Cigarette smoking and the lifetime alcohol involvement continuum

Abstract

Greater understanding of how alcohol use relates to the initiation, progression, and persistence of cigarette smoking is of great significance for efforts to prevent and treat smoking and excessive drinking and their substantial combined iatrogenic effects on health. Studies investigating the relationship between levels of alcohol involvement and smoking have typically been limited by analytic approaches that treat drinking behavior and alcohol use disorder diagnoses as separate phenomena rather than as indicators of a single latent alcohol involvement dimension. The purposes of the present study were (a) to create a lifetime index of alcohol involvement that integrates information about alcohol consumption and alcohol problems into a single measure and (b) to relate this index to initiation of smoking, progression from initiation to daily smoking, progression from initiation to dependence, and persistence of smoking. Rasch model analyses of data from 1,508 middle-aged (34-44 years) adults showed that creating an additive index of lifetime alcohol involvement was psychometrically supported. Significant quadratic effects of alcohol involvement on initiation, progression, and persistence of smoking demonstrated that there were specific regions of the alcohol involvement continuum that were particularly strongly related to increased smoking. These results provide the most comprehensive depiction to date of the nature of the relationship between lifetime alcohol involvement and lifetime cigarette smoking and suggest potential avenues for research on the etiology and maintenance of smoking and tobacco dependence.

Parental Smoking Exposure and Adolescent Smoking Trajectories

“…3,[24][25][26] The NEFS was established to interview adult offspring of pregnant women enrolled between 1959 and 1964 at the Boston, Massachusetts, and Providence, Rhode Island, sites of the National Collaborative Perinatal Project, a birth cohort study of the effects of in utero and early childhood environment on child health. 27 Adult offspring of National Collaborative Perinatal Project participants (secondgeneration) were selected for participation by using a multistage sampling procedure and contacted by mail at age 40 to enroll in the NEFS.…”

Development and Reliability of the Lifetime Interview on Smoking Trajectories

“…Beginning in 2003, the Transdisciplinary Tobacco Use Research Center's (Abrams et al, 2003) New England Family Study (TTURC: NEFS) recontacted approximately 10% of these G2s using a multistage sampling procedure that oversampled families in which multiple siblings participated (described in Gilman et al, 2008 andKahler et al, 2008). Of 15,721 G2s who survived to age 7, 4,579 (29%) met preliminary criteria for three ongoing TTURC studies (i.e., had completed age 7 follow-up; G2 was either a Providence singleton or part of a sibling set, or G2 was part of sibling set that was discordant for intrauterine exposure to maternal smoking) and were sent a screening questionnaire.…”

“…In the specific case of tobacco use, retrospective life history data are important for studies of the natural history of tobacco use and nicotine dependence (Brigham et al, 2010), the temporal patterning of tobacco use with co-occurring risk behaviors and morbidities over time (Bernstein, Zvolensky, Schmidt, & Sachs-Ericcson, 2007;Kahler et al, 2008), and research on the prevalence, contexts, and correlates of tobacco and other substance use disorders (cf., Degenhardt et al, 2008). Specific aspects of tobacco use history, such as age of onset and subjective reactions to early smoking experiences, have been studied as predictors of smoking severity and in identifying high-risk phenotypes (Johnson & Schultz, 2005).…”

Tabagismo, consumo de álcool e atividade física: associações na síndrome coronariana aguda

“…These results corroborate previous findings that, even in the absence of alcohol dependence, there is a strong positive linear relationship between greater alcohol involvement and increased chance of progression of smoking as a sporadic practice into a daily habit and nicotine addiction. (14) Most patients with cardiovascular disease continues to smoke after acute myocardial infarction, exposing themselves to a 50.0% increased risk of recurrent coronary events among nonsmokers. (15) In Brazil, the population of smokers is 14.8%, with a higher prevalence among men.…”