在一家管理式医疗组织中接受物质使用治疗的青少年的自主戒烟及物质使用结果。
Self-initiated tobacco cessation and substance use outcomes among adolescents entering substance use treatment in a managed care organization.
作者信息
Campbell Cynthia I, Chi Felicia, Sterling Stacy, Kohn Carolynn, Weisner Constance
机构信息
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, California 94612, USA.
出版信息
Addict Behav. 2009 Feb;34(2):171-9. doi: 10.1016/j.addbeh.2008.10.002. Epub 2008 Oct 10.
PURPOSE
Adolescents with substance use (SU) problems have high rates of tobacco use, yet SU treatment has historically ignored treatment for tobacco use. Barriers to such efforts include the belief that tobacco cessation could compromise other SU abstinence. This study examines self-initiated tobacco cessation and 12-month alcohol and drug abstinence in adolescents entering SU treatment in a private, managed care organization.
RESULTS
Self-initiated tobacco cessation at 6 months, and at both 6 and 12 months, were related to higher odds of drug abstinence but not alcohol abstinence.
CONCLUSION
Self-initiated tobacco cessation was not related to poor SU outcomes, and may be important to maintaining drug abstinence. Implementing tobacco cessation efforts in SU treatment can be challenging, but comprised SU outcomes may not be a barrier. The positive associations for drug abstinence and lack of associations for alcohol abstinence could be due to differences in motivation, medical conditions, or to the illicit nature of drug use. Tobacco use has serious long-term health consequences, and tobacco cessation efforts in adolescent SU treatment programs need further research.
目的
有物质使用（SU）问题的青少年吸烟率很高，但传统上SU治疗一直忽视对吸烟问题的治疗。此类努力的障碍包括认为戒烟可能会影响其他物质使用的戒断。本研究调查了在一家私立管理式医疗组织中接受SU治疗的青少年的自主戒烟情况以及12个月的酒精和药物戒断情况。
结果
6个月时的自主戒烟，以及6个月和12个月时的自主戒烟，均与更高的药物戒断几率相关，但与酒精戒断无关。
结论
自主戒烟与不良的SU结果无关，且可能对维持药物戒断很重要。在SU治疗中开展戒烟工作可能具有挑战性，但SU结果不佳可能并非障碍。药物戒断的正相关以及酒精戒断的无相关性可能是由于动机、医疗状况的差异，或药物使用的非法性质所致。吸烟会带来严重的长期健康后果，青少年SU治疗项目中的戒烟工作需要进一步研究。
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