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Trends in smoking among adults with mental illness and association between mental health treatment and smoking cessation.


ABSTRACT: Significant progress has been made in reducing the prevalence of tobacco use in the United States. However, tobacco cessation efforts have focused on the general population rather than individuals with mental illness, who demonstrate greater rates of tobacco use and nicotine dependence.To assess whether declines in tobacco use have been realized among individuals with mental illness and examine the association between mental health treatment and smoking cessation.Use of nationally representative surveys of noninstitutionalized US residents to compare trends in smoking rates between adults with and without mental illness and across multiple disorders (2004-2011 Medical Expenditure Panel Survey [MEPS]) and to compare rates of smoking cessation among adults with mental illness who did and did not receive mental health treatment (2009-2011 National Survey of Drug Use and Health [NSDUH]).The MEPS sample included 32,156 respondents with mental illness (operationalized as reporting severe psychological distress, probable depression, or receiving treatment for mental illness) and 133,113 without mental illness. The NSDUH sample included 14,057 lifetime smokers with mental illness.Current smoking status (primary analysis; MEPS sample) and smoking cessation, operationalized as a lifetime smoker who did not smoke in the last 30 days (secondary analysis; NSDUH sample).Adjusted smoking rates declined significantly among individuals without mental illness (19.2% [95% CI, 18.7-19.7%] to 16.5% [95% CI, 16.0%-17.0%]; P?

SUBMITTER: Cook BL 

PROVIDER: S-EPMC5555156 | biostudies-literature | 2014 Jan

REPOSITORIES: biostudies-literature

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Trends in smoking among adults with mental illness and association between mental health treatment and smoking cessation.

Cook Benjamin Lê BL   Wayne Geoff Ferris GF   Kafali E Nilay EN   Liu Zimin Z   Shu Chang C   Flores Michael M  

JAMA 20140101 2


<h4>Importance</h4>Significant progress has been made in reducing the prevalence of tobacco use in the United States. However, tobacco cessation efforts have focused on the general population rather than individuals with mental illness, who demonstrate greater rates of tobacco use and nicotine dependence.<h4>Objectives</h4>To assess whether declines in tobacco use have been realized among individuals with mental illness and examine the association between mental health treatment and smoking cess  ...[more]

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