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Smoking Prevalence in Addiction Treatment: A Review

Title
Smoking Prevalence in Addiction Treatment: A Review
Authors
Guydish, JosephPassalacqua, EmmaTajima, BarbaraChan, MableChun, JongSerlBostrom, Alan
Ewha Authors
전종설
SCOPUS Author ID
전종설scopus
Issue Date
2011
Journal Title
NICOTINE & TOBACCO RESEARCH
ISSN
1462-2203JCR Link1469-994XJCR Link
Citation
vol. 13, no. 6, pp. 401 - 411
Publisher
OXFORD UNIV PRESS
Indexed
SCIE; SSCI; SCOPUS WOS
Abstract
Introduction: This review explores whether smoking prevalence in addiction treatment samples exceeds that shown in epidemiological data for persons with alcohol or other drug use disorders and whether smoking may have decreased over time in the addiction treatment population as it has done in the general population. Methods: English language papers published between 1987 and 2009 were searched electronically. Forty papers reporting smoking prevalence for addiction treatment samples in the United States were identified, and key predictor variables were abstracted. Random logistic models were used to assess relationships between each individual predictor (year, treatment modality, primary drug treated, government status, and public/private funding status) and smoking prevalence. Results: The lowest smoking prevalence aggregated for studies reported in any single year was 65%, well above epidemiological estimates reported among those with alcohol use and drug use disorders. The odds of smoking were higher in methadone maintenance programs (odds ratio [OR] = 2.25, Cl = 1.08, 4.68) as compared with outpatient programs. No other variables in the model were significant. Reanalysis omitting recent studies that may represent outliers or confounding with type of treatment showed a small but significant decrease in smoking over time (OR = 0.9891, CI = 0.9888, 0.9893). Conclusions: The very high smoking rates reported in addiction treatment samples warrant significant, organized, and systemic response from addiction treatment systems, from agencies that fund and regulate those systems, and from agencies concerned with tobacco control.
DOI
10.1093/ntr/ntr048
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사회과학대학 > 사회복지학전공 > Journal papers
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