Concurrent alcohol and smoking use among American Indian and Alaska Native adults participating in a contingency management clinical trial for alcohol use disorder
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.
Authors
- Kelley Jansen (ORCID: https://orcid.org/0000-0002-7650-8420)
- Abram J. Lyons (ORCID: https://orcid.org/0000-0002-3340-0612)
- Jalene Herron (ORCID: https://orcid.org/0000-0002-7161-8970)
- Katherine A. Hirchak (ORCID: https://orcid.org/0000-0002-2469-660X)
- Michael G. McDonell (ORCID: https://orcid.org/0000-0002-8372-6469)
- Megan Puzia (ORCID: https://orcid.org/0000-0002-5188-0445)
- The HONOR Study Team
Institutions
- University of Alaska Anchorage (US)
- University of New Mexico (US)
- Lawson State Community College (US)
- Development Initiatives (GB)
- University of Delaware (US)
Publication Details
- Journal
- Frontiers in Public Health
- Published
- 2026-03-11
- DOI
- https://doi.org/10.3389/fpubh.2026.1749377
- Primary Topic
- Substance Abuse Treatment and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00