Smoking and environmental characteristics of smokers with a mental illness, and associations with quitting behaviour and motivation; a cross sectional study

Alexandra P Metse; John Wiggers; Paula Wye; Lyndell Moore; Richard Clancy; Luke Wolfenden; Megan Freund; Tara Van Zeist; Emily Stockings; Jenny A Bowman

doi:10.1186/s12889-016-2969-1

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Smoking and environmental characteristics of smokers with a mental illness, and associations with quitting behaviour and motivation; a cross sectional study

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Smoking and environmental characteristics of smokers with a mental illness, and associations with quitting behaviour and motivation; a cross sectional study

Alexandra P Metse, John Wiggers, Paula Wye, Lyndell Moore, Richard Clancy, Luke Wolfenden, Megan Freund, Tara Van Zeist, Emily Stockings and Jenny A Bowman

BMC Public Health, Vol.16, pp.1-11

2016

DOI: https://doi.org/10.1186/s12889-016-2969-1

PMCID: PMC4832515

PMID: 27080019

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Abstract

Social

Quitting motivation

Quitting

Characteristics

Environment

Mental illness

Smoking

Background: Persons with a mental illness are less likely to be successful in attempts to quit smoking. A number of smoking and environmental characteristics have been shown to be related to quitting behaviour and motivation of smokers generally, however have been less studied among smokers with a mental illness. This study aimed to report the prevalence of smoking characteristics and a variety of physical and social environmental characteristics of smokers with a mental illness, and explore their association with quitting behaviour and motivation. Methods: A cross-sectional descriptive study was undertaken of 754 smokers admitted to four psychiatric inpatient facilities in Australia. Multivariable logistic regression analyses were undertaken to explore the association between smoking and environmental characteristics and recent quitting behaviour and motivation. Results: Participants were primarily daily smokers (93 %), consumed >10 cigarettes per day (74 %), and highly nicotine dependent (51 %). A third (32 %) lived in a house in which smoking was permitted, and 44 % lived with other smokers. The majority of participants believed that significant others (68–82 %) and health care providers (80–91 %) would be supportive of their quitting smoking. Reflecting previous research, the smoking characteristics examined were variously associated with quitting behaviour and motivation. Additionally, participants not living with other smokers were more likely to have quit for a longer duration (OR 2.02), and those perceiving their psychiatrist to be supportive of a quit attempt were more likely to have had more quit attempts in the past six months (OR 2.83). Conclusions: Modifiable characteristics of the physical and social environment, and of smoking, should be considered in smoking cessation interventions for persons with a mental illness.

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Title: Smoking and environmental characteristics of smokers with a mental illness, and associations with quitting behaviour and motivation; a cross sectional study
Authors: Alexandra P Metse (Author) - University of Newcastle Australia
John Wiggers (Author) - University of Newcastle Australia
Paula Wye (Author) - University of Newcastle Australia
Lyndell Moore (Author) - University of Newcastle Australia
Richard Clancy (Author) - University of Newcastle Australia
Luke Wolfenden (Author) - University of Newcastle Australia
Megan Freund (Author) - University of Newcastle Australia
Tara Van Zeist (Author) - University of Newcastle Australia
Emily Stockings (Author) - UNSW Australia
Jenny A Bowman (Author) - University of Newcastle Australia
Publication details: BMC Public Health, Vol.16, pp.1-11
Publisher: BioMed Central Ltd.
Date published: 2016
DOI: 10.1186/s12889-016-2969-1
ISSN: 1471-2458
PMID: 27080019; PMC4832515
Copyright note: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health - Psychology; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99507096002621
Output Type: Journal article

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