Center for Tobacco Control Research and Education, University of California, San Francisco, CA 94143, USA.
Am J Public Health. 2013 May;103(5):e53-61. doi: 10.2105/AJPH.2012.301014. Epub 2013 Mar 14.
We examined cigarette smoking and quit attempts in the context of alcohol use and bar attendance among young adult bar patrons with different smoking patterns. Methods. We used randomized time location sampling to collect data among adult bar patrons aged 21 to 26 years in San Diego, California (n = 1235; response rate = 73%). We used multinomial and multivariate logistic regression models to analyze the association between smoking and quit attempts and both drinking and binge drinking among occasional, regular, very light, and heavier smokers, controlling for age, gender, race/ethnicity, and education.
Young adult bar patrons reported high rates of smoking and co-use of cigarettes and alcohol. Binge drinking predicted smoking status, especially occasional and very light smoking. All types of smokers reported alcohol use, and bar attendance made it harder to quit. Alcohol use was negatively associated with quit attempts for very light smokers, but positively associated with quitting among heavier smokers.
Smoking and co-use of cigarettes and alcohol are common among young adult bar patrons, but there are important differences by smoking patterns. Tobacco interventions for young adults should prioritize bars and address alcohol use.
我们研究了在不同吸烟模式的年轻成年酒吧顾客中，饮酒和酒吧出席情况对吸烟和戒烟尝试的影响。方法：我们在加利福尼亚州圣地亚哥使用随机时间定位抽样方法收集了 21 至 26 岁成年酒吧顾客的数据（n=1235；回应率=73%）。我们使用多项和多元逻辑回归模型，在控制年龄、性别、种族/民族和教育水平的情况下，分析了偶尔吸烟、经常吸烟、轻度吸烟和重度吸烟的人与饮酒和狂饮之间的关系，以及与戒烟尝试之间的关系。结果：年轻成年酒吧顾客报告了吸烟和香烟与酒精共同使用的高比率。狂饮预测了吸烟状况，尤其是偶尔吸烟和轻度吸烟。所有类型的吸烟者都报告了酒精使用情况，而且酒吧出席情况使戒烟更加困难。对于轻度吸烟者，酒精使用与戒烟尝试呈负相关，但对于重度吸烟者，酒精使用与戒烟呈正相关。结论：吸烟和香烟与酒精的共同使用在年轻成年酒吧顾客中很常见，但吸烟模式存在重要差异。针对年轻成年人的烟草干预措施应优先考虑酒吧，并解决酒精使用问题。
