Cargando…

Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients

BACKGROUND: Smoking is the leading cause of preventable death worldwide and the prevalence is particularly high among psychiatric patients but recent international studies demonstrated that psychiatric patients are able and motivated to quit. The aim of this study was to evaluate cigarette smoking,...

Descripción completa

Detalles Bibliográficos
Autores principales: Du Plooy, Jean-Louis, Macharia, Muiruri, Verster, Chris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112714/
https://www.ncbi.nlm.nih.gov/pubmed/27852297
http://dx.doi.org/10.1186/s12888-016-1123-z
_version_ 1782468058248380416
author Du Plooy, Jean-Louis
Macharia, Muiruri
Verster, Chris
author_facet Du Plooy, Jean-Louis
Macharia, Muiruri
Verster, Chris
author_sort Du Plooy, Jean-Louis
collection PubMed
description BACKGROUND: Smoking is the leading cause of preventable death worldwide and the prevalence is particularly high among psychiatric patients but recent international studies demonstrated that psychiatric patients are able and motivated to quit. The aim of this study was to evaluate cigarette smoking, nicotine dependence, and motivation for smoking cessation in male psychiatric inpatients in a sample of South African acute-care male psychiatric inpatients. METHODS: All inpatients admitted during a 2-month period (April to May 2016) to the Stikland Hospital Acute Male Admissions Unit in Cape Town, Western Cape, were included. Subjects completed a survey including a set of tests: Global Adult Tobacco Survey (GATS), the Fagerström Test for Nicotine Dependence (FTND), and the Decisional Balance for Cigarette Smoking (DBCS) (6-item version). Demographic data were obtained from patients’ clinical charts. RESULTS: Among the 160 new inpatients, 72.5% (n = 116) completed the survey. Of the 116 participants, 91.4% (n = 106) were current smokers of whom 82% (n = 87) smoked daily and 55.6% (n = 59) were identified as having high nicotine dependence (FTND ≥ 6). Although a large majority (71.7%; n = 76) of current smokers expressed positive perceptions regarding smoking, a notable proportion (59.4%; n = 63) still attempted to quit the habit in the preceding 12 months and daily smokers were less likely to quit. However, only a minor proportion of all current (43.4%; n = 46) and specifically daily (40.2%; n = 35) smokers were advised on smoking cessation by a health worker. CONCLUSION: This study confirms that, similar to populations elsewhere, rates of cigarette smoking among psychiatric inpatients in South Africa is exceedingly high. While patients are motivated to quit smoking, few were provided with the necessary advice. Our findings provide further support for the integration of smoking cessation support in mental health care.
format Online
Article
Text
id pubmed-5112714
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-51127142016-11-25 Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients Du Plooy, Jean-Louis Macharia, Muiruri Verster, Chris BMC Psychiatry Research Article BACKGROUND: Smoking is the leading cause of preventable death worldwide and the prevalence is particularly high among psychiatric patients but recent international studies demonstrated that psychiatric patients are able and motivated to quit. The aim of this study was to evaluate cigarette smoking, nicotine dependence, and motivation for smoking cessation in male psychiatric inpatients in a sample of South African acute-care male psychiatric inpatients. METHODS: All inpatients admitted during a 2-month period (April to May 2016) to the Stikland Hospital Acute Male Admissions Unit in Cape Town, Western Cape, were included. Subjects completed a survey including a set of tests: Global Adult Tobacco Survey (GATS), the Fagerström Test for Nicotine Dependence (FTND), and the Decisional Balance for Cigarette Smoking (DBCS) (6-item version). Demographic data were obtained from patients’ clinical charts. RESULTS: Among the 160 new inpatients, 72.5% (n = 116) completed the survey. Of the 116 participants, 91.4% (n = 106) were current smokers of whom 82% (n = 87) smoked daily and 55.6% (n = 59) were identified as having high nicotine dependence (FTND ≥ 6). Although a large majority (71.7%; n = 76) of current smokers expressed positive perceptions regarding smoking, a notable proportion (59.4%; n = 63) still attempted to quit the habit in the preceding 12 months and daily smokers were less likely to quit. However, only a minor proportion of all current (43.4%; n = 46) and specifically daily (40.2%; n = 35) smokers were advised on smoking cessation by a health worker. CONCLUSION: This study confirms that, similar to populations elsewhere, rates of cigarette smoking among psychiatric inpatients in South Africa is exceedingly high. While patients are motivated to quit smoking, few were provided with the necessary advice. Our findings provide further support for the integration of smoking cessation support in mental health care. BioMed Central 2016-11-16 /pmc/articles/PMC5112714/ /pubmed/27852297 http://dx.doi.org/10.1186/s12888-016-1123-z Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Du Plooy, Jean-Louis
Macharia, Muiruri
Verster, Chris
Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients
title Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients
title_full Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients
title_fullStr Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients
title_full_unstemmed Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients
title_short Cigarette smoking, nicotine dependence, and motivation to quit smoking in South African male psychiatric inpatients
title_sort cigarette smoking, nicotine dependence, and motivation to quit smoking in south african male psychiatric inpatients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112714/
https://www.ncbi.nlm.nih.gov/pubmed/27852297
http://dx.doi.org/10.1186/s12888-016-1123-z
work_keys_str_mv AT duplooyjeanlouis cigarettesmokingnicotinedependenceandmotivationtoquitsmokinginsouthafricanmalepsychiatricinpatients
AT machariamuiruri cigarettesmokingnicotinedependenceandmotivationtoquitsmokinginsouthafricanmalepsychiatricinpatients
AT versterchris cigarettesmokingnicotinedependenceandmotivationtoquitsmokinginsouthafricanmalepsychiatricinpatients