Trial reportAddiction (Abingdon, England)2014
Is smoking cessation associated with worse comorbid substance use outcomes among homeless adults?
Trial report in Addiction (Abingdon, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Interventions to reduce tobacco use in people experiencing homelessness.The Cochrane database of systematic reviews · 2020Pooled it
- Co-action and changes in alcohol use during a smoking cessation attempt.Addiction (Abingdon, England) · 2024Trial
- The implementation of a smoking cessation and alcohol abstinence intervention for people experiencing homelessness.BMC public health · 2022Trial
- Smoking patterns, quit behaviors, and smoking environment of workers in small manufacturing companies.American journal of industrial medicine · 2015Trial
- Tobacco cessation, mental health, and substance use in a community pharmacist-linked cessation program for people experiencing homelessness.Drug and alcohol dependence · 2025Article
- Distinct patterns of cigarette smoking intensity and other substance use among women who experience housing instability.Addictive behaviors · 2024Article
- Association between psychosocial factors and co-morbid cigarette smoking and alcohol use in a population experiencing homelessness.Addictive behaviors reports · 2024Article
- Mobile health contingency management for smoking cessation among veterans experiencing homelessness: A comparative effectiveness trial.Preventive medicine reports · 2023Article
- Influence of Provider and Leader Perspectives about Concurrent Tobacco-Use Care during Substance-Use Treatment on Their Tobacco Intervention Provision with Clients: A Mixed-Methods Study.International journal of environmental research and public health · 2023Article
- Homeless women's perspectives on smoking and smoking cessation programs: A qualitative study.The International journal on drug policy · 2021Article
- Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers.International journal of environmental research and public health · 2021Article
- Alternative flavored and unflavored tobacco product use and cigarette quit attempts among current smokers experiencing homelessness.Addictive behaviors reports · 2020Article
- "It's a hard thing to manage when you're homeless": the impact of the social environment on smoking cessation for smokers experiencing homelessness.BMC public health · 2019Article
- Characterizing Alcohol Use Behaviors among Homeless Men and Women.American journal of health behavior · 2019Article
- Impact of quitting smoking and smoking cessation treatment on substance use outcomes: An updated and narrative review.Addictive behaviors · 2017Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
aimsSmoking prevalence among homeless adults is exceedingly high, and high rates of comorbid substance use are among the barriers to abstinence experienced by this group. The extent to which smoking cessation might engender an escalation in comorbid substance use could be a concern prohibiting treatment provision and engagement. This study examined whether smoking abstinence status was associated with alcohol and substance use at 26 weeks post-randomization among homeless smokers in a smoking cessation trial.
designThe current study was a secondary analysis of randomized smoking cessation intervention trial data.
settingThe parent study was conducted in the Minneapolis/St Paul area of Minnesota, USA.
participantsParticipants were 427 homeless adult smokers interested in quitting smoking. MEASUREMENTS: Covariates collected at baseline included alcohol, cocaine, marijuana/hashish, heroin and 'any' drug use, age, sex, race/ethnicity, education, tobacco dependence, length of time homeless and treatment group. Biochemically verified smoking abstinence and self-reported alcohol and substance use were collected at 26 weeks post-randomization.
findingsSmoking abstinence was associated with fewer drinking days (P = 0.03), fewer drinks consumed on drinking days (P = 0.01), and lower odds of heavy drinking (P = 0.05), but not with differences in the number of days of cocaine, marijuana/hashish, heroin or any drug use.
conclusionsIn homeless smokers, achieving smoking abstinence may be associated with a reduction in alcohol consumption but appears not to be associated with a substantial change in other drug use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.