Cigarette Smoking Quit Rates Among Persons With Serious Psychological Distress in the United States From 2008 to 2016: Are Mental Health Disparities in Cigarette Use Increasing?
Cigarette Smoking Quit Rates Among Persons With Serious Psychological Distress in the United States From 2008 to 2016: Are Mental Health Disparities in Cigarette Use Increasing?
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DOI：
10.1093/ntr/nty227
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发表时间：
2020-01-01
影响因子：
4.7
通讯作者：
Goodwin, Renee D.
中科院分区：
文献类型：
--
作者：
Streck, Joanna M.;Weinberger, Andrea H.;Goodwin, Renee D.
简介：之前的研究表明，与没有心理健康问题的人相比，有心理健康问题的人吸烟的患病率持续较高。较低的戒烟率是导致该群体吸烟率较高的因素之一。本研究估计了 2008 年至 2016 年美国上个月有或没有严重心理困扰 (SPD) 的人群的戒烟率趋势。 方法：数据来自 2008-2016 年全国药物使用与健康调查（一项重复的横断面全国调查）的 91 739 名成人参与者。使用以连续年份作为预测变量的逻辑回归模型评估按过去一个月 SPD 分层的戒烟率线性时间趋势。结果：从 2008 年到 2016 年，每年过去一个月 SPD 个体的戒烟率均低于无 SPD 个体的戒烟率。过去一个月 SPD 个体的戒烟率没有明显变化（比值比 = 1.02 [0.99, 1.06]） 2008 年至 2016 年，而过去一个月没有 SPD 的人的戒烟率有所上升（比值比 = 1.02 [1.01, 1.02]）。 结论：在美国，过去一个月有 SPD 的人的戒烟率大约是没有 SPD 的人的一半，并且在过去十年中没有增加。戒烟率的这种差异可能是导致有心理健康问题的人和没有心理健康问题的人之间吸烟率差异日益扩大的因素之一。烟草控制工作需要对有心理健康问题的人采取有效和有针对性的干预措施。
Introduction: Prior work suggests that the prevalence of cigarette smoking is persistently higher among people with mental health problems, relative to those without. Lower quit rates are one factor that could contribute to higher prevalence of smoking in this group. This study estimated trends in the cigarette quit rates among people with and without past-month serious psychological distress (SPD) from 2008 to 2016 in the United States.Methods: Data were drawn from 91 739 adult participants in the 2008-2016 National Survey on Drug Use and Health, a repeated, cross-sectional, national survey. Linear time trends of cigarette quit rates, stratified by past-month SPD, were assessed using logistic regression models with continuous year as the predictor.Results: Cigarette quit rates among individuals with past-month SPD were lower than among those without SPD every year from 2008 to 2016. Quit rates did not change appreciably among those with past-month SPD (odds ratio = 1.02 [0.99, 1.06]) from 2008 to 2016, whereas quit rates increased among those without past-month SPD (odds ratio = 1.02 [1.01, 1.02]).Conclusions: In the United States, quit rates among individuals with past-month SPD are approximately half than quit rates of those without SPD and have not increased over the past decade. This discrepancy in quit rates may be one factor driving increasing disparities in prevalence of smoking among those with versus without mental health problems. Tobacco control efforts require effective and targeted interventions for those with mental health problems.