Okoli Chizimuzo T C, Khara Milan
University of Kentucky College of Nursing, 315 College of Nursing Building, Lexington, KY, 40536-0232, USA,
Community Ment Health J. 2014 Aug;50(6):729-36. doi: 10.1007/s10597-013-9691-6. Epub 2013 Dec 15.
Individuals with substance use (SUD) and/or psychiatric disorders (PD) are disproportionately affected by tobacco use; yet, little is known about secondhand tobacco smoke (SHS) exposure in these populations. An analysis of existing data examined SHS exposure among 497 smokers in community clinics in Vancouver, Canada. Seventy-percent of the participants reported SHS exposure. In sex-stratified multivariate logistic regression analyses correlates of SHS exposure among women were not having a history of using evidence-based smoking cessation treatment and using a single substance (as compared to a polysubstance use history); whereas among men, a history of a respiratory illness and higher nicotine dependence were associated with SHS exposure. Despite limitations about the measures of SHS exposure used in the study, these findings suggest a need to further determine the risks associated with SHS exposure and tobacco use among individuals with SUD and/or PD within mental health and addictions treatment settings.
患有物质使用障碍（SUD）和/或精神疾病（PD）的个体受烟草使用的影响尤为严重；然而，对于这些人群中的二手烟草烟雾（SHS）暴露情况却知之甚少。一项对现有数据的分析研究了加拿大温哥华社区诊所497名吸烟者的SHS暴露情况。70%的参与者报告有SHS暴露。在按性别分层的多变量逻辑回归分析中，女性SHS暴露的相关因素是没有使用循证戒烟治疗的历史以及使用单一物质（与多物质使用史相比）；而在男性中，呼吸系统疾病史和更高的尼古丁依赖与SHS暴露有关。尽管该研究中使用的SHS暴露测量方法存在局限性，但这些发现表明有必要进一步确定在心理健康和成瘾治疗环境中，患有SUD和/或PD的个体中与SHS暴露和烟草使用相关的风险。
