Tobacco use in people with severe mental illness: Findings from a multi-country survey of mental health institutions in South Asia.
Tobacco use in people with severe mental illness: Findings from a multi-country survey of mental health institutions in South Asia.
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DOI：
10.18332/tid/174361
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发表时间：
2023
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
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患有严重精神疾病(SMI)的人往往会因心血管和呼吸系统疾病而过早死亡，这可能与吸烟有关。在大多数烟草使用者居住的低收入和中等收入国家，关于SMI患者使用烟草的信息有限。我们提供了关于南亚重度精神障碍患者的烟草使用和他们获得戒烟建议的新数据。我们对孟加拉国、印度和巴基斯坦的精神卫生机构的患有SMI的成年人进行了多国调查。使用标准的WHO STEPS调查工具收集的数据，我们估计了烟草使用的流行率和分布，并评估了戒烟建议的接受情况。我们招募了3874名患有SMI的参与者；46.8%的男性和15.0%的女性分别吸烟。男性的吸烟率因国家而异(孟加拉国42.8%，印度20.1%，巴基斯坦31.7%)；每个国家都有4%的女性报告吸烟。男性使用无烟烟草的情况也因国家不同而不同(孟加拉国16.2%、印度18.2%和巴基斯坦40.8%)；女性使用无烟烟草的比例在孟加拉国更高(19.1%)，但在印度(9.9%)和巴基斯坦(9.1%)相似。刚刚超过三分之一的吸烟者(38.4%)接受过戒烟建议。在吸烟者中，29.1%(n=244)的人在过去一年中至少尝试过一次戒烟。有强有力的证据表明吸烟与抑郁(OR=1.29；95%CI：1.12-1.48)和焦虑(OR=1.29；95%CI：1.12-1.49)的严重程度有关。正如在高收入国家观察到的那样，我们发现，与南亚普通人群报告的烟草使用率相比，患有SMI的人，特别是男性，烟草使用率更高。心理健康服务中的戒烟支持提供了一个机会，缩小了SMI与普通人群之间的预期寿命差距。ISRCTN88485933；https://doi.org/10.1186/ISRCTN88485933 39
People with severe mental illness (SMI) tend to die early due to cardiovascular and respiratory diseases, which may be linked to tobacco use. There is limited information on tobacco use in people with SMI in low- and middle-income countries where most tobacco users reside. We present novel data on tobacco use in people with SMI and their access to tobacco cessation advice in South Asia. We conducted a multi-country survey of adults with SMI attending mental health facilities in Bangladesh, India, and Pakistan. Using data collected with a standardized WHO STEPS survey tool, we estimated the prevalence and distribution of tobacco use and assessed receipt of tobacco cessation advice. We recruited 3874 participants with SMI; 46.8% and 15.0% of men and women consumed tobacco, respectively. Smoking prevalence in men varied by country (Bangladesh 42.8%, India 20.1% and Pakistan 31.7%); <4% of women reported smoking in each country. Smokeless tobacco use in men also varied by country (Bangladesh 16.2%, India 18.2% and Pakistan 40.8%); for women, it was higher in Bangladesh (19.1%), but similar in India (9.9%) and Pakistan (9.1%). Just over a third of tobacco users (38.4%) had received advice to quit tobacco. Among smokers, 29.1% (n=244) made at least one quit attempt in the past year. There was strong evidence for the association between tobacco use and the severity of depression (OR=1.29; 95% CI: 1.12–1.48) and anxiety (OR=1.29; 95% CI: 1.12–1.49). As observed in high-income countries, we found higher tobacco use in people with SMI, particularly in men compared with rates reported for the general population in South Asia. Tobacco cessation support within mental health services offers an opportunity to close the gap in life expectancy between SMI and the general population. ISRCTN88485933; https://doi.org/10.1186/ISRCTN88485933 39
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