Introduction

Young adults who smoke cigarettes often report heavy episodic drinking (HED) and co-use of other psychoactive substances which may complicate efforts to quit cigarette smoking. The current study examined factors associated with readiness to quit cigarette smoking among young adults who smoke and engage in HED.

Methods

One hundred seventy-nine young adults aged 18 to 25 who reported regular cigarette smoking and past month HED enrolled in the 90-day Facebook-based Smoking Tobacco and Drinking (STAND) intervention study. Analyses compared baseline differences in patterns of cigarette smoking and alcohol and cannabis use, thoughts about abstinence, use of nicotine replacement therapy (NRT), sociodemographic characteristics, and other health behaviors between participants who were ready to quit cigarette smoking in the next 30 days and those who were not.

Results

Participants were 40.2% female, 49.7% male, 10.1% non-binary, and 80.4% Non-Hispanic White. They reported on average moderate nicotine dependence (FTCD), medium risk for alcohol use disorder (AUDIT), and occasional or regular cannabis use. Readiness to quit cigarette smoking in the next 30 days (33.5%) was positively associated with age (p=.021), NRT use in the past 30 days (p=.037) and perceived importance to also reduce alcohol use (p=.033).

Conclusions

Findings indicate that readiness to quit cigarette smoking among young adults who drink is positively associated with importance to reduce alcohol use, but not with use patterns or levels of dependence. Interventions addressing polysubstance use may be better suited to help young adults reduce or quit cigarette smoking once they signal readiness for behavior change.

中文翻译：

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参加基于 Facebook 的烟草和酒精干预研究的年轻人中与戒烟意愿相关的因素。

介绍

吸烟的年轻人经常报告大量间歇性饮酒 (HED) 和其他精神活性物质的共同使用，这可能会使戒烟的努力复杂化。目前的研究调查了吸烟和参与 HED 的年轻人中与戒烟意愿相关的因素。

方法

179 名年龄在 18 至 25 岁之间、报告经常吸烟且过去一个月 HED 的年轻人参加了为期 90 天的基于 Facebook 的吸烟和饮酒 (STAND) 干预研究。分析比较了准备在未来 30 天内戒烟的参与者之间在吸烟、酒精和大麻使用模式、戒烟想法、尼古丁替代疗法 (NRT) 的使用、社会人口学特征和其他健康行为方面的基线差异，以及那些不是。

结果

参与者为 40.2% 的女性、49.7% 的男性、10.1% 的非二元女性和 80.4% 的非西班牙裔白人。他们报告了平均中度尼古丁依赖 (FTCD)、酒精使用障碍的中等风险 (AUDIT) 以及偶尔或经常使用大麻。准备戒烟吸烟在接下来的30天（33.5％）与年龄呈正相关（p = .021），在过去的30天使用NRT（p = 0.037）和感知的重要性也减少饮酒（p = .033）。

结论

研究结果表明，饮酒的年轻人戒烟的意愿与减少饮酒的重要性呈正相关，但与使用模式或依赖程度无关。解决多物质使用的干预措施可能更适合帮助年轻人减少或戒烟，一旦他们表示准备好改变行为。