Tobacco Screening and Counseling in the U.S.: Smokers With Mental Health and Substance Use Problems

Samples, Hillary; Bandara, Sachini; Olfson, Mark; Saloner, Brendan

doi:10.1016/j.amepre.2018.05.024

Cited by 8 publications

(11 citation statements)

References 31 publications

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“…Tobacco disparity groups, including those suffering from mental illnesses and substance use disorders, utilize tobacco products at a disproportionate rate and face greater tobacco-related morbidity as a result [ 5 , 6 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. The disproportionate use of tobacco can effectively be addressed by increasing the occurrence of tobacco screenings, a cost-effective method for improving patient outcomes in settings where patients with behavioral health disorders receive care [ 15 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Multiple studies have demonstrated that individuals in this category face greater tobacco-related morbidity from their elevated tobacco use, cited as about two to four times greater than the general US population. As a result, individuals with behavioral health needs are a tobacco-related health disparity group despite not being ubiquitously recognized as one [ 5 , 6 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. Thus, there is a dire need to address tobacco use among behavioral health patients.…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, the Affordable Care Act designates preventive services encompassing tobacco screenings as one of ten essential health benefits that are required to be covered by private insurance and most state Medicaid programs [ 25 , 26 ]. However, despite the widespread evidence for the significance and feasibility of conducting tobacco use screenings in health care settings, several studies have suggested limitations in their uptake [ 8 , 23 , 27 , 28 , 29 ]. Specifically, tobacco screenings are reported to occur with between 37.9% and 70% of patients, whereas national recommendations suggest that all adult patients should be assessed in every clinical encounter, with comprehensive tobacco use assessments (TUAs) delivered to those endorsing consumption to guide cessation interventions [ 22 , 28 , 30 , 31 , 32 , 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, tobacco screenings are reported to occur with between 37.9% and 70% of patients, whereas national recommendations suggest that all adult patients should be assessed in every clinical encounter, with comprehensive tobacco use assessments (TUAs) delivered to those endorsing consumption to guide cessation interventions [ 22 , 28 , 30 , 31 , 32 , 33 , 34 ]. Unfortunately, behavioral health patients, compared with the general population, may be disproportionately less likely to receive tobacco use screenings in settings where they receive care, thereby perseverating the tobacco-related health disparities within this group [ 8 , 11 , 27 , 28 , 29 , 30 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

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Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Siddiqi

Britton

Chen

et al. 2022

IJERPH

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Tobacco use, and thus tobacco-related morbidity, is elevated amongst patients with behavioral health treatment needs. Consequently, it is important that centers providing health care to this group mandate providers’ use of tobacco screenings to inform the need for tobacco use disorder intervention. This study examined the prevalence of mandated tobacco screenings in 80 centers providing health care to Texans with behavioral health needs, examined key factors that could enhance screening conduct, and delineated providers’ perceived barriers to tobacco use intervention provision. The results indicated that 80% of surveyed centers mandated tobacco use screenings; those that did were significantly more likely than those that did not to have a hard stop for tobacco use status in health records and were marginally more likely to make training on tobacco screening available to providers. The most widespread barriers to tobacco use disorder care provision were relative perceived importance of competing diagnoses, lack of community resources to refer patients, perceived lack of time, lack of provider knowledge or confidence, and belief that patients do not comply with cessation treatment. Overall, the results suggest that there are opportunities for centers providing care to Texans with behavioral health needs to bolster their tobacco screening and intervention capacity to better address tobacco-related health disparities in this group. Health care centers can support their providers to intervene in tobacco use by mandating screenings, streamlining clinical workflows with hard stops in patient records, and educating providers about the importance of treating tobacco with brief evidence-based intervention strategies while providing accurate information about patients’ interest in quitting and providers’ potential impacts on a successful quit attempt.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Siddiqi

Britton

Chen

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…A cross-sectional study on Tobacco Screening and Counselling among smokers in the United States of America has shown different polar among active smokers' behaviour in seeking health screening (15). This study revealed that smokers with mental health problems tended to attend tobacco screening and cessation programs compared to smokers without mental health problems and substance use.…”

Section: Smokers' Health-seeking Behaviourmentioning

confidence: 78%

Smokers’ Perception of Their Health Status and Health-Seeking Behaviour: A Narrative Review

Ismail

Syariff²,

Nurumal

et al. 2022

Int J Care Scholars

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Background: Smoking has been primarily studied as a public health problem involving mapping continued smoking patterns and interventions designed to decrease smoking prevalence. This paper aims to discuss the available literature on smokers’ perception on their health, the smokers’ health-seeking behaviour and factors influence the smokers’ continuity in smoking. Method: Review literature conducted by using databases such as Science Direct, Sage Journals, Wiley, PubMed, and Scopus with the keywords smoking, health perception, health seeking behavior, health status, and health screening. Result: Eighteen articles were reviewed, selected, and summarized. These include six qualitative studies, ten quantitative studies, and two randomized control studies. Findings showed that smokers underestimate the effects of smoking and overestimate their ability to quit before becoming addicted. Thus, communication of health risk must be in line with smokers’ perception of health risks which they tend to minimize and ignore. Smokers’ perceived smoking bring benefits and they could retain control over their actions but could not easily stop having frequent desires to smoke. Also, healthcare providers should develop passion, equipped with expected skills and aid while intervene smokers’, which might increase their motivation to quit smoking. Conclusion: Further study perhaps could bring a better understanding on the factors contribute to smokers’ judgment in making decisions whether to continue or stop smoking and how these factors influence their actions. Smoking rates might be reduced if smokers understood the risks of smoking, which were more accurate as evidenced by a medical check-up and held to the beliefs on smoking-related risks that led to their firm decision to stop smoking.

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Tobacco Screening and Treatment of Patients With a Psychiatric Diagnosis, 2012–2015

Rogers

Wysota

2019

American Journal of Preventive Medicine

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Tobacco Screening and Counseling in the U.S.: Smokers With Mental Health and Substance Use Problems

Cited by 8 publications

References 31 publications

Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment

Smokers’ Perception of Their Health Status and Health-Seeking Behaviour: A Narrative Review

Tobacco Screening and Treatment of Patients With a Psychiatric Diagnosis, 2012–2015

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