在英国，近期尝试戒烟是否与饮酒量减少有关？一项横断面人口调查。
Are recent attempts to quit smoking associated with reduced drinking in England? A cross-sectional population survey.
作者信息
Brown Jamie, West Robert, Beard Emma, Brennan Alan, Drummond Colin, Gillespie Duncan, Hickman Matthew, Holmes John, Kaner Eileen, Michie Susan
机构信息
Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Cancer Research UK Health Behaviour Research Centre, University College London, London, UK.
出版信息
BMC Public Health. 2016 Jul 22;16:535. doi: 10.1186/s12889-016-3223-6.
BACKGROUND
Alcohol consumption during attempts at smoking cessation can provoke relapse and so smokers are often advised to restrict their alcohol consumption during this time. This study assessed at a population-level whether smokers having recently initiated an attempt to stop smoking are more likely than other smokers to report i) lower alcohol consumption and ii) trying to reduce their alcohol consumption.
METHOD
Cross-sectional household surveys of 6287 last-year smokers who also completed the Alcohol Use Disorders Identification Test consumption questionnaire (AUDIT-C). Respondents who reported attempting to quit smoking in the last week were compared with those who did not. Those with AUDIT-C≥5 were also asked if they were currently trying to reduce the amount of alcohol they consume.
RESULTS
After adjustment for socio-demographic characteristics and current smoking status, smokers who reported a quit attempt within the last week had lower AUDIT-C scores compared with those who did not report an attempt in the last week (βadj = -0.56, 95 % CI = -1.08 to -0.04) and were less likely to be classified as higher risk (AUDIT-C≥5: ORadj = 0.57, 95 % CI = 0.38 to 0.85). The lower AUDIT-C scores appeared to be a result of lower scores on the frequency of 'binge' drinking item (βadj = -0.25, 95 % CI = -0.43 to -0.07), with those who reported a quit attempt within the last week compared with those who did not being less likely to binge drink at least weekly (ORadj = 0.54, 95 % CI = 0.29 to 0.999) and more likely to not binge drink at all (ORadj = 1.70, 95 % CI = 1.16 to 2.49). Among smokers with higher risk consumption (AUDIT-C≥5), those who reported an attempt to stop smoking within the last week compared with those who did not were more likely to report trying to reduce their alcohol consumption (ORadj = 2.98, 95 % CI = 1.48 to 6.01).
CONCLUSION
Smokers who report starting a quit attempt in the last week also report lower alcohol consumption, including less frequent binge drinking, and appear more likely to report currently attempting to reduce their alcohol consumption compared with smokers who do not report a quit attempt in the last week.
背景
在尝试戒烟期间饮酒可能会引发复吸，因此通常建议吸烟者在此期间限制饮酒量。本研究在人群层面评估了最近开始尝试戒烟的吸烟者是否比其他吸烟者更有可能：i）减少饮酒量；ii）尝试减少饮酒量。
方法
对6287名去年吸烟且还完成了酒精使用障碍识别测试消费问卷（AUDIT-C）的吸烟者进行横断面家庭调查。将报告在过去一周内尝试戒烟的受访者与未尝试戒烟的受访者进行比较。AUDIT-C评分≥5的受访者还被问及他们目前是否正在尝试减少饮酒量。
结果
在对社会人口学特征和当前吸烟状况进行调整后，报告在过去一周内尝试戒烟的吸烟者的AUDIT-C评分低于未报告在过去一周内尝试戒烟的吸烟者（βadj = -0.56，95%置信区间 = -1.08至-0.04），且被归类为高风险（AUDIT-C≥5）的可能性较小（ORadj = 0.57，95%置信区间 = 0.38至0.85）。较低的AUDIT-C评分似乎是由于“暴饮”饮酒频率项目得分较低（βadj = -0.25，95%置信区间 = -0.43至-0.07），报告在过去一周内尝试戒烟的吸烟者与未尝试戒烟的吸烟者相比，每周至少暴饮一次的可能性较小（ORadj = 0.54，95%置信区间 = 0.29至0.999），且完全不暴饮的可能性较大（ORadj = 1.70，95%置信区间 = 1.16至2.49）。在高风险消费（AUDIT-C≥5）的吸烟者中，报告在过去一周内尝试戒烟的吸烟者与未尝试戒烟的吸烟者相比，更有可能报告正在尝试减少饮酒量（ORadj = 2.98，95%置信区间 = 1.48至6.01）。
结论
与过去一周内未报告尝试戒烟的吸烟者相比，报告在过去一周内开始尝试戒烟的吸烟者还报告饮酒量较低，包括暴饮频率较低，且似乎更有可能报告目前正在尝试减少饮酒量。
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