35th AM (2024) - Poster Session-Impact of Alcohol Use Disorder on Ability to Quit Smoking A Cohort Study

Impact of Alcohol Use Disorder on Ability to Quit Smoking A Cohort Study

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The study explores the relationship between baseline Alcohol Use Disorder (AUD) and smoking cessation outcomes among cancer patients involved in the Tobacco Research and Treatment Program (TRTP) at MD Anderson Cancer Center. The cohort study analyzed 12,080 adult smokers aged 18 to 85, examining demographic, psychological, and substance use factors.<br /><br />Key demographic data from a subset of 5,879 participants reveal that a majority of non-alcohol consumers were female (54.6%) while a significant portion of alcohol consumers were male (59.4%). Most participants identified as White or Caucasian (80.6%). The study utilized interventions such as pharmacologic treatments and cognitive-behavioral counseling to assist in smoking cessation, with data collected on nicotine dependence via the Fagerström Test for Cigarette Dependence (FTCD).<br /><br />Results indicated that individuals meeting criteria for DSM-IV Alcohol Abuse (AB) were less likely to quit smoking by the end of the treatment program, with a 16.23% lower likelihood of quitting compared to non-abusers. The study found that 89.57% of those who were tobacco abstinent at the end of treatment did not have AB, whereas 11.59% of those who did not quit smoking had AB.<br /><br />The findings underscore the impact of AUD on smoking cessation, emphasizing the need for tailored interventions that consider the co-occurrence of alcohol addiction and nicotine dependence. Addressing these issues is crucial for improving abstinence rates and ultimately reducing tobacco-related morbidity and mortality among cancer patients.<br /><br />The research was supported by the National Institute on Drug Abuse and highlights the importance of integrated treatment approaches that manage both smoking cessation and alcohol consumption to foster healthier lifestyle choices among affected individuals.

Keywords

Alcohol Use Disorder

smoking cessation

cancer patients

Tobacco Research and Treatment Program

MD Anderson Cancer Center

demographic factors

nicotine dependence

pharmacologic treatments

cognitive-behavioral counseling

integrated treatment

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