A 51-Year-Old Woman With Bipolar Disorder Who Wants to Quit Smoking

Schroeder, Steven A.

doi:10.1001/jama.2008.982

Cited by 46 publications

(52 citation statements)

References 74 publications

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“…About 200,000 of the 443,000 premature deaths from smoking in the United States are estimated to occur in these populations (74,108,133). These individuals also suffer disproportionately from smoking-related disabilities.…”

Section: Disproportionate Harm From Smoking Among Those With Mental Imentioning

confidence: 99%

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Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Schroeder

Morris

2010

Annu. Rev. Public Health

317

309

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Tobacco use exerts a huge toll on persons with mental illnesses and substance abuse disorders, accounting for 200,000 of the annual 443,000 annual tobacco-related deaths in the United States. Persons with chronic mental illness die 25 years earlier than the general population does, and smoking is the major contributor to that premature mortality. This population consumes 44% of all cigarettes, reflecting very high prevalence rates plus heavy smoking by users. The pattern reflects a combination of biological, psychosocial, cultural, and tobacco industry-related factors. Although provider and patient perspectives are changing, smoking has been a historically accepted part of behavioral health settings. Additional harm results from the economic burden imposed by purchasing cigarettes and enduring the stigma attached to smoking. Tailored treatment for this population involves standard cessation treatments including counseling, medications, and telephone quitlines. Further progress depends on clinician and patient education, expanded access to treatment, and the resolution of existing knowledge gaps.

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Section: Disproportionate Harm From Smoking Among Those With Mental Imentioning

confidence: 99%

“…Because smoking is concentrated in the special populations of persons with mental illnesses and/or substance abuse disorders, these populations are key to achieving desired gains in population health (108). Yet, tobacco use in these groups remained a hidden epidemic until quite recently (105,108).…”

Section: Introductionmentioning

confidence: 99%

Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Schroeder

Morris

2010

Annu. Rev. Public Health

317

309

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“…[10,32] Literature in this area often makes the commonsense assumption that, since persons with mental illness both smoke at a higher rate and die sooner than the general population, smoking causes at least some excess mortality. [28][29][30][31][32] Oregon data do not support this conflation, since persons receiving mental health services did not die of tobacco-related deaths in greater proportion than the general population. Further research may confirm or disconfirm this finding but, until that time, caution is needed to interpret how higher smoking prevalence may be related to greater mortality among those with mental illness.…”

Section: Discussionmentioning

confidence: 97%

Tobacco-related mortality among persons with mental health and substance abuse problems

Bandiera¹,

Guydish²,

Berhanu

2015

Drug and Alcohol Dependence

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The rate of cigarette smoking is greater among persons with mental health and/or substance abuse problems. There are few population-based datasets with which to study tobacco mortality in these vulnerable groups. The Oregon Health Authority identified persons who received publicly-funded mental health or substance abuse services from January 1996 through December 2005. These cases were then matched to Oregon Vital Statistics records for all deaths (N= 148,761) in the period 1999-2005. The rate of tobacco-related death rates was higher among persons with substance abuse problems only (53.6%) and those with both substance abuse and mental health problems (46.8%), as compared to the general population (30.7%). The rate of tobacco-related deaths among persons with mental health problems (30%) was similar to that in the general population. Persons receiving substance abuse treatment alone, or receiving both substance abuse and mental health treatment, were more likely to die and more likely to die prematurely of tobacco-related causes as compared to the general population. Persons receiving mental health services alone were not more likely to die of tobacco-related causes, but tobacco-related deaths occurred earlier in this population.

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“…It has been suggested that as many as 200,000 of the 435,000 deaths from smoking in the United States occur among individuals with ADM disorders (Schroeder, 2009). Although instrumental variable analyses have been previously used with cross-sectional data to demonstrate the effectiveness of PCP smoking cessation counseling on successful quitting among smokers in the general population (Bao et al, 2006), this is the first study to demonstrate that past year PCP smoking cessation counseling is positively associated with successful quitting among smokers with ADM disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Most smokers with ADM disorders want to quit smoking (Schroeder, 2009). Smokers with ADM disorders should continue to be targeted for smoking cessation counseling, particularly by PCPs.…”

Section: Discussionmentioning

confidence: 99%

Primary Care Providers Advising Smokers to Quit: Comparing Effectiveness Between Those With and Without Alcohol, Drug, or Mental Disorders

Ong

Zhou

Sung

2011

Nicotine & Tobacco Research

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Introduction: Individuals with alcohol, drug, or mental (ADM) disorders combined make up over 40% of all smokers in the U.S. Primary care providers (PCPs) play an important role in smoking cessation counseling, but their effectiveness with this population is unclear. This study evaluated the effectiveness of PCP smoking cessation counseling for smokers with ADM disorders. Methods Results:Smokers with and without ADM disorders were equally likely to receive smoking cessation counseling (72.9% vs. 69.9%). Using the instrumental variable approach, smoking cessation counseling by PCPs was significantly associated (p < .01) with quitting among both groups. Predicted probabilities of quitting without smoking cessation counseling were 6.0% for smokers with ADM disorders and 10.5% for smokers without ADM disorders. Predicted probabilities of quitting with smoking cessation counseling were 31.3% for smokers with ADM disorders and 34.9% for smokers without ADM disorders.Conclusions: This study shows that PCPs can help smokers with ADM disorders successfully quit. These smokers should be targeted for smoking cessation counseling to reduce the health burden of tobacco.

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A 51-Year-Old Woman With Bipolar Disorder Who Wants to Quit Smoking

Cited by 46 publications

References 74 publications

Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Confronting a Neglected Epidemic: Tobacco Cessation for Persons with Mental Illnesses and Substance Abuse Problems

Tobacco-related mortality among persons with mental health and substance abuse problems

Primary Care Providers Advising Smokers to Quit: Comparing Effectiveness Between Those With and Without Alcohol, Drug, or Mental Disorders

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