{"doi":"10.1093/alcalc/agab038","title":"OUP accepted manuscript","abstract":"AIMS: Important differences have been shown in alcohol drinking and cigarette smoking prevalence, patterns and consequences among individuals from different racial backgrounds. Alcohol and nicotine are often co-used, and the association between drinking and smoking may differ between racial groups-a question explored in the present study. METHODS: Data from the NIAAA natural history and screening protocols were utilized; non-Hispanic Black and non-Hispanic White individuals were included in the analyses [N = 1692; 65.2% male; 58.3% met criteria for current alcohol use disorder (AUD); 37.8% were current cigarette smokers]. Bivariate associations between assessments related to alcohol drinking and cigarette smoking were examined, and the strength and direction of these associations were compared between the two groups. RESULTS: The sample included 796 Black and 896 White individuals. Black participants had higher frequency (P < 0.0001) and severity (P = 0.007) of AUD, as well as higher frequency (P < 0.0001) of cigarette smoking. Bivariate analyses showed that the expected positive associations between alcohol drinking and cigarette smoking, observed among White individuals, were blunted or absent among Black individuals [age at first cigarette-AUD identification test (AUDIT) score: F(1, 292) = 7.60, P = 0.006; cigarette pack years-AUDIT score: F(1, 1111) = 10.97, P = 0.001]. CONCLUSIONS: Some decoupling in the association between alcohol drinking and cigarette smoking was found among Black compared to White individuals. The sample was drawn from a specific population enrolled in alcohol research protocols, which is a limitation of the present study. These preliminary findings highlight the importance of considering racial/ethnic background in preventive and therapeutic strategies for comorbid alcohol and nicotine use.","journal":"Alcohol and Alcoholism","year":2021,"id":182701,"datarank":0.7050334880520237,"base_score":2.70805020110221,"endowment":2.70805020110221,"self_citation_contribution":0.40620753016533157,"citation_network_contribution":0.2988259578866921,"self_endowment_contribution":0.40620753016533157,"citer_contribution":0.2988259578866921,"corpus_percentile":71.64075191459736,"corpus_rank":3667,"citation_count":14,"citer_count":13,"citers_with_citation_signal":10,"citers_with_endowment":10,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.6139,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":668115,"name":"Ethan H. Mereish","orcid":"0000-0003-4655-0836","position":1,"is_corresponding":false},{"id":526368,"name":"Monica L. Faulkner","orcid":null,"position":2,"is_corresponding":false},{"id":328467,"name":"Shervin Assari","orcid":"0000-0002-5054-6250","position":3,"is_corresponding":false},{"id":304692,"name":"Kelvin Choi","orcid":"0000-0002-6753-2883","position":4,"is_corresponding":false},{"id":239673,"name":"Lorenzo Leggio","orcid":"0000-0001-7284-8754","position":5,"is_corresponding":false},{"id":282229,"name":"Mehdi Farokhnia","orcid":"0000-0003-0902-4212","position":6,"is_corresponding":false},{"id":652965,"name":"Julia C. Harris","orcid":"0000-0002-4384-1067","position":0,"is_corresponding":true}],"reference_count":79,"raw_metadata":null,"created_at":"2026-07-18T23:48:13.605421Z","pmid":"34086845","pmcid":"PMC9086799","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}