TY - JOUR
T1 - Impact of quitting smoking and smoking cessation treatment on substance use outcomes
T2 - An updated and narrative review
AU - McKelvey, Karma
AU - Thrul, Johannes
AU - Ramo, Danielle
N1 - Funding Information:
Funding for this study was provided by the National Institute on Drug Abuse (NIDA) Grant K23 DA032578 (Ramo) and National Cancer Institute (NCI) Grant R25 CA113710 (McKelvey). NIDA and NCI had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.
Funding Information:
Funding: This work was supported by the National Institute on Drug Abuse (NIDA) [grant number K23 DA032578] and National Cancer Institute (NCI) [grant R25 CA113710 ]. NIDA and NCI had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.
Publisher Copyright:
© 2016 Elsevier Ltd
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Background Historically, smoking cessation was thought to negatively impact substance use outcomes among smokers who use other substances. We sought to synthesize recent reports on this association. Methods Google Scholar, PubMed, and Cinahl were searched for studies published from 2006 to March 29, 2016 that reported impact of smoking cessation treatment or quitting smoking on substance use or substance use disorder treatment outcomes in the general population and among those in substance abuse treatment. Studies were grouped by reported impact as follows: “positive” (i.e. improved), “null” (i.e. no change), or “negative” (i.e. worsened). Results Twenty-four studies were included. Eighteen reported the impact of quitting smoking and six reported the impact of smoking cessation treatment intervention, independent of quitting, on substance use outcomes. Eleven studies (46%) reported solely positive impact; four (17%) reported solely null impact; eight (33%) reported mixed positive and null impact by analysis (combined and subgroup, n = 1); substance (n = 4); length of follow-up (n = 2); and comparison group (n = 1). One study (4%) reported mixed negative and null impact by ethnic group. No studies reported increased substance use. Conclusion Smoking cessation does not appear to have a negative effect, and often has a positive effect on substance use outcomes. Smoking cessation advice should be offered, without hesitation, to smokers who report substance use and those in treatment for substance use disorder.
AB - Background Historically, smoking cessation was thought to negatively impact substance use outcomes among smokers who use other substances. We sought to synthesize recent reports on this association. Methods Google Scholar, PubMed, and Cinahl were searched for studies published from 2006 to March 29, 2016 that reported impact of smoking cessation treatment or quitting smoking on substance use or substance use disorder treatment outcomes in the general population and among those in substance abuse treatment. Studies were grouped by reported impact as follows: “positive” (i.e. improved), “null” (i.e. no change), or “negative” (i.e. worsened). Results Twenty-four studies were included. Eighteen reported the impact of quitting smoking and six reported the impact of smoking cessation treatment intervention, independent of quitting, on substance use outcomes. Eleven studies (46%) reported solely positive impact; four (17%) reported solely null impact; eight (33%) reported mixed positive and null impact by analysis (combined and subgroup, n = 1); substance (n = 4); length of follow-up (n = 2); and comparison group (n = 1). One study (4%) reported mixed negative and null impact by ethnic group. No studies reported increased substance use. Conclusion Smoking cessation does not appear to have a negative effect, and often has a positive effect on substance use outcomes. Smoking cessation advice should be offered, without hesitation, to smokers who report substance use and those in treatment for substance use disorder.
KW - Smoking cessation
KW - Smoking cessation treatment
KW - Substance use
KW - Substance use disorder
KW - Substance use treatment
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U2 - 10.1016/j.addbeh.2016.10.012
DO - 10.1016/j.addbeh.2016.10.012
M3 - Review article
C2 - 27816663
AN - SCOPUS:84994227059
SN - 0306-4603
VL - 65
SP - 161
EP - 170
JO - Addictive Behaviors
JF - Addictive Behaviors
ER -