Alison G Holt, Andrea Hussong, M Gabriela Castro, Kelly Bossenbroek Fedoriw, Allison M Schmidt, Amy Prentice, Orrin D Ware
{"title":"美国门诊和住院药物使用障碍治疗机构的吸烟政策。","authors":"Alison G Holt, Andrea Hussong, M Gabriela Castro, Kelly Bossenbroek Fedoriw, Allison M Schmidt, Amy Prentice, Orrin D Ware","doi":"10.1177/1179173X241254803","DOIUrl":null,"url":null,"abstract":"<p><p>Tobacco use is associated with morbidity and mortality. Many individuals who present to treatment facilities with substance use disorders (SUDs) other than tobacco use disorder also smoke cigarettes or have a concomitant tobacco use disorder. Despite high rates of smoking among those with an SUD, and numerous demonstrated benefits of comprehensive SUD treatment for tobacco use in addition to co-occurring SUDs, not all facilities address the treatment of comorbid tobacco use disorder. In addition, facilities vary widely in terms of tobacco use policies on campus. This study examined SUD facility smoking policies in a national sample of N = 16,623 SUD treatment providers in the United States in 2021. Most facilities with outpatient treatment (52.1%) and facilities with residential treatment (67.8%) had a smoking policy that permitted smoking in designated outdoor area(s). A multinomial logistic regression model found that among facilities with outpatient treatment (n = 13,778), those located in a state with laws requiring tobacco free grounds at SUD facilities, those with tobacco screening/education/counseling services, and those with nicotine pharmacotherapy were less likely to have an unrestrictive tobacco smoking policy. Among facilities with residential treatment (n = 3449), those with tobacco screening/education/counseling services were less likely to have an unrestrictive tobacco smoking policy. There is variability in smoking policies and tobacco use treatment options in SUD treatment facilities across the United States. Since tobacco use is associated with negative biomedical outcomes, more should be done to ensure that SUD treatment also focuses on reducing the harms of tobacco use.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"17 ","pages":"1179173X241254803"},"PeriodicalIF":2.1000,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095085/pdf/","citationCount":"0","resultStr":"{\"title\":\"Smoking Policies of Outpatient and Residential Substance Use Disorder Treatment Facilities in the United States.\",\"authors\":\"Alison G Holt, Andrea Hussong, M Gabriela Castro, Kelly Bossenbroek Fedoriw, Allison M Schmidt, Amy Prentice, Orrin D Ware\",\"doi\":\"10.1177/1179173X241254803\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Tobacco use is associated with morbidity and mortality. Many individuals who present to treatment facilities with substance use disorders (SUDs) other than tobacco use disorder also smoke cigarettes or have a concomitant tobacco use disorder. Despite high rates of smoking among those with an SUD, and numerous demonstrated benefits of comprehensive SUD treatment for tobacco use in addition to co-occurring SUDs, not all facilities address the treatment of comorbid tobacco use disorder. In addition, facilities vary widely in terms of tobacco use policies on campus. This study examined SUD facility smoking policies in a national sample of N = 16,623 SUD treatment providers in the United States in 2021. Most facilities with outpatient treatment (52.1%) and facilities with residential treatment (67.8%) had a smoking policy that permitted smoking in designated outdoor area(s). A multinomial logistic regression model found that among facilities with outpatient treatment (n = 13,778), those located in a state with laws requiring tobacco free grounds at SUD facilities, those with tobacco screening/education/counseling services, and those with nicotine pharmacotherapy were less likely to have an unrestrictive tobacco smoking policy. Among facilities with residential treatment (n = 3449), those with tobacco screening/education/counseling services were less likely to have an unrestrictive tobacco smoking policy. There is variability in smoking policies and tobacco use treatment options in SUD treatment facilities across the United States. Since tobacco use is associated with negative biomedical outcomes, more should be done to ensure that SUD treatment also focuses on reducing the harms of tobacco use.</p>\",\"PeriodicalId\":43361,\"journal\":{\"name\":\"Tobacco Use Insights\",\"volume\":\"17 \",\"pages\":\"1179173X241254803\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-05-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095085/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tobacco Use Insights\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/1179173X241254803\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tobacco Use Insights","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1179173X241254803","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
烟草使用与发病率和死亡率相关。在治疗机构就诊的除烟草使用障碍以外的药物使用障碍(SUD)患者中,很多人也吸烟或同时患有烟草使用障碍。尽管患有药物滥用障碍的人吸烟率很高,而且许多事实证明,除了并发的药物滥用障碍外,对烟草使用的综合药物滥用障碍治疗也很有益处,但并不是所有的机构都能治疗并发的烟草使用障碍。此外,各机构在校园内的烟草使用政策也大相径庭。本研究对 2021 年美国 16623 家 SUD 治疗机构的吸烟政策进行了抽样调查。大多数门诊治疗机构(52.1%)和住院治疗机构(67.8%)的吸烟政策允许在指定的室外区域吸烟。多项式逻辑回归模型发现,在门诊治疗机构(n = 13,778)中,那些位于法律要求SDD机构无烟场所的州的机构、那些提供烟草筛查/教育/咨询服务的机构以及那些提供尼古丁药物治疗的机构不太可能制定无限制的吸烟政策。在提供住院治疗的机构(n = 3449)中,提供烟草筛查/教育/咨询服务的机构制定无限制吸烟政策的可能性较低。美国各地的 SUD 治疗机构在吸烟政策和烟草使用治疗方案方面存在差异。由于烟草使用与负面的生物医学结果有关,因此应采取更多措施,确保药物依赖性精神疾病的治疗也注重减少烟草使用的危害。
Smoking Policies of Outpatient and Residential Substance Use Disorder Treatment Facilities in the United States.
Tobacco use is associated with morbidity and mortality. Many individuals who present to treatment facilities with substance use disorders (SUDs) other than tobacco use disorder also smoke cigarettes or have a concomitant tobacco use disorder. Despite high rates of smoking among those with an SUD, and numerous demonstrated benefits of comprehensive SUD treatment for tobacco use in addition to co-occurring SUDs, not all facilities address the treatment of comorbid tobacco use disorder. In addition, facilities vary widely in terms of tobacco use policies on campus. This study examined SUD facility smoking policies in a national sample of N = 16,623 SUD treatment providers in the United States in 2021. Most facilities with outpatient treatment (52.1%) and facilities with residential treatment (67.8%) had a smoking policy that permitted smoking in designated outdoor area(s). A multinomial logistic regression model found that among facilities with outpatient treatment (n = 13,778), those located in a state with laws requiring tobacco free grounds at SUD facilities, those with tobacco screening/education/counseling services, and those with nicotine pharmacotherapy were less likely to have an unrestrictive tobacco smoking policy. Among facilities with residential treatment (n = 3449), those with tobacco screening/education/counseling services were less likely to have an unrestrictive tobacco smoking policy. There is variability in smoking policies and tobacco use treatment options in SUD treatment facilities across the United States. Since tobacco use is associated with negative biomedical outcomes, more should be done to ensure that SUD treatment also focuses on reducing the harms of tobacco use.