Garnett, Claire;
Oldham, melissa;
Shahab, lion;
Tattan-Birch, harry;
Cox, sharon;
(2022)
Characterising smoking and smoking cessation behaviours by risk of alcohol dependence: a representative, cross-sectional study of adults in England between 2014-2021.
The Lancet Regional Health – Europe
, 18
, Article 100418. 10.1016/j.lanepe.2022.100418.
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Abstract
Background: There is a strong shared association between smoking tobacco and drinking alcohol. This study aimed to compare smoking prevalence and smoking characteristics in drinkers who were versus were not at risk of alcohol dependence in England. Methods: We used cross-sectional data from a monthly, nationally representative survey of adults in England (weighted n=144,583) collected between 2014-2021. Smoking and smoking cessation attempt characteristics were regressed on to alcohol dependence (drinkers at risk versus not at risk), adjusting for survey year. Findings: Past-year smoking prevalence was 63¢3% (95% CI=59¢7-66¢8) among drinkers at risk of alcohol dependence compared with 18¢7% (95% CI=18¢4-18¢9) among those not at risk, and 19¢2% (95% CI=18¢8-19¢7) among non-drinkers. Among past-year smokers, drinkers at risk of alcohol dependence (versus not at risk) smoked more cigarettes per day (B=3¢0, 95% CI=2¢3-3¢8) and were more likely to smoke their first cigarette within 5 (versus >60) minutes of waking (OR=2¢81, 95% CI=2¢25-3¢51). Interpretation: In a representative sample of adults in England, a graded effect was observed where smoking prevalence increased with level of alcohol consumption. Past-year smokers at risk of alcohol dependence had higher levels of cigarette dependence than drinkers not at risk. Therefore, smokers at risk of alcohol dependence are a high priority group to target to reduce smoking prevalence as part of the NHS long-term plan. Funding: Cancer Research UK and the National Institute for Health Research
| Type: | Article |
|---|---|
| Title: | Characterising smoking and smoking cessation behaviours by risk of alcohol dependence: a representative, cross-sectional study of adults in England between 2014-2021 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.lanepe.2022.100418 |
| Publisher version: | https://doi.org/10.1016/j.lanepe.2022.100418 |
| Language: | English |
| Additional information: | © 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10148337 |
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