Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse: A Nationally Representative, Prospective Longitudinal Investigation

Andrea H Weinberger; Jonathan Platt; Hannah Esan; Sandro Galea; Debra Erlich; Renee D Goodwin

doi:10.4088/JCP.15m10062

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Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse: A Nationally Representative, Prospective Longitudinal Investigation

Journal article

Peer reviewed

Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse: A Nationally Representative, Prospective Longitudinal Investigation

Andrea H Weinberger, Jonathan Platt, Hannah Esan, Sandro Galea, Debra Erlich and Renee D Goodwin

The journal of clinical psychiatry, Vol.78(2), pp.e152-e160

02/2017

DOI: 10.4088/JCP.15m10062

PMCID: PMC5800400

PMID: 28234432

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Abstract

Little is known about the relationship between cigarette smoking and long-term outcomes for substance use disorder (SUD). The current study examined the association between smoking and SUD relapse among adults with remitted SUDs. Analyses were conducted on respondents who completed Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions and met DSM-IV criteria for substance abuse and dependence prior to but not during the year before the Wave 1 interview (n = 5,515). Relationships between smoking status (Wave 2 smoking vs nonsmoking among Wave 1 smokers; Wave 2 smoking vs nonsmoking among Wave 1 nonsmokers) and Wave 2 substance use and SUD relapse were examined using logistic regression analyses. Analyses were adjusted for demographics, psychiatric and alcohol use disorders, nicotine dependence, and SUD severity. In the fully adjusted models, continued smoking at Wave 2 among Wave 1 smokers was associated with significantly greater odds of substance use (OR = 1.56, 95% CI, 1.10-2.20) and SUD relapse (OR = 2.02, 95% CI, 1.65-2.47) compared to Wave 2 nonsmoking. In the fully adjusted model, smoking at Wave 2 among Wave 1 nonsmokers was associated with significantly greater odds of SUD relapse compared to Wave 2 nonsmoking (OR = 4.86, 95% CI, 3.11-7.58). Continued smoking among smokers and smoking initiation among nonsmokers were associated with greater odds of SUD relapse. More research is needed to examine the timing of SUD relapse in relation to smoking behaviors. Incorporating smoking cessation and prevention efforts into substance abuse treatment may improve long-term substance use outcomes for adult smokers with SUDs.

Adolescent

Adult

Aged

Female

Health Surveys

Humans

Longitudinal Studies

Male

Middle Aged

Odds Ratio

Prospective Studies

Recurrence

Risk

Smoking - adverse effects

Smoking - epidemiology

Substance-Related Disorders - epidemiology

Substance-Related Disorders - rehabilitation

Tobacco Use Disorder - epidemiology

Tobacco Use Disorder - rehabilitation

United States

Young Adult

Details

Title: Subtitle: Cigarette Smoking Is Associated With Increased Risk of Substance Use Disorder Relapse: A Nationally Representative, Prospective Longitudinal Investigation
Creators: Andrea H Weinberger - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Jonathan Platt - Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA
Hannah Esan - Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA
Sandro Galea - Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA
Debra Erlich - Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), Flushing, New York, USA
Renee D Goodwin - Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), 65-30 Kissena Blvd, Queens, NY 11367. renee.goodwin@qc.cuny.edu
Resource Type: Journal article
Publication Details: The journal of clinical psychiatry, Vol.78(2), pp.e152-e160
DOI: 10.4088/JCP.15m10062
PMID: 28234432
PMCID: PMC5800400
NLM abbreviation: J Clin Psychiatry
ISSN: 0160-6689
eISSN: 1555-2101
Grant note: T32 MH013043 / NIMH NIH HHS
Language: English
Date published: 02/2017
Academic Unit: Epidemiology; Injury Prevention Research Center
Record Identifier: 9984214665502771

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