The Tobacco Reference Guide

by David Moyer, MD.


Chapter 23 Tobacco, alcohol and illicit drugs

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98% of people who have used both cocaine and cigarettes smoked cigarettes first.

Cigarette smoking is likely to precede the use of alcohol or illegal drugs, and illegal

drug use is rare among those who have never smoked. Virtually all illegal drug users had previously used cigarettes, alcohol, or both.

Preventing Tobacco Use Among Young People, 1994 Surgeon General report, p.

35

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Of adolescents in inpatient substance abuse treatment facilities, 85% were also smokers. About 90% of adult alcoholics also smoke cigarettes.

Pediatrics, April 1994, p. 561

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In a study of cocaine-dependent patients enrolled in drug abuse treatment, the prevalence of smoking was 75%

JAMA, December 14, 1994, p. 1724

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Of teens who smoke, 88% also are drinkers, 45% have used marijuana, 33% used smokeless tobacco, and 11% used cocaine.

Preventing Tobacco Use Among Young People, 1994 Surgeon General report, p.87

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Among adolescents who have never smoked, only 3% had binged (had 5 or more drinks in a row) in the last month, whereas nearly 40% of daily smokers in the 12- to 17-year-old age group had binged in the previous month.

1994 Surgeon General report, p. 35

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