Characterising smoking and smoking cessation attempts by risk of alcohol dependence: A representative, cross-sectional study of adults in England between 2014-2021.
paper
Cited
Public
- Authors
- Garnett, Claire; Oldham, Melissa; Shahab, Lion; Tattan-Birch, Harry; Cox, Sharon
- Year
- 2022
- Journal
- The Lancet regional health. Europe
- PMID
- 35814338
- DOI
- 10.1016/j.lanepe.2022.100418
- PMCID
- PMC9257647
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 63Β·3% (95% CI=59Β·7-66Β·8) among drinkers at risk of alcohol dependence compared with 18Β·7% (95% CI=18Β·4-18Β·9) among those not at risk, and 19Β·2% (95% CI=18Β·8-19Β·7) among non-drinkers. Among past-year smokers, drinkers at risk of alcohol dependence (versus not at risk) smoked more cigarettes per day (B=3Β·0, 95% CI=2Β·3-3Β·8) and were more likely to smoke their first cigarette within 5 (versus >60) minutes of waking (OR=2Β·81, 95% CI=2Β·25-3Β·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.
Smoking prevalence by AUDIT score among drinkers (adjusted for survey year, holding it constant at 2020 for purposes of prediction). a. Past-year smoking prevalence. b. Current smoking prevalence.
1β20 of 50
Next β
| Name | Type |
|---|---|
| 2014 Adult Psychiatric Morbidity Survey local | cohort |
| ABC1 local | phenotype |
| Abrupt quit attempt local | phenotype |
| Abrupt quit attempt made local | phenotype |
| Abrupt quit attempts local | phenotype |
| Adult (age >=18) local | cohort |
| Adults aged 18+ local | cohort |
| advice and/or support local | phenotype |
| age | phenotype |
| alcohol | phenotype |
| alcohol dependence | phenotype |
| At risk of alcohol dependence local | cohort |
| AUDIT | phenotype |
| behavioural support local | drug |
| C2DE local | phenotype |
| cannabis use | phenotype |
| Cigar local | drug |
| Cigarette dependence local | phenotype |
| cigarettes | phenotype |
| Cohort at risk of alcohol dependence local | cohort |
| combination products local | drug |
| controls | cohort |
| COVID-19 lockdown local | cohort |
| COVID-19 pandemic | cohort |
| current smoking | phenotype |
| difficulty quitting smoking | phenotype |
| drinkers | phenotype |
| Drinkers at risk group local | cohort |
| Drinkers at risk of alcohol dependence local | cohort |
| Drinkers not at risk local | cohort |
| Drinkers not at risk local | phenotype |
| Drinkers not at risk of alcohol dependence local | cohort |
| Drinkers not at risk of alcohol dependence local | phenotype |
| e-cigarettes | drug |
| England | cohort |
| England adults 2014-2021 cohort local | cohort |
| England adult survey cohort local | cohort |
| English population local | cohort |
| First cigarette within 5 minutes of waking local | phenotype |
| former drinker | phenotype |
| full sample | cohort |
| general population in England local | cohort |
| General population in England local | cohort |
| Gradual quit attempt local | phenotype |
| Great Britain local | cohort |
| Heaviest drinkers local | cohort |
| heavy drinking | phenotype |
| homelessness | phenotype |
| Long-term abstainers local | phenotype |
| Marginalised and minority communities local | phenotype |
| mood disorders | phenotype |
| morbidity | phenotype |
| mortality | phenotype |
| motivation to quit local | phenotype |
| motivation to quit smoking local | phenotype |
| Motivation to quit smoking local | phenotype |
| Nationally representative population survey in England 2014-2021 local | cohort |
| nicotine replacement therapies local | drug |
| No alcohol dependence risk local | phenotype |
| non-drinkers | phenotype |
| Nonβdrinkers local | cohort |
| opiates | drug |
| Other substance dependencies local | phenotype |
| Past-year smoker local | phenotype |
| past-year smokers local | cohort |
| Past year-smokers local | phenotype |
| Past-year smokers local | cohort |
| Past-year smokers at risk of alcohol dependence local | cohort |
| Past-year smokers not at risk of alcohol dependence local | cohort |
| Past-year smokers who were drinkers at risk of alcohol dependence local | cohort |
| Past-year smoking local | phenotype |
| Past-year smoking prevalence local | phenotype |
| People at risk of alcohol dependence local | cohort |
| Physical disorder local | phenotype |
| Preventable cancers local | phenotype |
| priority groups local | cohort |
| Public Health England local | cohort |
| Receipt of GP advice local | phenotype |
| Receipt of GP advice and/or support local | phenotype |
| Receipt of support local | phenotype |
| Received GP advice and/or support local | phenotype |
| Roll-your-own cigarettes local | drug |
| Roll-your-own cigarette use local | phenotype |
| Roll your own smoker local | phenotype |
| Sample (RQ2 and RQ3) local | cohort |
| Sample (sensitivity analyses) local | cohort |
| Scotland | cohort |
| Serious attempt to quit smoking local | phenotype |
| serious quit attempt local | phenotype |
| Serious quit attempt local | phenotype |
| sex | phenotype |
| Shisha local | drug |
| smoking | phenotype |
| Smoking and Alcohol Toolkit Studies local | cohort |
| Smoking and Alcohol Toolkit Study local | cohort |
| smoking cessation | phenotype |
| smoking cessation attempt local | phenotype |
| Smoking cessation attempt local | phenotype |
| Smoking cessation attempt characteristics local | phenotype |
| Smoking characteristics local | phenotype |
| smoking dependence | phenotype |
| smoking prevalence | phenotype |
| smoking relapse | phenotype |
| smoking status | phenotype |
| Social grade local | phenotype |
| Social grade C2DE local | phenotype |
| Social housing local | phenotype |
| Successful quit attempt local | phenotype |
| Survey 2014-2021 local | cohort |
| survey year | cohort |
| Time since start of most recent quit attempt local | phenotype |
| time to first cigarette | phenotype |
| tobacco dependence | phenotype |
| tobacco use | phenotype |
| Toolkit Study local | cohort |
| Treatment-seeking alcohol dependent individuals in England local | cohort |
| Use of evidence-based aids local | phenotype |
| Use of evidence-based aids during most recent quit attempt local | phenotype |
| Use of roll-your-own tobacco local | phenotype |
| Wales | cohort |
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|---|---|---|
| Integrated single-cell multiomic profiling of caudate nucleus suggests key mechanisms in alcohol use disorder. | 2025 | 41083468 |
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