Cigarette smoking among those with mental disorders in the US population: 2012–2013 update

2018 ◽  
Vol 29 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Philip H Smith ◽  
Mohammad Chhipa ◽  
Josef Bystrik ◽  
Jordan Roy ◽  
Renee D Goodwin ◽  
...  
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Cigarette Smoking ◽  
Substance Use Disorders ◽  
Smoking Prevalence ◽  
Common Mental Disorders ◽  
Epidemiologic Survey ◽  
Current Cigarette ◽  
The Usa ◽  
Nationally Representative

BackgroundRecent nationally representative estimates from the USA suggest the prevalence of cigarette smoking continues to be much higher among those with mental disorders compared with those without; however, prevalence estimates for current cigarette use by specific diagnoses are outdated.MethodsWe analysed data from the National Epidemiologic Survey on Alcohol and Related Conditions III (2012–2013). We estimated the prevalence of lifetime and past-year smoking, lifetime and past-year daily smoking, and lifetime smoking cessation among ever smokers (ie, the quit ratio) among those with common mood, anxiety and substance use disorders in comparison to those without these disorders.ResultsAcross disorders, smoking prevalence was higher and the quit ratio was lower among those with common mental disorders compared with those without, with twofold to sixfold relativedifferences in the odds of the magnitude.ConclusionsDespite tobacco control advances since 2000 and resulting declines in smoking prevalence, smoking remains extraordinarily more common among those with mood, anxiety and substance use disorders, with highest rates among those with bipolar and substance use disorders.

scholarly journals Association of Cigarette Use and Substance Use Disorders among US Adults with and without a Recent Diagnosis of Cancer

2020 ◽  
Vol 28 (1) ◽  
pp. 86-93
Author(s):  
Joanna M. Streck ◽  
Maria A. Parker ◽  
Andrea H. Weinberger ◽  
Nancy A. Rigotti ◽  
Elyse R. Park
Keyword(s):  
Substance Use ◽  
Cigarette Smoking ◽  
Cancer Patients ◽  
Substance Use Disorders ◽  
Smoking Prevalence ◽  
Epidemiological Data ◽  
Current Cigarette Smoking ◽  
Current Smoking ◽  
Current Cigarette ◽  
Status Interaction

Background: Few studies have examined substance use disorders (SUDs) in cancer patients and it is unclear whether SUDs differentially impact cigarette smoking in patients with vs. without cancer. This study used epidemiological data to estimate current cigarette smoking prevalence and quit ratios among US adults with and without SUDs by cancer status. Methods: Data were drawn from the 2015–2018 National Survey on Drug Use and Health (n = 170,111). Weighted current smoking prevalence and quit ratios were estimated across survey years by SUDs (with vs. without) and by cancer status (with vs. without). Results: Among those with cancer, current smoking prevalence was higher for those with vs. without SUDs (47% vs. 13%, p < 0.001) and quit ratios lower for those with vs. without SUDs (45% vs. 71%, p = 0.002). A similar pattern was observed in adults without cancer, with higher smoking prevalence (56% vs. 21%, p < 0.001) and lower quit ratios (23% vs. 51%, p < 0.001) observed for those with vs. without SUDs, respectively. In adjusted logistic regressions, the SUD × cancer status interaction was not significant for smoking prevalence or quit ratios (AOR = 1.2; 95% CI: 0.7, 2.1, p = 0.56; AOR = 1.0; 95% CI: 0.5, 2.0, p = 0.91, respectively), though smoking prevalence was lower and quit ratios higher for adults with vs. without cancer (ps < 0.05). Conclusions: Among US adults with and without cancer, individuals with SUDs evidenced higher cigarette smoking and lower quit ratios than those without SUDs. Addressing SUDs and their impact on smoking cessation is critical in cancer patients with implications for improving health and treatment outcomes.

scholarly journals VP190 A Review Of Best Practices In Five Mental Disorders In Youth

2017 ◽  
Vol 33 (S1) ◽  
pp. 237-237
Author(s):  
Ionela Gheorghiu ◽  
Alain Lesage ◽  
Leila Ben Amor ◽  
Patricia Conrod ◽  
Marie-Claude Geoffroy ◽  
...  
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Attention Deficit ◽  
Suicide Attempts ◽  
Common Mental Disorders ◽  
Service Planning ◽  
Good Practices ◽  
Hyperactivity Disorder ◽  
Effective Interventions

INTRODUCTION:In order to support service planning of the youth program of the East of Montreal Health and Social Services Board, and potentially of the other twenty-five programs across the Quebec province, our hospital-based Health Technology Assessment (HTA) unit was asked to bring evidence of the effective interventions for five most common mental disorders in children and young populations, namely anxio-depressive disorders, attention deficit and hyperactivity disorder, oppositional and conduct disorders, substance abuse disorders, and suicide attempts.METHODS:A review of reviews was conducted for the five disorders in young populations aged 6 to 25 years. This was based exclusively on systematic reviews and meta-analysis of a minimum two randomized-controlled trials. The review was completed with examples of Quebec's good practices in youth mental health gathered from personal research experience of clinical researchers involved in the project. The project involved collaboration with three other hospital units and provincial HTA agencies.RESULTS:No review supporting screening and early detection for the five disorders was identified. Prevention, however, was better covered in the literature, and a clear distinction was made between universal, targeted and indicated interventions. In general, targeted and indicated prevention interventions were effective in the case of anxio-depressive (1) and substance use disorders, while universal prevention strategies seemed to reduce suicide attempts and suicide ideation (2). Effective treatments also exist for these mental disorders. In general, psychotherapies dominated for anxio-depressive and substance use disorders; parental skills dominated in oppositional disorders, whilst pharmacological treatment dominated in attention deficit and hyperactivity disorder (3). Evidence was limited for suicide attempts. The overview of Quebec's good practices allowed identification of interventions or practices already in use in the province.CONCLUSIONS:The review summarized effective interventions for five most common mental disorders in young populations. It also permitted to identify several research gaps, and therefore research recommendations were formulated for the province's health research agency.

scholarly journals Childhood Maltreatment and Substance Use Disorders among Men and Women in a Nationally Representative Sample

2012 ◽  
Vol 57 (11) ◽  
pp. 677-686 ◽  
Author(s):  
Tracie O Afifi ◽  
Christine A Henriksen ◽  
Gordon J G Asmundson ◽  
Jitender Sareen
Keyword(s):  
Sexual Abuse ◽  
Substance Use ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Childhood Maltreatment ◽  
Emotional Neglect ◽  
Men And Women ◽  
Physical Neglect ◽  
Axis I ◽  
Nationally Representative

Objective: To examine the association between a history of 5 types of childhood maltreatment (that is, physical abuse, sexual abuse, emotional abuse, physical neglect, and emotional neglect) and several substance use disorders (SUDs), including alcohol, sedatives, tranquilizers, opioids, amphetamines, cannabis, cocaine, hallucinogens, heroin, and nicotine, in a nationally representative US adult sex-stratified sample. Method: Data were drawn from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), a nationally representative US sample of adults aged 20 years and older (n = 34 653). Logistic regression models were conducted to understand the relations between 5 types of childhood maltreatment and SUDs separately among men and women after adjusting for sociodemographic variables and Diagnostic and Statistical Manual of Mental Disorders (DSM) Axis I and II mental disorders. Results: All 5 types of childhood maltreatment were associated with increased odds of all individual SUDs among men and women after adjusting for sociodemographic variables, with the exception of physical neglect and heroin abuse or dependence, emotional neglect, and amphetamines and cocaine abuse or dependence among men (adjusted odds ratio range 1.3 to 4.7). After further adjustment for other DSM Axis I and II mental disorders, the relations between childhood maltreatment and SUDs were attenuated, but many remained statistically significant. Differences in the patterns of findings were noted for men and women for sexual abuse and emotional neglect. Conclusions: This research provides evidence of the robust nature of the relations between many types of childhood maltreatment and many individual SUDs. The prevention of childhood maltreatment may help to reduce SUDs in the general population.

scholarly journals Nicotine dependence and mental disorders among adults in the USA: evaluating the role of the mode of administration

2008 ◽  
Vol 38 (9) ◽  
pp. 1277-1286 ◽  
Author(s):  
R. D. Goodwin ◽  
M. J. Zvolensky ◽  
K. M. Keyes
Keyword(s):  
Mental Disorders ◽  
Panic Disorder ◽  
Cigarette Smoking ◽  
Nicotine Dependence ◽  
Specific Phobia ◽  
Panic Attacks ◽  
Cigarette Use ◽  
Epidemiologic Survey ◽  
Nicotine Administration ◽  
The Usa

BackgroundTo investigate the association between nicotine dependence (ND), by cigarette smoking and use of smokeless tobacco (UST), and mental disorders.MethodFace-to-face surveys (n=43 093) were conducted in the 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Nicotine use, ND, and mental disorders were assessed using DSM-IV criteria.ResultsUST-ND was associated with a significantly increased likelihood of any anxiety disorder, specific phobia, alcohol abuse and dependence. Consistent with previous findings, cigarette smoking-ND was associated with an increased likelihood of all mental disorders examined. Among those without ND, cigarette smoking was specifically associated with panic attacks and panic disorder; non-dependent UST was not associated with mental disorders.ConclusionsOur findings suggest that the association between ND and mental disorders is relatively specific to the mode of nicotine administration. Among those who are nicotine dependent, cigarette use is associated with most major psychiatric disorders, whereas UST is associated with dysthymia and specific phobia. Among those who use tobacco but are not nicotine dependent, cigarette use is associated with dysthymia and panic disorder; UST is not associated with any major mood or anxiety disorders. The link between mental disorders and nicotine is complex, and is associated primarily with dependence, and not with non-dependent use.

scholarly journals Onset and temporal sequencing of lifetime anxiety, mood and substance use disorders in the general population

2013 ◽  
Vol 24 (1) ◽  
pp. 45-53 ◽  
Author(s):  
T. Slade ◽  
P. M. McEvoy ◽  
C. Chapman ◽  
R. Grove ◽  
M. Teesson
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Household Survey ◽  
Public Health Issue ◽  
Health And Wellbeing ◽  
Temporal Sequencing ◽  
Significant Public Health ◽  
Males And Females ◽  
Nationally Representative

Aims.To date, very few studies have examined the bi-directional associations between mood disorders (MDs), anxiety disorders (ADs) and substance use disorders (SUDs), simultaneously. The aims of the current study were to determine the rates and patterns of comorbidity of the common MDs, ADs and SUDs and describe the onset and temporal sequencing of these classes of disorder, by sex.Methods.Data came from the 2007 Australian National Survey of Mental Health and Wellbeing, a nationally representative household survey with 8841 (60% response rate) community residents aged 16–85.Results.Pre-existing mental disorders increase the risk of subsequent mental disorders in males and females regardless of the class of disorder. Pre-existing SUDs increase the risk of subsequent MDs and ADs differentially for males and females. Pre-existing MDs increase the risk of subsequent ADs differentially for males and females.Conclusions.Comorbidity remains a significant public health issue and current findings point to the potential need for sex-specific prevention and treatment responses.

scholarly journals Multiple Substance Use Disorders and Self-Reported Cognitive Function in U.S. Adults: Associations and Sex-Differences in a Nationally Representative Sample

2022 ◽  
Vol 12 ◽  
Author(s):  
Zoe Bourgault ◽  
Dafna Sara Rubin-Kahana ◽  
Ahmed Nabeel Hassan ◽  
Marcos Sanches ◽  
Bernard Le Foll
Keyword(s):  
Substance Use ◽  
Cognitive Function ◽  
Substance Use Disorders ◽  
Drug Users ◽  
Treatment Success ◽  
Health Concern ◽  
Epidemiologic Survey ◽  
Polysubstance Use ◽  
Nationally Representative ◽  
Using Data

Polysubstance use is a growing public health concern that has been associated with poor clinical outcomes. Compared to single-drug users, this population suffers greater deficits in cognitive function, which hinder treatment success and recovery. Despite its high prevalence and poor prognosis, epidemiological research on polysubstance use and accompanying cognitive profile is lacking. We investigated associations between numbers of past-year co-occurring substance use disorders (SUDs) and self-reported cognitive function using data from the National Epidemiologic Survey for Alcohol and Related Conditions III (NESARC-III). Regression analyses revealed a significant negative association between cognitive scores and numbers of past-year SUDs, which was moderated by sex. After adjusting for confounding variables, greater numbers of SUDs were associated with declining self-reported cognitive function, and this relationship was stronger among females. Our findings expand on current literature on cognitive impairments among polysubstance users and provide a novel, nuanced description of this relationship among the general population. We highlight the need for targeted and individualized treatment approaches in order to improve outcomes in this population.

scholarly journals Associations between common mental disorders and sexual dissatisfaction in the general population

2014 ◽  
Vol 205 (2) ◽  
pp. 151-157 ◽  
Author(s):  
Ine Vanwesenbeeck ◽  
Margreet ten Have ◽  
Ron de Graaf
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
General Population ◽  
Mental Disorders ◽  
Childhood Trauma ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Common Mental Disorders ◽  
Sexual Dissatisfaction ◽  
Somatic Disorders

BackgroundLittle is known about the associations between common mental disorders and sexual dissatisfaction in the general population.AimsTo assess the associations between the presence of 12-month and remitted (lifetime minus 12-month) mood, anxiety and substance use disorders and sexual dissatisfaction in the general population of The Netherlands.MethodA total of 6646 participants, aged 18–64, took part in a face-to-face survey using the Composite International Diagnostic Interview 3.0. Childhood trauma, somatic disorders and sexual dissatisfaction were also assessed in an additional questionnaire. Associations were assessed with multivariate regression analyses.ResultsIn total, 29% reported some sexual dissatisfaction. Controlling for demography, somatic disorders and childhood trauma, significant associations with 12-month mood disorder (B = 0.31), substance use disorder (B = 0.23) and anxiety disorder (B = 0.16) were found. Specifically, relatively strong associations were found for alcohol dependence (B = 0.54), bipolar disorder (B = 0.45) and drug dependence (B = 0.44). The association between remitted disorders and sexual dissatisfaction showed significance for the category substance use disorder.ConclusionsPeople with mood, anxiety and substance use disorders show elevated scores on sexual dissatisfaction, even when relevant confounders are controlled for. Sexual satisfaction appears to be reduced most by alcohol and drug dependence and bipolar disorder. Once remitted, substance use disorder shows a persisting association with present sexual dissatisfaction.

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