Association between tobacco and alcohol use among young adult bar patrons: a cross-sectional study in three cities
Association between tobacco and alcohol use among young adult bar patrons: a cross-sectional study in three cities
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DOI：
10.1186/1471-2458-14-500
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发表时间：
2014-05-24
影响因子：
4.5
通讯作者：
Ling, Pamela M.
中科院分区：
文献类型：
--
作者：
Jiang, Nan;Lee, Youn Ok;Ling, Pamela M.
背景：酒吧和夜总会是年轻人聚集和吸烟和饮酒的主要公共场所，而年轻的酒吧顾客吸毒的风险很高。本研究调查了来自美国三个不同城市的年轻成人酒吧顾客的随机样本中吸烟和饮酒之间的关联。方法：从 2007 年至 2010 年期间加利福尼亚州圣地亚哥 (N = 1,150)、缅因州波特兰 (N = 1,019) 和俄克拉何马州塔尔萨 (N = 1,106) 18-29 岁年轻酒吧顾客的随机样本中收集了横截面数据（响应率 88%）采用随机时间地点抽样。受访者报告了过去 30 天内吸烟、饮酒和酗酒的天数。在控制年龄、性别、种族/民族和教育程度的情况下，使用多项逻辑回归分析每个城市的吸烟（不吸烟者、偶尔吸烟者和经常吸烟者）与饮酒和酗酒之间的关联。通过饮酒和酗酒状态计算每种吸烟类别的预测概率。还分析了组合样本中吸烟和饮酒以及酗酒之间的关联，控制了人口变量和城市。结果：受访者报告目前吸烟率较高，从波特兰的 51% 到塔尔萨的 58%。在人口变量受到控制的情况下，塔尔萨的受访者比圣地亚哥和波特兰的受访者更有可能经常吸烟。年轻的成人酒吧顾客也表现出吸烟和饮酒之间的密切联系。总体而言，随着饮酒和酗酒频率的增加，每个城市中吸烟者（尤其是经常吸烟者）的预测概率也会增加。结论：无论三个城市的酒吧文化和控烟环境不同，年轻的成年酒吧顾客一致报告吸烟率较高，并且吸烟与饮酒之间存在密切关系。虽然无烟酒吧政策与经常吸烟呈负相关，但仅这些政策可能不足以影响吸烟和饮酒之间的关联，特别是如果这些场所继续进行烟草营销，或者缺乏专门针对烟草和酒精共同使用的计划。
Background: Bars and nightclubs are key public venues where young adults congregate and use both tobacco and alcohol, and young adult bar patrons are at high risk for substance use. This study examined the association between cigarette smoking and alcohol use among a random sample of young adult bar patrons from three different cities in the USA.Methods: Cross-sectional data was collected from a random sample of young adult bar patrons aged 18-29 in San Diego, CA (N = 1,150), Portland, ME (N = 1,019), and Tulsa, OK (N = 1,106) from 2007-2010 (response rate 88%) using randomized time location sampling. Respondents reported the number of days they smoked cigarettes, drank alcohol, and binge drank in the past 30 days. Multinomial logistic regression was used to analyze the association between smoking (nonsmoker, occasional smoker, and regular smoker) and drinking and binge drinking for each city controlling for age, gender, race/ethnicity, and education. Predicted probabilities of each smoking category were calculated by drinking and binge drinking status. The association between smoking and drinking and binge drinking among combined samples was also analyzed, controlling for demographic variables and city.Results: Respondents reported high current smoking rates, ranging from 51% in Portland to 58% in Tulsa. Respondents in Tulsa were more likely to report regular smoking than those in San Diego and Portland, with demographic variables being controlled. Young adult bar patrons also exhibited a strong association between smoking and drinking. In general, as the frequency of drinking and binge drinking increased, the predicted probability of being a smoker, especially a regular smoker, increased in each city.Conclusions: Young adult bar patrons consistently reported a high smoking rate and a strong relationship between smoking and drinking, regardless of the different bar cultures and tobacco control contexts in each of the three cities. While smoke-free bar policies were negatively associated with regular smoking, these policies alone may not be enough to influence the association between smoking and drinking, particularly if tobacco marketing continues in these venues, or in the absence of programs specifically addressing the co-use of tobacco and alcohol.