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Updated: Jan 2, 2026

Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder
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Alcohol Abuse and Smoking: Dual Recoveries.

Linda C Sobell1, Mark B Sobell1

  • 1Linda C. Sobell, Ph.D., is a professor at Nova Southeastern University, Ft. Lauderdale, Florida, and a senior scientist at the Addiction Research Foundation, Toronto, Ontario, Canada. Mark B. Sobell, Ph.D., is a professor at Nova Southeastern University, Ft. Lauderdale, Florida, and a senior scientist at the Addiction Research Foundation, Toronto, Ontario, Canada.

Alcohol Health and Research World
|December 5, 2019
PubMed
Summary

Most individuals with alcohol abuse also smoke. This long-term study found that recovery from both alcohol abuse and smoking is achievable and stable, though continued smoking increases relapse risk.

Keywords:
AOD abuseAODD (alcohol and other drug use disorder) recoveryAODD relapsecessation of AODU (alcohol and other drug use)cigaretterelapse preventionsmokingtreatment

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Area of Science:

  • Addiction medicine
  • Public health
  • Behavioral science

Background:

  • High comorbidity between alcohol abuse and smoking presents significant public health challenges.
  • Understanding the interplay between drinking and smoking recovery is crucial for effective treatment.
  • Limited research exists on how concurrent changes in alcohol and smoking behaviors impact long-term recovery.

Purpose of the Study:

  • To investigate the long-term recovery trajectories of individuals with a history of both alcohol abuse and smoking.
  • To examine the relationship between continued smoking and the risk of relapse in individuals recovering from alcohol abuse.
  • To assess the stability of recovery from both substance use disorders.

Main Methods:

  • Longitudinal study design tracking individuals with a history of alcohol abuse and smoking.
  • Assessment of recovery status from both alcohol abuse and smoking over an extended period.
  • Statistical analysis to determine associations between smoking status and alcohol relapse risk.

Main Results:

  • A majority of participants achieved stable recovery from both alcohol abuse and smoking.
  • Continued smoking was significantly associated with an elevated risk of relapse to alcohol abuse.
  • Recovery from both conditions was found to be generally stable for most individuals.

Conclusions:

  • Concurrent recovery from alcohol abuse and smoking is feasible and can be stable.
  • Cessation of smoking may be a critical factor in maintaining long-term alcohol abstinence.
  • Public health strategies should address the dual burden of alcohol and tobacco use in addiction treatment programs.