Substance Abuse Treatment Counselors and Tobacco Use: A Comparison of Comprehensive and Indoor-Only Workplace Smoking Bans

Knudsen, Hannah K.; Boyd, Sara E.; Studts, Jamie L.

doi:10.1093/ntr/ntq145

Cited by 15 publications

(15 citation statements)

References 35 publications

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“…As noted earlier, characteristics of counselors and treatment programs in our study were comparable to characteristics of counselors and treatment programs participating in other large nationally random samples (e.g., Knudsen et al, 2010, 2013; Olmstead et al, 2005). These findings suggest limited concern over (non)response bias and reasonable confidence that our findings may generalize to other, similar SUD treatment programs.…”

Section: Discussionsupporting

confidence: 79%

“…Of the 2,005 eligible counselors identified by the program administrators, 1,044 completed a survey ( N = 880 online, N = 164 mail; 52.07% response rate). Relevantly we note that SUD counselor and organizational characteristics of the current sample are in general comparable to studies conducted using large nationally representative samples (e.g., Knudsen, Boyd, & Studts, 2010; Knudsen, Muilenburg, & Eby, 2013; Olmstead, Johnson, Roman, & Sindelar, 2005) (results are available upon request from the first author). Thus, we can be cautiously but reasonably certain that non-response bias is not likely to be a major threat to validity.…”

Section: Methodssupporting

confidence: 68%

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Understanding counselors' implementation of tobacco cessation services with patients

Eby

Laschober

Muilenburg

2014

Journal of Substance Abuse Treatment

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This study aimed to understand substance use disorder counselors’ implementation of evidencebased tobacco cessation services (TCS) with their patients who smoke. Drawing from an established adoption of innovations framework, we investigated the association between counselors’ perceptions of the availability of TCS (both pharmacotherapies and behavioral treatments) in their treatment program and the implementation of TCS (both pharmacotherapies and behavioral treatments) with their patients who smoke and whether this association is moderated by the strength of an organization’s climate for implementation and the fit of the innovation with users’ values. Data were collected in 2010 from 682 counselors working in 239 treatment programs across the U.S. that offer evidence-based TCS. Mixed-effect models showed that perceived availability of TCS was related with greater TCS implementation. This relationship was moderated by several indicators of climate for implementation but not by the fit of the innovation with users’ values.

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Section: Discussionsupporting

confidence: 79%

Section: Methodssupporting

confidence: 68%

Understanding counselors' implementation of tobacco cessation services with patients

Eby

Laschober

Muilenburg

2014

Journal of Substance Abuse Treatment

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“…Consequently, scanty data are available on the impact of outdoor smoking bans on SHS exposure and smoking prevalence. However, a recent US survey of 1910 counsellors and 417 administrators from substance abuse treatment organisations showed that current tobacco users were less frequent in organisations with comprehensive bans regulating outdoor areas, compared with organisations with indoor-only smoking bans 13. Non-smokers are exposed to SHS in outdoor areas also14–16 and any exposure to SHS is harmful, even in outdoor areas with small buffer zone distances (eg, bus stops, sport stadiums, hospital grounds, areas surrounding schools, universities, outdoor bars and restaurants) 17 18.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, outdoor restrictions on smoking may help make tobacco use less socially acceptable, by establishing positive smoke-free role models for youth7 11 17 19 20 and reducing (youth) opportunities to smoke, fire hazards and the pollution generated by cigarette butts (non-biodegradable litter) in public parks and beaches 7 11 19–21. Thus, extension of smoking regulations to outdoor areas is a relevant tool for tobacco control 13 22 23…”

Section: Introductionmentioning

confidence: 99%

Attitudes towards the extension of smoking restrictions to selected outdoor areas in Italy

et al. 2011

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Objectives: To estimate the attitudes of Italians over the extension of the smoking ban to selected public outdoor areas, including parks, stadiums, beaches, schools and hospitals. Methods:We considered data from 2 Italian surveys on smoking conducted in 2009 and 2010 on a total sample of 6233 individuals, representative of the Italian population aged 15 years or over. Results:The majority of the Italian population was in favour of the extension of smoking bans to selected outdoor areas: 64.6% of Italians supported smoke-free policies in public parks, 68.5% in sports stadiums, 62.1% in beaches, 85.9% in school courtyards and 79.9% in outdoor areas surrounding hospitals. Among current smokers, the corresponding estimates were 32.9% for parks, 38.2% for stadiums, 31.2% for beaches, 67.6% for schools and 55.3% for hospitals. Women, middle-age population and the elderly, subjects from central and southern Italy, and never smokers were more frequently in favour of the extension of the smoking ban to outdoor areas. Support for smoke-free parks and stadiums significantly increased between 2009 and 2010.

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“…Furthermore, staff who smoke have been found to be less likely to address smoking cessation in their clients (Guydish, Passalacqua, Tajima & Manser, 2007; Knudsen & Studts, 2010). Moreover, individuals treated at SUD treatment facilities that implement a comprehensive smoking ban (smoking banned in all indoor and outdoor areas) are 43% less likely to be a current tobacco user (Knudsen, Boyd & Studts, 2010). Unfortunately, less than 20% of SUD treatment facilities have been found to have a comprehensive smoking ban (Knudsen et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Environmental tobacco smoke exposure among smokers and non-smokers receiving outpatient substance abuse treatment

Acquavita

McClure

Hargraves

et al. 2014

Addictive Behaviors

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Introduction Environmental Tobacco Smoke (ETS) has been linked to numerous health problems. While research has demonstrated high prevalence of tobacco use among individuals receiving treatment for substance use disorders (SUDs), no studies have examined ETS among individuals receiving treatment for SUDs, paying specific attention to non-smokers who may be at risk for high exposure to ETS. Methods Participants (N=261) enrolled in outpatient substance abuse treatment completed a survey, in which 14 items were used to quantify ETS exposure and smoking policies across several environments. Results Among smokers, 85% reported that their significant others also smoked as compared to 15% among non-smokers (X2=6.624, p<.05). A logistic regression examined the characteristics that predicted smoking in the home. The overall model was significant, (χ2 = 36.046, p < .0005) with variables that independently predicted smoking in the home included having less than a high school diploma, being female, and living with a smoker. Income, age, and living with children were not found to be significant. Overall, 42% white collar workers 26% of service workers and 30% of blue collar workers reported no exposure to ETS. Sixty-seven percent of smokers strongly agreed or agreed the hazards of secondhand smoke have been clearly demonstrated versus 58% of non-smokers. Conclusions Smokers and non-smokers enrolled in outpatient substance abuse treatment are frequently exposed to ETS at home, work, and in social settings. The dangers of ETS should be addressed among this population through education, smoke-free policies, and cessation resources, with help from their treatment facility.

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Substance Abuse Treatment Counselors and Tobacco Use: A Comparison of Comprehensive and Indoor-Only Workplace Smoking Bans

Cited by 15 publications

References 35 publications

Understanding counselors' implementation of tobacco cessation services with patients

Understanding counselors' implementation of tobacco cessation services with patients

Attitudes towards the extension of smoking restrictions to selected outdoor areas in Italy

Environmental tobacco smoke exposure among smokers and non-smokers receiving outpatient substance abuse treatment

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