Portions of these data were presented as a poster at the Society for Research on Nicotine and Tobacco conference in Baltimore, Maryland on Thursday, February 25, 2010.
Tobacco Quitlines Need to Assess and Intervene with Callers' Hazardous Drinking
Article first published online: 15 JUN 2012
Copyright © 2012 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research
Volume 36, Issue 9, pages 1653–1658, September 2012
How to Cite
Toll, B. A., Cummings, K. M., O'Malley, S. S., Carlin-Menter, S., McKee, S. A., Hyland, A., Wu, R., Hopkins, J. and Celestino, P. (2012), Tobacco Quitlines Need to Assess and Intervene with Callers' Hazardous Drinking. Alcoholism: Clinical and Experimental Research, 36: 1653–1658. doi: 10.1111/j.1530-0277.2012.01767.x
- Issue published online: 6 SEP 2012
- Article first published online: 15 JUN 2012
- Manuscript Accepted: 17 JAN 2012
- Manuscript Received: 5 AUG 2011
- National Institutes of Health. Grant Numbers: R01-CA140256, R21-CA127818, K05-AA014715
- National Cancer Institute (NCI)
- National Institute on Alcohol Abuse and Alcoholism (NIAAA)
- New York State Department of Health (NYSDH)
- State of Connecticut
- Department of Mental Health and Addictions Services (DMHAS)
- Hazardous Drinking;
- NIAAA ;
Based on published data showing that daily smokers have high rates of hazardous drinking and higher rates of smoking relapse, we hypothesized that New York State Smokers' Quitline (NYSSQL) callers would exhibit elevated rates of risky drinking and risky drinking callers would report lower rates of smoking cessation.
We assessed rates of hazardous drinking among 88,479 callers to the NYSSQL using modified NIAAA guidelines. Using 2 routine NYSSQL short-term follow-up interviews (n = 14,123 and n = 24,579) and a 3-month follow-up interview (n = 2,833), we also compared smoking cessation rates for callers who met criteria for hazardous drinking compared to moderate drinkers and nondrinkers.
At baseline, 56% of callers reported drinking, and 23% reported hazardous drinking using modified NIAAA guidelines. Hazardous drinkers did not differ on measures of smoking cessation outcomes compared to nondrinkers but did have lower smoking cessation rates compared to persons who reported moderate alcohol consumption for the enhanced services program 1-week follow-up (adjusted OR [95% CI] = 1.09 [1.01, 1.17], p = 0.04) and the standard 2-week follow-up (adjusted OR [95% CI] = 1.17 [1.07, 1.29], p = 0.001).
Nearly a quarter of smokers calling the NYSSQL reported a hazardous drinking pattern, which was associated with lower cessation outcomes compared to those who reported a moderate drinking profile. Given the large number of high-risk drinkers who can be identified through a quitline, tobacco quitlines may provide a venue for providing brief alcohol interventions to these high-risk drinkers. Future studies should evaluate whether a brief alcohol intervention would result in improved smoking cessation rates for hazardous drinking smokers.