BREATHE, College of Nursing, University of Kentucky, Lexington, KY.
College of Communication and Information, University of Kentucky, Lexington, KY.
Nicotine Tob Res. 2018 Sep 25;20(11):1386-1392. doi: 10.1093/ntr/ntx211.
The purpose of this study was to (1) describe the role of smoking in the lives of women in residential substance use disorder (SUD) treatment and (2) explore perceptions of the facilitators and barriers to tobacco-free policy among women in residential SUD treatment.
This was a community-engaged study using qualitative descriptive methods. We first recruited women in a residential SUD treatment facility to participate on a community research team. Interviews with staff (N = 10) and focus groups with clients (N = 42) were conducted using guides informed by the community research team. Interviews and focus groups were analyzed using content analysis.
There were two themes related to the role of smoking in the women's lives: (1) smoking facilitates socialization and (2) smoking as a coping mechanism. There were three themes related to the benefits of tobacco-free policy: (1) improved health, (2) support for continued abstinence from a previous tobacco-free placement (eg, prison), and (3) less grounds up-keep. Barriers to tobacco-free policy included (1) lack of an alternative coping mechanism to smoking, (2) fear that a tobacco-free policy would drive clients away, and (3) anticipation of implementation challenges.
Many women in residential SUD treatment smoke, which they attribute to the fact that smoking is used to facilitate socialization and cope with stress. Future research is needed to develop and test messages to counter the misperception that smoking is an effective method to cope with stress. Ultimately, evidence-based tobacco-free policies are needed to reduce tobacco-related disease among women with SUDs.
To promote smoking cessation among women with substance use disorders through evidence-based tobacco policy, it is necessary to first understand the role of smoking in their lives as well as facilitators and barriers to tobacco-free policy in residential treatment facilities. Participants reported that smoking facilitated socialization and served as a coping mechanism. Tobacco-free policies have many benefits, including improved health, support for continued abstinence from a previous tobacco-free placement (eg, prison), and less grounds up-keep. Barriers include the lack of an alternative coping mechanism, fear that a tobacco-free policy would drive away clients and anticipation of implementation challenges. To reduce the burden of tobacco-related morbidity and mortality among women and their children, it is necessary to catalyze a culture change in behavioral health settings to prioritize the treatment of tobacco alongside treatment of other addictions.
本研究的目的是：(1)描述吸烟在女性住院物质使用障碍（SUD）治疗中的作用；(2)探索女性对住院 SUD 治疗机构内无烟政策的促进因素和障碍的看法。
这是一项使用定性描述方法的社区参与式研究。我们首先招募了住院 SUD 治疗机构中的女性参与社区研究小组。使用社区研究小组提供的指南，对工作人员（N=10）进行访谈，并对客户（N=42）进行焦点小组讨论。使用内容分析法对访谈和焦点小组进行分析。
有两个主题与吸烟在女性生活中的作用有关：（1）吸烟促进社交；（2）吸烟作为应对机制。有三个主题与无烟政策的好处有关：（1）改善健康；（2）支持从以前的无烟场所（如监狱）继续戒断；（3）减少地面维护。无烟政策的障碍包括：（1）缺乏替代吸烟的应对机制；（2）担心无烟政策会使客户流失；（3）预计实施挑战。
许多住院 SUD 治疗中的女性吸烟，她们将其归因于吸烟用于促进社交和应对压力的事实。需要进一步研究以开发和测试信息，以纠正吸烟是应对压力的有效方法这一误解。最终，需要制定和实施基于证据的无烟政策，以减少患有 SUD 的女性的烟草相关疾病。
通过基于证据的烟草政策，促进女性物质使用障碍者戒烟，首先需要了解吸烟在其生活中的作用以及住院治疗机构内无烟政策的促进因素和障碍。参与者报告说，吸烟促进了社交，是一种应对机制。无烟政策有许多好处，包括改善健康、支持从以前的无烟场所（如监狱）继续戒断和减少地面维护。障碍包括缺乏替代应对机制、担心无烟政策会使客户流失以及预计实施挑战。为了减少烟草相关发病率和死亡率对女性及其子女的负担，有必要在行为健康环境中引发文化变革，将烟草治疗与其他成瘾治疗同等重视。
