Impact of Alcohol Use and Bar Attendance on Smoking and Quit Attempts Among Young Adult Bar Patrons

Impact of Alcohol Use and Bar Attendance on Smoking and Quit Attempts Among Young Adult Bar Patrons
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DOI:
10.2105/ajph.2012.301014
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发表时间:
2013-05-01
影响因子:
12.7
通讯作者:
Ling, Pamela M.
Ling, Pamela M.
中科院分区:
医学2区
文献类型:
--
作者:
Jiang, Nan;Ling, Pamela M.

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目标。我们在不同吸烟模式的年轻成年酒吧主顾中,对饮酒和酒吧出勤情况下的吸烟和戒烟尝试进行了调查。我们采用随机时间地点抽样的方法收集了加州圣地亚哥21 - 26岁的酒吧成年顾客的数据(n = 1235,回复率= 73%)。在控制年龄、性别、种族/民族和教育程度的情况下,我们使用多项和多变量logistic回归模型分析了偶尔吸烟者、经常吸烟者、非常轻吸烟者和重度吸烟者中吸烟和戒烟尝试与饮酒和酗酒之间的关系。年轻的酒吧主顾报告说,吸烟率和烟酒混用率很高。酗酒预示着吸烟状况,尤其是偶尔和少量吸烟。所有类型的吸烟者都报告饮酒,而酒吧的出现使戒烟变得更加困难。对于轻度吸烟者,酒精使用与戒烟尝试呈负相关,但对于重度吸烟者,酒精使用与戒烟呈正相关。吸烟和烟酒共饮在酒吧的年轻顾客中很常见,但吸烟模式存在重要差异。针对年轻人的烟草干预措施应优先考虑酒吧,并解决饮酒问题。
Objectives. We examined cigarette smoking and quit attempts in the context of alcohol use and bar attendance among young adult bar patrons with different smoking patterns.Methods. We used randomized time location sampling to collect data among adult bar patrons aged 21 to 26 years in San Diego, California (n = 1235; response rate = 73%). We used multinomial and multivariate logistic regression models to analyze the association between smoking and quit attempts and both drinking and binge drinking among occasional, regular, very light, and heavier smokers, controlling for age, gender, race/ethnicity, and education.Results. Young adult bar patrons reported high rates of smoking and co-use of cigarettes and alcohol. Binge drinking predicted smoking status, especially occasional and very light smoking. All types of smokers reported alcohol use, and bar attendance made it harder to quit. Alcohol use was negatively associated with quit attempts for very light smokers, but positively associated with quitting among heavier smokers.Conclusions. Smoking and co-use of cigarettes and alcohol are common among young adult bar patrons, but there are important differences by smoking patterns. Tobacco interventions for young adults should prioritize bars and address alcohol use.