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NAQC Newsroom: Research

Trends in Smoking Among Adults With Mental Illness and Association Between Mental Health Treatment

Tuesday, January 14, 2014  
Posted by: Natalia Gromov
JAMA. 2014;311(2):172-182.
Trends in Smoking Among Adults With Mental Illness and Association Between Mental Health Treatment and Smoking Cessation.
Benjamin Lê Cook; Geoff Ferris Wayne; E. Nilay Kafali; Zimin Liu; Chang Shu; Michael Flores.

This study assessed whether declines in tobacco use have been realized among individuals with mental illness and examined the association between mental health treatment and smoking cessation. Use of nationally representative surveys of noninstitutionalized US residents to compare trends in smoking rates between adults with and without mental illness and across multiple disorders (2004-2011 Medical Expenditure Panel Survey [MEPS]) and to compare rates of smoking cessation among adults with mental illness who did and did not receive mental health treatment (2009-2011 National Survey of Drug Use and Health [NSDUH]). Adjusted smoking rates declined significantly among individuals without mental illness (19.2% to 16.5%) but changed only slightly among those with mental illness (25.3% to 24.9%). Individuals with mental illness who received mental health treatment within the previous year were more likely to have quit smoking (37.2%) than those not receiving treatment (33.1%). Between 2004 and 2011, the decline in smoking among individuals with mental illness was significantly less than among those without mental illness, although quit rates were greater among those receiving mental health treatment. This suggests that tobacco control policies and cessation interventions targeting the general population have not worked as effectively for persons with mental illness.

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