261676 Alcohol use among adult smokers, NHANES 2005-2008

Monday, October 29, 2012

Judy Kruger, PhD , Office on Smoking and Health, CDC, Atlanta, GA
Kat Asman, MPH , Statistics and Epidemiology Unit; Chronic & Infectious Disease Research Program, RTI International, Atlanta, GA
Objective Both smoking and excessive drinking increase the risk of adverse health outcomes. Combining these behaviors has synergistic adverse health effects, such as increased incidence of some cancers. We used national data to examine alcohol use among current cigarette smokers.

Methods We analyzed data from 3,539 US adult current smokers aged >= 20 years who participated in the 2003-2008 National Health and Nutrition Examination survey. Current smokers reported the number cigarettes per day (CPD) and were categorized into three sub-groups (1-9, 10-19, 20+). Categories of alcohol use were based on the reported quantity and frequency of alcohol use during the past 12 months, and participants were classified as nondrinkers (consumed no alcohol), non-excessive drinkers (<=14 drinks/week for men, or <=7 drinks/week for women, and never < 5 in a single day), and excessive drinkers (> 14 drinks/week for men, or > 7 drinks/week for women, and/or >= 5 drinks in a single day once or more).

Results Among current smokers, 47.4% (95%CI=44.350.5) were excessive drinkers, 32.7% (95%CI=30.335.1) were non-excessive drinkers, and 19.8% (95%CI=17.522.2) were nondrinkers. Among non-smokers 34.4% (95%CI=31.737.3) were excessive drinkers, 44.2% (95%CI=42.246.3) were non-excessive drinkers, and 21.3% (95%CI=19.623.1) were nondrinkers. Cigarette consumption was highest among smokers who drank excessively and lowest among smokers who were nondrinkers.

Conclusion A large percent of smokers are excessive drinkers. The combined health threats of smoking and excessive drinking are clear. Future prevention efforts should include strategies that combine health messages to address the co-use of alcohol and smoking.

Learning Areas:
Social and behavioral sciences

Learning Objectives:
Demonstrate awareness of excessive alcohol use among smokers. Identify sex, age, and racial/ethnic differences in alcohol use prevalance among adult smokers.

Keywords: Alcohol Use, Tobacco

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a Health Scientist in the Office on Smoking and Health I am familiar with the prevalence of tobacco use in the population. I developed the research protocol for this abstract and am comfortable presenting the materials.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.