Cigarette smoking and interest in quitting in methadone maintenance patients

Shadi Nahvi, Kimber Richter, Xuan Li, Laxmi Modali, Julia H. Arnsten

Research output: Contribution to journalArticle

81 Citations (Scopus)

Abstract

Objectives: To examine tobacco use, readiness to quit, and interest in smoking cessation interventions among methadone maintenance patients. Methods: Cross-sectional survey of outpatients enrolled in four urban methadone maintenance clinics. Stage of readiness to quit was determined for all smokers, and factors associated with both readiness to quit and interest in attending an on-site smoking cessation program were determined. Results: Among 389 patients, 83% were current smokers. Nearly half (48%) of smokers were contemplating quitting, and an additional 22% were in the preparation stage of readiness to quit. In multivariate analyses, lower nicotine dependence, prior use of smoking cessation pharmacotherapy, and lower methadone dose were associated with being in the preparation stage. Patients with more education, Hispanics/Latinos, and patients who had used smoking cessation pharmacotherapy or were in the preparation or contemplation stages of behavior change were more interested in attending an on-site smoking cessation program. Conclusions: Tobacco use is highly prevalent among methadone maintenance patients, but we also observed a high level of readiness to quit and interest in smoking cessation. Targeted smoking cessation interventions, including on-site programs, should be developed for methadone maintenance patients.

Original languageEnglish (US)
Pages (from-to)2127-2134
Number of pages8
JournalAddictive Behaviors
Volume31
Issue number11
DOIs
StatePublished - Nov 2006

Fingerprint

Methadone
Smoking Cessation
Tobacco Products
Smoking
Drug therapy
Tobacco
Tobacco Use
Hispanic Americans
Nicotine
Drug Therapy
Tobacco Use Disorder
Education
Outpatients
Multivariate Analysis
Cross-Sectional Studies

Keywords

  • Methadone maintenance
  • Smoking cessation
  • Stages of change
  • Tobacco smoking

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Cigarette smoking and interest in quitting in methadone maintenance patients. / Nahvi, Shadi; Richter, Kimber; Li, Xuan; Modali, Laxmi; Arnsten, Julia H.

In: Addictive Behaviors, Vol. 31, No. 11, 11.2006, p. 2127-2134.

Research output: Contribution to journalArticle

Nahvi, Shadi ; Richter, Kimber ; Li, Xuan ; Modali, Laxmi ; Arnsten, Julia H. / Cigarette smoking and interest in quitting in methadone maintenance patients. In: Addictive Behaviors. 2006 ; Vol. 31, No. 11. pp. 2127-2134.
@article{2d7000f2c21d47428d856bd6a1aebd9e,
title = "Cigarette smoking and interest in quitting in methadone maintenance patients",
abstract = "Objectives: To examine tobacco use, readiness to quit, and interest in smoking cessation interventions among methadone maintenance patients. Methods: Cross-sectional survey of outpatients enrolled in four urban methadone maintenance clinics. Stage of readiness to quit was determined for all smokers, and factors associated with both readiness to quit and interest in attending an on-site smoking cessation program were determined. Results: Among 389 patients, 83{\%} were current smokers. Nearly half (48{\%}) of smokers were contemplating quitting, and an additional 22{\%} were in the preparation stage of readiness to quit. In multivariate analyses, lower nicotine dependence, prior use of smoking cessation pharmacotherapy, and lower methadone dose were associated with being in the preparation stage. Patients with more education, Hispanics/Latinos, and patients who had used smoking cessation pharmacotherapy or were in the preparation or contemplation stages of behavior change were more interested in attending an on-site smoking cessation program. Conclusions: Tobacco use is highly prevalent among methadone maintenance patients, but we also observed a high level of readiness to quit and interest in smoking cessation. Targeted smoking cessation interventions, including on-site programs, should be developed for methadone maintenance patients.",
keywords = "Methadone maintenance, Smoking cessation, Stages of change, Tobacco smoking",
author = "Shadi Nahvi and Kimber Richter and Xuan Li and Laxmi Modali and Arnsten, {Julia H.}",
year = "2006",
month = "11",
doi = "10.1016/j.addbeh.2006.01.006",
language = "English (US)",
volume = "31",
pages = "2127--2134",
journal = "Addictive Behaviors",
issn = "0306-4603",
publisher = "Elsevier Limited",
number = "11",

}

TY - JOUR

T1 - Cigarette smoking and interest in quitting in methadone maintenance patients

AU - Nahvi, Shadi

AU - Richter, Kimber

AU - Li, Xuan

AU - Modali, Laxmi

AU - Arnsten, Julia H.

PY - 2006/11

Y1 - 2006/11

N2 - Objectives: To examine tobacco use, readiness to quit, and interest in smoking cessation interventions among methadone maintenance patients. Methods: Cross-sectional survey of outpatients enrolled in four urban methadone maintenance clinics. Stage of readiness to quit was determined for all smokers, and factors associated with both readiness to quit and interest in attending an on-site smoking cessation program were determined. Results: Among 389 patients, 83% were current smokers. Nearly half (48%) of smokers were contemplating quitting, and an additional 22% were in the preparation stage of readiness to quit. In multivariate analyses, lower nicotine dependence, prior use of smoking cessation pharmacotherapy, and lower methadone dose were associated with being in the preparation stage. Patients with more education, Hispanics/Latinos, and patients who had used smoking cessation pharmacotherapy or were in the preparation or contemplation stages of behavior change were more interested in attending an on-site smoking cessation program. Conclusions: Tobacco use is highly prevalent among methadone maintenance patients, but we also observed a high level of readiness to quit and interest in smoking cessation. Targeted smoking cessation interventions, including on-site programs, should be developed for methadone maintenance patients.

AB - Objectives: To examine tobacco use, readiness to quit, and interest in smoking cessation interventions among methadone maintenance patients. Methods: Cross-sectional survey of outpatients enrolled in four urban methadone maintenance clinics. Stage of readiness to quit was determined for all smokers, and factors associated with both readiness to quit and interest in attending an on-site smoking cessation program were determined. Results: Among 389 patients, 83% were current smokers. Nearly half (48%) of smokers were contemplating quitting, and an additional 22% were in the preparation stage of readiness to quit. In multivariate analyses, lower nicotine dependence, prior use of smoking cessation pharmacotherapy, and lower methadone dose were associated with being in the preparation stage. Patients with more education, Hispanics/Latinos, and patients who had used smoking cessation pharmacotherapy or were in the preparation or contemplation stages of behavior change were more interested in attending an on-site smoking cessation program. Conclusions: Tobacco use is highly prevalent among methadone maintenance patients, but we also observed a high level of readiness to quit and interest in smoking cessation. Targeted smoking cessation interventions, including on-site programs, should be developed for methadone maintenance patients.

KW - Methadone maintenance

KW - Smoking cessation

KW - Stages of change

KW - Tobacco smoking

UR - http://www.scopus.com/inward/record.url?scp=33749584350&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33749584350&partnerID=8YFLogxK

U2 - 10.1016/j.addbeh.2006.01.006

DO - 10.1016/j.addbeh.2006.01.006

M3 - Article

C2 - 16473476

AN - SCOPUS:33749584350

VL - 31

SP - 2127

EP - 2134

JO - Addictive Behaviors

JF - Addictive Behaviors

SN - 0306-4603

IS - 11

ER -