TY - JOUR
T1 - Alcohol and tobacco use disorders in a general population
T2 - Short-term and long-term associations from the St. Louis Epidemiological Catchment Area Study
AU - Jackson, Kristina M.
AU - Sher, Kenneth J.
AU - Wood, Phillip K.
AU - Bucholz, Kathleen K.
N1 - Funding Information:
Preparation of this paper was supported by National Institute on Alcohol Abuse and Alcoholism Grants R21 AA12383 to Kristina M. Jackson, R01 AA10333 to Kathleen K. Bucholz, and P50 AA11998 to Andrew C. Heath, PI. We wish to thank Jihong Liu for his assistance in preparation of this manuscript.
PY - 2003/9/10
Y1 - 2003/9/10
N2 - Background: Although research using clinical and convenience samples has shown alcohol use disorders (AUD) to be highly comorbid with tobacco dependence (TD), little work has examined this association prospectively using population-based data. The AUD-TD association was prospectively examined using data from the St. Louis Epidemiological Catchment Area (ECA) Study and its 1-year follow-up as well as from a 16-year follow-up on a subsample of ECA data. Method: Respondents were 3004 (2564, 85%, at Wave 2) participants in the St. Louis household ECA sample, including 444 participants at Year 16 follow-up. At baseline, the sample was predominately White (58%; 38% Black), female (60%), and 44.3 years. Past-year AUD and TD were diagnosed at all waves according to DSM-III criteria. Results: AUDs and TDs were cross-sectionally associated at Years 1, 2, and 16. Controlling for demographics, Year 1 TD prospectively predicted Year 2 AUD, and Year 1 AUD prospectively predicted Year 16 TD. We found evidence for prediction of onset and persistence of both AUD and TD at short-term but not long-term follow-up. Prospective findings were reduced and no longer reached significance when concurrent diagnoses at follow-up were included in the regression models. Conclusions: We observed short-term and long-term associations between AUD and TD. These associations were mediated through concurrent diagnoses with the other substance use disorder.
AB - Background: Although research using clinical and convenience samples has shown alcohol use disorders (AUD) to be highly comorbid with tobacco dependence (TD), little work has examined this association prospectively using population-based data. The AUD-TD association was prospectively examined using data from the St. Louis Epidemiological Catchment Area (ECA) Study and its 1-year follow-up as well as from a 16-year follow-up on a subsample of ECA data. Method: Respondents were 3004 (2564, 85%, at Wave 2) participants in the St. Louis household ECA sample, including 444 participants at Year 16 follow-up. At baseline, the sample was predominately White (58%; 38% Black), female (60%), and 44.3 years. Past-year AUD and TD were diagnosed at all waves according to DSM-III criteria. Results: AUDs and TDs were cross-sectionally associated at Years 1, 2, and 16. Controlling for demographics, Year 1 TD prospectively predicted Year 2 AUD, and Year 1 AUD prospectively predicted Year 16 TD. We found evidence for prediction of onset and persistence of both AUD and TD at short-term but not long-term follow-up. Prospective findings were reduced and no longer reached significance when concurrent diagnoses at follow-up were included in the regression models. Conclusions: We observed short-term and long-term associations between AUD and TD. These associations were mediated through concurrent diagnoses with the other substance use disorder.
KW - Alcohol use disorder
KW - Alcoholism
KW - Comorbidity
KW - Epidemiology
KW - Prospective
KW - Tobacco dependence
UR - https://www.scopus.com/pages/publications/1542606660
U2 - 10.1016/S0376-8716(03)00136-4
DO - 10.1016/S0376-8716(03)00136-4
M3 - Article
C2 - 12957342
AN - SCOPUS:1542606660
SN - 0376-8716
VL - 71
SP - 239
EP - 253
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
IS - 3
ER -