Mental health, smoking, harm reduction and quit attempts - a population survey in England
Mental health, smoking, harm reduction and quit attempts - a population survey in England
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DOI：
10.1186/s12889-020-09308-x
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发表时间：
2020-08-14
影响因子：
4.5
通讯作者：
McNeill, Ann
中科院分区：
文献类型：
--
作者：
Brose, Leonie S.;Brown, Jamie;McNeill, Ann
烟草控制战略已使吸烟总体下降；然而，有精神健康问题和没有精神健康问题的人之间仍然存在很大差距，造成严重的健康不平等。关于改善障碍和机会的人口资料很少。我们的目的是评估英国吸烟者和最近戒烟者（“过去一年的吸烟者”）的心理健康状况，以及吸烟和减少危害行为以及心理健康状况的戒烟尝试。方法收集2016/17年度成人代表性样本家庭调查中5637名当前吸烟者和434名近期戒烟者的数据。我们计算了不同心理健康问题指标的加权患病率：a)曾经诊断，b)没有，中度，严重的过去一个月的困扰，c)过去一年的治疗。我们比较了加权吸烟状况、香烟类型、依赖、戒烟动机、减少、使用尼古丁替代疗法或电子烟、短期戒烟和根据心理健康状况戒烟的尝试。结果在过去一年的吸烟者中：35.9%曾被诊断为肺癌；24.3%的人经历过中度痛苦，另外9.7%的人经历过严重的、过去一个月的痛苦；21.9%曾接受过过去一年的治疗。那些有精神健康问题迹象的人对香烟的依赖度更高，更有可能自己卷烟，但也更有可能有动力戒烟、减少吸烟、使用尼古丁替代疗法或电子烟，并在过去一年中试图戒烟。结论：英国约三分之一的吸烟者有心理健康问题。干预措施应解决他们日益增加的依赖，并利用更普遍的减少危害行为、戒烟动机和戒烟尝试。
BackgroundTobacco control strategies have engendered overall declines in smoking; however, a large gap remains between people with and without mental health problems, causing substantial health inequalities. Population-level information on barriers and opportunities for improvements is scarce. We aimed to assess mental health status of cigarette smokers and recent ex-smokers ('past-year smokers') in England, and smoking and harm reduction behaviour and quit attempts by mental health status.MethodsData were collected from 5637 current and 434 recent ex-smokers in 2016/17 in household surveys of representative samples of adults. We calculated weighted prevalence of different indicators of mental health problem: a) ever diagnosis, b) none, moderate, serious past-month distress, c) past-year treatment. We compared weighted smoking status, cigarette type, dependence, motivation to stop smoking, cutting down, use of nicotine replacement therapy or e-cigarettes, short-term abstinence, and quit attempts according to mental health status.ResultsAmong past-year smokers: 35.9% ever had a diagnosis; 24.3% had experienced moderate, an additional 9.7% serious, past-month distress; 21.9% had had past-year treatment. Those with an indication of a mental health problem were more highly dependent and more likely to smoke roll-your-own cigarettes but also more likely to be motivated to stop smoking, to cut down, use nicotine replacement therapy or e-cigarettes and to have attempted to quit in the past year.ConclusionsAbout a third of cigarette smokers in England have mental health problems. Interventions should address their increased dependence and leverage higher prevalence of harm reduction behaviours, motivation to stop and attempts to stop smoking.