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Alcohol high risk drinking, abuse and dependence among tobacco smoking medical care patients and the general population

Ulrich John*, Andreas Hill, H. J. Rumpf, U. Hapke, C. Meyer

*Corresponding author for this work

Abstract

Background: Little is known about the synergies of smoking and alcohol consumption in medical care patients. The objective, therefore, is to estimate the coincidence of hazardous and harmful alcohol consumption as well as alcohol abuse and dependence with tobacco smoking in a general hospital and general practices. Methods: Three samples of 18-64 year olds include 510 consecutively admitted currently smoking in-patients of a general hospital, 271 patients of a randomized sample of general practices, and 1567 current smokers from a regional population in Germany. Data include the number of cigarettes and a diagnosis of alcohol dependence and abuse (DSM), harmful or hazardous alcohol use. Results: The rates of current daily cigarette smokers with an alcohol dependence or abuse, harmful or hazardous alcohol consumption are 47.1% in the general hospital and 32.1% in the general practice sample compared with 18.4% in the general population. The rates increase from nonsmokers to smokers and with the number of cigarettes. Conclusions: The findings fit into the evidence about alcohol and tobacco interactions in morbidity and mortality. General medical care settings are appropriate for the detection of alcohol dependence or abuse via smoking.

Original languageEnglish
JournalDrug and Alcohol Dependence
Volume69
Issue number2
Pages (from-to)189-195
Number of pages7
ISSN0376-8716
DOIs
Publication statusPublished - 01.03.2003

Funding

Studies 1 and 2 have been supported by grant no. 326-4914-8/38 of the German Federal Ministry of Health and grant no. 01 EB 9406 of the Germany Ministry of Education and Research. The data of study 3 is part of the project ‘Transitions in Alcohol Consumption and Smoking (TACOS)’.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  2. SDG 10 - Reduced Inequalities
    SDG 10 Reduced Inequalities

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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