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Risk of smoking and receipt of cessation services among veterans with mental disorders.

Publication ,  Journal Article
Duffy, SA; Kilbourne, AM; Austin, KL; Dalack, GW; Woltmann, EM; Waxmonsky, J; Noonan, D
Published in: Psychiatric services (Washington, D.C.)
April 2012

The purpose of this study was to determine rates of smoking and receipt of provider recommendations to quit smoking among patients with mental disorders treated in U.S. Department of Veterans Affairs (VA) treatment settings.The authors conducted a secondary analysis of the yearly, cross-sectional 2007 Veterans Health Administration Outpatient Survey of Healthcare Experiences of Patients (N=224,193). Logistic regression was used to determine the independent association of mental health diagnosis and the dependent variables of smoking and receipt of provider recommendations to quit smoking.Patients with mental disorders had greater odds of smoking, compared with those without mental disorders (p<.05). Those with various mental disorders reported similar rates of receiving services (more than 60% to 80% reported receiving selected services), compared with those without these disorders, except that those with schizophrenia had more than 30% lower odds of receiving advice to quit smoking from their physicians (p<.05). Moreover, those who had co-occurring posttraumatic stress disorder or substance use disorders had significantly greater odds of reporting that they received advice to quit, recommendations for medications, and physician discussions of quitting methods, compared with those without these disorders (p<.05). Older patients, male patients, members of ethnic minority groups, those who were unmarried, those who were disabled or unemployed, and those living in rural areas had lower odds of receiving selected services (p<.05).The majority of patients with mental disorders served by the VA reported receiving cessation services, yet their smoking rates remained high, and selected groups were at risk for receiving fewer cessation services, suggesting the continued need to disseminate cessation services.

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Published In

Psychiatric services (Washington, D.C.)

DOI

EISSN

1557-9700

ISSN

1075-2730

Publication Date

April 2012

Volume

63

Issue

4

Start / End Page

325 / 332

Related Subject Headings

  • Veterans
  • United States
  • Smoking Cessation
  • Smoking
  • Psychiatry
  • Middle Aged
  • Mental Disorders
  • Male
  • Humans
  • Healthcare Disparities
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Duffy, S. A., Kilbourne, A. M., Austin, K. L., Dalack, G. W., Woltmann, E. M., Waxmonsky, J., & Noonan, D. (2012). Risk of smoking and receipt of cessation services among veterans with mental disorders. Psychiatric Services (Washington, D.C.), 63(4), 325–332. https://doi.org/10.1176/appi.ps.201100097
Duffy, Sonia A., Amy M. Kilbourne, Karen L. Austin, Gregory W. Dalack, Emily M. Woltmann, Jeanette Waxmonsky, and Devon Noonan. “Risk of smoking and receipt of cessation services among veterans with mental disorders.Psychiatric Services (Washington, D.C.) 63, no. 4 (April 2012): 325–32. https://doi.org/10.1176/appi.ps.201100097.
Duffy SA, Kilbourne AM, Austin KL, Dalack GW, Woltmann EM, Waxmonsky J, et al. Risk of smoking and receipt of cessation services among veterans with mental disorders. Psychiatric services (Washington, DC). 2012 Apr;63(4):325–32.
Duffy, Sonia A., et al. “Risk of smoking and receipt of cessation services among veterans with mental disorders.Psychiatric Services (Washington, D.C.), vol. 63, no. 4, Apr. 2012, pp. 325–32. Epmc, doi:10.1176/appi.ps.201100097.
Duffy SA, Kilbourne AM, Austin KL, Dalack GW, Woltmann EM, Waxmonsky J, Noonan D. Risk of smoking and receipt of cessation services among veterans with mental disorders. Psychiatric services (Washington, DC). 2012 Apr;63(4):325–332.
Journal cover image

Published In

Psychiatric services (Washington, D.C.)

DOI

EISSN

1557-9700

ISSN

1075-2730

Publication Date

April 2012

Volume

63

Issue

4

Start / End Page

325 / 332

Related Subject Headings

  • Veterans
  • United States
  • Smoking Cessation
  • Smoking
  • Psychiatry
  • Middle Aged
  • Mental Disorders
  • Male
  • Humans
  • Healthcare Disparities