Gravely Shannon, Driezen Pete, Shahab Lion, McClure Erin A, Hyland Andrew, Cummings K Michael, East Katherine A, Chan Gary C K, Walsh Hannah, Benowitz Neal L, Gartner Coral E, Fong Geoffrey T, Quah Anne C K, Smith Danielle M
International Tobacco Control Policy Evaluation (ITC) Project, Department of Psychology, University of Waterloo, Waterloo, Canada.
School of Public Health Sciences, University of Waterloo, Waterloo, Canada.
Int J Ment Health Addict. 2025;23(3):2021-2045. doi: 10.1007/s11469-023-01214-8. Epub 2023 Dec 14.
This study assessed independent and interaction effects of the frequency of cannabis use, high-risk alcohol use, and depressive symptomology on motivation and attempts to quit cigarette smoking among adults who regularly smoked. Cross-sectional data are from the 2020 International Tobacco Control Four Country Smoking and Vaping Survey and included 7044 adults (ages 18 + years) who smoked cigarettes daily in Australia ( = 1113), Canada ( = 2069), England ( = 2444), and the United States (USA) ( = 1418). Among all respondents, 33.1% of adults reported wanting to quit smoking "a lot," and 29.1% made a past-year quit attempt. Cannabis use was not significantly associated with either outcome (both ≥ 0.05). High-risk alcohol use was significantly associated with decreased odds of motivation to quit ( = 0.02) and making a quit attempt ( = 0.004). Depressive symptomology was associated with increased odds for both outcomes (both < 0.001). There were no significant 2- or 3-way interactions between cannabis use, alcohol consumption, and depressive symptomatology. Overall, just over a quarter of adults who smoked daily reported making a recent quit attempt, and most were not highly motivated to quit. Longitudinal research should investigate whether there are linkages between cannabis use, risky alcohol consumption, and/or depression on successful long-term smoking cessation.
The online version contains supplementary material available at 10.1007/s11469-023-01214-8.
本研究评估了大麻使用频率、高风险饮酒及抑郁症状对经常吸烟的成年人戒烟动机和尝试戒烟的独立及交互作用。横断面数据来自2020年国际烟草控制四国吸烟与电子烟调查，包括澳大利亚（n = 1113）、加拿大（n = 2069）、英格兰（n = 2444）和美国（n = 1418）的7044名18岁及以上每日吸烟的成年人。在所有受访者中，33.1%的成年人表示“非常想”戒烟，29.1%的人在过去一年尝试过戒烟。大麻使用与这两个结果均无显著关联（均p≥0.05）。高风险饮酒与戒烟动机降低（p = 0.02）及尝试戒烟（p = 0.004）的几率显著相关。抑郁症状与这两个结果的几率增加相关（均p < 0.001）。大麻使用、饮酒和抑郁症状之间不存在显著的二元或三元交互作用。总体而言，略超过四分之一的每日吸烟者表示最近尝试过戒烟，且大多数人戒烟动机不强。纵向研究应调查大麻使用、危险饮酒和/或抑郁与长期成功戒烟之间是否存在关联。
在线版本包含可在10.1007/s11469-023-01214-8获取的补充材料。
