Cigarette smoking and 9/11-related posttraumatic stress disorder among World Trade Center Health Registry enrollees, 2003-12.
Cigarette smoking and 9/11-related posttraumatic stress disorder among World Trade Center Health Registry enrollees, 2003-12.
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世界贸易中心健康登记处登记者中吸烟和与 9/11 相关的创伤后应激障碍，2003 年 12 月。
DOI：
10.1016/j.ypmed.2015.01.023
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发表时间：
2015
影响因子：
5.1
通讯作者：
Johns,Michael
中科院分区：
文献类型：
--
作者：
Welch,AliceE;Jasek,JohnP;Caramanica,Kimberly;Chiles,MarianaC;Johns,Michael
许多研究发现，患有精神健康状况的成年人吸烟率较高。我们研究了创伤后应激障碍（PTSD）和吸烟超过7-9年的时间在成人与第一手接触到9/11攻击登记在世界贸易中心健康Registry.MethodData收集在三个波：W1（2003-04），W2（2006-07），和W3（2011-12）。按吸烟者类型对W1时年龄≥ 25岁且完成所有三个波的入组者（n = 34，458）进行分类：非吸烟者、非每日吸烟者（过去30天内有几天吸烟）、轻度吸烟者（每天1-10支烟（CPD））或重度吸烟者（11 + CPD）。在W1吸烟而不是W3吸烟的入组者被认为已经戒烟。PTSD被定义为得分≥ 44的PTSD检查表平民版本。ResultsSmoking从W1（12.6%）到W3（9.2%）显着下降。PTSD患者中吸烟率较高。在多变量模型中，戒烟的几率是25-39%之间的重，轻，非日常吸烟者与PTSD相比，那些没有.ConclusionPTSD与戒烟的几率降低，无论吸烟者类型。患有PTSD的灾难暴露吸烟者可能需要更多的支持性服务才能戒烟。
ObjectiveNumerous studies have observed higher rates of smoking among adults with mental health conditions. We examined posttraumatic stress disorder (PTSD) and smoking over a 7–9 year period among adults with firsthand exposure to the 9/11 attacks enrolled in the World Trade Center Health Registry.MethodData were collected at three waves: W1 (2003–04), W2 (2006–07), and W3 (2011–12). Enrollees aged ≥ 25 at W1 and who completed all three waves (n = 34,458) were categorized by smoker-type: non-smoker, non-daily (smoked some days in last 30 days), light (1–10 cigarettes per day (CPD)), or heavy (11 + CPD). Enrollees who smoked at W1 but not W3 were considered to have quit. PTSD was defined as a score of ≥ 44 on the PTSD Checklist—Civilian Version.ResultsSmoking declined significantly from W1 (12.6%) to W3 (9.2%). Smoking prevalence was higher among enrollees with PTSD. In multivariable models, odds of quitting were 25–39% lower among heavy, light, and non-daily smokers with PTSD compared to those without.ConclusionPTSD was associated with reduced odds of quitting regardless of smoker-type. Disaster-exposed smokers with PTSD are likely in need of more supportive services in order to abstain from smoking.