A pre-post pilot study of electronic cigarettes to reduce smoking in people with severe mental illness

Hickling, Lauren M.; Pérez-Iglesias, Rocí­o; McNeill, Ann; Dawkins, Lynne; Moxham, John; Ruffell, Tamatha; Sendt, Kyra-Verena; McGuire, Philip

doi:10.1017/s0033291718001782

Cited by 33 publications

(29 citation statements)

References 31 publications

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“…In the Smoking Toolkit Study, they were also associated with increased success rates for smokers with and without mental health problems [40]. Additionally, smaller studies in smokers with severe mental illness who were not interested in quitting found that substantial proportions reduced their smoking by at least 50% when supplied with e-cigarettes [42,43]. Clinicians should ensure that patients (both inpatient and community) have their smoking status identified and recorded in health care records.…”

Section: Discussionmentioning

confidence: 99%

Mental health, smoking, harm reduction and quit attempts – a population survey in England

et al. 2020

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Background: Tobacco control strategies have engendered overall declines in smoking; however, a large gap remains between people with and without mental health problems, causing substantial health inequalities. Population-level information on barriers and opportunities for improvements is scarce. We aimed to assess mental health status of cigarette smokers and recent ex-smokers ('past-year smokers') in England, and smoking and harm reduction behaviour and quit attempts by mental health status. Methods: Data were collected from 5637 current and 434 recent ex-smokers in 2016/17 in household surveys of representative samples of adults. We calculated weighted prevalence of different indicators of mental health problem: a) ever diagnosis, b) none, moderate, serious past-month distress, c) past-year treatment. We compared weighted smoking status, cigarette type, dependence, motivation to stop smoking, cutting down, use of nicotine replacement therapy or e-cigarettes, short-term abstinence, and quit attempts according to mental health status. Results: Among past-year smokers: 35.9% ever had a diagnosis; 24.3% had experienced moderate, an additional 9.7% serious, past-month distress; 21.9% had had past-year treatment. Those with an indication of a mental health problem were more highly dependent and more likely to smoke roll-your-own cigarettes but also more likely to be motivated to stop smoking, to cut down, use nicotine replacement therapy or e-cigarettes and to have attempted to quit in the past year. Conclusions: About a third of cigarette smokers in England have mental health problems. Interventions should address their increased dependence and leverage higher prevalence of harm reduction behaviours, motivation to stop and attempts to stop smoking.

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Section: Discussionmentioning

confidence: 99%

Mental health, smoking, harm reduction and quit attempts – a population survey in England

et al. 2020

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“…In the Smoking Toolkit Study, they were also associated with increased success rates for smokers with and without mental health problems (40). Additionally, smaller studies in smokers with severe mental illness who were not interested in quitting found that substantial proportions reduced their smoking by at least 50% when supplied with e-cigarettes (42,43). Clinicians should ensure that patients (both inpatient and community) have their smoking status identi ed and recorded in health care records.…”

Section: Discussionmentioning

confidence: 99%

Mental health, smoking, harm reduction and quit attempts – a population survey in England

Brose¹,

Brown

Robson

et al. 2020

Preprint

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Background: Tobacco control strategies have engendered overall declines in smoking; however, a large gap remains between people with and without mental health problems, causing substantial health inequalities. Population-level information on barriers and opportunities for improvements is scarce. We aimed to assess mental health status of cigarette smokers and recent ex-smokers (‘past-year smokers’) in England, and smoking and harm reduction behaviour and quit attempts by mental health status.Methods: Data were collected from 5,637 current and 434 recent ex-smokers in 2016/17 in household surveys of representative samples of adults. We calculated weighted prevalence of different indicators of mental health problem: a) ever diagnosis, b) none, moderate, serious past-month distress, c) past-year treatment. We compared weighted smoking status, cigarette type, dependence, motivation to stop smoking, cutting down, use of nicotine replacement therapy or e-cigarettes, short-term abstinence, and quit attempts according to mental health status. Results: Among past-year smokers: 35.9% ever had a diagnosis; 24.3% had experienced moderate, an additional 9.7% serious, past-month distress; 21.9% had had past-year treatment. Those with an indication of a mental health problem were more highly dependent and more likely to smoke roll-your-own cigarettes but also more likely to be motivated to stop smoking, to cut down, use nicotine replacement therapy or e-cigarettes and to have attempted to quit in the past year.Conclusions: About a third of cigarette smokers in England have mental health problems. Interventions should address their increased dependence and leverage higher prevalence of harm reduction behaviours, motivation to stop and attempts to stop smoking.

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“…In quit attempts and accompanied by behavioural support, e-cigarettes have been shown to be more effective than NRT (40). Additionally, smaller studies in smokers with severe mental illness who were not interested in quitting found that substantial proportions reduced their smoking by at least 50% when supplied with e-cigarettes (41,42). Clinicians should ensure that patients (both inpatient and community) have their smoking status identi ed and recorded in health care records.…”

Section: Discussionmentioning

confidence: 99%

Mental health, smoking, harm reduction and quit attempts – a population survey in England

Brose¹,

Brown

Robson

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Abstract Background: Tobacco control strategies have engendered overall declines in smoking; however, a large gap remains between people with and without mental health problems, causing substantial health inequalities. Population-level information on barriers and opportunities for improvements is scarce. We aimed to assess mental health status of cigarette smokers and recent ex-smokers (‘past-year smokers’) in England, and smoking and harm reduction behaviour and quit attempts by mental health status.Methods: Data were collected from 5,637 current and 434 recent ex-smokers in 2016/17 in household surveys of representative samples of adults. We calculated weighted prevalence of different indicators of mental health problem: a) ever diagnosis, b) none, moderate, serious past-month distress, c) past-year treatment. We compared weighted smoking status, cigarette type, dependence, motivation to stop smoking, cutting down, use of nicotine replacement therapy or e-cigarettes, short-term abstinence, and quit attempts according to mental health status. Results: Among past-year smokers: 35.9% ever had a diagnosis; 24.3% had experienced moderate, an additional 9.7% serious, past-month distress; 21.9% had had past-year treatment. Those with an indication of a mental health problem were more highly dependent and more likely to smoke roll-your-own cigarettes but also more likely to be motivated to stop smoking, to cut down, use nicotine replacement therapy or e-cigarettes and to have attempted to quit in the past year.Conclusions: About a third of cigarette smokers in England have mental health problems. Interventions should address their increased dependence and leverage higher prevalence of harm reduction behaviours, motivation to stop and attempts to stop smoking.

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A pre-post pilot study of electronic cigarettes to reduce smoking in people with severe mental illness

Abstract: The provision of e-cigarettes is a potentially useful harm reduction intervention in smokers with a psychotic disorder.

Cited by 33 publications

References 31 publications

Mental health, smoking, harm reduction and quit attempts – a population survey in England

Mental health, smoking, harm reduction and quit attempts – a population survey in England

Mental health, smoking, harm reduction and quit attempts – a population survey in England

Mental health, smoking, harm reduction and quit attempts – a population survey in England

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