Lifestyle, health characteristics and alcohol abuse in young adults who are non-daily smokers
Keywords:
Smoking, Young adult, Alcoholism, Life style, HealthAbstract
CONTEXT AND OBJECTIVES: Despite the decline in the prevalence of tobacco use in many countries, including Brazil, there are growing numbers of smokers who continue to smoke at a low daily rate, or less frequently (non-daily smokers). This group needs to be better characterized in order to direct preventive actions and public health policies. The aim here was to compare lifestyle, health characteristics and alcoholism problems among young adult smokers, non-daily smokers and non-smokers. DESIGN AND SETTING: This was a cross-sectional study in which volunteers from the university community and its surrounds in Santa Maria, State of Rio Grande do Sul, Brazil, were included between October 2007 and January 2008. METHODS: Out of 1240 volunteers initially contacted in a university cafeteria, a total of 728 participants of mean age 22.45 ± 3.32 years were selected for final analysis. Data were collected using structured questionnaires. RESULTS: In general, it was observed that the non-daily smokers showed intermediate characteristics in relation to the smokers and non-smokers. However, there was a significant association between non-daily smoking and alcohol abuse. The non-daily smokers presented an odds ratio of 2.4 (95% confidence interval: 1.10-5.48) in relation to the daily smokers and an odds ratio of 3.3 (confidence interval: 1.7-6.5) in relation to the nonsmokers, with regard to presenting a positive CAGE test, thereby indicating alcohol abuse or dependence. CONCLUSION: The study suggested that non-daily smoking and alcohol consumption were concomitant behaviors.
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Ezzati M, Henley SJ, Thun MJ, Lopez AD. Role of smoking in global and regional cardiovascu- lar mortality. Circulation. 2005;112(4):489-97.
World Health Organization. Tobacco or health: a global status report. Geneva: World Health Organization; 1997.
Owen N, Kent P, Wakefield M, Roberts L. Low-rate smokers. Prev Med. 1995;24(1):80-4.
Shiffman S, Fischer LB, Zettler-Segal M, Benowitz NL. Nicotine exposure among nondepen- dent smokers. Arch Gen Psychiatry. 1990;47(4):333-6.
Gilpin E, Cavin SW, Pierce JP. Adult smokers who do not smoke daily. Addiction. 1997;92(4):473-80.
Shiffman S. Tobacco “chippers”--individual differences in tobacco dependence. Psycho- pharmacology (Berl). 1989;97(4):539-47.
Hassmiller KM, Warner KE, Mendez D, Levy DT, Romano E. Nondaily smokers: who are they? Am J Public Health. 2003;93(8):1321-7.
Tong EK, Ong MK, Vittinghoff E, Pérez-Stable EJ. Nondaily smokers should be asked and advised to quit. Am J Prev Med. 2006;30(1):23-30.
Mayhew KP, Flay BR, Mott JA. Stages in the development of adolescent smoking. Drug Alco- hol Depend. 2000;59 Suppl 1:S61-81.
Oksuz E, Mutlu ET, Malhan S. Characteristics of daily and occasional smoking among youths. Public Health. 2007;121(5):349-56.
Harrison EL, McKee SA. Young adult non-daily smokers: patterns of alcohol and cigarette use. Addict Behav. 2008;33(5):668-74.
Rodrigues GA, Galvão V, Viegas CA. Prevalência do tabagismo entre dentistas do Distrito Federal [Prevalence of smoking among dentists in the Federal District of Brasília, Brazil]. J Bras Pneumol. 2008;34(5):288-93.
Da Cruz IB, Oliveira G, Taufer M, et al. Angiotensin I-converting enzyme gene polymorphism in two ethnic groups living in Brazil’s southern region: association with age. J Gerontol A Biol Sci Med Sci. 2003;58(9):M851-6.
Taufer M, Peres A, de Andrade VM, et al. Is the Val16Ala manganese superoxide dismu- tase polymorphism associated with the aging process. J Gerontol A Biol Sci Med Sci. 2005;60(4):432-8.
Prado-Lima PS, Cruz IB, Schwanke CH, Netto CA, Licinio J. Human food preferences are associated with a 5-HT(2A) serotonergic receptor polymorphism. Mol Psychiatry. 2006;11(10):889-91.
Evans NJ, Gilpin E, Pierce JP, et al. Occasional smoking among adults: evidence from the California Tobacco Survey. Tob Control. 1992;1(3):169-75.
Ewing JA. Detecting alcoholism. The CAGE questionnaire. JAMA. 1984;252(14):1905-7.
DiNicola AF, Seltzer DM. National Health Interview Survey on the United States smokers. Mil Med. 2009;174(12):vii-viii.
Batel P, Pessione F, Maitre C, Rueff B. Relationship between alcohol and tobacco dependen- cies among alcoholics who smoke. Addiction. 1995;90(7):977-80.
Toneatto A, Sobell LC, Sobell MB, Kozlowski LT. Effect of cigarette smoking on alcohol treat- ment outcome. J Subst Abuse. 1995;7(2):245-52.
Chaieb JA, Vitola D, Silva MS, et al. An epidemiologic survey of smoking patterns and chronic obstructive bronchopulmonary disease in Porto Alegre, Brazil. Bull Pan Am Health Organ. 1984;18(1):26-42.
Morley KI, Hall WD, Hausdorf K, Owen N. ‘Occasional’ and ‘social’ smokers: potential target groups for smoking cessation campaigns? Aust N Z J Public Health. 2006;30(6):550-4.
McKee SA, Hinson R, Rounsaville D, Petrelli P. Survey of subjective effects of smoking while drinking among college students. Nicotine Tob Res. 2004;6(1):111-7.
Heck EJ, Williams MD. Using the CAGE to screen for drinking-related problems in college students. J Stud Alcohol. 1995;56(3):282-6.
O’Hare T, Tran TV. Predicting problem drinking in college students: gender differences and the CAGE questionnaire. Addict Behav. 1997;22(1):13-21.
Bühler A, Kraus L, Augustin R, Kramer S. Screening for alcohol-related problems in the ge- neral population using CAGE and DSM-IV: characteristics of congruently and incongruently identified participants. Addict Behav. 2004;29(5):867-78.
Bewick BM, Trusler K, Mulhern B, Barkham M, Hill AJ. The feasibility and effectiveness of a web-based personalised feedback and social norms alcohol intervention in UK university students: a randomised controlled trial. Addict Behav. 2008;33(9):1192-8.