Environmental tobacco smoke exposure among smokers and non-smokers receiving outpatient substance abuse treatment.

Environmental tobacco smoke exposure among smokers and non-smokers receiving outpatient substance abuse treatment.
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DOI:
10.1016/j.addbeh.2014.07.016
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发表时间:
2014-12
影响因子:
4.4
通讯作者:
Stitzer, Maxine
Stitzer, Maxine
中科院分区:
医学2区
文献类型:
--
作者:
Acquavita, Shauna P.;McClure, Erin A.;Hargraves, Daniel;Stitzer, Maxine

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环境烟草烟雾(ETS)与许多健康问题有关。虽然研究表明,在接受物质使用障碍(SUD)治疗的个体中,烟草使用的流行率很高,但没有研究在接受SUD治疗的个体中检查ETS,特别关注可能有高暴露于ETS风险的非吸烟者。参加门诊药物滥用治疗的参与者(N=261)完成了一项调查,其中14个项目被用来量化ETS暴露和吸烟政策在几个环境中。在吸烟者中,85%的人报告他们的重要他人也吸烟,而非吸烟者中只有15%(X2=6.624,p<.05)。Logistic回归分析了预测家庭吸烟的特征。总体模型是显著的(χ2 = 36.046,p < .0005),独立预测家中吸烟的变量包括高中文凭以下、女性和与吸烟者生活在一起。收入,年龄和与孩子一起生活并不重要。总体而言,42%的白色白领工人、26%的服务人员和30%的蓝领工人报告没有接触过ETS。67%的吸烟者强烈同意或同意二手烟的危害已经得到明确证明,而非吸烟者的比例为58%。参加门诊药物滥用治疗的吸烟者和非吸烟者经常在家中、工作场所和社交环境中暴露于ETS。ETS的危险应该通过教育、无烟政策和戒烟资源在他们的治疗机构的帮助下在这一人群中得到解决。
Environmental Tobacco Smoke (ETS) has been linked to numerous health problems. While research has demonstrated high prevalence of tobacco use among individuals receiving treatment for substance use disorders (SUDs), no studies have examined ETS among individuals receiving treatment for SUDs, paying specific attention to non-smokers who may be at risk for high exposure to ETS. Participants (N=261) enrolled in outpatient substance abuse treatment completed a survey, in which 14 items were used to quantify ETS exposure and smoking policies across several environments. Among smokers, 85% reported that their significant others also smoked as compared to 15% among non-smokers (X2=6.624, p<.05). A logistic regression examined the characteristics that predicted smoking in the home. The overall model was significant, (χ2 = 36.046, p < .0005) with variables that independently predicted smoking in the home included having less than a high school diploma, being female, and living with a smoker. Income, age, and living with children were not found to be significant. Overall, 42% white collar workers 26% of service workers and 30% of blue collar workers reported no exposure to ETS. Sixty-seven percent of smokers strongly agreed or agreed the hazards of secondhand smoke have been clearly demonstrated versus 58% of non-smokers. Smokers and non-smokers enrolled in outpatient substance abuse treatment are frequently exposed to ETS at home, work, and in social settings. The dangers of ETS should be addressed among this population through education, smoke-free policies, and cessation resources, with help from their treatment facility.
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