Abu Nazel Mervat, Elkady Heba, Abd Allah Sherif, Ibrahim Riham
Mental Health, Department of Family Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Geriatric Health, Department of Family Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
J Egypt Public Health Assoc. 2017 Sep 1;92(3):167-176. doi: 10.21608/EPX.2018.16150.
Despite widespread concern in public health regarding the increasing prevalence and burden of smoking and mental disorders, little is known about the double burden of these problems in Arab countries.
To describe pattern and identify determinants of smoking among mentally ill male patients in El-Mamoura Psychiatric Hospital, Alexandria, Egypt.
A cross-sectional study was conducted on 300 randomly selected adult male outpatients receiving formal diagnosis of one or more mental disorders according to Diagnostic and Statistical Manual of Mental Disorders-IV criteria by a senior psychiatrist. A predesigned structured interviewing questionnaire and an Arabic translation of Fagerstrom test for nicotine dependence were used to collect data.
The study indicated that 68.7% of patients were current daily smokers and 58.2% of them were high nicotine dependent. Smoking was significantly associated with single and dual diagnoses of schizophrenia spectrum disorder and bipolar disorder (odds ratio=2, 3.1, 3.9, respectively).
Professionals working with people with mental disorders should be trained in raising awareness of smoking health outcomes and provision of counseling quit services.
尽管公共卫生领域广泛关注吸烟和精神障碍的患病率上升及负担加重问题，但对于阿拉伯国家这些问题的双重负担却知之甚少。
描述埃及亚历山大市埃尔-马穆拉精神病医院男性精神病患者的吸烟模式并确定其吸烟的决定因素。
对300名随机选取的成年男性门诊患者进行了一项横断面研究，这些患者由一名资深精神科医生根据《精神疾病诊断与统计手册》第四版标准接受了一种或多种精神障碍的正式诊断。使用预先设计的结构化访谈问卷和尼古丁依赖的法格斯特龙测试的阿拉伯语译本收集数据。
研究表明，68.7%的患者为当前每日吸烟者，其中58.2%为高尼古丁依赖者。吸烟与精神分裂症谱系障碍和双相情感障碍的单一及双重诊断显著相关（优势比分别为2、3.1、3.9）。
与精神障碍患者打交道的专业人员应接受培训，以提高对吸烟健康后果的认识并提供戒烟咨询服务。
