患有酒精紊乱症的吸烟者戒烟的可能性更小吗？
Are smokers with alcohol disorders less likely to quit?
作者信息
Breslau N, Peterson E, Schultz L, Andreski P, Chilcoat H
机构信息
Department of Psychiatry, Henry Ford Health Sciences Center, Detroit, Mich 48202, USA.
出版信息
Am J Public Health. 1996 Jul;86(7):985-90. doi: 10.2105/ajph.86.7.985.
OBJECTIVES
This study examined the likelihood of smoking cessation in smokers with a prior history of alcoholism.
METHODS
Data came from an epidemiologic study of 1007 young adults, randomly selected from those insured in a large health maintenance organization (HMO) in southeast Michigan. Cox proportional hazards models with time-dependent covariates were used to estimate the hazards ratios of quitting in smokers with current and past alcoholism, with smokers with no history of alcoholism as a reference. Sex, race, and education were controlled.
RESULTS
Smokers with active alcoholism in the preceding year were 60% less likely to quit than were smokers with no history of alcoholism. In contrast, smokers whose alcoholism had remitted were at least as likely to quit as smokers with no history of alcoholism. Compared with persistent alcoholism, remission of alcoholism was associated with more than a threefold increase in the likelihood of subsequent smoking cessation.
CONCLUSIONS
The findings suggest that discontinuation of alcoholism might increase the potential for successful smoking cessation.
目的
本研究调查了有酗酒史的吸烟者戒烟的可能性。
方法
数据来自一项对1007名年轻人的流行病学研究，这些年轻人是从密歇根州东南部一个大型健康维护组织（HMO）的参保人员中随机选取的。使用带有时间依存性协变量的Cox比例风险模型来估计当前和过去有酗酒问题的吸烟者与无酗酒史的吸烟者相比戒烟的风险比。对性别、种族和教育程度进行了控制。
结果
前一年有酗酒问题的吸烟者戒烟的可能性比无酗酒史的吸烟者低60%。相比之下，酗酒问题已缓解的吸烟者戒烟的可能性至少与无酗酒史的吸烟者相同。与持续性酗酒相比，酗酒问题缓解与随后戒烟可能性增加三倍以上有关。
结论
研究结果表明，戒酒可能会增加成功戒烟的可能性。
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