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On providing smoking cessation services in alcohol and other drug treatment settings: Results from a U.S. national survey of attitudes among recovering persons
- Source :
- J Subst Abuse Treat
- Publication Year :
- 2020
-
Abstract
- Background Nicotine addiction through cigarette use is highly prevalent among individuals suffering from alcohol and other drug (AOD) problems and remains a prominent risk factor for morbidity, mortality, and healthcare utilization. Whereas most people agree that providing smoking cessation services (SCS) to this vulnerable population is vitally important, the timing of such service provision has been hotly debated, including whether such services should be excluded, available (but not offered), offered, or fully integrated into AOD treatment settings. Important stakeholders in this debate are those in recovery from AOD problems who, in addition to having often been AOD treatment patients themselves, frequently hold influential clinical, research or policy positions and thus can influence the likelihood of SCS provision. This study sought to understand the attitudes of this important stakeholder group in providing SCS in AOD treatment settings. Method We assessed a national cross-sectional sample of individuals in recovery from an AOD problem (n = 1973) on whether SCS should be: a. excluded; b. available; c. offered; or d. integrated into AOD services. We estimated associations between participants' demographic, clinical, and recovery support service use history, and SCS attitude variables, using multinomial logistic regression. Results Roughly equal proportions endorsed each attitudinal position (23.5% excluded, 25% available, 24.6% offered; 26.9% integrated). Correlates of holding more positive SCS implementation attitudes were Black race; primary substance other than alcohol, greater intensity of former or recent smoking, and less mutual-help organization participation; older individuals achieving recovery between 30 and 40 years ago also had more positive attitudes toward integrating SCS. Conclusions About half of those sampled were either against SCS inclusion in AOD settings or were in favor of making it “available” only, but not in offering it or integrating it. This oppositional pattern was accentuated particularly among those with primary alcohol problem histories and those participating in mutual-help organizations. Given the universally well-known negative health effects of smoking, understanding more about the exact reasons why certain groups of recovering persons may endorse such positions is an area worthy of further investigation, as it may uncover potential barriers to SCS implementation in AOD treatment settings.
- Subjects :
- medicine.medical_specialty
Substance-Related Disorders
media_common.quotation_subject
medicine.medical_treatment
Medicine (miscellaneous)
Sample (statistics)
Article
Drug treatment
Epidemiology
medicine
Humans
Risk factor
Psychiatry
Multinomial logistic regression
media_common
Addiction
Smoking
Patient Acceptance of Health Care
Psychiatry and Mental health
Clinical Psychology
Cross-Sectional Studies
Attitude
Pharmaceutical Preparations
Smoking cessation
Smoking Cessation
Pshychiatric Mental Health
Psychology
Inclusion (education)
Subjects
Details
- ISSN :
- 18736483
- Volume :
- 117
- Database :
- OpenAIRE
- Journal :
- Journal of substance abuse treatment
- Accession number :
- edsair.doi.dedup.....841dc94b03229252fc55ee37d529934c