Friend Karen B, Pagano Maria E
Pacific Institute for Research and Evaluation, Decision Sciences Institute, Providence, RI, USA.
J Subst Abuse Treat. 2005 Oct;29(3):221-9. doi: 10.1016/j.jsat.2005.07.001.
Individuals undergoing treatment for alcohol use disorders smoke at rates that exceed those reported in the general population, and most patients will continue to smoke after treatment completion. A growing body of research indicates that quitting smoking is associated with better alcoholism treatment outcomes. Studies that dichotomize participants into smokers and nonsmokers, however, may be overlooking the possibility that even decreases in cigarette consumption over time among continuing smokers may also be related to improved alcohol use outcomes. The purpose of this article was to examine the relationship between cigarette consumption and alcohol use outcomes using data from Project MATCH. Smokers were divided into three groups according to whether their cigarette consumption decreased, increased, or remained constant from baseline to the 15-month follow-up. Results showed that smokers whose cigarette consumption decreased were significantly less likely to relapse to alcohol use than those whose consumption increased or remained unchanged. These findings suggest that even reductions in tobacco use may be associated with better drinking outcomes in alcoholism treatment.
正在接受酒精使用障碍治疗的个体吸烟率超过一般人群的报告水平，并且大多数患者在治疗结束后仍会继续吸烟。越来越多的研究表明，戒烟与更好的酒精中毒治疗效果相关。然而，将参与者分为吸烟者和非吸烟者的研究可能忽略了这样一种可能性，即即使持续吸烟者随着时间推移香烟消费量有所减少，这也可能与酒精使用结果的改善有关。本文的目的是利用“匹配计划”的数据研究香烟消费量与酒精使用结果之间的关系。吸烟者根据从基线到15个月随访期间香烟消费量是减少、增加还是保持不变被分为三组。结果显示，香烟消费量减少的吸烟者比消费量增加或不变的吸烟者酒精复吸的可能性显著降低。这些发现表明，即使是烟草使用量的减少也可能与酒精中毒治疗中更好的饮酒结果相关。
