Gender differences in cigarette smoking cessation attempts among adults who smoke and drink alcohol at high levels: Findings from the 2018-2020 International Tobacco Control Four Country Smoking and Vaping Surveys

被引:1
作者
Liu, Chenyang [1 ]
Yong, Hua-Hie [1 ,9 ]
Gravely, Shannon [2 ]
East, Katherine [3 ]
Kasza, Karin [4 ]
Gartner, Coral [5 ]
Cummings, K. Michael [6 ]
Fong, Geoffrey T. [2 ,7 ,8 ]
机构
[1] Deakin Univ, Sch Psychol, Geelong, Vic, Australia
[2] Univ Waterloo, Dept Psychol, Waterloo, ON N2L 3G1, Canada
[3] Kings Coll London, Inst Psychiat Psychol & Neurosci, Natl Addict Ctr, London, England
[4] Roswell Pk Comprehens Canc Ctr, Dept Hlth Behav, Buffalo, NY 14263 USA
[5] Univ Queensland, Sch Publ Hlth, Brisbane, Qld, Australia
[6] Med Univ South Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[7] Univ Waterloo, Sch Publ Hlth & Hlth Syst, Waterloo, ON N2L 3G1, Canada
[8] Ontario Inst Canc Res, Toronto, ON M5G 0A3, Canada
[9] 221 Burwood Highway, Burwood, Vic 3125, Australia
基金
加拿大健康研究院; 澳大利亚国家健康与医学研究理事会; 澳大利亚研究理事会; 英国医学研究理事会;
关键词
Alcohol consumption; Smoking cessation; Quit smoking attempts; Quit success; Gender; SURGEON GENERALS REPORT; HEALTH CONSEQUENCES; AUDIT-C; CONSUMPTION; PREDICTORS; DISORDERS; SERVICES; POLICY; QUIT; SEX;
D O I
10.1016/j.addbeh.2023.107817
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: This study examined the association between alcohol consumption and smoking cessation behaviour of adults who smoke in four countries.Methods: Data came from 4275 adults (>18 years) who smoked tobacco > monthly and participated in the 2018 and 2020 International Tobacco Control Four Country Smoking and Vaping Surveys (Australia: n = 720; Canada: n = 1250; US: n = 1011; England: n = 1294). The 2018 Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) survey data coded into three levels ('never/low', 'moderate' or 'heavy' consumption) were analysed using multivariable logistic regression models to predict any smoking cessation attempts and successful cessation by 2020 survey, and whether this differed by gender and country.Results: Compared to never/low alcohol consumers, only those who drink heavily were less likely to have made a quit smoking attempt (40.4 % vs. 43.8 %; AOR = 0.69, 95 % CI = 0.57-0.83, p < .001). The association differed by gender and country (3-way interaction, p < .001), with females who drink heavily being less likely to attempt to quit smoking in England (AOR = 0.27, 95 % CI = 0.15-0.49, p < .001) and Australia (AOR = 0.38, 95 % CI = 0.19-0.77, p = .008), but for males, those who drink moderately (AOR = 2.18, 95 % CI = 1.17-4.06, p = .014) or heavily (AOR = 2.61, 95 % CI = 1.45-4.68, p = .001) were more likely to make a quit attempt in England only. Alcohol consumption did not predict quit success.Conclusion: Heavy alcohol use among adults who smoke appears to only undermine the likelihood of trying to quit smoking with some variation by gender and country of residence, but not their chances of succeeding if they tried.
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页数:8
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