Smoking behavior and interest in quitting among homeless smokers
Smoking behavior and interest in quitting among homeless smokers
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DOI：
10.1016/j.addbeh.2004.03.010
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发表时间：
2004-08-01
影响因子：
4.4
通讯作者：
Rigotti, N
中科院分区：
文献类型：
--
作者：
Arnsten, JH;Reid, K;Rigotti, N
目的：研究无家可归者的吸烟行为，包括自我报告的与烟草有关的健康问题以及药物和酒精滥用对戒烟意愿和戒烟咨询兴趣的影响。方法：对马萨诸塞州总医院门诊和住院无家可归者进行横断面调查。结果：在98名平均年龄为44岁的无家可归吸烟者中，与烟草相关的医学诊断和症状以及精神疾病很常见，药物和酒精滥用也很常见。该样本中有三分之一的吸烟者打算在未来6个月内戒烟，其中19%计划在未来1个月内戒烟。44%的参与者对戒烟咨询有些或非常感兴趣。在多变量分析中，显著（P < 0.05）的戒烟准备预测因子是对自己戒烟能力的更大信心（自我效能）和对戒烟的更多社会支持。对戒烟咨询感兴趣的多变量预测因子是吸烟相关症状和较高的戒烟自我效能。结论：从一家大型城市教学医院的住院部和门诊部招募的无家可归的吸烟者报告了他们对戒烟和接受戒烟帮助的兴趣。吸烟者认为患有与烟草有关的疾病，对戒烟的能力有更大的信心，在戒烟方面有更多的社会支持，这些都与戒烟的意愿和对戒烟咨询的兴趣有关。酒精和药物滥用与降低戒烟兴趣无关。这些发现表明，无家可归的吸烟者可能受益于与医疗或药物治疗设置相结合的戒烟计划。(C) 2004 Elsevier Ltd.版权所有。
Objectives: To examine smoking behavior in homeless persons, including the impact of self-reported tobacco-related health problems and drug and alcohol abuse on readiness to quit and interest in smoking cessation counseling. Methods: Cross-sectional survey of outpatients and inpatients on the homeless service at Massachusetts General Hospital. Results: Among 98 homeless smokers with a mean age of 44 years, tobacco-related medical diagnoses and symptoms and psychiatric illnesses were common, as were drug and alcohol abuse. One third of the smokers in this sample intended to quit smoking within the next 6 months, including 19% who planned to quit in the next 1 month. Forty-four percent of the participants were somewhat or very interested in smoking cessation counseling. In multivariate analyses, significant (P < .05) predictors of readiness to quit smoking were greater confidence in one's ability to quit (self-efficacy) and more social support for quitting. Multivariate predictors of interest in smoking cessation counseling were smoking-related symptoms and higher self-efficacy for quitting. Conclusions: Homeless smokers recruited from the inpatient and outpatient services of a large, urban teaching hospital reported interest in both stopping tobacco use and receiving assistance to quit smoking. Having an illness that a smoker believes is tobacco-related, having greater confidence in the ability to quit, and having more social support for quitting were associated with greater readiness to quit and more interest in smoking cessation counseling. Alcohol and drug abuse were not associated with reduced interest in quitting smoking. These findings suggest that homeless smokers may benefit from smoking cessation programs that are colocated in medical or drug treatment settings. (C) 2004 Elsevier Ltd. All rights reserved.