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Smoking Behaviors and Attitudes Among Clients and Staff at New York Addiction Treatment Programs Following a Smoking Ban: Findings After 5 Years.
- Source :
-
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco [Nicotine Tob Res] 2016 May; Vol. 18 (5), pp. 1274-81. Date of Electronic Publication: 2015 May 25. - Publication Year :
- 2016
-
Abstract
- Introduction: Addiction treatment clients are more likely to die of tobacco-related diseases than of alcohol or illicit drug-related causes. We aimed to assess smoking behavior, and smoking-related attitudes and services, in New York addiction treatment programs before a statewide smoking ban in treatment facilities was implemented (2008), 1 year (2009) and 5 years after implementation (2013).<br />Methods: We conducted surveys at each time point with clients (N = 329, 341, and 353, respectively) and staff (N = 202, 203, and 166, respectively) from five residential and two methadone maintenance programs in New York State. At each data collection wave, questionnaires measured smoking behavior as well as smoking-related knowledge, attitudes, and experiences with tobacco cessation services as part of addiction treatment.<br />Results: Staff smoking prevalence decreased from 35.2% in 2008 to 21.8% in 2013 (P = .005) while client smoking prevalence over the same period was unchanged (68.1% vs. 66.0%, P = .564). Among clients who smoked, mean cigarettes per day decreased from 13.7 (SD = 8.38) to 10.2 (SD = 4.44; P < .001). There were significant time-by-treatment-type interactions for client tobacco-related attitudes and cessation services received; and for staff self-efficacy and cessation services provided. In residential programs, scores for most items decreased (became less positive) in 2009 followed by a partial rebound in 2013. Methadone program scores tended to rise (become more positive) throughout the study period.<br />Conclusions: Staff and clients may respond differentially to tobacco-free policies depending on type of treatment program, and this finding may help to inform the implementation of tobacco-free policies in other statewide addiction treatment systems.<br /> (© The Author 2015. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Subjects :
- Adult
Behavior, Addictive epidemiology
Behavior, Addictive therapy
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
New York epidemiology
Smoking epidemiology
Smoking therapy
Smoking Cessation methods
Smoking Cessation psychology
Surveys and Questionnaires
Time Factors
Behavior, Addictive psychology
Health Knowledge, Attitudes, Practice
Health Personnel psychology
Patients psychology
Smoking psychology
Substance Abuse Treatment Centers methods
Subjects
Details
- Language :
- English
- ISSN :
- 1469-994X
- Volume :
- 18
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
- Publication Type :
- Academic Journal
- Accession number :
- 26014456
- Full Text :
- https://doi.org/10.1093/ntr/ntv116