RTI International, Research Triangle Park, NC 27709, USA.
J Subst Abuse Treat. 2012 Apr;42(3):319-27. doi: 10.1016/j.jsat.2011.08.006. Epub 2011 Oct 14.
We assessed the impact of a statewide tobacco-free services regulation on facility administrators' attitudes and the integration of tobacco dependence treatment into substance use disorder services. We surveyed substance use disorder treatment facility administrators in New York before (n = 285) and after (n = 205) tobacco-free services regulation implementation about their attitudes, their perceptions of staff and patient attitudes, and the facilities' services. We analyzed data on admissions and tobacco treatment pharmacotherapy administration. We found increased tobacco screening and cessation services offered, increased use of tobacco pharmacotherapy, and increased support for tobacco-free campus policies. Although patient resistance was a challenge, administrators reported a decrease in patient resistance to tobacco-free policies. Patient admissions did not decrease after the regulation went into effect. Tobacco-free services regulations in substance use disorder treatment facilities can be feasibly implemented, which has the potential to decrease the extremely high rates of tobacco use among people with substance use disorders.
我们评估了全州范围内无烟服务法规对医疗机构管理人员态度以及将烟草依赖治疗纳入物质使用障碍服务的影响。我们在纽约的物质使用障碍治疗机构的管理人员实施无烟服务法规之前（n=285）和之后（n=205）进行了调查，了解他们的态度、他们对员工和患者态度的看法，以及该机构的服务情况。我们分析了关于入院和烟草治疗药物治疗管理的数据。我们发现提供的烟草筛查和戒烟服务增加，烟草药物治疗的使用增加，以及对无烟校园政策的支持增加。尽管患者的抵制是一个挑战，但管理人员报告称，患者对无烟政策的抵制有所减少。该法规生效后，患者入院人数并未减少。物质使用障碍治疗机构中的无烟服务法规是可行的，这有可能降低物质使用障碍患者中极高的烟草使用率。
