Comorbid cigarette and alcohol addiction: Epidemiology and treatment
Comorbid cigarette and alcohol addiction: Epidemiology and treatment
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DOI：
10.1300/j069v17n01_06
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发表时间：
1998-01-01
影响因子：
2.3
通讯作者：
Gold, MS
中科院分区：
文献类型：
--
作者：
Miller, NS;Gold, MS
尼古丁成瘾和酗酒之间的密切联系已得到证实。多达80%的酗酒者吸烟，而30%的吸烟者是酗酒者。吸烟和酗酒造成的死亡率非常高，据估计每年有 40 万人因吸烟死亡，10 万人因酗酒死亡。香烟和酒精相互作用会导致某些癌症，例如头颈癌。直到最近，人们的注意力才集中在烟草对戒酒者的作用上。一项重要的研究发现，戒酒的酗酒者在康复过程中因烟草造成的死亡率很高。然而，酗酒造成的死亡率很高且占主导地位。非常重要的是，研究表明，戒酒基本上可以消除因主动酗酒而导致的过早死亡或死亡率增加。类似的研究表明，戒酒可降低尼古丁成瘾的死亡率，但尚未出现。然而，治疗尼古丁成瘾的重要性显而易见，可以降低酗酒者或戒酒者因吸烟而导致的高死亡率。
The close association of nicotine addiction and alcoholism is well established. As many as 80% of alcoholics smoke, and 30% of smokers are alcoholics. The mortality from cigarette smoking and alcoholism individually is very high, as an estimated 400,000 deaths from tobacco and 100,000 deaths from alcoholism are reported annually. Cigarettes and alcohol interact to cause certain cancers, e.g., head and neck. Only recently has attention been focused on the role of tobacco in abstinent alcoholics. An important study found high rates of mortality from tobacco in abstinent alcoholics in recovery. However, the mortality rates from alcoholism were high and predominant. Of great importance is that studies show that abstinence from alcohol essentially eliminates the premature deaths or increased mortality rates from active alcoholism Similar studies showing a reduction in mortality from abstinence in nicotine addiction have not been forthcoming. The importance of treating nicotine addiction, however, is clear to reduce the high mortality rates from tobacco smoking in active or abstinent alcoholics.