a Division of Health Services Research , Oregon Health & Science University/Portland State University School of Public Health , Portland , OR , USA.
b Philip R. Lee Institute for Health Policy Studies , University of California, San Francisco , San Francisco , CA , USA.
J Psychoactive Drugs. 2019 Jan-Mar;51(1):48-57. doi: 10.1080/02791072.2018.1555651. Epub 2018 Dec 20.
We examined relationships of smoking status and tobacco-related variables with health-related quality of life (HRQoL), a metric of disease burden, among clients in substance use disorders (SUDs) treatment. Participants (N = 2,068; 46.6% female) completed surveys reporting demographics, smoking status, and past-month days they experienced physical and/or mental health distress. Smokers (n = 1,596; 77.2% of sample) answered questions on tobacco-related variables. Multinomial regression models assessed relationships between tobacco-related variables (smoking status, nicotine dependence, menthol smoking, electronic-cigarette use, health concerns, and cost as reasons affecting reducing/quitting smoking, past and future quit attempts) with HRQol in four categories (good health, physical health distress, mental health distress, or both physical and mental health distress). Current smokers were more likely than former smokers to report frequent physical and mental health distress than good health (OR = 1.97, 95% CI = 1.16, 3.34), as were smokers with higher nicotine dependence (OR = 1.18, 95% CI = 1.03, 1.35). Smokers reporting both frequent physical and mental health distress were more sensitive to cigarettes' cost (OR = 1.56, 95% CI = 1.06, 2.29), and less likely to use e-cigarettes (OR = 0.59, 95% CI = 0.38, 0.94). Findings of poor HRQoL among nicotine-dependent smokers with additional SUDs strengthen the imperative to provide smoking cessation interventions in addictions treatment.
我们考察了吸烟状况和与烟草相关的变量与物质使用障碍（SUD）治疗客户的健康相关生活质量（HRQoL）之间的关系，HRQoL 是疾病负担的衡量标准。参与者（N=2068；46.6%为女性）完成了调查，报告了人口统计学信息、吸烟状况以及过去一个月他们经历身体和/或心理健康困扰的天数。吸烟者（n=1596；样本的 77.2%）回答了与烟草相关的变量问题。多项回归模型评估了与烟草相关的变量（吸烟状况、尼古丁依赖、薄荷醇吸烟、电子烟使用、健康问题、以及减少/戒烟的成本因素）与四个类别的 HRQol 之间的关系（健康良好、身体不健康困扰、心理健康困扰、或身体和心理健康都困扰）。与以前的吸烟者相比，当前吸烟者更有可能报告频繁的身体和心理健康困扰而不是健康良好（OR=1.97，95%CI=1.16，3.34），尼古丁依赖程度较高的吸烟者也是如此（OR=1.18，95%CI=1.03，1.35）。报告同时存在频繁的身体和心理健康困扰的吸烟者对香烟成本更加敏感（OR=1.56，95%CI=1.06，2.29），并且不太可能使用电子烟（OR=0.59，95%CI=0.38，0.94）。在有其他 SUD 的尼古丁依赖吸烟者中发现 HRQoL 较差，这加强了在成瘾治疗中提供戒烟干预的必要性。
