Smoking and mental illness: a population study in South Australia
Smoking and mental illness: a population study in South Australia
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DOI：
10.3109/00048674.2010.536904
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发表时间：
2011-04-01
影响因子：
4.6
通讯作者：
Hiller, Janet E.
中科院分区：
文献类型：
--
作者：
Bowden, Jacqueline A.;Miller, Caroline L.;Hiller, Janet E.
目的：调查南澳大利亚州精神病患者的吸烟率和吸烟行为，并与非精神病患者进行比较。方法：收集2005-2007年间南澳大利亚州3个具有代表性的15岁人群的横断面调查数据。合并后的数据产生的总样本量为8417。主要观察指标为：吸烟率、烟草依赖程度、对主动吸烟和被动吸烟对健康影响的认识、无烟家庭和汽车、健康警示的知晓和戒烟辅助工具的使用。结果：总体上，26.4%的一般精神疾病人口和51.2%的严重精神疾病人口吸烟，而非精神疾病人口的这一比例为18.7%。患有精神疾病，特别是严重精神疾病的人表现出更高的烟草依赖程度。患有严重精神疾病的吸烟者不太可能拥有无烟家庭(OR=0.29，95%CI为0.16~0.55)。电视是向所有群体展示吸烟对健康影响的有效媒介。在过去的一年中，普通精神病患者比非精神病患者更倾向于向全科医生寻求帮助戒烟的建议(OR=2.02，95%CI为1.07~3.84)。结论：尽管患有精神病的吸烟者对吸烟的依赖程度更高，但他们有戒烟的兴趣。有一些主流烟草控制战略可以进一步利用(例如，大众媒体和保健专业人员转介到Quitline)，以增加这一弱势群体的戒烟情况。
Objective: To examine smoking prevalence and smoking behaviour among South Australians with a mental illness and compare findings to those with no mental illness.Method: Data were collected in three cross-sectional representative population surveys of South Australians aged >= 15 years from 2005 to 2007. Merged data yielded a total sample size of 8417. The main outcome measures were: smoking prevalence, measures of tobacco dependence, awareness of the health effects of active and passive smoking, smoke-free homes and cars, awareness of health warnings, and use of cessation aids by two measures of mental illness status.Results: Overall 26.4% of the population with a general mental illness and 51.2% of the population with a severe mental illness smoked, compared to 18.7% of the population without a mental illness. People with a mental illness, particularly severe mental illness displayed higher measures of tobacco dependence. Smokers with a severe mental illness were less likely to have smoke-free homes (OR = 0.29, 95% CI 0.16-0.55). Television was an effective medium to present the health effects of smoking to all groups. Those with a general mental illness were more likely than those with no mental illness to have asked a general practitioner for advice to help them quit in the past year (OR = 2.02, 95% CI 1.07-3.84).Conclusions: Whilst smokers with a mental illness are more dependent on their smoking; they are interested in quitting. There are a number of mainstream tobacco control strategies that could be further utilized (e.g. mass media and health professional referrals to the Quitline) to increase cessation among this disadvantaged group.