Centre for Child Health Research, The University of Western Australia, Telethon Institute for Child Health Research, PO Box 855, West Perth, Western Australia 6872, Australia.
Aust N Z J Psychiatry. 2011 Dec;45(12):1053-60. doi: 10.3109/00048674.2011.619961. Epub 2011 Oct 22.
The aim of this paper was to estimate the degree to which smoke-free facilities may facilitate smoking cessation in smokers with mental illness by estimating the proportion of smokers with mental illness who receive inpatient treatment, their smoking rates and average durations of stay.
Smoking and hospitalization rates were estimated from the Australian National Survey of Mental Health and Wellbeing. Information on duration of inpatient treatment was calculated from the Western Australian Mental Health Information System.
Of Australia's estimated 3,567,000 current adult smokers, 32.4% had a mental illness in the past 12 months, and 66.6% had a lifetime mental illness. However, only 1.4% of smokers were hospitalized for a mental health problem in the past 12 months, and 6.3% had ever been hospitalized for a mental health problem. Of those hospitalized for mental health treatment in the past 12 months, 61.2% were current smokers. In 2007 median duration of inpatient mental health admissions was 1 day, and 57% of admissions had duration of 2 days or less.
The majority of smokers with mental illness are not treated in inpatient facilities, and where inpatient admissions occur they are generally of short duration. While smoking cessation is an important goal in treatment of smokers with mental illness, support after discharge from inpatient care is important for longer term cessation. Other strategies will be required to support smoking cessation efforts for the majority of smokers with mental illness not in contact with mental health services.
本文旨在通过估算接受住院治疗的精神疾病吸烟者比例、他们的吸烟率和平均住院时间，来评估无烟设施对促进精神疾病吸烟者戒烟的程度。
吸烟和住院率数据来自澳大利亚国家精神健康和幸福感调查。住院治疗持续时间的信息来自西澳大利亚心理健康信息系统。
在澳大利亚估计的 356.7 万当前成年吸烟者中，过去 12 个月有 32.4%的人患有精神疾病，66.6%的人患有终身精神疾病。然而，过去 12 个月中仅有 1.4%的吸烟者因精神健康问题住院治疗，6.3%的吸烟者曾因精神健康问题住院治疗。在过去 12 个月因精神健康问题住院治疗的人群中，61.2%为当前吸烟者。2007 年，住院精神健康治疗的中位数持续时间为 1 天，57%的住院时间为 2 天或更短。
大多数患有精神疾病的吸烟者未在住院设施中接受治疗，而在住院治疗的情况下，住院时间通常较短。虽然戒烟是治疗精神疾病吸烟者的重要目标，但在从住院治疗中出院后提供支持对于长期戒烟至关重要。对于大多数未接触精神健康服务的患有精神疾病的吸烟者，需要采取其他策略来支持他们戒烟。
