Alcohol consumption and quitting smoking in the International Tobacco Control (ITC) Four Country Survey
Alcohol consumption and quitting smoking in the International Tobacco Control (ITC) Four Country Survey
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DOI：
10.1016/j.drugalcdep.2008.10.006
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发表时间：
2009-03-01
影响因子：
4.2
通讯作者：
Cummings, K. Michael
中科院分区：
文献类型：
--
作者：
Kahler, Christopher W.;Borland, Ron;Cummings, K. Michael
尽管在前瞻性研究中，饮酒量增加与戒烟几率降低有关，但饮酒与戒烟最密切相关的方面尚未得到充分探讨，对潜在混杂变量的检查也很有限。需要进一步的研究来为加强大部分饮酒吸烟者戒烟的努力提供信息。本研究报告审查：（a）饮酒频率、平均每周饮酒量和酗酒频率作为戒烟行为的前瞻性预测因素，（B）这种预测的国家间差异，（c）可能解释饮酒和戒烟之间关联的第三个变量。数据来自国际烟草控制四国调查，这是一项针对澳大利亚、加拿大、英国和美国吸烟者的前瞻性队列研究。共有4831名参与者在一次研究浪潮中提供了酒精数据，并在一年后重新进行了采访。每周饮酒超过一次的人（女性和男性分别为4+/5+饮料）戒烟率明显低于所有其他参与者，部分原因是在随访时，尝试戒烟的人中保持戒烟超过1个月的比例明显较低。频繁大量饮酒的作用在不同国家或性别之间没有差异，也没有被人口统计学、吸烟依赖或对戒烟的态度所解释。无论是饮酒频率还是每周的消费量都与戒烟行为无关。结果表明，进一步研究干预措施，以解决大量饮酒的吸烟者是必要的。(C)2008爱思唯尔爱尔兰有限公司保留所有权利。
Although greater alcohol consumption has been associated with decreased odds of quitting smoking in prospective studies, the aspects of drinking most strongly associated with quitting have not been fully explored and examination of potential confounder variables has been limited. Further studies are needed to inform efforts to enhance smoking cessation among the substantial portion of smokers who drink alcohol. The present study examines: (a) drinking frequency, average weekly quantity of alcohol consumption, and frequency of heavy drinking as prospective predictors of quit smoking behaviors, (b) difference across countries in this prediction, and (c) third variables that might account for the association between alcohol consumption and quitting smoking. Data were drawn from the International Tobacco Control Four Country Survey, a prospective cohort study of smokers in Australia, Canada, the UK, and the US. A total of 4831 participants provided alcohol data at one study wave and were re-interviewed I year later. Individuals who drank heavily (4+/5+ drinks for women and men, respectively) more than once a week had significantly lower rates of quitting smoking than all other participants, in part due to the fact that a significantly lower proportion of those making a quit attempt remained quit for more than 1 month at follow-up. The role of frequent heavy drinking did not differ by country or sex and was not accounted for by demographics, smoking dependence, or attitudes regarding quitting smoking. Neither drinking frequency nor weekly quantity of consumption showed robust associations with quitting behaviors. Results indicate further study of interventions to address heavy drinking among smokers is warranted. (C) 2008 Elsevier Ireland Ltd. All rights reserved.