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We investigated associations between gambling and tobacco use behaviors among SUD patients to inform clinical care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients (<jats:italic>N<\/jats:italic>\u2009=\u2009651, 170 female) from 25 residential SUD treatment programs in California completed surveys about tobacco use, health, and gambling. Using multivariate regression, we examined associations between gambling, tobacco use behaviors, and mental and physical health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Past\u2010year gamblers were more likely than non\u2010gamblers to be current smokers (adjusted odds ratio [AOR]\u2009=\u20091.44, 95% confidence interval [CI]\u2009=\u20091.03, 2.01). Smokers who gambled had higher mean Heaviness of Smoking Index (HSI) scores (mean difference\u2009=\u2009+0.32, 95% CI\u2009=\u20090.04, 0.60), and more often reported smokeless tobacco use (AOR\u2009=\u20091.73, 95% CI\u2009=\u20091.16, 2.58), compared to non\u2010gambling smokers. Past\u2010year problem gamblers were more likely than all others (non\u2010gamblers and non\u2010problem gamblers) to be current smokers (AOR\u2009=\u20091.44, 95% CI\u2009=\u20091.08, 1.90) and to report high psychosocial stress (AOR\u2009=\u20091.87, 95% CI\u2009=\u20091.34, 2.61). Smokers with problem gambling also had higher HSI scores (mean difference\u2009=\u2009+0.54, 95% CI\u2009=\u20090.14, 0.95) compared to smokers without problem gambling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Gambling and problem gambling were associated with tobacco use and heavier smoking. SUD patients with gambling comorbidity may be heavier smokers and may need concurrent treatment for tobacco use and problem gambling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>This study provides novel data regarding gambling and tobacco use behaviors among SUD patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13458","type":"journal-article","created":{"date-parts":[[2023,8,6]],"date-time":"2023-08-06T10:19:03Z","timestamp":1691317143000},"page":"563-573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Gambling, tobacco use, and health among individuals in substance use disorder treatment"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-2234","authenticated-orcid":false,"given":"Anna","family":"Pagano","sequence":"first","affiliation":[{"name":"Institute for Health Policy Studies University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thao","family":"Le","sequence":"additional","affiliation":[{"name":"Institute for Health Policy Studies University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Fong","sequence":"additional","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior University of California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rory","family":"Reid","sequence":"additional","affiliation":[{"name":"Semel Institute for Neuroscience and Human Behavior University of California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Delucchi","sequence":"additional","affiliation":[{"name":"UCSF Weill Institute for Neurosciences University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Guydish","sequence":"additional","affiliation":[{"name":"Institute for Health Policy Studies University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1465-3362.2009.00097.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.03300.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000129"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-008-9183-z"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4603(01)00187-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12242"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-015-9589-3"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.08m04211"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jeab.623"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2009.06.011"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntr048"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0120581"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m10062"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.09.011"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/10401230500295370"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550887.2014.909697"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-15-00560"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.2502"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-013-9437-y"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-012-9299-8"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2010.00055.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1556\/2006.8.2019.64"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2012.07.001"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1037\/1064-1297.14.1.87"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/14459790802652209"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032801"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.21.2.185"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5988-2"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-014-9528-8"},{"key":"e_1_2_8_31_1","unstructured":"National Council on Problem Gambling. 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