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首页> 外文期刊>Journal of Addiction >Tobacco and Substance Use among Psychiatric Inpatients in a Community Hospital: Cessation Counseling, Correlates, and Patterns of Use
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Tobacco and Substance Use among Psychiatric Inpatients in a Community Hospital: Cessation Counseling, Correlates, and Patterns of Use

机译：社区医院精神病患者的烟草和药物使用：戒烟咨询，相关性和使用方式

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Background. Epidemiological and experimental models have been applied to describe the disproportionately high prevalence of tobacco use in patients with mental illness. This observed association has become a dire public health concern. The main objective of the present study was to examine the provision of tobacco treatment strategies in a community teaching hospital serving a predominantly underserved African American population. Methods. The study was designed as a retrospective review of eight hundred and thirty patients admitted to the inpatient psychiatric units. Results. 52.2% of the entire cohort described themselves as current smokers. Gender, primary psychiatric diagnosis, and urine toxicology showed significant differences in the tobacco smoking and nontobacco smoking groups (P<0.05). Almost all current tobacco smokers (91.9%) had tobacco cessation counseling during the course of their hospitalization, but only 64% were offered treatments for tobacco dependence. More than half (57.9%) of the 680 participants who had urine toxicology reports were positive for any illicit substance with cannabis and cocaine being the most frequently used (32.4% and 23.2%). Direct logistic regression revealed gender, psychiatric diagnosis, and substance use as the only significant predictors of tobacco smoking among our cohort (P= 0.021, 0.001, and 0.001, respectively). Conclusions. Tobacco screening, cessation counseling, and treatment continue to be a challenge in community psychiatric hospitals and need increased focus in the comprehensive management of patients with psychiatric disorders. The strong association between tobacco smoking and other substance use lends itself to the hypothesis that tobacco smoking debut prevention may be an effective public health strategy for addressing illicit drug use.
机译：背景。流行病学和实验模型已被用于描述精神疾病患者中烟草使用的不成比例高流行。这种观察到的关联已经成为公共健康的严重问题。本研究的主要目的是研究在社区教学医院中为主要服务不足的非裔美国人服务的烟草治疗策略的提供。方法。该研究旨在回顾性分析住院精神病院住院的八百三十名患者。结果。整个队列中有52.2％的人描述自己是目前的吸烟者。吸烟组和非吸烟组的性别，主要精神病学诊断和尿毒理学差异显着（P <0.05）。目前，几乎所有吸烟者（91.9％）在住院期间都接受过戒烟咨询，但只有64％的人获得了烟草依赖治疗。在680名接受尿毒理学报告的参与者中，超过一半（57.9％）的任何非法物质均为阳性，大麻和可卡因是最常用的（32.4％和23.2％）。直接逻辑回归显示，性别，精神病学诊断和药物使用是我们队列中吸烟的唯一重要预测指标（分别为P = 0.021、0.001和0.001）。结论。烟草筛查，戒烟咨询和治疗在社区精神病医院中仍然是一个挑战，需要在精神疾病患者的综合管理中更加关注。吸烟与其他物质使用之间的紧密联系使这一假设成为可能，即预防吸烟首次亮相可能是解决非法药物使用的有效公共卫生策略。

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