Chandra Prabha S, Carey Michael P, Carey Kate B, Jairam K R, Girish N S, Rudresh H P
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
Addict Behav. 2005 Aug;30(7):1290-9. doi: 10.1016/j.addbeh.2005.01.002.
Tobacco use among psychiatric patients in developing countries has not been well-investigated. To address this issue, we screened consecutive admissions to a major psychiatric hospital in southern India, and assessed the prevalence and correlates of tobacco use and nicotine dependence. Patients (n=988) provided information about their use of tobacco products, and participated in an interview that included the Fagerström Test for Nicotine Dependence as well as measures of other substance use. Three hundred and fifty-one patients (36%) reported current tobacco use, with 227 (65% of all users) reporting moderate to severe nicotine dependence. Current tobacco use as well as nicotine dependence were associated with male gender, a diagnosis of bipolar disorder, and risk of other substance use problems. The cultural context of these findings, and the implications for tobacco control among psychiatric patients, are discussed.
发展中国家精神疾病患者的烟草使用情况尚未得到充分研究。为解决这一问题，我们对印度南部一家大型精神病医院的连续入院患者进行了筛查，并评估了烟草使用及尼古丁依赖的患病率及其相关因素。患者（n = 988）提供了他们使用烟草制品的信息，并参与了一项访谈，该访谈包括尼古丁依赖的法格斯特龙测试以及其他物质使用情况的测量。351名患者（36%）报告目前正在使用烟草，其中227名（占所有使用者的65%）报告有中度至重度尼古丁依赖。目前的烟草使用以及尼古丁依赖与男性、双相情感障碍的诊断以及其他物质使用问题的风险相关。本文讨论了这些研究结果的文化背景以及对精神疾病患者烟草控制的意义。
