alexa Variations in smoking during hospitalization in psychiatric in-patient units and smoking prevalence in patients and health-care staff.


Journal of Addiction Research & Therapy

Author(s): Keizer I, Eytan A

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Abstract BACKGROUND: Smoking and exposure to smoke are important concerns, especially in psychiatric in-patient services. AIMS: Our aims were to study variations in smoking after hospitalization for psychiatric in-patients, and to evaluate smoking-related concerns and prevalence for both patients and health-care staff. METHODS: A similar survey was mailed to staff members and proposed individually to all recently admitted patients; participation rates were 39\% and 79\% respectively. RESULTS: Three days after admission, 4/10 patients had increased and 3/10 had decreased their daily tobacco use. Univariate analysis of variance showed nicotine dependence scores to be associated with variations in consumption (p = .005): whereas 74\% of heavy smokers decreased cigarette consumption, 80\% of light and 57\% of moderate smokers increased their consumption. The prevalence of current smoking was twice as high in patients (72\%) as compared to health-care professionals (31\%). Patients were also more nicotine dependent (Heaviness of Smoking Index (HSI) = 3.97/vs. 1.81), and half of the patients were heavy smokers (> 20 cigarettes/day), as opposed to only 6.3\% of the staff. CONCLUSIONS: Smoking prevalence and daily tobacco consumption are very high in psychiatric patients. After hospitalization, light and moderate smokers increased whereas heavy smokers decreased smoking.
This article was published in Int J Soc Psychiatry and referenced in Journal of Addiction Research & Therapy

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