A review of the literature relating caffeine consumption by women to their risk of reproductive hazards

Food and Chemical Toxicology

Volumn 40, Issue 9, 2002, Pages 1271-1310

  Leviton, A ^a   Cowan, L ^b  

^a BOSTON CHILDREN S HOSPITAL   (United States)

^b UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER   (United States)

Author keywords

Birth defects (or congenital malformations); Caffeine; Coffee; Low birthweight (or small for dates); Miscarriage (or spontaneous abortion); SIDS (sudden infant death syndrome); Subfecundity (or time to conception)

Indexed keywords

CAFFEINE;

BIRTH DEFECT; CIGARETTE SMOKING; CLINICAL TRIAL; COFFEE; CONCEPTION; CONGENITAL DISORDER; FERTILITY; HUMAN; LOW BIRTH WEIGHT; META ANALYSIS; NAUSEA; PLACENTA; PREMATURITY; REPRODUCTIVE HEALTH; REVIEW; RISK ASSESSMENT; RISK FACTOR; SOCIAL BEHAVIOR; SOCIOECONOMICS; SPONTANEOUS ABORTION; SUDDEN INFANT DEATH SYNDROME;

ABNORMALITIES, DRUG-INDUCED; ABORTION, SPONTANEOUS; ADULT; CAFFEINE; CENTRAL NERVOUS SYSTEM STIMULANTS; FEMALE; HUMANS; PREGNANCY; REPRODUCTION;

EID: 0036711458     PISSN: 02786915     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0278-6915(02)00092-3     Document Type: Review

References (134)

1. Adams M.R., Kaplan J.R., Koritnik D.R. Psychosocial influences on ovarian endocrine and ovulatory function in Macaca fascicularis. Physiology and Behavior. 35:1985;935-940.
2. Aldridge A., Bailey J., Neims A.H. The disposition of caffeine during and after pregnancy. Seminars in Perinatology. 5:1981;310-314.
3. Al-Hachim G. Teratogenicity of caffeine; a review. European Journal of Obstetrics, Gynecology and Reproductive Biology. 1989;237-247.
4. Arbuckle T.E., Sherman G.J. Comparison of the risk factors for pre-term delivery and intrauterine growth retardation. Paediatric and Perinatal Epidemiology. 3:1989;115-129.
5. Armstrong B.G., Nolin A.D., McDonald A.D. Work in pregnancy and birth weight for gestational age. British Journal of Industrial Medicine. 46:1989;196-199.
6. Baird D.D., Wilcox A.J., Weinberg C.R. Use of time to pregnancy to study environmental exposures. American Journal of Epidemiology. 124:1986;470-480.
7. Barr H., Streissguth A.P., Martin D.C., Horst T.E. Methodological issues in assessment of caffeine intake: a method of quantifying consumption and a test-retest reliability study. Soyka L.F., Redmond G. Drug Metabolism in the Immature Human. 1981;265-279 Raven Press, New York.
8. Berger A. Effects of caffeine consumption on pregnancy outcome. A review. Journal of Reproductive Medicine. 33:1988;945-956.
9. Berlin J.A., Colditz G.A. A meta-analysis of physical activity in the prevention of coronary heart disease. American Journal of Epidemiology. 132:1990;612-628.
10. Bolumar F., Olsen J., Boldsen J.et al. Smoking reduces fecudity: a European multicenter study on infertility and subfecundity. American Journal of Epidemiology. 143:1996;578-587.
11. Bracken M.B., Hellenbrand K.G., Holford T.R.et al. Low birth weight in pregnancies following induced abortion: no evidence for an association. American Journal of Epidemiology. 123:1986;604-613.
12. Brazier J.L., Ritter J., Berland M., Khenfer D., Faucon G. Pharmacokinetics of caffeine during and after pregnancy. Developmental Pharmacology and Therapy. 6:1983;315-322.
13. Briggs G.G., Freeman R.K., Yaffe S.J. Drugs in Pregnancy and Lactation, Second Edition. 1983;Williams & Wilkins, Baltimore.
14. Brown N.A., Scialli A.R. Update on caffeine. Reproductive Toxicology. 6:1987;13-18.
15. Buyalos R.P., Glassman L.M., Rifka S.M., Flak R.J., Macarthy P.O., Tyson V.J., DiMattina M. Serum beta-human chorionic gonadotropin, estradiol and progesterone as early predictors of pathologic pregnancy. Journal of Reproductive Medicine. 74:1992;261-266.
16. Caan B., Coates A. Re: "Association of delayed conception with caffeine consumption" (Letter to the Editor). American Journal of Epidemiology. 139:1994;663-664.
17. Cnattingius S., Signorello L.B., Anneren G., Clausson B., Ekbom A., Ljunger E., Blot W.J., McLaughlin J.K., Petersson G., Rane A., Granath F. Caffeine intake and the risk of first-trimester spontaneous abortion. New England Journal of Medicine. 343:2000;1839-1844.
18. Conway T.L., Vickers R.R. Jr., Ward H.W., Rahe R.H. Occupational stress and variation in cigarette, coffee, and alcohol consumption. Journal of Health and Social Behavior. 22:1981;155-165.
19. Cramer D.W. Caffeine and infertility. Lancet. 335:1990;792-793.
20. Dales L.G., Ury H.K. An improper use of statistical significance testing in studying covariables. International Journal of Epidemiology. 7:1978;373-375.
21. Detsky A.S., Naylor C.D., O'Rourke K., McGeer A.J., L'Abbe K.A. Incorporating variations in the quality of individual randomized trials into meta-analysis. Journal of Clinical Epidemiology. 45:1992;255-265.
22. Dews P. Caffeine. Annual Review of Nutrition. 2:1982;323-341.
23. Diugosz L., Bracken M.B. Reproductive effects of caffeine: a review and theoretical analysis. Epidemiology Review. 14:1992;83-100.
24. Drews C.D., Kraus J.F., Greenland S. Recall bias in a case-control study of sudden infant death syndrome. International Journal of Epidemiology. 19:1990;405-411.
25. Drews C., Greenland S., Flanders W.D. The use of restricted controls to prevent recall bias in case-control studies of reproductive outcomes. Annals of Epidemiology. 3:1993;86-92.
26. Eisner V., Brazie J.V., Pratt M.W., Hexter A.C. The risk of low birthweight. American Journal of Public Health. 69:1979;887-893.
27. Ernster V.L. Epidemiologic studies of caffeine and human health. Spiller G.A. Progress in Clinical and Biological Research, Vol. 159, The Methylxanthine Beverages and Foods: Chemistry, Consumption and Health Effects. 1984;377-400 Liss, New York.
28. Eskenazi B. Caffeine during pregnancy: grounds for concern? Journal of the American Medical Association. 270:1993;2973-2974.
29. Eskenazi B., Fenster L., Swann S., Samuels S.J. Caffeine use during pregnancy: how much is safe? Journal of the American Medical Association. 270:1993;47.
30. FDA Caffeine: deletion of GRAS status, proposed declaration that no prior sanction exists, and use on an interim basis pending additional study. Federal Register. 45/205:1980;69817-69838.
31. Felson D.T. Bias in meta-analytic research. Journal of Clinical Epidemiology. 45:1992;885-892.
32. Fleiss J.L., Gross A.J. Meta-analysis in epidemiology, with special reference to studies of the association between exposure to environmental tobacco smoke and lung cancer: a critique. Journal of Clinical Epidemiology. 44:1991;127-139.
33. Fortier I., Marcoux S., Brisson J. Passive smoking during pregnancy and the risk of delivering a small-for-gestational-age infant. American Journal of Epidemiology. 139:1994;294-301.
34. Gardner J.W., Lyon J.L. Cancer in Utah Mormon women by church activity level. American Journal of Epidemiology. 116:1982;258-265.
35. Gibbs R.S., Romero R., Hillier S.L., Eschenbach D.A., Sweet R.L. A review of premature birth and subclinical infection. American Journal of Obstetrics and Gynecology. 166:1992;1515-1528.
36. Glass G.V., McGaw B., Smith M.L. Meta-Analysis in Social Research. 1981;Sage, Beverly Hills, CA.
37. Golding J. Reproduction and caffeine consumption - a literature review. Early Human Development. 43:1995;1-14.
38. Golding J. Sudden infant death syndrome and parental smoking - a literature review. Paediatric and Perinatal Epidemiology. 11:1997;67-77.
39. Greenland S. Quantitative methods in the review of epidemiologic literature. Epidemiologic Reviews. 9:1987;1-30.
40. Greenland S. A critical look at some popular meta-analytic methods. American Journal of Epidemiology. 140:1994;290-296.
41. Greenland S., Robins J. Conceptual problem in the definition and interpretation of attributable fractions. American Journal of Epidemiology. 128:1988;1185-1197.
42. Grosso L.M., Rosenberg K.D., Belanger K., Saftlas A.F., Leaderer B., Bracken M.B. Maternal caffeine intake and intrauterine growth retardation. Epidemiology. 12:2001;447-455.
43. Guenther P.M. Beverages in the diets of American teenagers. Journal of the American Dietetic Association. 86:1986;493-499.
44. Harrison R.F., O'Moore R.R., O'Moore A.M. Stress and fertility: some modalities of investigation and treatment in couples with unexplained infertility in Dublin. International Journal of Fertility. 31:1986;153-159.
45. Hatch M. What can we infer from findings in subgroups. Epidemiology. 6:1995;473-475.
46. Hatch E.E., Bracken M.B. Caffeine use during pregnancy: how much is safe? Journal of the American Medical Association. 270:1993;46-47.
47. Hatch E.E., Bracken M.B. Re: "Association of delayed conception with caffeine consumption" (Letter to the Editor). American Journal of Epidemiology. 139:1994;664-665.
48. Hebel J.R., Fox N.L., Sexton M. Dose-response of birth weight to various measures of maternal smoking during pregnancy. Journal of Clinical Epidemiology. 41:1988;483-489.
49. Heller J. What do we know about the risks of caffeine consumption in pregnancy? British Journal of Addiction. 82:1987;885-889.
50. Hill B. The environment and disease: association or causation. Proceedings of the Royal Society of Medicine. 58:1965;295.
51. Hogue C. Coffee and pregnancy. Lancet. 1:1981;554.
52. Holland P.W. Statistics and causal inference. Journal of the American Statistical Association. 81:1986;945-960.
53. Hook E.B. Changes in tobacco smoking and ingestion of alcohol and caffeinated beverages during early pregnancy: are these consequences, in part of feto-protective mechanisms diminishing maternal exposure to embryotoxins? Kelly S., Hook E.B., Janerich D.T., Portar H. Birth Defects: Risks and Consequences. 1976;173-183 Academic Press, New York.
54. Hook E.B. Dietary cravings and aversions during pregnancy. American Journal of Clinical Nutrition. 31:1978;1355-1362.
55. Jacobsen B.K., Thelle D.S. The Tromso Heart Study: is coffee drinking an indicator of a life style with high risk for ischemic heart disease? Acta Medica Scandinavica. 222:1987;215-221.
56. James J.E., Stirling K.P. Caffeine: a survey of some of the known and suspected deleterious effects of habitual use. British Journal of Addiction. 78:1983;251-258.
57. Joffe M., Grisso J.A. Comparison of ante-natal hospital records with retrospective interviewing. Journal of Biosocial Science. 17:1985;113-119.
58. Kapidaki M., Roupa Z., Sparos L., Tzonou A., Olsen J., Trichopoulos D. Coffee intake and other factors in relation to multiple deliveries: a study in Greece. Epidemiology. 6:1995;294-298.
59. Kimball A.W., Friedman L.A. Alcohol consumption regression models for distinguishing between beverage type effects and beverage preference effects. American Journal of Epidemiology. 135:1992;1279-1286.
60. Klebanoff M.A., Levine R.J., DerSimonian R., Clemens J.D., Wilkins D.G. Maternal serum paraxanthine, a caffeine metabolite, and the risk of spontaneous abortion. New England Journal of Medicine. 341:1999;1639-1644.
61. Kline J., Stein Z., Susser M. Conception to Birth. Epidemiology of Prenatal Development. 1989;Oxford University Press, New York.
62. Knutti R., Rothweiler H., Schlatter C. The effect of pregnancy on the pharmacokinetics of caffeine. Arch. Toxicol. Suppl. 5:1982;187-192.
63. Kuzma J.W., Kissinger D. Patterns of alcohol and cigarette use in pregnancy. Neurobehavioral Toxicology and Teratology. 3:1981;211-221.
64. Lang J.M., Lieberman E. Risk factors for small-for-gestational age birth in a preterm population. American Journal of Obstetrics and Gynecology. 166:1992;1374-1378.
65. Larroque B., Kaminski M., Lelong N., Subtil D., Dehaene P. Larroque et al. reply to "Invited commentary: caffeine and birth outcomes" American Journal of Epidemiology. 137:1993;957-958.
66. Laurent S.L., Thompson S.J., Addy C., Garrison C.Z., Moore E.E. An epidemiologic study of smoking and primary infertility in women. Fertility and Sterility. 57:1992;565-572.
67. Lechat M.F., Borlee I., Bouckaert A., Misson C. Caffeine study. Science. 207:1980;1296-1297.
68. Leigh J.P. Assessing the importance of an independent variable in multiple regression: is stepwise unwise? Journal of Clinical Epidemiology. 41:1988;669-677.
69. Leon D.A. Failed or misleading adjustment for confounding. Lancet. 342:1993;479-481.
70. Leviton A. Epidemiologic studies of birth defects. Dews P.B. Caffeine: Perspective from Recent Research. 1984;188-200 Springer-Verlag, Berlin.
71. Leviton A. Caffeine consumption and the risk of reproductive hazards. Journal of Reproductive Medicine. 33:1988;175-178.
72. Leviton A. Coffee, caffeine, and reproductive hazards in humans. Garattini S. Caffeine, Coffee, and Health. 1993;343-356 Raven Press, New York.
73. Leviton A. Trans fatty acid and coronary disease: the debate continues. 1. The use of population attributable risk. American Journal of Public Health. 85:1995;410.
74. Leviton A. Coffee consumption and residual confounding. Epidemiology. 7:1996;110-111.
75. Leviton A., Pagano M., Allred E.N., el Lozy M. Why those who drink the most coffee appear to be at increased risk of disease. A modest proposal. Ecology, Food and Nutrition. 31:1994;285-293.
76. Levkoff A.H., Westphal M., Miller M.C., Michel Y. Maternal risk factors in infants with very low birth weight. Obstetrics and Gynecology. 60:1982;612-616.
77. MacDorman M.F., Cnattinguis S., Hoffman H.J., Kramer M.S., Haglund B. Sudden infant death syndrome and smoking in the United States and Sweden. American Journal of Epidemiology. 146:1997;249-257.
78. McDonald A.D., Armstrong B., Cherry N.M., Delorme C., Diodati-Nolin A., McDonald J.C., Robert D. Spontaneous abortion and occupation. Journal of Occupational Medicine. 28:1986;1232-1238.
79. McDonald A.D., McDonald J.C., Armstrong B., Cherry N.M., Cote R., Lavoie J., Nolin A.D., Robert D. Congenital defects and work in pregnancy. British Journal of Industrial Medicine. 45:1988;581-588.
80. Marcoux S., Fortier I., Beaulac-Baillargeon L. Marcoux et al. reply to "Invited commentary: caffeine and birth outcomes" American Journal of Epidemiology. 137:1993;955.
81. Mills J.L., Fishl A., Knopp R. Malformations in infants of diabetic mothers: problems in study design. Preventive Medicine. 12:1983;274-286.
82. Modvig J., Schmidt L., Damsgaard M.T. Measurement of total risk of spontaneous abortion: the virtue of conditional risk estimation. American Journal of Epidemiology. 132:1990;1021-1038.
83. Morris M.B., Weinstein L. Caffeine and the fetus: is trouble brewing? American Journal of Obstetrics and Gynecology. 140:1981;607-610.
84. Morrison A.S. Control of cigarette smoking in evaluating the association of coffee drinking and bladder cancer. MacMahon B., Sugimura T. Banbury Report 17: Coffee and Health. 1984;127-134 Cold Spring Harbor Laboratory, USA.
85. Myers V.A.S., Miwa L.J. Caffeine consumption during pregnancy. Drug Intelligence and Clinical Pharmacy. 22:1988;614-616.
86. Narod S.A., De Sanjose S., Victora C. Coffee during pregnancy: a reproductive hazard? American Journal of Obstetrics and Gynecology. 164:1991;1109-1114.
87. Nash J., Persaud T.V.N. Reproductive and teratological risks of caffeine. Anatomia Anz Jena. 167:1988;265-270.
88. National Center for Health Statistics, 1988. Births, Marriages, Divorces, and Deaths for September (Monthly Vital Statistics Report, Vol. 37, No. 9). DHHS Pub. No. (PHS) 89-1120. Public Health Service, Hyattsville, MD.
89. Neggers Y.H., Goldenberg R.L., Tamura T., Cliver S.P., Hoffman H.J. The relationship between maternal dietary intake and infant birthweight. Acta Obstetrica et Gynecologica Scandinavica Suppl. 165:1997;71-75.
90. Nehlig A., Debry X. Consequences on the newborn of chronic maternal consumption of coffee during gestation and lactation: a review. Journal of the American College of Nutrition. 13:1994;6-21.
91. Nicklin J.L. Systemic lupus erythematosus and pregnancy at the Royal Women's Hospital. Brisbane 1979-1989. Australia and New Zealand Journal of Obstetrics and Gynaecology. 31:1991;120-133.
92. Nieto A., Matorras R., Serra M., Valenzuela P., Moero J. Multivariate analysis of determinants of fetal growth retardation. European Journal of Obstetric, Gynecologic and Reproductive Biology. 53:1994;107-113.
93. Nijs P., Koninckx P.H., Varstraeten D.et al. Psychological factors of female infertility. European Journal of Obstetric, Gynecologic and Reproductive Biology. 18:1984;375-379.
94. Nolen G.A. The developmental toxicology of caffeine. Kalter H. Issues and Reviews in Teratology, Vol. 4. 1988;305-350 Plenum Publishing, New York.
95. Northridge M.E. Annotation: public health methods - attributable risk as a link between causality and public health action. American Journal of Public Health. 85:1995;1202-1203.
96. O'Brien P.C. Meta-analysis: its role in medical research and in assessment of the association between low levels of cholesterol and excess mortality. Mayo Clinic Proceedings. 68:1993;91-93.
97. Olkin I. Invited commentary: re: a critical look at some popular meta-analytic methods. American Journal of Epidemiology. 140:1994;199-297.
98. Olsen J. Cigarette smoking, tea and coffee drinking, and subfecundity. American Journal of Epidemiology. 133:1991;734-739.
99. Ounsted M., Moar V.A., Scott A. Risk factors associated with small-for-dates and large-for-dates infants. British Journal of Obstetrics and Gynaecology. 92:1985;226-232.
100. Palm P.E., Arnold E.P., Rachwall P.C.et al. Evaluation of the teratogenic potential of fresh-brewed coffee and caffeine in the rat. Toxicology and Applied Pharmacology. 44:1978;1-16.
101. Parazzini F., Chatneoud L., Benzi F.et al. Coffee and alcohol intake, smoking and risk of multiple pregnancy. Human Reproduction. 11:1996;2306-2309.
102. Parazzini F., Chatenoud L., La Vecchia C. Fetal loss and caffeine intake. Journal of the American Medical Association. 272:1994;28.
103. Paulson J.D., Haarmann B.S., Salerno R.L., Asmar P. An investigation of the relationship between emotional maladjustment and infertility. Fertility and Sterility. 49:1988;258-262.
104. Peto R., Pike M.C., Armitage P.et al. Design and analysis of randomized clinical trials requiring prolonged observation of each patient. 2. Analysis and examples. British Journal of Cancer. 35:1977;14-16.
105. Petridou E., Katsouyanni K., Spanos E., Skalkidis Y., Panagiotopoulou K., Trichopoulos D. Pregnancy estrogens in relation to coffee and alcohol intake. Annals of Epidemiology. 2:1992;241-247.
106. Peyser M.R., Ayalon D., Harell A.et al. Stress induced delay of ovulation. Obstetrics and Gynecology. 42:1973;667-671.
107. Placek P.J. The 1980 National Survey and National Fetal Mortality Survey - methods used and PHS agency participation. Public Health Reports. 99:1984;111-116.
108. Powell K.E., Thompson P.D., Caspersen C.J., Kendrick J.S. Physical activity and the incidence of coronary heart disease. Annual Review of Public Health. 8:1987;253-287.
109. Puccio E.M., McPhillips J.B., Barrett-Connor E., Ganiats T.G. Clustering of atherogenic behaviors in coffee drinkers. American Journal of Public Health. 80:1990;1310-1313.
110. Savitz D.A., Baron A.E. Estimating and correcting for confounder misclassification. American Journal of Epidemiology. 129:1989;1062-1071.
111. Schreiber G.B., Maffeo C.E., Robins M.et al. Measurement of coffee and caffeine intake: implications for epidemiologic research. Preventive Medicine. 17:1988;280-294.
112. Schreiber G.B., Robins M., Maffeo C.E.et al. Confounders contributing to the reported associations of coffee or caffeine with disease. Preventive Medicine. 17:1988;295-309.
113. Schulte P.A. A conceptual and historical framework for molecular epidemiology. Schulte P.A., Perera F.P. Molecular Epidemiology. Principles and Practices. 1993;Academic Press, New York.
114. Seo K., McGregor J.A., French J.I. Preterm birth is associated with increased risk of maternal and neonatal infection. Obstetrics and Gynecology. 79:1992;75-80.
115. Shiono P.H., Klebanoff M.A. Invited commentary: caffeine and birth outcomes. American Journal of Epidemiology. 137:1993;951-954.
116. Shiono P.H., Klebanoff M.A., Graubard B.I.et al. Birth weight among women of different ethnic groups. Journal of the American Medical Association. 255:1986;48-52.
117. Smith A.H., Pearce N.E., Callas P.W. Cancer case-control studies with other cancers as controls. International Journal of Epidemiology. 17:1988;298-306.
118. Spitzer W.O. Meta-meta-analysis: unanswered questions about aggregating data. Journal of Clinical Epidemiology. 44:1991;103-107.
119. Stallones R.A. The use and abuse of subgroup analysis in epidemiological research. Preventive Medicine. 16:1987;183-194.
120. Stein Z. Fetal growth: determinants and effects in populations. Mead Johnson Symposium on Perinatal and Developmental Medicine. 23:1984;3-10.
121. Stein Z., Susser M. Miscarriage, caffeine and the epiphenomena of pregnancy: specifying the analytic model. Epidemiology. 2:1991;163-167.
122. Suonio S., Saarikoski S., Kauhanen O., Metsapelto A., Terho J., Vohlonen I. Smoking does affect fecundity. European Journal of Obstetrical, Gynecological and Reproductive Biology. 34:1990;89-95.
123. Susser M., Stein Z. Timing in prenatal nutrition: a reprise of the Dutch Famine Study. Nutrition Reviews. 52:1994;84-94.
124. Tilley B.C., Barnes A.B., Bergstralh E.et al. A comparison of pregnancy history recall and medical records. American Journal of Epidemiology. 121:1985;269-281.
125. Tzonou A., Hsieh C.C., Trichopoulos D., Aravandinos D., Kalandidi A., Margaris D., Goldman M., Toupadaki N. Induced abortions, miscarriages, and tobacco smoking as risk factors for secondary infertility. Journal of Epidemiology and Community Health. 47:1993;36-39.
126. Van Voorhis B.J., Syrop C.H., Hammitt D.G., Dunn M.S., Snyder G.D. Effects of smoking on ovulation induction for assisted reproductive techniques. Fertility and Sterility. 58:1992;981-985.
127. Villar J., Belizan J.M. The timing factor in the pathophysiology of the intrauterine growth retardation syndrome. Obstetrical and Gynecological Survey. 8:1982;499-506.
128. Viscoli C.M., Lachs M.S., Horwitz R.I. Bladder cancer and coffee drinking: a summary of case-control research. Lancet. 341:1993;1432-1437.
129. Weinberg C.R., Wilcox A.J. Caffeine and infertility. Lancet. 335:1990;792.
130. Werler M.M., Pober B.R., Nelson K., Holmes L.B. Reporting accuracy among mothers of malformed and nonmalformed infants. American Journal of Epidemiology. 129:1989;415-421.
131. Wilcox A.J., Weinberg C.R. Tea and fertility. Lancet. 337:1991;1159-1160.
132. Windham G.C., Swan S.H., Fenster L. Maternal smoking, alcohol consumption and fetal growth. Epidemiology. 6:1995;570.
133. Wynder E.L., Stellman S.D. The "over-exposed" control group. American Journal of Epidemiology. 135:1992;459-461.
134. Zavela K.J., Barnett J.E., Smedi K.J., Istvan J.A., Matarazzo J.D. Concurrent use of cigarettes, alcohol and coffee. Journal of Applied Social Psychology. 20:1990;835-845.