Smoking Behaviors among Psychiatric Inpatients in Taiwan

台灣精神科住院病人的吸菸行為

吳恩亮(En-Liang Wu)；陳建志(Jiahn-Jyh Chen)；詹宏裕(Hung-Yu Chan)；簡以嘉(I-Chia Chien)；歐麗玲(Li-Ling Ou)；陳快樂(Happy Kuy-Lok Tan)

尼古丁依賴 ； 精神科住院病患 ； 吸菸 ； 台灣 ； nicotine dependence ； psychiatric inpatients ； smoking ； Taiwan

台灣精神醫學

27卷3期（2013 / 09 / 01）

238 - 244+IV

英文

Objective: Tobacco use has been prohibited in psychiatric institutions in Taiwan since 2009. We conducted this study to investigate the smoking behaviors and characteristics among psychiatric inpatients in Taiwan. Methods: The Adult Smoking Surveillance System was applied to hospitalized psychiatric patients. From April to June 2010, we recruited 1,030 subjects from psychiatric wards in Taiwan. We compared the results of this study with an adult smoking survey for the general population in 2009. Results: Hospitalized psychiatric patients had a higher prevalence of ever smoking compared to persons in the general population (45.7% vs. 28.6%). Alcohol abuse or dependence (odds ratio = 9.31, 95% confidence interval = 4.32 - 22.66, p ＜ 0.001), history of methamphetamine use (OR = 3.58, 95% CI = 1.79 - 7.68, p ＜ 0.001), and being divorced (OD = 2.61; 95% CI = 1.65 - 4.16, p ＜ 0.001) were found to be significantly associated with cigarette smoking among psychiatric inpatients. Conclusion: Psychiatric inpatients had a higher rate of smoking than the general population. Smoking should be treated as an important issue for psychiatric inpatients, and effective treatment should be designed and integrated into existing mental health services.

Objective: Tobacco use has been prohibited in psychiatric institutions in Taiwan since 2009. We conducted this study to investigate the smoking behaviors and characteristics among psychiatric inpatients in Taiwan. Methods: The Adult Smoking Surveillance System was applied to hospitalized psychiatric patients. From April to June 2010, we recruited 1,030 subjects from psychiatric wards in Taiwan. We compared the results of this study with an adult smoking survey for the general population in 2009. Results: Hospitalized psychiatric patients had a higher prevalence of ever smoking compared to persons in the general population (45.7% vs. 28.6%). Alcohol abuse or dependence (odds ratio = 9.31, 95% confidence interval = 4.32 - 22.66, p ＜ 0.001), history of methamphetamine use (OR = 3.58, 95% CI = 1.79 - 7.68, p ＜ 0.001), and being divorced (OD = 2.61; 95% CI = 1.65 - 4.16, p ＜ 0.001) were found to be significantly associated with cigarette smoking among psychiatric inpatients. Conclusion: Psychiatric inpatients had a higher rate of smoking than the general population. Smoking should be treated as an important issue for psychiatric inpatients, and effective treatment should be designed and integrated into existing mental health services.

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