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Reducing tobacco use in substance use treatment: The California tobacco free initiative

McCuistian, Caravella ; Lisha, Nadra E. ; Campbell, Barbara ; Cheng, Christine ; Le, Jennifer ; Guydish, Joseph

Addictive behaviors, 2024-08, Vol.155, p.108025, Article 108025 [Periódico revisado por pares]

England: Elsevier Ltd

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  • Título:
    Reducing tobacco use in substance use treatment: The California tobacco free initiative
  • Autor: McCuistian, Caravella ; Lisha, Nadra E. ; Campbell, Barbara ; Cheng, Christine ; Le, Jennifer ; Guydish, Joseph
  • Assuntos: Adult ; California - epidemiology ; Cessation ; Cross-Sectional Studies ; Female ; Health disparities ; Humans ; Male ; Middle Aged ; Prevalence ; Residential Treatment ; Smoking Cessation - methods ; Smoking Cessation - statistics & numerical data ; Substance use disorder treatment ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - therapy ; Tobacco use ; Tobacco Use Cessation Devices - statistics & numerical data ; Tobacco-free grounds
  • É parte de: Addictive behaviors, 2024-08, Vol.155, p.108025, Article 108025
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: •Smoking prevalence is high among people in substance use disorder (SUD) treatment.•The California Tobacco Control Program funded an initiative address this issue.•The initiative was associated with a decrease in client smoking prevalence.•An increase in receipt of NRT/pharmacotherapy among clients was also observed.•Findings replicate prior outcomes observed in the first cohort of the initiative. People in substance use disorder (SUD) treatment have a smoking prevalence that is five times higher than the national average. California funded the Tobacco Free for Recovery Initiative, designed to support programs in implementing tobacco-free grounds and increasing smoking cessation services. In the first cohort of the initiative (2018–2020) client smoking prevalence decreased from 54.2% to 26.6%. The current study examined whether similar findings would be replicated with a later cohort of programs (2020–2022). Cross-sectional survey data were collected from clients in 11 residential SUD treatment programs at baseline (n = 185) and at post intervention (n = 227). Multivariate logistic regression assessed change over time in smoking prevalence, tobacco use behaviors, and receipt of cessation services across the two timepoints. Client smoking prevalence decreased from 60.3 % to 40.5 % (Adjusted Odds Ratio [AOR] = 0.46, 95 % CI = 0.27, 0.78; p = 0.004). Current smokers and those who quit while in treatment reported an increase in nicotine replacement therapy (NRT)/pharmacotherapy from baseline to post intervention (31.9 % vs 45.6 %; AOR = 2.22, 95 % CI = 1.08, 4.58; p = 0.031). Like the first cohort, the Tobacco Free for Recovery initiative was associated with decreased client smoking prevalence and an increase in NRT/pharmacotherapy. These findings strengthen the evidence that similar initiatives may be effective in reducing smoking prevalence among people in SUD treatment.
  • Editor: England: Elsevier Ltd
  • Idioma: Inglês

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