Ranney Leah M, Kowitt Sarah D, Jarman Kristen L, Lane Robyn M, Goldstein Adam O, Cornacchione Ross Jennifer, Kong Amanda Y, Cox Melissa J
Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
J Stud Alcohol Drugs. 2025 Jan;86(1):140-148. doi: 10.15288/jsad.23-00415. Epub 2024 Jul 15.
People who use both alcohol and combustible tobacco have an increased risk of developing cancer. Few interventions have been developed to inform people about the risks of co-use. This study developed and tested messages about the risks of alcohol and combustible tobacco co-use among adults.
In June to July 2021, we surveyed 1,300 U.S. adults who had used both alcohol and combustible tobacco products within the past 30 days. After reporting their awareness of diseases caused by tobacco and alcohol co-use, participants were randomly assigned to four between-subjects experiments that manipulated specific cancer health effects versus the word cancer health effects versus noncancer health effects; different descriptions of co-use (e.g., alcohol and tobacco…, alcohol and tobacco…); and co-use versus single-use messages. Participants saw one message for each experiment and rated each message using a validated perceived message effectiveness (PME) scale.
Awareness of health effects caused by alcohol and tobacco co-use ranged from moderately high for throat cancer (65.4%) to moderately low for colorectal cancer (23.1%). Messages about cancer health effects increased PME more than messages about noncancer health effects ( = 0.18, = .01). Messages about some specific cancers, including oral cancer ( = -0.20, = .04) and colorectal cancer ( = -0.22, = .02), decreased PME more than messages with only the word . No significant differences were identified for descriptions of co-use or co-use versus single-use messages.
Messages about some cancer health effects of co-using alcohol and tobacco may be effective when communicating the harms of both drinking alcohol and using tobacco.
同时使用酒精和可燃烟草的人患癌症的风险会增加。目前很少有干预措施能让人们了解同时使用这两种产品的风险。本研究针对成年人开发并测试了关于酒精和可燃烟草同时使用风险的信息。
在2021年6月至7月期间，我们对1300名在过去30天内同时使用过酒精和可燃烟草产品的美国成年人进行了调查。在报告他们对烟草和酒精同时使用所导致疾病的认知情况后，参与者被随机分配到四个组间实验中，这些实验分别操控了特定癌症健康影响与“癌症健康影响”与非癌症健康影响；对同时使用的不同描述（例如，酒精和烟草……，酒精与烟草……）；以及同时使用与单一使用信息。参与者在每个实验中会看到一条信息，并使用经过验证的感知信息有效性（PME）量表对每条信息进行评分。
对酒精和烟草同时使用所导致健康影响的认知程度，从咽喉癌的中等偏高（65.4%）到结直肠癌的中等偏低（23.1%）不等。关于癌症健康影响的信息比关于非癌症健康影响的信息使PME增加得更多（ = 0.18， = .01）。关于某些特定癌症的信息，包括口腔癌（ = -0.20， = .04）和结直肠癌（ = -0.22， = .02），比仅包含“癌症”一词的信息使PME降低得更多。在对同时使用的描述或同时使用与单一使用信息方面未发现显著差异。
在传达饮酒和使用烟草的危害时，关于酒精和烟草同时使用的某些癌症健康影响的信息可能是有效的。
