Smoking is one of the single largest contributors to mortality and morbidity, and contributes to health inequalities.1,2 Smoking is more common and cessation rates are lower among adults facing severe health and social comorbidities,3 such as alcohol dependence.4,5 In England, smoking prevalence is an estimated 47% among people seeking treatment for alcohol dependence4, though despite this high rate, they are less likely to have their smoking addressed.4,6,7 The combined use of alcohol and tobacco has a multiplicative effect on the risk of preventable cancers.8 Nonetheless, little is known about smoking prevalence, characteristics, and cessation among those people at risk of alcohol dependence in the general population in England, which could inform treatment and practise.
