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首页> 外文期刊>Journal of substance abuse treatment >Drug abuse staff and clients smoking together: A shared addiction
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Drug abuse staff and clients smoking together: A shared addiction

机译：药物滥用员工和客户一起吸烟：共同上瘾

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摘要

Smoking is endemic in drug abuse treatment populations, and smoking prevalence in this population appears unresponsive to existing tobacco control strategies. Clinical and policy guidelines encourage programs to address smoking among clients, and research has identified key barriers to doing so. This report explores the practice of staff and clients smoking together in drug treatment programs, and how this practice is associated with other tobacco-related measures. Clients (N = 1113) were surveyed and program directors were interviewed in a national sample of 24 drug abuse treatment programs affiliated with the NIDA Clinical Trials Network. Clients were asked whether they observed staff and clients smoking together in their program and, using program as the unit of analysis, this measure was tested for its association with client-level and program-level tobacco-related outcomes. Higher rates of staff and client smoking together were associated with higher staff smoking prevalence (p = 0.006), lower rates of client thoughts about quitting in the next 30 days (p = 0.027), more negative client attitudes toward quitting smoking (p = 0.004), and with clients receiving fewer tobacco-related services (p = 0.024). These findings illuminate an actionable, low cost policy intervention to address smoking in drug abuse treatment, which is to prohibit the practice of staff smoking together with clients. In the interest of the health of clients whom they serve, counselors, program directors, state regulatory agencies, and federal funding agencies should act to end this practice. (C) 2017 Elsevier Inc. All rights reserved.
机译：吸烟是药物滥用治疗群体的地方，并且这种人口中的吸烟患病率对现有的烟草控制策略似乎没有响应。临床和政策指导方针鼓励解决客户的吸烟，研究已经确定了这样做的关键障碍。本报告探讨了在药物治疗方案中吸烟的员工和客户的做法，以及如何与其他烟草相关措施有关。对客户（n = 1113）进行了调查，并在与NIDA临床试验网络附属的24个药物滥用治疗方案的国家样本中采访了计划董事。有人被问到他们是否观察到在其计划中一起吸烟的工作人员和客户，并且使用计划作为分析单位，对其与客户级和计划级烟草相关结果的关联进行了测试。更高的员工和客户吸烟的速度与更高的人员吸烟（P = 0.006）有关（P = 0.006），在接下来的30天内戒烟的较低率（P = 0.027），更多的负面客户对戒烟的态度（P = 0.004 ），并且客户端接收较少的烟草相关服务（P = 0.024）。这些发现照亮了一种可行，低成本的政策干预，以解决吸毒虐待处理的吸烟，这是禁止与客户一起吸烟的工作人员。为了使他们服务的客户的健康，辅导员，计划董事，国家监管机构和联邦融资机构应该采取行动，以结束这种做法。 （c）2017年Elsevier Inc.保留所有权利。

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  • 来源
    《Journal of substance abuse treatment》 |2017年第2017期|共5页
  • 作者

    Guydish Joseph; Le Thao; Campbell Barbara; Yip Deborah; Ji Suzhe; Delucchi Kevin;

  • 作者单位

    Univ Calif San Francisco Philip R Lee Inst Hlth Policy Studies 3333 Calif St Ste 265 San;

    Univ Calif San Francisco Philip R Lee Inst Hlth Policy Studies 3333 Calif St Ste 265 San;

    Oregon Hlth &

    Sci Univ OHSU PSU Sch Publ Hlth 3181 SW Sam Jackson Pk Rd Portland OR 97239 USA;

    Univ Calif San Francisco Philip R Lee Inst Hlth Policy Studies 3333 Calif St Ste 265 San;

    Univ Nevada Dept Neurosci 1664 N Virginia St Reno NV 89557 USA;

    Univ Calif San Francisco Dept Psychiat 401 Parnassus Ave San Francisco CA 94143 USA;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 药学;
  • 关键词

    Tobacco; Nicotine; Drug treatment; Policy;

    机译：烟草;尼古丁;药物治疗;政策;

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