Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511, USA.
Alcohol Clin Exp Res. 2012 Sep;36(9):1653-8. doi: 10.1111/j.1530-0277.2012.01767.x. Epub 2012 Jun 15.
Based on published data showing that daily smokers have high rates of hazardous drinking and higher rates of smoking relapse, we hypothesized that New York State Smokers' Quitline (NYSSQL) callers would exhibit elevated rates of risky drinking and risky drinking callers would report lower rates of smoking cessation.
We assessed rates of hazardous drinking among 88,479 callers to the NYSSQL using modified NIAAA guidelines. Using 2 routine NYSSQL short-term follow-up interviews (n = 14,123 and n = 24,579) and a 3-month follow-up interview (n = 2,833), we also compared smoking cessation rates for callers who met criteria for hazardous drinking compared to moderate drinkers and nondrinkers.
At baseline, 56% of callers reported drinking, and 23% reported hazardous drinking using modified NIAAA guidelines. Hazardous drinkers did not differ on measures of smoking cessation outcomes compared to nondrinkers but did have lower smoking cessation rates compared to persons who reported moderate alcohol consumption for the enhanced services program 1-week follow-up (adjusted OR [95% CI] = 1.09 [1.01, 1.17], p = 0.04) and the standard 2-week follow-up (adjusted OR [95% CI] = 1.17 [1.07, 1.29], p = 0.001).
Nearly a quarter of smokers calling the NYSSQL reported a hazardous drinking pattern, which was associated with lower cessation outcomes compared to those who reported a moderate drinking profile. Given the large number of high-risk drinkers who can be identified through a quitline, tobacco quitlines may provide a venue for providing brief alcohol interventions to these high-risk drinkers. Future studies should evaluate whether a brief alcohol intervention would result in improved smoking cessation rates for hazardous drinking smokers.
基于发表的数据显示，每日吸烟者有较高的危险饮酒率和较高的吸烟复发率，我们假设纽约州吸烟者戒烟热线（NYSSQL）的呼叫者会表现出较高的危险饮酒率，而危险饮酒的呼叫者会报告较低的戒烟率。
我们使用修改后的 NIAAA 指南评估了 88479 名 NYSSQL 呼叫者的危险饮酒率。使用 2 个常规 NYSSQL 短期随访访谈（n = 14123 和 n = 24579）和 1 个 3 个月随访访谈（n = 2833），我们还比较了符合危险饮酒标准的呼叫者与适度饮酒者和非饮酒者的戒烟率。
在基线时，56%的呼叫者报告饮酒，23%的呼叫者使用修改后的 NIAAA 指南报告危险饮酒。与非饮酒者相比，危险饮酒者在戒烟结局测量上没有差异，但与报告适度饮酒的人相比，在增强服务计划 1 周随访（调整后的比值比[95%置信区间] = 1.09 [1.01, 1.17]，p = 0.04）和标准的 2 周随访（调整后的比值比[95%置信区间] = 1.17 [1.07, 1.29]，p = 0.001）时的戒烟率较低。
近四分之一拨打 NYSSQL 的吸烟者报告了一种危险的饮酒模式，与报告适度饮酒模式的人相比，这种模式与较低的戒烟结局相关。鉴于可以通过戒烟热线确定大量高风险饮酒者，因此烟草戒烟热线可能为这些高风险饮酒者提供提供简短的酒精干预措施的场所。未来的研究应评估简短的酒精干预是否会提高危险饮酒吸烟者的戒烟率。
