Prediction of alcohol addicted patients’ smoking status through hospital tobacco control policy: A multi-level-analysis

Donath, Carolin; Metz, Karin; Chmitorz, Andrea; Gradl, Sabine; Piontek, Daniela; Flöter, S; Kröger, Christoph; Reschke, Konrad

doi:10.1080/09687630701772928

Cited by 4 publications

(7 citation statements)

References 22 publications

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“…It is merely the second study in Germany in the field of tobacco control policy that applied a complex statistical analysis method and focuses on patient perspective (Donath et al, 2009). Exploring both individual and organisational factors in physical rehabilitation settings is vital to contribute to successful cessation and therefore has important health-related implications.…”

Section: Discussionmentioning

confidence: 99%

“…Abstinence rates and reduction quantities varied strongly between the rehabilitation centres, thus justifying the simultaneous assessment of individual and tobacco control policy characteristics. Compared to the predecessor study (Donath et al, 2009), which was conducted in substance abuse rehabilitation centres four years before, the status of tobacco control policy in Table 3. Centre specific results: abstinence, quantity-frequency index and reduction rates at T1 and T2.…”

Section: Discussionmentioning

confidence: 99%

“…A questionnaire measuring tobacco control policy in hospitals, developed in the predecessor study (Donath et al, 2009) on the basis of international experiences and of recommendations of the European Network Smoke-free Hospitals (ENSH, 2003), was used adapted to the needs of this study. After several steps of checking the questionnaire (pilot testing, expert validation) the retest reliability was acceptable (r40.5) and construct validity confirmed.…”

Section: Predictor Variablesmentioning

confidence: 99%

“…The aim of the present work is to deepen the findings of the predecessor study (Donath et al, 2009) and to expand them to the setting of somatic and psychosomatic rehabilitation. The focus of the study is to reveal individual factors of patients and tobacco control policies of rehabilitation centres which contribute to successful cessation and reduction of cigarette consumption at discharge and follow-up.…”

Section: Introductionmentioning

confidence: 97%

“…Until now, there is only one multicentre study in Germany using patient perspective and multilevel analyses that examined the impact of individual factors and tobacco control policy on smoking cessation (Donath et al, 2009). This study has been conducted in substance abuse rehabilitation centres.…”

Section: Introductionmentioning

confidence: 97%

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Influence of individual characteristics and tobacco control policy on smoking cessation in patients in German somatic and psychosomatic rehabilitation

Birk

Piontek

Kröger

et al. 2014

Drugs: Education, Prevention and Policy

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Aims: The goal of this study was to analyse the influence of individual characteristics and tobacco control policies on smoking status and tobacco consumption amongst patients in (psycho-) somatic rehabilitation centres. Methods: A multicentre field study with pre-post-follow up design was carried out in 19 German rehabilitation centres. Each trainer of the cessation programme answered a tobacco control policy questionnaire (N ¼ 19). Data from 367 patients were assessed at admission and discharge; data from 262 patients were collected at telephone follow-up six months after intervention. Multilevel analyses (HLM) were applied to identify the predictive value of individual and tobacco control policy characteristics on smoking behaviour directly after the intervention and six months later. Findings: Enforcement of smoking restrictions was a significant positive predictor for cessation rate at discharge and reduction rate at follow-up. Significant individual predictors for quitting include education, motivation and self-efficacy. Reduction rates were influenced by individual characteristics like motivation, self-efficacy, tobacco dependence and smoking rate at admission. Conclusions: Evidence-based measures should be applied to the individual to raise cessation and reduction. Additionally, implementing and enforcing smoking restrictions is another effective method to improve the health of the public.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Predictor Variablesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

See 3 more Smart Citations

Influence of individual characteristics and tobacco control policy on smoking cessation in patients in German somatic and psychosomatic rehabilitation

Birk

Piontek

Kröger

et al. 2014

Drugs: Education, Prevention and Policy

Self Cite

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Equity impact of population-level interventions and policies to reduce smoking in adults: A systematic review

Brown

Platt

Amos

2014

Drug and Alcohol Dependence

145

141

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An international systematic review of smoking prevalence in addiction treatment

et al. 2015

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Aims Smoking prevalence is higher among persons enrolled in addiction treatment as compared to the general population, and very high rates of smoking are associated with opiate drug use and receipt of opiate replacement therapy (ORT). We assessed whether these findings are observed internationally. Methods PubMed, PsycINFO and the Alcohol and Alcohol Problems Science Database were searched for papers reporting smoking prevalence among addiction treatment samples, published in English, from 1987 to 2013. Search terms included tobacco use, cessation, and substance use disorders using AND/OR Boolean connectors. For 4,549 papers identified, abstracts were reviewed by multiple raters. 239 abstracts met inclusion criteria and these full papers were reviewed for exclusion. 54 studies, collectively including 37,364 participants, were included. For each paper we extracted country, author, year, sample size and gender, treatment modality, primary drug treated, and smoking prevalence. Results The random-effect pooled estimate of smoking across persons in addiction treatment was 84% (CI 79%, 88%), while the pooled estimate of smoking prevalence across matched population samples was 31% (CI 29%, 33%). The difference in the pooled estimates was 52% (CI 48%, 57%, p < .0001). Smoking rates were higher in programs treating opiate use as compared to alcohol use (OR = 2.52, CI 2.00, 3.17), and higher in ORT compared to outpatient programs (OR = 1.42, CI 1.19, 1.68). Conclusions Smoking rates among people in addiction treatment are more than double those of people with similar demographic characteristics. Smoking rates are also higher in people being treated for opiate dependence compared with people being treated for alcohol use disorder.

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Prediction of alcohol addicted patients’ smoking status through hospital tobacco control policy: A multi-level-analysis

Cited by 4 publications

References 22 publications

Influence of individual characteristics and tobacco control policy on smoking cessation in patients in German somatic and psychosomatic rehabilitation

Influence of individual characteristics and tobacco control policy on smoking cessation in patients in German somatic and psychosomatic rehabilitation

Equity impact of population-level interventions and policies to reduce smoking in adults: A systematic review

An international systematic review of smoking prevalence in addiction treatment

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