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Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery from Alcohol Use Disorders.
Alcohol Clin Exp Res. 2015 Oct; 39(10):1989-96.AC

Abstract

BACKGROUND

Individuals in recovery from alcohol use disorders (AUDs) frequently continue to smoke cigarettes. The purpose of this study was to examine the relationship between cigarette smoking status and risk of AUD relapse in adults with remitted AUDs among adults in the United States.

METHODS

Data were drawn from Wave 1 (2001 to 2002) and Wave 2 (2004 to 2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Analyses included the subsample of respondents who completed both waves of data collection reported a history of alcohol abuse and/or dependence prior to Wave 1 (N = 9,134). Relationships between Wave 1 cigarette smoking status (nonsmoker, daily cigarette smoker, and nondaily cigarette smoker) and Wave 2 alcohol use, abuse, and dependence were examined using logistic regression analyses. Analyses were adjusted for Wave 1 demographics; mood, anxiety, and substance use disorders; nicotine dependence; and AUD severity.

RESULTS

Both daily and nondaily cigarette smoking at Wave 1 were significantly associated with a lower likelihood of alcohol use and a greater likelihood of alcohol abuse and dependence at Wave 2 compared to Wave 1 nonsmoking. These relationships remained significant after adjusting for demographics, psychiatric disorders, substance use disorders, AUD severity, and nicotine dependence.

CONCLUSIONS

Among adults with remitted AUDs, daily and nondaily use of cigarettes was associated with significantly decreased likelihood of alcohol use and increased likelihood of alcohol abuse and alcohol dependence 3 years later. Concurrent treatment of cigarette smoking when treating AUDs may help improve long-term alcohol outcomes and reduce the negative consequences of both substances.

Authors+Show Affiliations

Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York. Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), Flushing, New York.Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York. Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), Flushing, New York.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

26365044

Citation

Weinberger, Andrea H., et al. "Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery From Alcohol Use Disorders." Alcoholism, Clinical and Experimental Research, vol. 39, no. 10, 2015, pp. 1989-96.
Weinberger AH, Platt J, Jiang B, et al. Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery from Alcohol Use Disorders. Alcohol Clin Exp Res. 2015;39(10):1989-96.
Weinberger, A. H., Platt, J., Jiang, B., & Goodwin, R. D. (2015). Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery from Alcohol Use Disorders. Alcoholism, Clinical and Experimental Research, 39(10), 1989-96. https://doi.org/10.1111/acer.12840
Weinberger AH, et al. Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery From Alcohol Use Disorders. Alcohol Clin Exp Res. 2015;39(10):1989-96. PubMed PMID: 26365044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery from Alcohol Use Disorders. AU - Weinberger,Andrea H, AU - Platt,Jonathan, AU - Jiang,Bianca, AU - Goodwin,Renee D, Y1 - 2015/09/13/ PY - 2014/12/17/received PY - 2015/07/08/accepted PY - 2015/9/15/entrez PY - 2015/9/15/pubmed PY - 2016/7/9/medline KW - Alcohol Use Disorders KW - Epidemiology KW - Nicotine Dependence KW - Relapse KW - Smoking SP - 1989 EP - 96 JF - Alcoholism, clinical and experimental research JO - Alcohol Clin Exp Res VL - 39 IS - 10 N2 - BACKGROUND: Individuals in recovery from alcohol use disorders (AUDs) frequently continue to smoke cigarettes. The purpose of this study was to examine the relationship between cigarette smoking status and risk of AUD relapse in adults with remitted AUDs among adults in the United States. METHODS: Data were drawn from Wave 1 (2001 to 2002) and Wave 2 (2004 to 2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Analyses included the subsample of respondents who completed both waves of data collection reported a history of alcohol abuse and/or dependence prior to Wave 1 (N = 9,134). Relationships between Wave 1 cigarette smoking status (nonsmoker, daily cigarette smoker, and nondaily cigarette smoker) and Wave 2 alcohol use, abuse, and dependence were examined using logistic regression analyses. Analyses were adjusted for Wave 1 demographics; mood, anxiety, and substance use disorders; nicotine dependence; and AUD severity. RESULTS: Both daily and nondaily cigarette smoking at Wave 1 were significantly associated with a lower likelihood of alcohol use and a greater likelihood of alcohol abuse and dependence at Wave 2 compared to Wave 1 nonsmoking. These relationships remained significant after adjusting for demographics, psychiatric disorders, substance use disorders, AUD severity, and nicotine dependence. CONCLUSIONS: Among adults with remitted AUDs, daily and nondaily use of cigarettes was associated with significantly decreased likelihood of alcohol use and increased likelihood of alcohol abuse and alcohol dependence 3 years later. Concurrent treatment of cigarette smoking when treating AUDs may help improve long-term alcohol outcomes and reduce the negative consequences of both substances. SN - 1530-0277 UR - https://www.unboundmedicine.com/medline/citation/26365044/Cigarette_Smoking_and_Risk_of_Alcohol_Use_Relapse_Among_Adults_in_Recovery_from_Alcohol_Use_Disorders_ L2 - https://doi.org/10.1111/acer.12840 DB - PRIME DP - Unbound Medicine ER -