Tobacco-free grounds implementation in California residential substance use disorder (SUD) treatment programs
Tobacco-free grounds implementation in California residential substance use disorder (SUD) treatment programs
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DOI：
10.1080/10550887.2020.1713687
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发表时间：
2020-01-23
影响因子：
2.3
通讯作者：
Yip, Deborah
中科院分区：
文献类型：
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作者：
Guydish, Joseph;Wahleithner, Jennifer;Yip, Deborah
无烟法律和政策对美国吸烟率的下降做出了重大贡献，但在最需要无烟法律和政策的高吸烟率人群中并不经常适用。在公共资助的物质使用障碍（SUD）治疗的客户中吸烟是普通人群的3-4倍，并且对烟草政策方案所知甚少。确定加州公共资助的成人住宅SUD项目中无烟场地和其他吸烟政策的流行程度。使用加州DHCS联系人名单的1,921个公共资助，非医疗，SUD计划，362有资格参加一个简短的半结构化的电话调查有关室内和室外吸烟的工作人员和客户和其他烟草政策。在完成调查的259个项目中，有28个（10.8%）报告了无烟区。91个国家（35.1%）表示有兴趣实施无烟政策，23个国家计划这样做。几乎所有的项目（n = 253，97.7%）都有一些限制电子烟使用的政策，其中110个项目（43.5%）报告完全禁止使用电子烟。124家（47.9%）有禁止员工和客户一起吸烟的政策。大多数加州住宅SUD计划允许员工和客户在户外吸烟，很少有采用无烟理由政策。考虑到报告中对采用无烟政策的兴趣，SUD人口中吸烟者的高密度，以及无烟政策与较低的客户和员工吸烟率的关联，州许可和监管机构以及县卫生部门应与SUD计划合作，采用无烟政策。
Smoke-free laws and policies have contributed significantly to the decline in smoking in the U.S, but are not often applied in high-prevalence smoking populations where they are most needed. Smoking among clients in publicly funded substance use disorder (SUD) treatment is 3-4 times higher than the general population, and little is known about tobacco policies programs have adopted. To identify the prevalence of tobacco-free grounds and other smoking policies in California's publicly funded, adult, residential SUD programs. Using a California DHCS contact list of 1,921 publicly funded, non-medical, SUD programs, 362 were eligible to participate in a brief semi-structured phone survey concerning indoor and outdoor smoking for staff and clients and other tobacco policies. Of 259 programs that completed the survey, 28 (10.8%) reported tobacco-free grounds. 91 (35.1%) expressed interest in implementing tobacco-free policies and 23 have plans to do so. Nearly all programs (n = 253, 97.7%) had some policy restricting e-cigarette use, and 110 (43.5%) of these reported a complete ban on e-cigarette use. 124 (47.9%) had policies prohibiting staff and clients smoking together. Most California residential SUD programs allow outdoor smoking for staff and clients and few have adopted tobacco-free grounds policies. Given the reported interest in adopting tobacco-free policies, the high density of smokers in the SUD population, and the association of tobacco-free policies with lower client and staff smoking rates, state licensing and regulatory agencies, as well as county health departments, should work with SUD programs to adopt tobacco-free policies.