Public health and therapeutic aspects of smoking bans in mental health and addiction settings
Public health and therapeutic aspects of smoking bans in mental health and addiction settings
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DOI：
10.1176/appi.ps.53.12.1617
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发表时间：
2002-12-01
影响因子：
3.8
通讯作者：
Gloster, S
中科院分区：
文献类型：
--
作者：
el-Guebaly, N;Cathcart, J;Gloster, S
目标：卫生保健机构越来越多地执行禁烟政策。有人担心，这些政策可能会对患有精神疾病或依赖药物的吸烟者产生负面影响。作者进行了文献回顾，分析相关的经验证据。方法：检索主要的卫生保健数据库。主要检索词包括吸烟、戒烟、尼古丁、卫生政策、医院政策、无烟政策、精神疾病和物质使用障碍。搜索仅限于实证研究，分析的基础上的设计，监测的行为指标，和问卷调查的结果。结果与结论：共有22项关于全面或部分禁烟影响的调查表明，这些政策在不安或遵守行为指标方面没有长期的重大不利影响。然而，这些政策似乎对戒烟几乎没有影响。戒烟策略应该是禁烟政策的一个固有组成部分。
Objective: Health care facilities are increasingly implementing policies that ban smoking. A concern has been raised that these policies may have a negative impact on smokers who are mentally ill or substance dependent. The authors conducted a literature review to analyze the relevant empirical evidence. Methods: Major health care databases were searched. Major search terms included smoking, smoking cessation, nicotine, health policy, hospital policy, smoke-free policy, psychiatric disorders, and substance use disorders. The search was limited to empirical studies, which were analyzed on the basis of design, the behavioral indicators monitored, and the results of questionnaires. Results and conclusions: A total of 22 investigations of the impact of total or partial smoking bans suggest that the policies have had no major long-standing untoward effect in terms of behavioral indicators of unrest or compliance. However, the policies appear to have had little or no effect on smoking cessation. Smoking cessation strategies should be an inherent component of policies that ban smoking.