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Smoking Cessation Among Persons With Co-Occurring Substance Use Disorder and Mental Illness

Published online by Cambridge University Press:  21 February 2012

Chizimuzo T.C. Okoli  and
Milan Khara
Chizimuzo T.C. Okoli*
Affiliation:
BC Centre of Excellence for Women's Health, Canada. chizimuzo.okoli@nursing.ubc.ca
Milan Khara
Affiliation:
Tobacco Dependence Clinic, Vancouver Coastal Health Authority, Canada.
*
*Address for correspondence: Chizimuzo T.C. Okoli, PhD, M.P.H., BC Centre of Excellence for Women's Health, E311–4500 Oak Street, Box 48, Vancouver, BC V6H 3N1, Canada.
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Abstract

Aims: A history of either a substance use disorder (SUD) or psychiatric disorder (PD) is associated with tobacco use. However, there is limited information available on tobacco dependence treatment outcomes among individuals with co-occurring SUD and PD. Methods: Data from 202 participants enrolled in a tobacco dependence treatment program in an outpatient clinic setting were analysed. Findings: In multivariate analysis, having a history of SUD only (OR =.11, 95% CI = .02–.76) and having a co-occurring SUD and PD (OR = .13, 95% CI = .02–.81), as compared to having neither, were significant predictors of a lower likelihood of achieving smoking abstinence. Conclusions: A history of SUD and PD is an important predictor of poor smoking cessation outcomes; however, using more intensive, tailored approaches to tobacco dependence treatment appears to be promising. Future studies may need to further address the nature of tobacco dependence treatment in settings were PDs and other SUDs are managed in order to achieve optimal outcomes.

Keywords

smoking cessationpsychiatric disordersubstance use disorderco-occurring disordersmental illnessaddictions settings
Type
Articles
Information
Journal of Smoking Cessation , Volume 6 , Issue 1 , 01 June 2011 , pp. 58 - 64
Copyright
Copyright © Cambridge University Press 2011

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