Jackson Sarah E, Oldham Melissa, Garnett Claire, Brown Jamie, Shahab Lion, Cox Sharon
Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
SPECTRUM Consortium, Edinburgh, UK.
Sci Rep. 2025 Feb 26;15(1):6851. doi: 10.1038/s41598-025-89750-2.
This study aimed to estimate differences in alcohol consumption, receipt of alcohol brief intervention, and alcohol reduction attempts by smoking status and use of non-combustible nicotine (including e-cigarettes, nicotine replacement therapy, heated tobacco products, or nicotine pouches). Data were from a representative household survey of adults in England (n = 188,878). Participants who reported former or current smoking scored approximately 1 point higher, on average, on the AUDIT-C (which measures alcohol consumption) than those who had never regularly smoked (B=0.97 [95%CI 0.93-1.00] and 0.92 [0.87-0.96], respectively) and had double the odds of risky drinking (AUDIT-C ≥ 5: OR=2.04 [1.98-2.10] and 2.03 [1.97-2.10], respectively), while differences for those who did versus did not use non-combustible nicotine use were less pronounced (AUDIT-C: B=0.14 [0.08-0.21]; AUDIT-C ≥ 5: OR=1.09 [1.04-1.13]). Among participants who engaged in risky drinking, those who smoked (vs. not) were more likely to report receiving alcohol brief interventions, and those attempting to quit smoking (vs. not) were more likely to report alcohol reduction attempts. Overall, combustible and - less so - non-combustible nicotine use is associated with higher levels of alcohol consumption and risky drinking.
本研究旨在评估饮酒量、接受酒精简短干预以及减少饮酒尝试在吸烟状况和使用非燃烧性尼古丁（包括电子烟、尼古丁替代疗法、加热烟草制品或尼古丁袋）方面的差异。数据来自对英格兰成年人的一项代表性家庭调查（n = 188,878）。报告曾经或当前吸烟的参与者在AUDIT-C（用于测量饮酒量）上的得分平均比从未经常吸烟的参与者高约1分（分别为B = 0.97 [95%CI 0.93 - 1.00]和0.92 [0.87 - 0.96]），且有风险饮酒（AUDIT-C≥5）的几率翻倍（分别为OR = 2.04 [1.98 - 2.10]和2.03 [1.97 - 2.10]），而使用与未使用非燃烧性尼古丁者之间的差异则不那么明显（AUDIT-C：B = 0.14 [0.08 - 0.21]；AUDIT-C≥5：OR = 1.09 [1.04 - 1.13]）。在有风险饮酒的参与者中，吸烟的参与者（与不吸烟的相比）更有可能报告接受过酒精简短干预，而试图戒烟的参与者（与不试图戒烟的相比）更有可能报告有减少饮酒的尝试。总体而言，可燃尼古丁以及程度稍轻的非燃烧性尼古丁的使用与更高水平的酒精消费和风险饮酒有关。
