Relations of alcohol consumption with smoking cessation milestones and tobacco dependence.

Cook, Jessica W.; Fucito, Lisa M.; Piasecki, Thomas M.; Piper, Megan E.; Schlam, Tanya R.; Berg, Kristin M.; Baker, Timothy B.

doi:10.1037/a0029931

Cited by 55 publications

(52 citation statements)

References 52 publications

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“…Perceived pleasure experienced from smoking cigarettes when drinking alcohol or using marijuana could underlie the persistence of use over time and problems with cutting down or quitting (Amos et al 2004; Cook et al 2012; Leeman et al 2008). Given the high prevalence of co-use of cigarettes with either alcohol or marijuana (SAMHSA 2014, 6.30B, 6.9B) and previous research suggesting that co-use is associated with greater nicotine dependence potentially undermining smoking cessation (Agrawal & Lynskey 2009; Dani & Harris, 2005), results of this study could inform the design of specific intervention components addressing substance co-use in smoking cessation interventions for young adults.…”

Section: Introductionmentioning

confidence: 99%

Young adults report increased pleasure from smoking cigarettes when drinking alcohol but not when using marijuana

Gubner

Thrul

Kelly

et al. 2017

Addiction Research & Theory

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Background Among young adults, cigarette smoking is strongly associated with alcohol and marijuana use. The present study compared self-reported co-use of cigarettes and alcohol versus cigarettes and marijuana among young adults using cross-sectional survey data. Methods Participants were young adult cigarette smokers (age 18 to 25) who also reported past month alcohol or marijuana use enrolled in a randomized trial testing a smoking cessation intervention on Facebook. Participants self-reported extent of cigarette smoking under the influence of alcohol or marijuana and differences in perceived pleasure from cigarette smoking when drinking alcohol compared to using marijuana. Results Among cigarette smokers who drank alcohol and used marijuana in the past month (n=200), a similar percentage of cigarettes were smoked under the influence of alcohol (42.4%±31.2%) and marijuana (43.1% ±30.0%). Among alcohol + marijuana users, perceived pleasure from smoking cigarettes was significantly greater when drinking alcohol versus when using marijuana (t(199)=7.05, p<0.001). There was, on average, an increase in perceived pleasure from smoking cigarettes when drinking alcohol, though perceived pleasure did not differ by binge drinking frequency. In contrast, there was on average no change in perceived pleasure from smoking cigarettes when using marijuana. Results from the cigarette smokers who used alcohol + marijuana were similar to cigarette smokers who only used alcohol (n=158) or only used marijuana (n=54). Conclusion Findings highlight greater perceived reward from smoking cigarettes when drinking alcohol compared to when using marijuana, informing smoking cessation interventions that target users of multiple substances.

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Section: Introductionmentioning

confidence: 99%

Young adults report increased pleasure from smoking cigarettes when drinking alcohol but not when using marijuana

Gubner

Thrul

Kelly

et al. 2017

Addiction Research & Theory

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“…Results from a national sample found the prevalence of any alcohol use disorders was higher among individuals with nicotine dependence compared to the overall population (22.8% vs 8.5%; Grant et al, 2004); and around half of all adults in the US with an alcohol use disorder also smoke cigarettes (McKee and Weinberger, 2013). Individuals with alcohol use disorders have also been found to be heavier smokers, report greater nicotine dependence, and have poorer smoking cessation rates (Burling et al, 1997; Cook et al, 2012; Friend et al, 2005; Keenan et al, 1990; Hughes and Kalman, 2006; Hurt et al, 1995; John et al, 2003a-b; Marks et al, 1997; York and Hirsh, 1995). …”

Section: Introductionmentioning

confidence: 99%

Cessation of alcohol consumption decreases rate of nicotine metabolism in male alcohol-dependent smokers

Gubner

Kozar-Konieczna²,

Szołtysek-Bołdys

et al. 2016

Drug and Alcohol Dependence

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Background Rate of nicotine metabolism is an important factor influencing cigarette smoking behavior, dependence, and efficacy of nicotine replacement therapy. The current study examined the hypothesis that chronic alcohol abuse can accelerate the rate of nicotine metabolism. Nicotine metabolite ratio (NMR, a biomarker for rate of nicotine metabolism) and patterns of nicotine metabolites were assessed at three time points after alcohol cessation. Methods Participants were 22 Caucasian men randomly selected from a sample of 165 smokers entering a 7-week alcohol dependence treatment program in Poland. Data were collected at three time points: baseline (week 1, after acute alcohol detoxification), week 4, and week 7. Urine was analyzed for nicotine and metabolites and used to determine the nicotine metabolite ratio (NMR, a biomarker for rate of nicotine metabolism), and total nicotine equivalents (TNE, a biomarker for total daily nicotine exposure). Results and conclusions There was a significant decrease in urine NMR over the 7 weeks after alcohol abstinence (F(2,42)=18.83, p<0.001), indicating a decrease in rate of nicotine metabolism. On average NMR decreased 50.0% from baseline to week 7 (9.6 ± 1.3 vs. 4.1 ± 0.6). There was no change in urine TNE across the three sessions, indicating no change daily nicotine intake. The results support the idea that chronic alcohol abuse may increases the rate of nicotine metabolism, which then decreases over time after alcohol cessation. This information may help to inform future smoking cessation interventions in this population.

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“…The consequences of alcohol use, however, start occurring below thresholds of substance abuse definitions [6]. The concurrent use of alcohol and smoking is common, and ripe with complications, including a reduced likelihood of trying to quit smoking, a lower success rate for those who make an attempt [7, 8], and an increased rate of relapse back to smoking in the presence of heavy drinking [7]. …”

Section: Introductionmentioning

confidence: 99%

Defining and predicting short-term alcohol use changes during a smoking cessation attempt

Berg

Piper

Smith

et al. 2015

Addictive Behaviors

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Introduction Alcohol and nicotine are commonly used substances in the U.S., with significant impacts on health. Using both substances concurrently impacts quit attempts. While studies have sought to examine changes in alcohol use co-occurring with tobacco cessation, results have not been consistent. Understanding these changes has clinical implications. The objective of this study is to identify changes in alcohol consumption that occur following tobacco cessation, as well as predictors of alcohol use patterns following a smoking cessation attempt. Methods A secondary analysis of a randomized, placebo-controlled trial evaluating the efficacy of five tobacco cessation pharmacotherapies. Participants (N = 1301) reported their smoking and alcohol consumption daily for two weeks prior to, and two weeks after, the target quit date (TQD). Results Generally, alcohol use decreased post-TQD. Smokers who reported less pre-quit alcohol use, as well as smokers who were female, non-white, and had a history of alcohol dependence tended to use less alcohol post-quit. Pre- and post-quit alcohol use were more strongly related among men and among those without a history of alcohol dependence. Conclusions For most smokers alcohol use decreased following smoking cessation. These results suggest that the expectation should be of decreased alcohol use post cessation. However, attention may be warranted for those who drink higher amounts of alcohol pre-cessation because they may be more likely to drink more in the post-quit period which may influence smoking cessation success.

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Relations of alcohol consumption with smoking cessation milestones and tobacco dependence.

Cited by 55 publications

References 52 publications

Young adults report increased pleasure from smoking cigarettes when drinking alcohol but not when using marijuana

Young adults report increased pleasure from smoking cigarettes when drinking alcohol but not when using marijuana

Cessation of alcohol consumption decreases rate of nicotine metabolism in male alcohol-dependent smokers

Defining and predicting short-term alcohol use changes during a smoking cessation attempt

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