Concurrent alcohol and smoking use among American Indian and Alaska Native adults participating in a contingency management clinical trial for alcohol use disorder.

Kelley J Jansen, Megan Puzia, Jalene L Herron, Abram J Lyons, Michael McDonell, Katherine Hirchak, HONOR Study Team

Abstract readRandomized Controlled Trial

In one paragraph

Trial report in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kelley J JansenDepartment of Psychology, University of Alaska Anchorage, Anchorage, AK, United States.

Megan PuziaDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.

Jalene L HerronDepartment of Psychology, University of New Mexico, Albuquerque, NM, United States.

Abram J LyonsCollege of Education & Human Development, Social Work Program, University of Delaware, Newark, DE, United States.

Michael McDonellDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.

Katherine HirchakDepartment of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.

HONOR Study Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The co-use of alcohol and cigarettes is common and associated with poor health outcomes. However, little is known about the prevalence of cigarette smoking among American Indian and Alaska Native (AI/AN) adults seeking treatment for alcohol use disorder (AUD), whether participation in AUD treatment is associated with changes in cigarette smoking or patterns of concurrent alcohol and cigarette use in this population. Methods: This study reports a secondary analysis of concurrent alcohol and cigarette use among AI/AN participants in a randomized controlled trial of contingency management (CM) for AUD ( Results: Baseline assessments indicated a high prevalence of cigarette smoking (66.7%, Discussion: Two-thirds of AI/AN adults with AUD in this sample also smoked cigarettes. Reductions in smoking were observed over time across both study conditions, including during the pre-randomization observation phase, suggesting that changes were not attributable to the CM intervention. Daily alcohol consumption and cigarette smoking were positively correlated, indicating concurrent substance use. Given these findings, smoking cessation interventions should be provided to AI/AN adults.

Indexed as

Alcohol DrinkingAlcoholismAmerican Indian or Alaska NativeBehavior TherapyCigarette SmokingIndians, North AmericanAdultFemaleHumansMaleMiddle AgedPrevalenceSmoking CessationAlaska Native and American Indianconcurrent usecontingency managementsmokingtobacco cessation

Identifiers

PMID41889614

DOI10.3389/fpubh.2026.1749377

PMCPMC13013453

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