Prevalence of smoking and other health risk factors in people attending residential substance abuse treatment

Kelly, Peter J.; Baker, Amanda; Deane, Frank P.; Kay‐Lambkin, Frances; Bonevski, Billie; Tregarthen, Jenna

doi:10.1111/j.1465-3362.2012.00465.x

Cited by 63 publications

(68 citation statements)

References 28 publications

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“…This is in direct contrast with observations of increased smoking during residential SUD treatment (Kelly et al, 2012). Moreover, this level of abstinence, even in our control condition, is on par with abstinence rates achieved in other SUD smokers with smoking cessation pharmacotherapy (Kalman et al 2011;Kalman, Kahler, Garvey, & Monti, 2006;Poling, Rounsaville, Gonsai, Severino, & Sofuoglu, 2010), even though the present study included no medications.…”

Section: Discussioncontrasting

confidence: 97%

Smoking Reductions and Increased Self-Efficacy in a Randomized Controlled Trial of Smoking Abstinence–Contingent Incentives in Residential Substance Abuse Treatment Patients

Alessi

Petry

2014

Nicotine &Amp; Tobacco Research

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introduction: Individuals with substance use disorders (SUDs) experience increased smoking-related morbidity and mortality but severely compromised smoking treatment benefits. Residential SUD treatment settings may be particularly positioned to target smoking, with ever-increasing smoking bans and culture shifts, but most smokers continue smoking. This study examined the effects of contingency management (CM) for increasing smoking abstinence in residential patients.

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Section: Discussioncontrasting

confidence: 97%

Smoking Reductions and Increased Self-Efficacy in a Randomized Controlled Trial of Smoking Abstinence–Contingent Incentives in Residential Substance Abuse Treatment Patients

Alessi

Petry

2014

Nicotine &Amp; Tobacco Research

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“…Smoking is highly prevalent among those with severe mental health conditions (32%–90%) [19,20,21,22,23], as well as those attending substance abuse treatment (77%–95%) [24,25]. Indeed, smokers are more likely to spend money on alcohol and gambling [26], and this may contribute to financial stress.…”

Section: Discussionmentioning

confidence: 99%

Financial Stress and Smoking within a Large Sample of Socially Disadvantaged Australians

Guillaumier

Twyman

Paul

et al. 2017

IJERPH

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Financial stress is associated with fewer quit attempts and higher relapse rates. This study aimed to compare financial stress among smokers, ex-smokers and never smokers in a highly socioeconomically disadvantaged sample. The study also aimed to determine whether specific indicators of financial stress differ according to smoking status. Adult clients seeking welfare assistance from two Social and Community Service Organisation sites in New South Wales, Australia, were invited to complete a cross-sectional survey between March 2012 and December 2013. Responses to a financial stress scale, smoking status and demographics were collected. Linear and logistic regression modelling was used to examine associations between smoking status and financial stress. A total of 1463 participants completed the survey. Current smokers had significantly higher total financial stress scores than ex-smokers and non-smokers respectively. Current smokers also had higher odds of severe financial stress indicators, such as going without meals (Odds Ratio = 2.2 and 2.0), than both non-smokers and ex-smokers. Even among a highly socioeconomically disadvantaged sample with high levels of financial stress, smoking status further exacerbates experiences of deprivation. Given the relationship between financial stress, socioeconomic disadvantage and difficulty quitting, it is important to provide enhanced cessation support to smokers experiencing financial stress.

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“…Smoking rates stand at above 70% for those with severe mental illnesses such as schizophrenia and bipolar disorder 1, 2, 3, are similarly high among individuals with substance use disorders 4, 5 and are also above average for those with common mental disorders, including depression and anxiety 1. People with mental illness or substance use disorders are more likely to be heavier and more dependent smokers 6, 7, and their life expectancy is reduced by up to 20 years 8, 9, mainly because of smoking 7.…”

Section: Introductionmentioning

confidence: 99%

A mixed-method systematic review and meta-analysis of mental health professionals' attitudes toward smoking and smoking cessation among people with mental illnesses

et al. 2016

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Background and aimsPeople with mental illnesses and substance abuse disorders are important targets for smoking cessation interventions. Mental health professionals (MHPs) are ideally placed to deliver interventions, but their attitudes may prevent this. This systematic review therefore aimed to identify and estimate quantitatively MHPs attitudes towards smoking and main barriers for providing smoking cessation support and to explore these attitudes in‐depth through qualitative synthesis.MethodsThe online databases AMED, EMBASE, Medline, PsychINFO, HMIC and CINAHL were searched in March 2015 using terms relating to three concepts: ‘attitudes’, ‘mental health professionals’ and ‘smoking cessation’. Quantitative or qualitative studies of any type were included. Proportions of MHPs' attitudes towards smoking and smoking cessation were pooled across studies using random effects meta‐analysis. Qualitative findings were evaluated using thematic synthesis.ResultsThirty‐eight studies including 16 369 participants were eligible for inclusion. Pooled proportions revealed that 42.2% [95% confidence interval (CI) = 35.7–48.8] of MHPs reported perceived barriers to smoking cessation interventions, 40.5% (95% CI = 30.4–51.0) negative attitudes towards smoking cessation and 45.0% (95% CI = 31.9–58.4) permissive attitudes towards smoking. The most commonly held beliefs were that patients are not interested in quitting (51.4%, 95% CI = 33.4–69.2) and that quitting smoking is too much for patients to take on (38%, 95% CI = 16.4–62.6). Qualitative findings were consistent with quantitative results, revealing a culture of smoking as ‘the norm’ and a perception of cigarettes as a useful tool for patients and staff.ConclusionsA significant proportion of mental health professionals hold attitudes and misconceptions that may undermine the delivery of smoking cessation interventions; many report a lack of time, training and confidence as main barriers to addressing smoking in their patients.

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Prevalence of smoking and other health risk factors in people attending residential substance abuse treatment

Cited by 63 publications

References 28 publications

Smoking Reductions and Increased Self-Efficacy in a Randomized Controlled Trial of Smoking Abstinence–Contingent Incentives in Residential Substance Abuse Treatment Patients

Smoking Reductions and Increased Self-Efficacy in a Randomized Controlled Trial of Smoking Abstinence–Contingent Incentives in Residential Substance Abuse Treatment Patients

Financial Stress and Smoking within a Large Sample of Socially Disadvantaged Australians

A mixed-method systematic review and meta-analysis of mental health professionals' attitudes toward smoking and smoking cessation among people with mental illnesses

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