1. An international systematic review of smoking prevalence in addiction treatment
- Author
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Guydish, Joseph, Passalacqua, Emma, Pagano, Anna, Martínez, Cristina, Le, Thao, Chun, JongSerl, Tajima, Barbara, Docto, Lindsay, Garina, Daria, and Delucchi, Kevin
- Subjects
Biological Psychology ,Health Sciences ,Psychology ,Drug Abuse (NIDA only) ,Tobacco Smoke and Health ,Alcoholism ,Alcohol Use and Health ,Substance Misuse ,Prevention ,Tobacco ,Brain Disorders ,Mental health ,Cancer ,Good Health and Well Being ,Female ,Global Health ,Humans ,Male ,Prevalence ,Smoking ,Smoking Prevention ,Substance-Related Disorders ,Addiction ,co-substance use ,global health ,priority ,special populations ,smoking ,surveillance and monitoring ,tobacco ,priority/special populations ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Substance Abuse ,Public health ,Clinical and health psychology - Abstract
AimsSmoking prevalence is higher among people enrolled in addiction treatment compared with the general population, and very high rates of smoking are associated with opiate drug use and receipt of opiate replacement therapy (ORT). We assessed whether these findings are observed internationally.MethodsPubMed, PsycINFO and the Alcohol and Alcohol Problems Science Database were searched for papers reporting smoking prevalence among addiction treatment samples, published in English, from 1987 to 2013. Search terms included tobacco use, cessation and substance use disorders using and/or Boolean connectors. For 4549 papers identified, abstracts were reviewed by multiple raters; 239 abstracts met inclusion criteria and these full papers were reviewed for exclusion. Fifty-four studies, collectively comprising 37,364 participants, were included. For each paper we extracted country, author, year, sample size and gender, treatment modality, primary drug treated and smoking prevalence.ResultsThe random-effect pooled estimate of smoking across people in addiction treatment was 84% [confidence interval (CI) = 79, 88%], while the pooled estimate of smoking prevalence across matched population samples was 31% (CI = 29, 33%). The difference in the pooled estimates was 52% (CI = 48%, 57%, P
- Published
- 2016