Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives.
Smoking Cessation and Electronic Cigarettes in Community Mental Health Centers: Patient and Provider Perspectives.
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DOI：
10.1007/s10597-016-0065-8
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发表时间：
2017-08
影响因子：
2.7
通讯作者：
Bierut LJ
中科院分区：
文献类型：
--
作者：
Chen LS;Baker T;Brownson RC;Carney RM;Jorenby D;Hartz S;Smock N;Johnson M;Ziedonis D;Bierut LJ
关于患者的电子烟使用，对戒烟治疗的兴趣和使用以及提供者对这种治疗的态度知之甚少。我们评估了四个社区精神卫生中心的患者（N = 231）和提供者（45名精神科医生，97名个案工作者）。有趣的是，50%的吸烟者表示有兴趣使用电子烟戒烟，22%的人表示目前正在使用电子烟。虽然82%的吸烟者报告说想要戒烟或减少吸烟，但91%的精神科医生和84%的个案工作者报告说，患者对戒烟不感兴趣，因为这是一个铅障碍，限制了戒烟干预措施的提供。提供者假设患者对治疗的兴趣较低，这可能是戒烟治疗率较低的原因。相比之下，患者报告对电子烟的兴趣和积极使用来戒烟。这项研究强调了针对这些患者不成比例地患有烟草依赖的戒烟不同阶段进行干预的必要性。
Little is known about patients' electronic cigarette use, interest in and use of smoking cessation treatments, and providers' attitude towards such treatment. We assessed patients (N = 231) and providers (45 psychiatrists, 97 case workers) in four Community Mental Health Centers. Interestingly, 50% of smokers reported interest in using electronic cigarettes to quit smoking, and 22% reported current use. While 82% of smokers reported wanting to quit or reduce smoking, 91% of psychiatrists and 84% of case workers reported that patients were not interested in quitting as the lead barrier, limiting the provision of cessation interventions. Providers' assumption of low patient interest in treatment may account for the low rate of smoking cessation treatment. In contrast, patients report interest and active use of electronic cigarettes to quit smoking. This study highlights the need for interventions targeting different phases of smoking cessation in these patients suffering disproportionately from tobacco dependence.