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首页> 外文期刊>International Journal of Environmental Research and Public Health >Tobacco Addiction and Smoking Status in Heroin Addicts under Methadone vs. Buprenorphine Therapy
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Tobacco Addiction and Smoking Status in Heroin Addicts under Methadone vs. Buprenorphine Therapy

机译：美沙酮与丁丙诺啡治疗下海洛因依赖者的烟草成瘾和吸烟状况

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Aims of the present investigation were: (i) to assess the prevalence of current smokers and relative smoking status among a large number of heroin addicts attending opioid-substitution therapy prevalence; (ii) to evaluate the relationship between the type (methadone, buprenorphine) and dosage of opioid substitution therapy and nicotine dependence. Three hundred and five (305) heroin addicts under opioid-substitution therapy were recruited at five Addiction Units. All participants completed a questionnaire assessing sociodemographic information, type and dose of opioid-substitution therapy, smoking history and status, Fagerstr?m Test for Nicotine Dependence (FTND), and the Zung Self-Rating Depression scale (SDS). 298 subjects, out of 305 (97.2%) were smokers, with an average of 20.5 cigarette/day and a median FTND of 6. Our data confirmed the high prevalence of smokers among heroin addicts, the highest described in the literature to date among heroin addicts under substitution therapies, without any significant difference between methadone vs. buprenorphine therapy groups. There was no correlation between dose of methadone or buprenorphine and average number of cigarettes/day. Patients in substance abuse treatment very frequently smoke cigarettes and often die of tobacco-related diseases. Substance abuse treatment programs too often ignore tobacco use. We hope that these findings will help to incorporate smoking cessation in substance abuse treatments.
机译：本次调查的目的是：（i）评估参加阿片类药物替代疗法治疗的大量海洛因成瘾者中目前吸烟者的患病率和相对吸烟状况; （ii）评估阿片类药物替代疗法的类型（美沙酮，丁丙诺啡）和剂量与尼古丁依赖性之间的关系。在五个戒毒所招募了三百零五（305）名接受阿片类药物治疗的海洛因成瘾者。所有参与者均完成了一份问卷，评估了社会人口统计学信息，阿片类药物替代疗法的类型和剂量，吸烟史和状况，烟碱依赖性Fagerstr？m检验（FTND）和Zung自评抑郁量表（SDS）。在305名吸烟者中，有298名受试者（97.2％）是吸烟者，平均每天吸烟20.5支，FTND中位数为6。我们的数据证实，海洛因成瘾者中吸烟者的流行率很高，是迄今为止海洛因中吸烟率最高的文献。使用替代疗法的成瘾者，美沙酮与丁丙诺啡治疗组之间无显着差异。美沙酮或丁丙诺啡的剂量与平均每天吸烟量之间没有相关性。滥用药物治疗的患者经常抽烟，并经常死于与烟草有关的疾病。药物滥用治疗计划常常忽视烟草使用。我们希望这些发现将有助于将戒烟纳入药物滥用治疗中。

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