Drinking Alcohol and Smoking Tobacco - A Deadly Duo

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Alcohol and Tobacco: A Deadly Duo

Cancer of the upper respiratory and alimentary tracts claimed over 23,000 lives in 1989 and 57,000 additional cases were diagnosed. The majority of individuals who fall prey to this type of cancer are males who abuse both alcohol and tobacco.

The Risk

The fact that the risk of developing cancer of the esophagus, lip, tongue, mouth, pharynx or larynx, increases dramatically in people who are heavy users of alcohol and tobacco is substantiated by 30 years of collective research. Studies demonstrate that the risk to individuals dually addicted far outweighs the risk to individuals who abuse only one substance. This confirmed link between alcohol and tobacco abuse and an increased risk in upper alimentary and respiratory tract cancer makes this type of disease among the most preventable.

The Correlation Between Smoking and Drinking

It has been observed that individuals who drink alcohol have a greater tendency to smoke than non-drinkers. One of the first studies to establish and quantify the degree of association between drinking and smoking was reported in 1972. The investigation compared 130 alcoholic men hospitalized for alcohol withdrawal to 100 non-alcoholic psychiatric outpatients. Ninety-four perc...

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...chemical carcinogens which must be activated to react with DNA and initiate steps towards carcinogenesis. Important in this activation process are cytochrome P-450 enzymes, which are induced by alcohol in heavy drinkers. Thus, alcohol and smoking are synergistic in increasing cancer risk.

Since alcohol increases the metabolism and hence the need for nicotine, it follows that the success of smoking cessation programs will be improved if drinking habits of patients are controlled. Treatment of incipient alcoholism thus becomes a prerequisite for the ultimate success of behavior modification aimed at the elimination of smoking.

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