戒烟过程中的共同行动和饮酒变化。

IF 5.2 1区 医学 Q1 PSYCHIATRY Addiction Pub Date : 2024-03-14 DOI:10.1111/add.16472
Christine Vinci, Cho Y. Lam, Paul E. Etcheverry, Virmarie Correa-Fernandez, Miguel Ángel Cano, Paul M. Cinciripini, David W. Wetter
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引用次数: 0

摘要

目的:三项戒烟研究(CARE、Break Free和Por Nuestra Salud [PNS])用于测量戒烟尝试过程中平均饮酒量、暴饮暴食和酒精相关问题的变化,并探讨与戒烟的共同作用:设计:CARE 和 PNS 为纵向队列戒烟研究;Break Free 为双臂随机临床试验:地点:美国德克萨斯州:参与者:从社区招募并接受戒烟干预的现有吸烟者。所有参与者都接受了尼古丁替代疗法和戒烟咨询。CARE包括424名吸烟者(1/3白人、1/3非裔美国人和1/3拉丁裔美国人);Break Free包括399名非裔美国吸烟者;PNS包括199名西班牙语墨西哥裔美国吸烟者:测量方法:在戒烟前和戒烟后多次收集每周饮酒量,在基线和戒烟后 26 周收集酗酒和酒精相关问题。分析仅包括那些表示目前饮酒的人:在 CARE 中,从基线到戒酒后 26 周的平均饮酒量有所下降(F = 17.09,P 结论):在当前饮酒者中,酒精使用量/问题似乎在尝试戒烟期间有所减少,并在尝试戒烟后 26 周内保持低水平。关于共同作用的证据很少,戒烟者和复吸者在饮酒/问题方面的变化相似。
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Co-action and changes in alcohol use during a smoking cessation attempt

Aims

Three smoking cessation studies (CARE, Break Free, Por Nuestra Salud [PNS]) were used to measure changes in average alcohol consumption, binge drinking and alcohol-related problems during a smoking cessation attempt and to explore co-action with smoking abstinence.

Design

CARE and PNS were longitudinal cohort cessation studies; Break Free was a two-arm randomized clinical trial.

Setting

Texas, USA.

Participants

Participants were current smokers who were recruited from the community and received smoking cessation interventions. All participants received nicotine replacement therapy and smoking cessation counseling. CARE included 424 smokers (1/3 White, 1/3 African American and 1/3 Latino); Break Free included 399 African American smokers; PNS included 199 Spanish-speaking Mexican-American smokers.

Measurements

Weekly alcohol consumption was collected multiple times pre and post-quit, and binge drinking and alcohol-related problems were collected at baseline and 26 weeks post-quit. Analyses included only those who indicated current alcohol use.

Findings

Average alcohol consumption decreased from baseline to 26 weeks post-quit in CARE (F = 17.09, P < 0.001), Break Free (F = 12.08, P < 0.001) and PNS (F = 10.21, P < 0.001). Binge drinking decreased from baseline to 26 weeks post-quit in CARE (F = 3.94, P = 0.04) and Break Free (F = 10.41, P < 0.001) but not PNS. Alcohol-related problems decreased from baseline to 26 weeks post-quit in CARE (Chi-sq = 6.41, P = 0.010) and Break Free (Chi sq = 14.44, P = 0.001), but not PNS.

Conclusions

Among current drinkers, alcohol use/problems appear to decrease during a smoking cessation attempt and remain low through 26 weeks after the quit attempt. Little evidence was found for co-action, with smoking abstainers and relapsers showing similar change in alcohol use/problems.

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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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