Concurrent Alcohol Use or Heavier Use of Alcohol and Cigarette Smoking Among Women of Childbearing Age with Accessible Health Care
- 140 Downloads
This study was conducted to provide nationally representative findings on the prevalence and distribution of concurrent alcohol use or heavier use of alcohol and cigarette smoking among women of childbearing age with accessible health care. For the years 2003–2005, a total of 20,912 women 18–44 years of age who participated in the National Health Interview Survey (NHIS) reported that during the study period, there was a place where they would usually go for health care when sick or in need of advice about their health. The prevalence and distribution of concurrent alcohol use or heavier use of alcohol and cigarette smoking reported by such women was calculated. Logistic regression analysis was used to evaluate the “most often visited health care place” among concurrent users who reported having seen or talked to a health care provider during the previous 12 months. Among surveyed women with accessible health care, 12.3% reported concurrent alcohol use and cigarette smoking, and 1.9% reported concurrent heavier use of alcohol and cigarette smoking during the study period. Of women who reported either type of concurrent use, at least 84.4% also indicated having seen or talked to one or more health care providers during the previous 12 months. Such women were more likely than non-concurrent users to indicate that the “most often visited health care place” was a “hospital emergency room or outpatient department or some other place” or a “clinic or health center,” as opposed to an “HMO or doctor’s office.” Concurrent alcohol use or heavier use of alcohol and cigarette smoking among women of childbearing age is an important public health concern in the United States. The findings of this study highlight the importance of screening and behavioral counseling interventions for excessive drinking and cigarette smoking by health care providers in both primary care and emergency department settings.
KeywordsConcurrent Alcohol use Heavy drinking Cigarette smoking Health care Women
The authors thank the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), for data collection and for making the NHIS datasets available through the public domain.
None of the authors reports a financial conflict of interest.
- ACOG. (2007) Drinking and reproductive health: A fetal alcohol spectrum disorders prevention took kit. available at URL: http://www.acog.org/departments/healthIssues/FASDToolKit.pdf. The American College of Obstetricians and Gynecologists.
- APHA. (2008) Alcohol screening and brief intervention: A guide for public health practitioners. Washington DC: National Highway Traffic Safety Administration, U.S. Department of Transportation. American Public Health Association (APHA) and Education Development Center, Inc.Google Scholar
- Augustson, E. M., Wanke, K. L., Rogers, S., Bergen, A. W., Chatterjee, N., Synder, K., et al. (2008). Predictors of sustained smoking cessation: A prospective analysis of chronic smokers from the alpha-tocopherol beta-carotene cancer prevention study. American Journal of Public Health, 98, 549–555.CrossRefPubMedGoogle Scholar
- Bernstein, S. L., Boudreaux, E. D., Cydulka, R. K., Rhodes, K. V., Lettman, N. A., Almeida, S. L., et al. (2006). Tobacco control interventions in the emergency department: A joint statement of emergency medicine organizations. Annals of Emergency Medicine, 48, e417–e426.CrossRefPubMedGoogle Scholar
- Brogan, D. (2005). Software for sample survey data, misuse of standard packages. In P. Armitage & T. Colton (Eds.), Encyclopedia of biostatistics (2nd ed., pp. 5057–5064). New York: Wiley and Sons. URL: http://www.amazon.com/Encyclopedia-Biostatistics-8-Peter-Armitage/dp/047084907X/ref=sr_1_2?ie=UTF8&s=books&qid=1258741477&sr=8-2.Google Scholar
- CASA. (2005). Women under the influence. The National Center on Addiction and Substance Abuse at Columbia University (CASA) The Johns Hopkins University Press. Google Scholar
- CDC. (2009). Behavioral risk factor surveillance system. Centers for Disease Control and Prevention. Atlanta, Georgia. Prevalence and Trends Data. Accessed July 20, 2009. Url: http://apps.nccd.cdc.gov/brfss/index.asp.
- CDC. (2007a). Center for disease control and prevention. Cigarette smoking among adults—United States. MMWR. Morbidity and Mortality Weekly Report, 56, 1157–1161.Google Scholar
- CDC. (2004). Data file documentation, National health interview survey, 2003 (machine readable data file and documentation) Hyattsville, Maryland.: National Center for Health Statistics, Centers for Disease Control and Prevention (CDC).Google Scholar
- CDC. (2005). Data file documentation, National health interview survey, 2003–2005 (machine readable data file and documentation) Hyattsville, Maryland.: National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC).Google Scholar
- CDC. (2007b). Data file documentation, National health interview survey, 2005–2006 (machine readable data file and documentation) Hyattsville, Maryland.: National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC).Google Scholar
- CDC. (2001). Dispelling the myths about tobacco: A community toolkit for reducing tobacco use among women. Office on Smoking and Health. Centers for Disease Control and Prevention (CDC). Atlanta, Georgia.Google Scholar
- CDC. (2006). A practical guide to working with health-care systems on tobacco-use treatment. Atlanta, Georgia: Centers for Disease Control and Prevention (CDC).Google Scholar
- CDC. (2008). Reducing prenatal exposure to alcohol and other co-occurring risk behaviors in the preconception period (U84). Funding opportunity announcement (FOA) Number: RFA-DD-08-003. URL: http://www.cdc.gov/od/pgo/funding/DD08-003.htm Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.
- Cosci, F., Corlando, A., Fornai, E., Pistelli, F., Paoletti, P., & Carrozzi, L. (2009). Nicotine dependence, psychological distress and personality traits as possible predictors of smoking cessation. Results of a double-blind study with nicotine patch. Addictive Behaviors, 34, 28–35.CrossRefPubMedGoogle Scholar
- DHHS (2002) U.S. Department of health and human services. Report to congress on the prevention and treatment of co-occurring substance abuse disorders and mental disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
- Drobes, D. (2002). Concurrent alcohol and tobacco dependence: Mechanisms and treatment. Alcohol Research and Health, 26, 132–146.Google Scholar
- Drobes, D., Beylotte, F., Scott, M., Saladin, M., Randell, C., & Anton, R. (2000). Cross-reactivity to alcohol and smoking cues. Alcoholism, Clinical and Experimental Research, 24, 147a.Google Scholar
- Gfroerer, J. & Hughes, A. (1992). Collecting data on illicit drug use by phone. In C. Turner, J. Lessler & J. Gfroerer (Eds.), Survey measurement of drug use: Methodological studies. DHHS Publication No. ADM 92-1929, (pp. 277–295). Rockville, MD: National Institute on Drug Abuse.Google Scholar
- Harwood, R., Fountain, D., & Livermore, G. (1998). The economic costs of alcohol and drug abuse in the United States, 1992. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism (NIAAA) and National Institute on Drug Abuse (NIDA).Google Scholar
- IOM. (2001). Institute of medicine. Committee on health and behavior: Research, practice and policy, board on neuroscience and behavioral health. Washington, DC: National Academic.Google Scholar
- Korn, E. & Graubard, B. (1999). Analysis of health surveys. New York: Wiley and Sons.Google Scholar
- NIAAA. (2007). Alcohol alert: Alcohol and tobacco. No. 71. National Institute on Alcohol Abuse and Alcoholism (NIAAA). Rockville, MD.Google Scholar
- NIAAA. (2005). National institute on alcohol abuse and alcoholism. Helping Patients Who Drink Too Much: A Clinician’s Guide. NIH Pub No. 05-3769. Bethesda, MD.Google Scholar
- NIH. (2007). Co-occurring mental illness, alcohol and/or drug abuse & medical conditions (R01). Program announcement (PA) number: PA-07-104. URL: http://grants.nih.gov/grants/guide/pa-files/PA-07-104.html. National Institutes of Health (NIH), Bethesda, Maryland
- NIH. (2009). Mechanisms of alcohol and nicotine co-dependence (R21). Program Announcement (PA) Number: PA-09-098. URL: http://grants.nih.gov/grants/guide/pa-files/PA-09-098.html. National Institutes of Health (NIH), Bethesda, MD.
- Saitz, R., Palfai, T., Freedner, N., Winter, M., Macdonald, A., Lu, J., et al. (2007). Screening and brief intervention online for college students: The iHealth study. Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism, 42, 28–36.Google Scholar
- SAMHSA. (2008). Matrix: Populations with co-occurring substance use & mental disorders. URL: http://www.samhsa.gov/Matrix/matrix_cooc.aspx. Substance Abuse and Mental Health Services Administration’s (SAMHSA). Rockville, Maryland.
- Schoenborn, C., & Adams, P (2002). Alcohol use among adults: United States,1997–98. In Advance Data: National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC).Google Scholar
- Tsai, J., Floyd, R. L., & O’ Connor, M. J. (2008). Paradigms for alcohol use and co-occurring behavioral health risk factors among women of childbearing age. In K. I. DiGuarde (Ed.), Binge drinking research progress (pp. 87–100). Hauppauge, NY: Nova Science.Google Scholar
- USPSTF. (2004). US preventive services task force. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: Recommendations statement. Annals of Internal Medicine, 140, 554–556.Google Scholar
- WHO. (2009). The ASSIST project—Alcohol, Smoking and Substance Involvement Screening Test. Url: http://www.who.int/substance_abuse/activities/assist/en/index.html.