Gender-specific profiles of tobacco use among non-institutionalized people with serious mental illness

Simple item page
dc.contributor.authorJohnson, Joy L
dc.contributor.authorRatner, Pamela A
dc.contributor.authorMalchy, Leslie A
dc.contributor.authorOkoli, Chizimuzo TC
dc.contributor.authorProcyshyn, Ric M
dc.contributor.authorBottorff, Joan L
dc.contributor.authorGroening, Marlee
dc.contributor.authorSchultz, Annette
dc.contributor.authorOsborne, Marg
dc.date.accessioned2015-01-07T17:42:56Z
dc.date.available2015-01-07T17:42:56Z
dc.date.issued2010-11-30
dc.date.updated2015-01-07T16:15:25Z
dc.description.abstractAbstract Background In many countries, smoking remains the leading preventable cause of death. In North America, reductions in population smoking levels are stabilising and, in recent years, those involved in tobacco control programming have turned their attention to particular segments of society that are at greatest risk for tobacco use. One such group is people with mental illness. A picture of tobacco use patterns among those with mental illness is beginning to emerge; however, there are several unanswered questions. In particular, most studies have been limited to particular in-patient groups. In addition, while it is recognised that men and women differ in relation to their reasons for smoking, levels of addiction to nicotine, and difficulties with cessation, these sex and gender differences have not been fully explored in psychiatric populations. Methods Community residents with serious mental illness were surveyed to describe their patterns of tobacco use and to develop a gender-specific profile of their smoking status and its predictors. Results Of 729 respondents, almost one half (46.8%) were current tobacco users with high nicotine dependence levels. They spent a majority of their income on tobacco, and reported using smoking to cope with their psychiatric symptoms. Current smokers, compared with non-smokers, were more likely to be: diagnosed with a schizophrenia spectrum disorder (rather than a mood disorder); male; relatively young; not a member of a racialised group (e.g., Aboriginal, Asian, South Asian, Black); poorly educated; separated or divorced; housed in a residential facility, shelter, or on the street; receiving social assistance; and reporting co-morbid substance use. There is evidence of a gender interaction with these factors; in the gender-specific multivariate logistic regression models, schizophrenia spectrum disorder versus mood disorder was not predictive of women's smoking, nor was education, marital status or cocaine use. Women, and not men, however, were more likely to be smokers if they were young and living in a residential facility. Conclusion For men only, the presence of schizophrenia spectrum disorder is a risk factor for tobacco use. Other factors, of a social nature, contribute to the risk of smoking for both men and women with serious mental illness. The findings suggest that important social determinants of smoking are "gendered" in this population, thus tobacco control and smoking cessation programming should be gender sensitive.
dc.description.versionPeer Reviewed
dc.identifier.citationBMC Psychiatry. 2010 Nov 30;10(1):101
dc.identifier.doihttp://dx.doi.org/10.1186/1471-244X-10-101
dc.identifier.urihttp://hdl.handle.net/1993/30156
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderJoy L Johnson et al.; licensee BioMed Central Ltd.
dc.titleGender-specific profiles of tobacco use among non-institutionalized people with serious mental illness
dc.typeJournal Article
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
1471-244X-10-101.xml
Size:
142.56 KB
Format:
Extensible Markup Language
Description:
Download
Thumbnail Image
Name:
1471-244X-10-101.pdf
Size:
297.03 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.17 KB
Format:
Item-specific license agreed to upon submission
Description:
Download
Collections
University of Manitoba Scholarship
Rady Faculty of Health Sciences Scholarly Works