National Addiction Centre (The Maudsley Hospital/Institute of Psychiatry), Windsor Walk, London, UK.
Addict Biol. 2000 Oct 1;5(4):443-50. doi: 10.1111/j.1369-1600.2000.tb00214.x.
Smoking prevalence and changes during inpatient detoxification were examined among 135 admissions to an inpatient alcohol and drug detoxification unit, of whom 83 (61.5%) were re-interviewed one week later. Ninety-two per cent of the initial sample were currently smokers; 87% of alcohol misusers, 97% of drug misusers and 100% of drug/alcohol misusers. Smokers consumed a daily mean of 27 cigarettes before admission. Those classified as heavy smokers (smoking 40 or more cigarettes prior to admission) decreased their smoking levels by an average of 10.5 cigarettes during detoxification. Light smokers (1-19 cigarettes per day) increased by a daily average of 8.6 cigarettes and intermediate smokers (20-39 cigarettes) by 4.9 cigarettes. The findings suggest a dose-dependent relationship between cigarette smoking and inpatient detoxification that requires further study. Over three-quarters of the sample expressed a desire to change their smoking behaviour, many of whom felt they would like help to tackle this change. Given the high smoking prevalence and reported interest in smoking cessation/reduction, there is an opportunity to address the smoking behaviour of drug and alcohol misusers entering inpatient care, whether during or after their detoxification.
在 135 名住院酒精和药物戒毒患者中，检查了他们的吸烟率和住院戒毒期间的变化，其中 83 名（61.5%）在一周后再次接受了采访。最初样本中 92%的人目前吸烟；87%的酒精滥用者、97%的药物滥用者和 100%的药物/酒精滥用者。吸烟者在入院前平均每天吸食 27 支香烟。那些被归类为重度吸烟者（入院前吸烟 40 支或以上）在戒毒期间平均每天减少了 10.5 支香烟的吸烟量。轻度吸烟者（每天 1-19 支香烟）平均每天增加了 8.6 支香烟，中度吸烟者（每天 20-39 支香烟）增加了 4.9 支香烟。研究结果表明，吸烟量与住院戒毒之间存在剂量依赖性关系，需要进一步研究。超过四分之三的样本表示希望改变吸烟行为，其中许多人表示希望得到帮助来实现这一改变。鉴于吸烟率高，且有报道称对戒烟/减少吸烟有兴趣，因此有机会解决进入住院治疗的药物和酒精滥用者的吸烟行为，无论是在他们戒毒期间还是之后。
