However, our understanding of the relationship between those at risk of alcohol dependence and smoking is limited by the clinical context of currently published studies with less known at a population level.18,19 The UK government aims to reduce smoking prevalence in England to less than 5% by 2030. Therefore, it is increasingly important to characterise smoking behaviours among groups who are at increased risk of being excluded or disengaged from mainstream support so that recommendations can be made where to target interventions. This study used data from a nationally representative population survey in England from 2014 to 2021 to describe smoking prevalence rates among adults at risk of alcohol dependence and characterise their smoking and smoking cessation attempt characteristics. We compared smoking and smoking cessation attempt characteristics among past-year smokers who were drinkers at risk of alcohol dependence, drinkers not at risk, and non-drinkers. We also modelled smoking prevalence and smoking and smoking cessation attempt characteristics across the full range of Alcohol Use Disorders Identification Test (AUDIT) scores given that alcohol dependence exists on a continuum of severity.9
