Andersson Johanna, Berglund Kristina, Irmel Robin, Adermark Louise
Department of Pharmacology, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Institute of Psychology, The Faculty of Social Sciences, University of Gothenburg, Gothenburg, Sweden.
Tob Use Insights. 2024 Oct 30;17:1179173X241298524. doi: 10.1177/1179173X241298524. eCollection 2024.
Tobacco use is not only a major risk factor for morbidity and mortality but also associated with alcohol misuse. While personality traits may be driving this association, the psychoactive component of tobacco, nicotine, may also be a major risk factor. The aim with this study was to further assess the prospective association between tobacco use and alcohol consumption, with special emphasis on the role of the tobacco product used (cigarettes and Swedish snus), frequency of use, and gender. Data was extracted from the prospective cohort Longitudinal Research on Development In Adolescence (LoRDIA), following Swedish adolescents over four waves (∼13 to 17 years of age). Tobacco use was reported with respect to product used and frequency of use, while alcohol use was assessed using AUDIT-C, as well as frequency of use within the last year. Use of tobacco, independent of product used and gender, was associated with increased alcohol consumption. High frequency of use and dual use strengthened to association. Individuals initiating tobacco use during the study period progressively increased their frequency of alcohol consumption compared to non-users during consecutive waves. Furthermore, tobacco use was associated with at-risk consumption of alcohol at follow up, even when adjusting for previous alcohol inebriation, socioeconomical factors, gender and novelty seeking. The data presented here suggests that nicotine use during adolescence, and especially dual use, is a major risk factor for future hazardous alcohol intake. This finding is especially important considering the escalated use of nicotine pouches, which in many ways resembles Swedish snus. From a public health perspective, preventive measures and policies designed to counteract all forms of nicotine use among youths is warranted.
烟草使用不仅是发病和死亡的主要风险因素，还与酒精滥用有关。虽然人格特质可能导致这种关联，但烟草的精神活性成分尼古丁也可能是一个主要风险因素。本研究的目的是进一步评估烟草使用与酒精消费之间的前瞻性关联，特别强调所使用的烟草产品（香烟和瑞典口含烟）、使用频率和性别的作用。数据取自前瞻性队列研究“青少年发展纵向研究”（LoRDIA），该研究对瑞典青少年进行了四轮跟踪（年龄约13至17岁）。报告了烟草使用的产品和使用频率，而酒精使用则通过AUDIT-C进行评估，以及过去一年的使用频率。无论使用何种产品和性别，烟草使用都与酒精消费增加有关。高使用频率和同时使用会加强这种关联。与非使用者相比，在研究期间开始使用烟草的个体在连续几轮中逐渐增加了酒精消费频率。此外，即使在调整了先前的酒精中毒、社会经济因素、性别和寻求新奇感之后，烟草使用在随访时仍与危险饮酒有关。此处呈现的数据表明，青少年时期使用尼古丁，尤其是同时使用，是未来危险酒精摄入的主要风险因素。考虑到尼古丁袋的使用增加，这一发现尤为重要，因为尼古丁袋在许多方面类似于瑞典口含烟。从公共卫生的角度来看，有必要制定预防措施和政策来抵制青少年中所有形式的尼古丁使用。
