and extreme high-intensity binge drinking, among a nationally representative
sample of middle-aged US adults.
Methods
Data were derived from the 2017 Behavioral Risk Factor Surveillance
System (BRFSS). The final sample consisted of 162748 respondents aged 40–
64 years (48.7% male). Weighted distributions of sample characteristics were
estimated by intensity of binge drinking. Pearson chi-squared tests were used
to compare groups. Bivariate and multivariate logistic regressions were used to
estimate crude and adjusted odds ratios to indicate the strength of the association
between independent variables and each level of binge drinking.
Results
In all, 2.3% and 0.7% of the sample reported high-intensity and extreme
high-intensity binge drinking, respectively. Past-month high-intensity and
extreme high-intensity binge drinking were reported in 36.3% and 45.0% of
smokers, respectively. Mental distress was positively associated with both levels
of high-intensity binge drinking; having multiple chronic health conditions was
negatively associated with past-month high-intensity binge drinking. Smokers had
3.27 (95% CI: 2.69–3.98) and 4.14 (95% CI: 3.12–5.49) times greater odds of
reporting past-month high-intensity and extreme high-intensity binge drinking,
respectively. E-cigarette users had 1.56 (95% CI: 1.01–2.42) times increased
odds of reporting past-month high-intensity binge drinking, but not extreme
high-intensity binge drinking. The largest odds were seen among dual users
reporting extreme high-intensity binge drinking (AOR=6.05; 95% CI: 3.78–9.68)
in the past month.
Conclusions
Cigarette smoking and e-cigarette use were potentially strong risk
factors for high-intensity binge drinking, with cigarette smoking associated with
extreme high-intensity binge drinking.
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