Nahvi Shadi, Richter Kimber, Li Xuan, Modali Laxmi, Arnsten Julia
Division of Substance Abuse, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.
Addict Behav. 2006 Nov;31(11):2127-34. doi: 10.1016/j.addbeh.2006.01.006. Epub 2006 Feb 13.
To examine tobacco use, readiness to quit, and interest in smoking cessation interventions among methadone maintenance patients.
Cross-sectional survey of outpatients enrolled in four urban methadone maintenance clinics. Stage of readiness to quit was determined for all smokers, and factors associated with both readiness to quit and interest in attending an on-site smoking cessation program were determined.
Among 389 patients, 83% were current smokers. Nearly half (48%) of smokers were contemplating quitting, and an additional 22% were in the preparation stage of readiness to quit. In multivariate analyses, lower nicotine dependence, prior use of smoking cessation pharmacotherapy, and lower methadone dose were associated with being in the preparation stage. Patients with more education, Hispanics/Latinos, and patients who had used smoking cessation pharmacotherapy or were in the preparation or contemplation stages of behavior change were more interested in attending an on-site smoking cessation program.
Tobacco use is highly prevalent among methadone maintenance patients, but we also observed a high level of readiness to quit and interest in smoking cessation. Targeted smoking cessation interventions, including on-site programs, should be developed for methadone maintenance patients.
研究美沙酮维持治疗患者的烟草使用情况、戒烟意愿以及对戒烟干预措施的兴趣。
对四家城市美沙酮维持治疗门诊的门诊患者进行横断面调查。确定所有吸烟者的戒烟准备阶段，并确定与戒烟准备和参加现场戒烟项目兴趣相关的因素。
在389名患者中，83%为当前吸烟者。近一半（48%）的吸烟者正在考虑戒烟，另有22%处于戒烟准备阶段。在多变量分析中，较低的尼古丁依赖、既往使用戒烟药物治疗以及较低的美沙酮剂量与处于准备阶段相关。受教育程度较高者、西班牙裔/拉丁裔以及曾使用戒烟药物治疗或处于行为改变准备或考虑阶段的患者对参加现场戒烟项目更感兴趣。
烟草使用在美沙酮维持治疗患者中非常普遍，但我们也观察到较高的戒烟意愿和对戒烟的兴趣。应为美沙酮维持治疗患者制定有针对性的戒烟干预措施，包括现场项目。
