The co-occurrence of smoking and alcohol use disorder in a hospital-based population: Applying a multimorbidity

Scott D Siegel1, Madeline Brooks2, Heather E Ragozine-Bush3

  • 1Value Institute, Christiana Care Health System, USA; Helen F. Graham Cancer Center & Research Institute, Christiana Care Health System, USA.

Addictive Behaviors
|March 13, 2021
PubMed

Insights

Concurrent tobacco and alcohol use disorder (AUD) significantly elevates health risks and mortality. This study highlights the unique clinical and social challenges faced by patients with both conditions, emphasizing the need for targeted interventions.

Area of Science:

  • Public Health
  • Clinical Medicine
  • Epidemiology

Background:

  • Tobacco and alcohol use are leading causes of premature death in the US.
  • Concurrent use of tobacco and alcohol exacerbates health risks.
  • Understanding the characteristics of individuals with co-occurring substance use disorders is crucial for public health.

Purpose of the Study:

  • To identify the demographic, social, and clinical profiles of patients with concurrent smoking and alcohol use disorder (AUD).
  • To compare these profiles with never smokers without AUD.
  • To inform the development of targeted interventions for this high-risk population.

Main Methods:

  • Cross-sectional study of 20,310 patients admitted to a Mid-Atlantic health care system.
  • Patients categorized by smoking status and AUD.
  • Demographic, socioeconomic, environmental, and clinical data analyzed.

Main Results:

  • 7.2% of admissions (1464 patients) had concurrent smoking and AUD.
  • These patients were younger, more likely male, and had Medicaid coverage.
  • Higher rates of other substance use disorders, depression, HIV/AIDS, and liver disease were observed.
  • Proximity to higher counts of tobacco and alcohol retailers was noted.

Conclusions:

  • Patients with concurrent smoking and AUD face unique and severe health risks.
  • A multimorbidity framework is recommended for clinical and community interventions.
  • Interventions should address psychiatric conditions, chronic medical issues, social needs, and environmental exposures.

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