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      Patterns of tobacco use, quit attempts, readiness to quit and self-efficacy among smokers with anxiety or depression: Findings among six countries of the EUREST-PLUS ITC Europe Surveys.

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          Abstract

          We compared smoking behaviors, past quit attempts, readiness to quit and beliefs about quitting among current cigarette smokers with probable anxiety or depression (PAD) to those without PAD, from six European Union (EU) Member States (MS).

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          Case-finding instruments for depression

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            Smoking, Mental Illness, and Public Health

            Tobacco use remains the leading preventable cause of death worldwide. In particular, people with mental illness are disproportionately affected with high smoking prevalence; they account for more than 200,000 of the 520,000 tobacco-attributable deaths in the United States annually and die on average 25 years prematurely. Our review aims to provide an update on smoking in the mentally ill. We review the determinants of tobacco use among smokers with mental illness, presented with regard to the public health HAVE framework of “the host” (e.g., tobacco user characteristics), the “agent” (e.g., nicotine product characteristics), the “vector” (e.g., tobacco industry), and the “environment” (e.g., smoking policies). Furthermore, we identify the significant health harms incurred and opportunities for prevention and intervention within a health care systems and larger health policy perspective. A comprehensive effort is warranted to achieve equity toward the 2025 Healthy People goal of reducing US adult tobacco use to 12%, with attention to all subgroups, including smokers with mental illness.
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              Assessing motivation to quit smoking in people with mental illness: a review.

              People with mental health (MH) disorders smoke at higher rates, are more nicotine-dependent and suffer greater morbidity and mortality from smoking-related illnesses than the general population. Helping these people to quit smoking is a public health priority; however, many MH professionals assume that those with mental illness are not motivated to quit. To use predetermined criteria to identify, review critically and evaluate empirically all English language, peer-reviewed data on motivation to quit smoking in MH populations. A systematic search was conducted and key data on subject characteristics, measures of motivation and other variables abstracted. chi(2) analyses were used to compare motivation between MH and general populations, between in-patients and out-patients and between people with depression and people with psychotic disorders. Evidence suggests that people with MH disorders are as motivated to quit smoking as the general population, although those with psychotic disorders may be less motivated than individuals with depression. Although readiness to cease smoking was assessed in 14 studies, only two evaluated motivation to quit smoking in in-patient populations. People with MH disorders are motivated to quit smoking, although more research is needed looking at in-patient populations. The commonly held false belief that people with MH disorders are not motivated to cease smoking means that opportunities to encourage smoking cessation among this disenfranchised group are being missed.
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                Author and article information

                Journal
                Tob Induc Dis
                Tobacco induced diseases
                E.U. European Publishing
                1617-9625
                1617-9625
                2018
                : 16
                Affiliations
                [1 ] National and Kapodistrian University of Athens (UoA), Athens, Greece.
                [2 ] European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.
                [3 ] University of Crete (UoC), Heraklion, Greece.
                [4 ] Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada.
                [5 ] Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, United Kingdom.
                [6 ] King's College London (KCL), London, United Kingdom.
                [7 ] Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg, Germany.
                [8 ] Tobacco Control Unit, Catalan Institute of Oncology (ICO), and Cancer Control and Prevention Group, Bellvitge Biomedical Research Institute (IDIBELL), Catalonia, Spain.
                [9 ] School of Medicine and Health Sciences, Universitat de Barcelona, Catalonia, Spain.
                [10 ] Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary.
                [11 ] Universitatea de Medicina si Farmacie 'Grigore T. Popa' Iași, Iași, România.
                [12 ] Aer Pur Romania, Bucharest, Romania.
                [13 ] Health Promotion Foundation, Warsaw, Poland.
                [14 ] European Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz, Poland.
                [15 ] Department of Psychology & School of Public Health and Health Systems, University of Waterloo (UW), Waterloo, Canada.
                [16 ] Ontario Institute for Cancer Research, Toronto, Canada.
                Article
                A9
                10.18332/tid/98965
                6661848
                31516463
                c75b665c-0843-412a-950e-76cdcbde3d34
                History

                Europe,anxiety,depression,mental health,smoking cessation
                Europe, anxiety, depression, mental health, smoking cessation

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