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Báo cáo y học: " Gender-specific profiles of tobacco use among non-institutionalized people with serious mental illness"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Gender-specific profiles of tobacco use among non-institutionalized people with serious mental illness | Johnson et al. BMC Psychiatry 2010 10 101 http www.biomedcentral.com 1471-244X 10 101 BMC Psychiatry RESEARCH ARTICLE Open Access Gender-specific profiles of tobacco use among non-institutionalized people with serious mental illness 1 1 1 1.2 3 4 Joy L Johnson Pamela A Ratner Leslie A Malchy Chizimuzo TC Okoli Ric M Procyshyn Joan L Bottorff4 Marlee Groening 1 Annette Schultz5 Marg Osborne1 Abstract Background In many countries smoking remains the leading preventable cause of death. In North America reductions in population smoking levels are stabilising and in recent years those involved in tobacco control programming have turned their attention to particular segments of society that are at greatest risk for tobacco use. One such group is people with mental illness. A picture of tobacco use patterns among those with mental illness is beginning to emerge however there are several unanswered questions. In particular most studies have been limited to particular in-patient groups. In addition while it is recognised that men and women differ in relation to their reasons for smoking levels of addiction to nicotine and difficulties with cessation these sex and gender differences have not been fully explored in psychiatric populations. Methods Community residents with serious mental illness were surveyed to describe their patterns of tobacco use and to develop a gender-specific profile of their smoking status and its predictors. Results Of 729 respondents almost one half 46.8 were current tobacco users with high nicotine dependence levels. They spent a majority of their income on tobacco and reported using smoking to cope with their psychiatric symptoms. Current smokers compared with non-smokers were more likely to be diagnosed with a schizophrenia spectrum disorder rather than a mood disorder male relatively young not a member of a racialised group e.g. Aboriginal Asian South Asian Black poorly educated separated or divorced housed in a residential facility shelter or on