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Drinking as a risk factor for sustained smoking.

D A Dawson1

  • 1National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Rockville, MD, USA. ddawson@willco.niaaa.nih.gov

Drug and Alcohol Dependence
|May 17, 2000
PubMed
Summary
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Heavy drinking and alcohol use disorders are linked to higher smoking rates and lower smoking cessation success. Even monthly heavy drinking significantly reduces quitting chances, especially for older adults.

Area of Science:

  • Public Health
  • Epidemiology
  • Behavioral Science

Background:

  • Smoking and alcohol use are prevalent public health issues.
  • Understanding the interplay between alcohol consumption and smoking behaviors is crucial for intervention strategies.

Purpose of the Study:

  • To investigate the association between alcohol intake and smoking prevalence.
  • To examine the relationship between alcohol consumption patterns and smoking cessation success.

Main Methods:

  • Analysis of a nationally representative sample of US adults (n=42862).
  • Exploration of lifetime and past-year drinking and smoking associations.
  • Assessment of smoking cessation in past-year smokers (n=12586) based on alcohol intake and DSM-IV alcohol use disorders.

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Main Results:

  • Smoking prevalence increased with higher alcohol intake and frequency of heavy drinking.
  • Individuals with alcohol abuse or dependence exhibited higher smoking rates.
  • Heavy drinking, particularly monthly 5+ drink episodes, significantly reduced smoking cessation odds by 42%.
  • Alcohol use disorder negatively impacted smoking cessation in older adults.

Conclusions:

  • Higher alcohol consumption is strongly associated with increased smoking prevalence.
  • Heavy drinking and alcohol use disorders are significant barriers to smoking cessation.
  • Age-dependent effects of alcohol use disorders on smoking cessation warrant further investigation.