Beard, E;
West, R;
Michie, S;
Brown, J;
(2017)
Association between smoking and alcohol-related behaviours: A time-series analysis of population trends in England.
Addiction
10.1111/add.13887.
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Abstract
AIMS: This paper estimates how far monthly changes in prevalence of cigarette smoking, motivation to quit and attempts to stop smoking have been associated with changes in prevalence of high-risk drinking, and motivation and attempts to reduce alcohol consumption in England. DESIGN: Data were used from the Alcohol and Smoking Toolkit Studies between April 2014 and June 2016. These involve monthly household face-to-face surveys of representative samples of ~1700 adults in England. MEASUREMENTS: ARIMAX modelling was used to assess the association over time between monthly prevalence of a) smoking and high-risk drinking; b) high motivation to quit smoking and high motivation to reduce alcohol consumption; and c) attempts to quit smoking and attempts to reduce alcohol consumption. FINDINGS: Mean smoking prevalence over the study period was 18.6% and high-risk drinking prevalence was 13.0%. A decrease of 1% of the series mean smoking prevalence was associated with a reduction of 0.19% of the mean prevalence of high-risk drinking (95%CI 0.03 to 0.34, p = 0.017. A statistically significant association was not found between prevalence of high motivation to quit smoking and high motivation to reduce alcohol consumption (β 0.324 95%CI -0.371 to 1.019, p = 0.360) or prevalence of attempts to quit smoking and attempts to reduce alcohol consumption (β -0.026 95%CI -1.348 to 1.296, p = 0.969). CONCLUSION: Between 2014 and 2016, monthly changes in prevalence of smoking in England were positively associated with prevalence of high-risk drinking. There was no significant association between motivation to stop and motivation to reduce alcohol consumption, or attempts to quit smoking and attempts to reduce alcohol consumption.
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