Risk of Smoking and Receipt of Cessation Services Among Veterans with Mental Disorders

Overview

Journal Psychiatr Serv

Specialty Psychiatry

Date 2012 Feb 17

PMID 22337005

Citations 21

Authors

Sonia A Duffy

Amy M Kilbourne

Karen L Austin

Gregory W Dalack

Emily M Woltmann

Jeanette Waxmonsky

Devon Noonan

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study was to determine rates of smoking and receipt of provider recommendations to quit smoking among patients with mental disorders treated in U.S. Department of Veterans Affairs (VA) treatment settings.

Methods: The authors conducted a secondary analysis of the yearly, cross-sectional 2007 Veterans Health Administration Outpatient Survey of Healthcare Experiences of Patients (N=224,193). Logistic regression was used to determine the independent association of mental health diagnosis and the dependent variables of smoking and receipt of provider recommendations to quit smoking.

Results: Patients with mental disorders had greater odds of smoking, compared with those without mental disorders (p<.05). Those with various mental disorders reported similar rates of receiving services (more than 60% to 80% reported receiving selected services), compared with those without these disorders, except that those with schizophrenia had more than 30% lower odds of receiving advice to quit smoking from their physicians (p<.05). Moreover, those who had co-occurring posttraumatic stress disorder or substance use disorders had significantly greater odds of reporting that they received advice to quit, recommendations for medications, and physician discussions of quitting methods, compared with those without these disorders (p<.05). Older patients, male patients, members of ethnic minority groups, those who were unmarried, those who were disabled or unemployed, and those living in rural areas had lower odds of receiving selected services (p<.05).

Conclusions: The majority of patients with mental disorders served by the VA reported receiving cessation services, yet their smoking rates remained high, and selected groups were at risk for receiving fewer cessation services, suggesting the continued need to disseminate cessation services.

Citing Articles

A reduction in cigarette smoking improves health-related quality of life and does not worsen psychiatric symptoms in individuals with serious mental illness.

Brady D, Phalen P, Roche D, Cowan T, Bennett M Addict Behav. 2024; 151:107949.

PMID: 38176326 PMC: 10863476. DOI: 10.1016/j.addbeh.2023.107949.

A smoking cessation intervention for rural veterans tailored to individual risk factors: A multicenter randomized clinical trial.

Vander Weg M, Howren M, Grant K, Prochazka A, Duffy S, Burke R J Subst Use Addict Treat. 2023; 156:209191.

PMID: 37866436 PMC: 11700485. DOI: 10.1016/j.josat.2023.209191.

Ask and Ask Again: Repeated Screening for Smoking Increases Likelihood of Prescription for Cessation Treatment Among Women Veterans.

Than C, Bean-Mayberry B, Schweizer C, Lee M, Chanfreau-Coffinier C, Clair K J Gen Intern Med. 2023; 38(11):2553-2559.

PMID: 37277666 PMC: 10465439. DOI: 10.1007/s11606-023-08227-y.

Engaging At-Risk Rural Residents in Secondary Lung Cancer Prevention.

Ziller E, Talbot J, Elbaum M, Croll Z, Waterston L, Korsen N J Prim Care Community Health. 2023; 14:21501319231163368.

PMID: 36998226 PMC: 10071205. DOI: 10.1177/21501319231163368.

Approved and emerging smoking cessation treatments for people with schizophrenia spectrum disorders: A narrative review.

Caponnetto P, Polosa R Health Psychol Res. 2020; 8(2):9237.

PMID: 33123649 PMC: 7588850. DOI: 10.4081/hpr.2020.9237.

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