TY - JOUR
T1 - Tobacco and alcohol co-use
T2 - Lifestyle and sociodemographic factors, and personality aspects as potential predictors in the "Seguimiento Universidad de Navarra" cohort
AU - Neddermann-Carrillo, Sofia
AU - Abidi, Latifa
AU - Gea, Alfredo
AU - Bes-Rastrollo, Maira
AU - de la Fuente-Arrillaga, Carmen
AU - Lahortiga-Ramos, Francisca
AU - Martinez-Gonzalez, Miguel Angel
AU - Pardavila-Belio, Miren Idoia
AU - Ruiz-Canela, Miguel
PY - 2024/4
Y1 - 2024/4
N2 - Tobacco and alcohol co-use are two major lifestyle modifiable risk factors. Understanding the determinants of both behaviors helps to develop interventions to prevent these exposures. However, previous studies have focused on predictors of individual tobacco or alcohol use. This study aims to explore the potential predictors of tobacco and alcohol co-use among Spanish university graduates from the "Seguimiento Universidad de Navarra" (SUN) cohort study. A total of 7175 participants who were co-users of tobacco and alcohol were selected for this cross-sectional analysis. Their mean age was 39.1 years (12.04 SD) and 57.3% were women. Univariate regression models were used to select the potential predictors of tobacco and alcohol co-use, and the areas under the ROC curves (AUC) were calculated. Multivariable logistic regression models were used to create a predictive model. Baseline potential predictors included sociodemographic factors, lifestyle habits, and perceived personality aspects. In the multivariable model, the main significant potential predictors of tobacco and alcohol co-use were driving under the influence of alcohol (odds ratio [OR] = 1.65 [1.43-1.90]), drinking 1-2 cups of coffee daily (OR = 1.50 [1.24-1.84]), and drinking three or more cups of coffee daily (OR = 1.61 [1.35-1.91]) when compared with the reference group. Conversely, those who were married (OR = 0.87 [0.75-0.99], ate at home 7 days a week (OR = 0.69 [0.60-0.80]), did more physical activity than recommended (OR = 1.18 [1.02-1.34]), or had a high perceived level of competitiveness (OR = 0.83 [0.72-0.95]) had a lower risk of co-use (AUC 0.61 [confidence interval 95% 0.59-0.63]), compared to the reference group. These results could be used by healthcare professionals, especially nurses, to effectively assess patients at higher risk of tobacco and alcohol co-use.
AB - Tobacco and alcohol co-use are two major lifestyle modifiable risk factors. Understanding the determinants of both behaviors helps to develop interventions to prevent these exposures. However, previous studies have focused on predictors of individual tobacco or alcohol use. This study aims to explore the potential predictors of tobacco and alcohol co-use among Spanish university graduates from the "Seguimiento Universidad de Navarra" (SUN) cohort study. A total of 7175 participants who were co-users of tobacco and alcohol were selected for this cross-sectional analysis. Their mean age was 39.1 years (12.04 SD) and 57.3% were women. Univariate regression models were used to select the potential predictors of tobacco and alcohol co-use, and the areas under the ROC curves (AUC) were calculated. Multivariable logistic regression models were used to create a predictive model. Baseline potential predictors included sociodemographic factors, lifestyle habits, and perceived personality aspects. In the multivariable model, the main significant potential predictors of tobacco and alcohol co-use were driving under the influence of alcohol (odds ratio [OR] = 1.65 [1.43-1.90]), drinking 1-2 cups of coffee daily (OR = 1.50 [1.24-1.84]), and drinking three or more cups of coffee daily (OR = 1.61 [1.35-1.91]) when compared with the reference group. Conversely, those who were married (OR = 0.87 [0.75-0.99], ate at home 7 days a week (OR = 0.69 [0.60-0.80]), did more physical activity than recommended (OR = 1.18 [1.02-1.34]), or had a high perceived level of competitiveness (OR = 0.83 [0.72-0.95]) had a lower risk of co-use (AUC 0.61 [confidence interval 95% 0.59-0.63]), compared to the reference group. These results could be used by healthcare professionals, especially nurses, to effectively assess patients at higher risk of tobacco and alcohol co-use.
KW - co-use
KW - cross-sectional
KW - predictors
KW - tobacco and alcohol
KW - FOOD-FREQUENCY QUESTIONNAIRE
KW - CANCER-RISK
KW - HEALTH
KW - CANNABIS
KW - CONSUMPTION
KW - POPULATION
KW - PREVALENCE
KW - VALIDATION
KW - MARIJUANA
KW - VALIDITY
U2 - 10.1002/nur.22367
DO - 10.1002/nur.22367
M3 - Article
SN - 0160-6891
VL - 47
SP - 251
EP - 265
JO - Research in Nursing & Health
JF - Research in Nursing & Health
IS - 2
ER -