Investigating smoking and nicotine dependence among people with severe mental illness during the COVID-19 pandemic: analysis of linked data from a UK Closing the Gap cohort.

Investigating smoking and nicotine dependence among people with severe mental illness during the COVID-19 pandemic: analysis of linked data from a UK Closing the Gap cohort.
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DOI:
10.1192/bjo.2021.45
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发表时间:
2021-04-23
期刊:
影响因子:
5.4
通讯作者:
Gilbody S
Gilbody S
中科院分区:
医学3区
文献类型:
--
作者:
Peckham E;Allgar V;Crosland S;Heron P;Johnston G;Newbronner E;Ratschen E;Spanakis P;Wadman R;Walker L;Gilbody S

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使用心理健康服务的人吸烟率更高,这在很大程度上造成了健康不平等。吸烟会导致更糟糕的COVID-19结果,但目前尚不清楚吸烟是否改变了使用心理健康服务的人。我们在一个大型的严重精神疾病患者临床队列中研究了大流行之前和期间的吸烟模式。我们发现了高水平的尼古丁依赖和更严重的吸烟模式。虽然有些人已经戒烟,但吸烟的不平等可能已经变得更加根深蒂固。心理健康服务应设法减轻这种可改变的风险和健康状况不佳的根源。
Smoking rates are higher for people who use mental health services, which contributes substantially to health inequalities. Smoking can lead to worse COVID-19 outcomes, yet it remains unclear whether smoking has changed for people who use mental health services. We examined smoking patterns in a large clinical cohort of people with severe mental illness, before and during the pandemic. We found high levels of nicotine dependence and heavier patterns of smoking. Although some people had reported quitting, it is likely that smoking inequalities have become further entrenched. Mental health services should seek to mitigate this modifiable risk and source of poor health.
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