Are smokers with alcohol disorders less likely to quit?
Are smokers with alcohol disorders less likely to quit?
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DOI：
10.2105/ajph.86.7.985
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发表时间：
1996-07-01
影响因子：
12.7
通讯作者：
Chilcoat, H
中科院分区：
文献类型：
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作者：
Breslau, N;Peterson, E;Chilcoat, H
目标。这项研究调查了有酗酒史的吸烟者戒烟的可能性。方法。数据来自对 1007 名年轻人的流行病学研究，这些年轻人是从密歇根州东南部一家大型健康维护组织 (HMO) 的参保人员中随机挑选的。使用具有时间依赖性协变量的 Cox 比例风险模型来估计当前和过去酗酒的吸烟者的戒烟风险比，并以没有酗酒史的吸烟者作为参考。性别、种族和教育受到控制。结果。前一年有酗酒史的吸烟者戒烟的可能性比没有酗酒史的吸烟者低 60%。相比之下，酗酒症状得到缓解的吸烟者戒烟的可能性至少与没有酗酒史的吸烟者一样。与持续酗酒相比，酒精中毒的缓解与随后戒烟的可能性增加三倍以上有关。结论。研究结果表明，戒酒之夜可以增加成功戒烟的可能性。
Objectives. This study examined the likelihood of smoking cessation in smokers with a prior history of alcoholism.Methods. Data came from an epidemiologic study of 1007 young adults, randomly selected from those insured in a large health maintenance organization (HMO) in southeast Michigan. Cox proportional haz ards models with time-dependent covariates were used to estimate the hazards ratios of quitting in smokers with current and past alcoholism, with-smokers with no history of alcoholism as a reference. Sex, race, and education were controlled.Results. Smokers with active alcoholism in the preceding year were 60% less likely to quit than were Smokers with no history of alcoholism. In contrast, smokers whose alcoholism had remitted were at least as likely to quit as smokers with no history of alcoholism. Compared with persistent alcoholism, remission of alcoholism was associated with more than a threefold increase in the likelihood of subsequent smoking cessation.Conclusions. The findings suggest I that discontinuation of alcoholism-night increase the potential for successful smoking cessation.