Focusing on the five A's: A comparison of homeless and housed patients' access to and use of pharmacist-provided smoking cessation treatment

Connor, Sharon E.; Scharf, Deborah M.; Jonkman, Lauren J.; Herbert, Mary

doi:10.1016/j.sapharm.2013.05.011

Cited by 12 publications

(6 citation statements)

References 37 publications

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“…However, use of nicotine replacement therapy was not associated with increased quitting when compared to controls in a recent randomized controlled trial with low-income smokers [19]. Many factors may influence the use of cessation aids, including access to medications as well as perceived efficacy of these medications during a quit attempt [16,[19][20][21]. Our results highlight the need for studies that examine the reasons behind the low rates of use of cessation medications among homeless adults.…”

Section: Discussionmentioning

confidence: 64%

Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults

Vijayaraghavan,

Pierce

2015

J Community Health

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Homeless adults have among the highest rates of cigarette smoking. Few studies have explored the potential of smoke-free policies as facilitators of smoking cessation or harm reduction among sheltered homeless adults. We focused on clients of a homeless shelter in San Diego, California. The facility prohibited smoking indoors and outdoors within five blocks of the building, and permitted smoking during four smoking breaks during the day in designated smoking zones away from the building. Current and former smokers who were residents of the facility were interviewed on smoking behaviors and attitudes toward these policies. Of the 170 ever smokers, 75.3 % were current smokers. The average daily cigarette consumption was 6.6 cigarettes per day (SD 4.3). More than half of the participants (57.8 %) attempted to quit smoking in the past year. Of the current smokers, threefourths agreed that the facility policies were associated with their reduced consumption, and about half agreed that the policies were associated with either making a quit attempt or getting ready to quit completely. Sixty percent agreed that further restrictions on smoking, beyond the current policies, would be associated with increased interest in quitting smoking completely. Less than 10 % agreed that they were unhappy to stay in the facility because of the policies. Findings suggest that smoke-free policies may not influence occupancy rates in shelters serving clientele with high rates of cigarette smoking. Smoke-free policies in homeless service settings present an important and un-tapped opportunity to reduce smoking behaviors among homeless adults.

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Section: Discussionmentioning

confidence: 64%

Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults

Vijayaraghavan,

Pierce

2015

J Community Health

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“…31 Health promotion programs for underserved populations usually focus on chronic conditions or smoking cessation. 32-34 This study indicates that the inclusion of oral health in health education programs may be beneficial not only for improving oral health but also for contributing to a healthy lifestyle and, as a result, better general physical health. Establishing effective plaque-removal habits, such as regular tooth brushing, may be an easy lifestyle change, and may increase health consciousness resulting in an improved lifestyle in the long term.…”

Section: Discussionmentioning

confidence: 81%

Association Between Health-Related Beliefs and Oral Health Behaviors Among Uninsured Primary Care Patients

Kamimura

Gull

Wright

et al. 2016

J Prim Care Community Health

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Introduction: The collaborations between dental care providers and other health care providers are especially needed for underserved populations. There is a deficit of research focused on underserved populations who utilize a safety net facility such as a free clinic in the United States. The purpose of this study is to examine the association between health-related beliefs and oral health behaviors among uninsured adults utilizing a primary care free clinic providing oral health care. Methods: Uninsured primary care patients utilizing a free clinic (N = 585) participated in a self-administered paper survey in May and June, 2016. Results: More than 60% of free clinic patients reported a perceived need for dental treatment. Free clinic patients who brush their teeth more than once a day reported better perceived general health compared with those who do not brush their teeth more than once a day. Free clinic patients who had perceived a need for dental treatment reported worse perceived general health compared to those who did not report dental needs. Conclusions: The results of this study indicate a pressing need for the further development of dental care services at safety-net clinics. By including dental care in health promotion programs, it will have positive impacts not only on oral health but also on a healthy lifestyle and the general health of underserved populations utilizing a safety-net clinic. The implementation and evaluation of the integrated health programs, which include primary care and oral health care together, would be beneficial to reduce oral health disparities.

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“…Though individuals who are homeless are willing to make smoking cessation attempts, more intensive intervention is likely needed (Carpenter et al, 2015). Individuals who are homeless have differences in their smoking cessation process, such as pervasiveness of others smoking in the vicinity (Tsai & Rosenheck, 2012) and difficulty gaining access and transportation to treatment resources (Connor, Scharf, Jonkman, & Herbert, 2014). All participants reported being in either the contemplation ( n = 35) or preparation ( n = 17) stage of quitting smoking at the screening session, which means they were planning to make a quit attempt in the next six months.…”

Section: Methodsmentioning

confidence: 99%

Roles of inter-individual differences and intra-individual acute elevations in early smoking lapse in people with posttraumatic stress disorder

Dedert

Hicks

Dennis

et al. 2016

Addictive Behaviors

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Existing models of the role of posttraumatic stress disorder (PTSD) symptoms and smoking have almost exclusively examined mean symptom levels, rather than the acute elevations that might trigger smoking lapse immediately or increase risk of a smoking lapse in the next few hours. We examined ecological momentary assessments (EMA) of PTSD symptom clusters and smoking in the first week of a quit attempt in 52 people with PTSD. In multilevel models including PTSD symptom means, acute elevations, and lagged acute elevations together as simultaneous predictors of odds of smoking in the same models, pre-quit smoking occasions were significantly related to acute elevations in symptoms, including PTSD totals (OR = 1.20; 95% CI, 1.10 to 1.31), PTSD re-experiencing symptoms (OR = 1.16; 95% CI, 1.06 to 1.27), PTSD avoidance symptoms (OR = 1.20; 95% CI, 1.10 to 1.31), PTSD numbing symptoms (OR = 1.14; 95% CI, 1.04 to 1.24), and PTSD hyperarousal symptoms (OR = 1.20; 95% CI, 1.09 to 1.31). In contrast, post-quit smoking was related to lagged acute elevations in PTSD re-experiencing (OR = 1.24, 95% CI, 1.03 to 1.50) avoidance (OR = 1.27, 95% CI, 1.05 to 1.53), and numbing symptoms (OR = 1.24, 95% CI, 1.02 to 1.51). During a quit attempt, individuals with PTSD delayed smoking in response to acute elevations in PTSD re-experiencing and Avoidance. This period presents an opportunity to use mobile health interventions to prevent smoking lapse and to use coping skills acquired in trauma-focused therapy to respond to acute PTSD symptom elevation.

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Focusing on the five A's: A comparison of homeless and housed patients' access to and use of pharmacist-provided smoking cessation treatment

Cited by 12 publications

References 37 publications

Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults

Interest in Smoking Cessation Related to a Smoke-Free Policy Among Homeless Adults

Association Between Health-Related Beliefs and Oral Health Behaviors Among Uninsured Primary Care Patients

Roles of inter-individual differences and intra-individual acute elevations in early smoking lapse in people with posttraumatic stress disorder

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