eprintid: 10205489 rev_number: 6 eprint_status: archive userid: 699 dir: disk0/10/20/54/89 datestamp: 2025-03-03 12:29:56 lastmod: 2025-03-03 12:29:56 status_changed: 2025-03-03 12:29:56 type: article metadata_visibility: show sword_depositor: 699 creators_name: Jackson, Sarah E creators_name: Oldham, Melissa creators_name: Garnett, Claire creators_name: Brown, Jamie creators_name: Shahab, Lion creators_name: Cox, Sharon title: Smoking, and to a lesser extent non-combustible nicotine use, is associated with higher levels of alcohol consumption and risky drinking ispublished: pub divisions: UCL divisions: B02 divisions: D12 divisions: J96 keywords: Increasing and higher risk drinking, Alcohol, Tobacco, Smoking, Vaping, E-cigarettes, Heated tobacco, Nicotine pouches, Heat not burn, GP advice, Primary care, Quit attempts note: This work is licensed under a Creative Commons License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ abstract: This study aimed to estimate differences in alcohol consumption, receipt of alcohol brief intervention, and alcohol reduction attempts by smoking status and use of non-combustible nicotine (including e-cigarettes, nicotine replacement therapy, heated tobacco products, or nicotine pouches). Data were from a representative household survey of adults in England (n = 188,878). Participants who reported former or current smoking scored approximately 1 point higher, on average, on the AUDIT-C (which measures alcohol consumption) than those who had never regularly smoked (B adj=0.97 [95%CI 0.93–1.00] and 0.92 [0.87–0.96], respectively) and had double the odds of risky drinking (AUDIT-C ≥ 5: ORadj=2.04 [1.98–2.10] and 2.03 [1.97–2.10], respectively), while differences for those who did versus did not use non-combustible nicotine use were less pronounced (AUDIT-C: B adj=0.14 [0.08–0.21]; AUDIT-C ≥ 5: ORadj=1.09 [1.04–1.13]). Among participants who engaged in risky drinking, those who smoked (vs. not) were more likely to report receiving alcohol brief interventions, and those attempting to quit smoking (vs. not) were more likely to report alcohol reduction attempts. Overall, combustible and - less so - non-combustible nicotine use is associated with higher levels of alcohol consumption and risky drinking. date: 2025-02-26 date_type: published publisher: Springer Science and Business Media LLC official_url: https://doi.org/10.1038/s41598-025-89750-2 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2365261 doi: 10.1038/s41598-025-89750-2 lyricists_name: Brown, James lyricists_id: JBROW12 actors_name: Brown, James actors_id: JBROW12 actors_role: owner full_text_status: public publication: Scientific Reports volume: 15 number: 1 article_number: 6851 citation: Jackson, Sarah E; Oldham, Melissa; Garnett, Claire; Brown, Jamie; Shahab, Lion; Cox, Sharon; (2025) Smoking, and to a lesser extent non-combustible nicotine use, is associated with higher levels of alcohol consumption and risky drinking. Scientific Reports , 15 (1) , Article 6851. 10.1038/s41598-025-89750-2 <https://doi.org/10.1038/s41598-025-89750-2>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10205489/1/s41598-025-89750-2.pdf