Barriers and Pathways to Changing Smoking and Risky Drinking in Primary Care Patients With Chronic Conditions Who Failed to Respond to Brief Advice.
Barriers and Pathways to Changing Smoking and Risky Drinking in Primary Care Patients With Chronic Conditions Who Failed to Respond to Brief Advice.
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DOI：
10.4088/pcc.20m02836
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发表时间：
2021-08-19
影响因子：
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通讯作者：
Maisto, Stephen A
中科院分区：
文献类型：
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作者：
Gass, Julie C;Funderburk, Jennifer S;Maisto, Stephen A
目的：许多吸烟或饮酒达到危险水平的人患有由这些行为引起或加剧的慢性疾病。本调查研究的目的是获得对标准初级保健干预措施没有反应的有相关健康状况的吸烟者/危险饮酒者的卫生保健问题、障碍和改变指标的准备情况的数据。方法：167名参与者（120名报告目前吸烟或危险饮酒或两者兼有）在2017/2018年完成了1次邮寄调查。参与者被问及吸烟和饮酒习惯、身体健康和损伤、健康相关问题以及改变吸烟和饮酒的障碍和准备情况。结果：对于吸烟者和饮酒者来说，最常见的健康问题与心血管有关（分别为22%和19%），尽管共同使用者更关心疼痛。改变的最常见障碍是缺乏动力和相信酒精/烟草不会影响他们的健康。对于吸烟者和饮酒者来说，更强烈地相信吸烟/饮酒不会影响他们的健康，与改变的重要性较低相关。结论：本研究的数据表明，患者报告没有改变的主要原因是动机缺陷，可能是信息缺陷。在一群患有吸烟和危险饮酒禁忌症的病人中，他们相信自己的行为不会造成问题，他们的健康不会受到自己行为的影响，这表明需要加强重点教育。
Objective: Many individuals who smoke tobacco or consume alcohol at hazardous levels have chronic conditions that are caused or exacerbated by these behaviors. The objective of this survey study was to obtain data on the health care concerns, barriers, and readiness to change indicators of smokers/risky drinkers with related health conditions who have not responded to standard primary care interventions.Methods: 167 participants (120 who reported current smoking or risky drinking or both) completed a 1-time mailed survey in 2017/2018. Participants were asked about smoking and drinking habits, physical health and impairments, health-related concerns, and barriers and readiness to change smoking and drinking.Results: For smokers and drinkers, the most common health concern was cardiovascular related (22% and 19%, respectively), though co-users were more concerned about pain. The most common barriers to change were lacking motivation and belief that alcohol/tobacco was not impacting their health. For smokers and drinkers, stronger beliefs that smoking/drinking does not affect their health was associated with lower importance of changing.Conclusions: Data from this study suggest that the main reasons patients report not changing are based on deficits in motivation and likely in information. In a group of patients who all have conditions that contraindicate smoking and risky drinking, their belief that their behaviors do not cause problems and that their health is not affected by their behaviors suggests a need for increased, focused education.