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International Journal of Social Psychiatry
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Variations in Smoking during Hospitalization in Psychiatric In-Patient Units and Smoking Prevalence in Patients and Health-Care Staff

Ineke Keizer

Department of Psychiatry, HUG – University Hospital of Geneva, Ch. du Petit Bel-Air 2, CH-1225 Chene-Bourg, Switzerland; Ineke.Keizer{at}hcuge.ch

Ariel Eytan

Department of Psychiatry, Adult Psychiatric Service, University Hospital of Geneva, Switzerland.

Background: Smoking and exposure to smoke are important concerns, especially in psychiatric in-patient services.

Aims: Our aims were to study variations in smoking after hospitalization for psychiatric in-patients, and to evaluate smoking-related concerns and prevalence for both patients and health-care staff.

Methods: A similar survey was mailed to staff members and proposed individually to all recently admitted patients; participation rates were 39% and 79% respectively.

Results: Three days after admission, 4/10 patients had increased and 3/10 had decreased their daily tobacco use. Univariate analysis of variance showed nicotine dependence scores to be associated with variations in consumption (p 1/4 .005): whereas 74% of heavy smokers decreased cigarette consumption, 80% of light and 57% of moderate smokers increased their consumption. The prevalence of current smoking was twice as high in patients (72%) as compared to health-care professionals (31%). Patients were also more nicotine dependent (Heaviness of Smoking Index (HSI) 1/4 3.97/vs. 1.81), and half of the patients were heavy smokers (> 20 cigarettes/day), as opposed to only 6.3% of the staff.

Conclusions: Smoking prevalence and daily tobacco consumption are very high in psychiatric patients. After hospitalization, light and moderate smokers increased whereas heavy smokers decreased smoking.

Key Words: health facility environment • psychiatric in-patients • survey • tobacco smoking prevalence

International Journal of Social Psychiatry, Vol. 51, No. 4, 317-328 (2005)
DOI: 10.1177/0020764005057377


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I. Keizer, V. Descloux, and A. Eytan
Variations in Smoking After Admission To Psychiatric Inpatient Units and Impact of a Partial Smoking Ban On Smoking and On Smoking-Related Perceptions
International Journal of Social Psychiatry, March 1, 2009; 55(2): 109 - 123.
[Abstract] [PDF]