Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco (UCSF) (Guydish, Yip, Le, Gubner, Williams); Department of Psychiatry, UCSF (Delucchi).
Psychiatr Serv. 2019 Mar 1;70(3):229-232. doi: 10.1176/appi.ps.201700565. Epub 2019 Jan 11.
Specialty addiction programs treat people who are addicted to alcohol, opioids, stimulants, and other drugs. This study identified the proportion of addiction program clients who received tobacco-related services and factors associated with receipt of such services.
In 2015 and 2016, clients (N=2,119) in 24 programs were surveyed for receipt of services aligning with three of the five As of tobacco cessation: ask, advise, assist. Multivariate analyses examined factors associated with receipt of each service.
Most clients (76%) were asked about smoking. Among smokers (N=1,630), 53% were advised to quit, 41% received counseling, 26% received cessation medication, and 17% received counseling and medication. Clients were more likely to receive tobacco-related services if they wanted help quitting smoking or were enrolled in programs with tobacco-free grounds.
These correlational findings suggest that increasing client motivation to quit and implementing tobacco-free policies on the grounds of treatment centers may increase tobacco-related services in addiction treatment.
专业成瘾项目针对酗酒、阿片类药物、兴奋剂和其他药物成瘾者进行治疗。本研究确定了接受与烟草相关服务的成瘾项目客户的比例，以及与接受此类服务相关的因素。
在 2015 年和 2016 年，对 24 个项目中的 2119 名客户进行了调查，以了解他们是否接受了与烟草戒断的五个 A 中的三个相关的服务：询问、建议、帮助。多变量分析检验了与每项服务相关的因素。
大多数客户（76%）被问及吸烟情况。在吸烟者中（N=1630），53%被建议戒烟，41%接受了咨询，26%接受了戒烟药物，17%接受了咨询和药物治疗。如果客户有戒烟的意愿，或者在没有烟草的治疗中心接受治疗，那么他们更有可能接受与烟草相关的服务。
这些相关性发现表明，增加客户戒烟的动机和在治疗中心的场地上实施无烟政策，可能会增加成瘾治疗中的烟草相关服务。
