Comparison of cigarette smoking knowledge, attitudes, and practices among staff in perinatal and other substance abuse treatment settings.
Comparison of cigarette smoking knowledge, attitudes, and practices among staff in perinatal and other substance abuse treatment settings.
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DOI：
10.1097/adm.0000000000000068
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发表时间：
2014-09
影响因子：
5.5
通讯作者：
Chisolm MS
中科院分区：
文献类型：
--
作者：
Miller-Thomas T;Leoutsakos JM;Terplan M;Brigham EP;Chisolm MS
尽管吸烟导致的高患病率和已知的发病率和死亡率，但60-70%的药物滥用治疗计划缺乏戒烟咨询或未能提供戒烟药物治疗，包括那些旨在满足药物依赖妊娠患者需求的计划。以往的研究工作人员的知识，态度和做法（S-KAP）在一般药物滥用/艾滋病毒治疗方案表明，工作人员可能会导致在这些设置戒烟治疗的不足。目前尚不清楚在围产期药物滥用治疗方案中是否存在类似的缺陷。本研究比较了吸烟S-KAP在围产期药物滥用（n=41）和一般药物滥用/艾滋病毒治疗（退伍军人事务部[VA]医疗中心，医院和社区为基础的）劳动力样本（n=335）。两组在所有指标上均存在显著差异，但围产期工作人员仅在戒烟服务障碍指标上优于普通工作人员。围产期工作人员比较不利的所有其他措施：知识，信念/态度，自我效能，戒烟的做法。成对的知识和信念/态度的比较显示围产期和VA工作人员之间的显着差异;自我效能，围产期和工作人员之间在所有其他设置;和戒烟的做法，围产期和VA和社区工作人员之间。这些结果-显示围产期工作人员对大多数S-KAP措施的缺陷-是令人担忧的，并建议确定差距和改善S-KAP围产期药物滥用计划是迫切需要的，为此VA可能提供一个有效的模式。
Despite the high prevalence and known morbidity and mortality caused by cigarette smoking, 60–70% of substance abuse treatment programs lack smoking cessation counseling or fail to offer pharmacotherapy for smoking cessation, including those programs designed to meet the needs of drug-dependent pregnant patients. Previous studies of staff knowledge, attitudes, and practices (S-KAP) at general substance abuse/HIV treatment programs have suggested that staff may contribute to the deficiency in smoking cessation treatment in these settings. It is not known whether similar deficiencies exist at perinatal substance abuse treatment programs. This study compared cigarette S-KAP in perinatal substance abuse (n=41) and general substance abuse/HIV treatment (Veterans Affairs [VA] medical center, hospital-, and community-based) workforce samples (n=335). Significant differences were seen between the two groups on all measures, but perinatal staff compared favorably to general staff only on measures of barriers to smoking cessation services. Perinatal staff compared unfavorably on all other measures: knowledge, beliefs/attitudes, self-efficacy, and smoking cessation practices. Pair-wise comparisons of knowledge and beliefs/attitudes revealed a significant difference between perinatal and VA staff; of self-efficacy, between perinatal and staff at all other settings; and of smoking cessation practices, between perinatal and VA and community-based staff. These results – showing deficiencies of perinatal staff on most S-KAP measures – are concerning and suggest that identifying gaps in and improving S-KAP in perinatal substance abuse programs is urgently needed, for which the VA may provide an efficacious model.