Correlates of Current Smoking Among Adults Served by the Public Mental Health System

Swarbrick, Margaret; Cook, Judith Α.; Razzano, Lisa A.; Jonikas, Jessica A.; Gao, Ni; Williams, Jill M.; Yudof, Jay

doi:10.1080/15504263.2017.1296603

Cited by 10 publications

(8 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall smoking prevalence in this study was reported as 72%, which, while alarming, is consistent with the high prevalence of smoking reported among individuals with a mental illness (Chesher et al, 2012;Dickerson et al, 2018;Glasheen, Hedden, Forman-Hoffman, & Colpe, 2014;Grant, Hasin, Chou, Stinson, & Dawson, 2004;Harris, Parle, & Gagné, 2007;Jamal et al, 2016;Lasser et al, 2000;Swarbrick et al, 2017) and in large U.S. national samples of homeless adults (Baggett & Rigotti, 2010;Connor, Cook, Herbert, Neal, & Williams, 2002). The level of nicotine dependence in this sample was high, with a mean FTND score of 6.0 (SD ϭ 2.29).…”

Section: Discussionsupporting

confidence: 86%

“…While the level of tobacco use in the general population has decreased greatly (Jamal et al, 2016; Reid, Hammond, Rynard, Madill, & Burkhalter, 2017), prevalence rates of smoking for individuals with serious mental illness range from 28% to 80% depending on the overall demographic and clinical profile of the population that is being surveyed (Chesher et al, 2012; Dickerson et al, 2018; Swarbrick et al, 2017). The estimated prevalence of smoking in a national survey of homeless programs was reported to be 75% (Baggett & Rigotti, 2010).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Tobacco use and smoking behaviors of individuals with a serious mental illness.

Pettey

Aubry

2018

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 86%

mentioning

confidence: 99%

Tobacco use and smoking behaviors of individuals with a serious mental illness.

Pettey

Aubry

2018

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

“…The 2009 Health Center Patient Survey similarly found that 56% of adults with severe mental illness as defined by a Kessler 6 score of ≥ 13 reported current smoking, 18 and overall, these prevalence rates are consistent with those from other nationally representative 12 and non-nationally representative samples of adults with SMI. 8,37 Despite these higher smoking rates and the lower quit ratio among individuals with SMI compared to those without SMI, over half of smokers with SMI reported trying to quit in the past year. Thus, a major challenge remains in how to translate motivations to quit into cessation among smokers with SMI.…”

Section: Discussionmentioning

confidence: 99%

Cigarette Smoking and Quitting-Related Factors Among US Adult Health Center Patients with Serious Mental Illness

et al. 2019

View full text Add to dashboard Cite

INTRODUCTION: US adults with serious mental illness (SMI), compared to those without SMI, have a higher prevalence of smoking, which contributes to a shorter life expectancy. This study compared current smoking and quitting-related characteristics of low-income US adults with and without SMI who received healthcare at federally funded health centers. METHODS: Using cross-sectional data from adults ≥ 18 years old in the nationally representative 2014 Health Center Patient Survey (n = 5592), we compared the prevalence of ever and current smoking among adults with and without SMI and calculated quit ratios as the percentage of ever smokers who have quit smoking. We examined the association between SMI and receiving advice to quit, making quit attempts, and having plans to quit in the next 30 days using multivariable logistic regression. RESULTS: A total of 1376 (23%) of participants had SMI. Ever smoking prevalence was 68% in adults with SMI and 41% in adults without SMI, and current smoking prevalence was 48% and 22%, respectively. The quit ratio was 30% and 46% among participants with and without SMI, respectively. Compared to smokers without SMI, more smokers with SMI reported receiving advice to quit in the past 12 months (aOR 2.47, 95% CI 1.20-5.07). Smokers with and without SMI did not differ significantly in their odds of having made a past-12-month quit attempt or plans to quit. CONCLUSIONS: Smokers with SMI seen in federally funded health centers were just as likely to have made a quit attempt and to have plans to quit as smokers without SMI. Despite a higher likelihood of receiving clinician advice to quit, the lower quit ratio in this population suggests that advice alone is unlikely to be sufficient. These results underscore the need for augmented strategies to promote smoking cessation and reduce the excess burden of tobacco-related disease in patients with SMI. KEY WORDS: smoking cessation; mental health; vulnerable populations. J Gen Intern Med 34(6):986-91

show abstract

“…Before the pandemic, their mortality rates were two to three times higher than the general population [ 15–17 ] and had been increasing over time [ 18 , 19 ]. Studies show that around 60% of this premature mortality is due to preventable and treatable factors, including chronic illnesses, such as diabetes and heart disease [ 20 ], side effects of psychotropic medications [ 21 ], poor diet and sedentary lifestyles [ 22 , 23 ], high rates of smoking [ 24–26 ], lack of health screening and follow-up care [ 27 ], poor quality health care [ 21 ], and service access barriers, such as lack of transportation [ 28 ]. Additionally, people with mental health disorders are at increased risk of infections and are more likely to develop severe organ dysfunction and to die in ICUs than people without these disorders [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on the mental health and daily life of adults with behavioral health disorders

Jonikas

Cook

Swarbrick

et al. 2021

Translational Behavioral Medicine

View full text Add to dashboard Cite

People with behavioral health disorders may be particularly vulnerable to the impact of the COVID-19 pandemic, yet little is known about how they are faring. A mixed-methods, anonymous needs assessment was conducted to understand changes in the lives of adults with mental health and substance use disorders since the pandemic onset. A cross-sectional, online survey was completed by 272 adults in April and May 2020, recruited from statewide networks of community programs in New Jersey and New York. Measures included the Patient Health Questionnaire-2 and the Generalized Anxiety Disorder-2 to screen for depressive and anxiety disorders. Also assessed was the pandemic’s impact on sleep and dietary patterns, exposure to COVID-19 infection, and access to health care and medications. Finally, respondents were asked to describe in their own words any changes in their lives since the pandemic began. Over one-third (35.1%) screened positive for generalized anxiety disorder and over one-quarter (29.6%) screened positive for major depressive disorder. The majority reported pandemic-related changes in eating and sleeping patterns and exposure to COVID-19 infection. Multivariable logistic regression analysis found that many changes attributed to the pandemic were positively and significantly associated with screening positive for anxiety and depressive disorders. Qualitative analysis confirmed these findings and identified participants’ resilience stemming from social support, emotion management, and self-care. These results can inform the design of services that assist this population to bolster self-management skills and reestablish daily habits to improve their lives during and following the pandemic.

show abstract

Correlates of Current Smoking Among Adults Served by the Public Mental Health System

Abstract: Given the high degree of comorbidity of smoking, alcohol disorders, and drug use disorders, the authors highlight the need for integrated interventions that address these issues simultaneously.

Cited by 10 publications

References 41 publications

Tobacco use and smoking behaviors of individuals with a serious mental illness.

Tobacco use and smoking behaviors of individuals with a serious mental illness.

Cigarette Smoking and Quitting-Related Factors Among US Adult Health Center Patients with Serious Mental Illness

The impact of the COVID-19 pandemic on the mental health and daily life of adults with behavioral health disorders

Contact Info

Product

Resources

About