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All participants received nicotine replacement therapy and smoking cessation counseling. CARE included 424 smokers (1\/3 White, 1\/3 African American and 1\/3 Latino); Break Free included 399 African American smokers; PNS included 199 Spanish\u2010speaking Mexican\u2010American smokers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Weekly alcohol consumption was collected multiple times pre and post\u2010quit, and binge drinking and alcohol\u2010related problems were collected at baseline and 26\u2009weeks post\u2010quit. Analyses included only those who indicated current alcohol use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Average alcohol consumption decreased from baseline to 26\u2009weeks post\u2010quit in CARE (<jats:italic>F<\/jats:italic>\u2009=\u200917.09, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), Break Free (<jats:italic>F<\/jats:italic>\u2009=\u200912.08, <jats:italic>P\u00a0&lt;<\/jats:italic>\u00a00.001) and PNS (<jats:italic>F<\/jats:italic>\u2009=\u200910.21, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Binge drinking decreased from baseline to 26\u2009weeks post\u2010quit in CARE (<jats:italic>F<\/jats:italic>\u2009=\u20093.94, <jats:italic>P<\/jats:italic>\u2009=\u20090.04) and Break Free (<jats:italic>F<\/jats:italic>\u2009=\u200910.41, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) but not PNS. Alcohol\u2010related problems decreased from baseline to 26\u2009weeks post\u2010quit in CARE (<jats:italic>Chi\u2010sq<\/jats:italic>\u2009=\u20096.41, <jats:italic>P<\/jats:italic>\u2009=\u20090.010) and Break Free (<jats:italic>Chi sq<\/jats:italic>\u2009=\u200914.44, <jats:italic>P<\/jats:italic>\u2009=\u20090.001), but not PNS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among current drinkers, alcohol use\/problems appear to decrease during a smoking cessation attempt and remain low through 26\u2009weeks after the quit attempt. Little evidence was found for co\u2010action, with smoking abstainers and relapsers showing similar change in alcohol use\/problems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.16472","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T11:17:50Z","timestamp":1710415070000},"page":"1059-1070","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Co\u2010action and changes in alcohol use during a smoking cessation attempt"],"prefix":"10.1111","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8883-0989","authenticated-orcid":false,"given":"Christine","family":"Vinci","sequence":"first","affiliation":[{"name":"Department of Health Outcomes and Behavior Moffitt Cancer Center  Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cho Y.","family":"Lam","sequence":"additional","affiliation":[{"name":"School of Medicine Huntsman Cancer Institute and the Spence Fox Eccles School of Medicine, at the University of Utah  Salt Lake City UT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul E.","family":"Etcheverry","sequence":"additional","affiliation":[{"name":"Department of Psychology Southern Illinois University  Carbondale IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virmarie","family":"Correa\u2010Fernandez","sequence":"additional","affiliation":[{"name":"Department of Psychological, Health, and Learning Sciences University of Houston  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel \u00c1ngel","family":"Cano","sequence":"additional","affiliation":[{"name":"School of Public Health University of Texas Southwestern Medical Center  Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2877-9928","authenticated-orcid":false,"given":"Paul 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