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Variations in Smoking during Hospitalization in Psychiatric In-Patient Units and Smoking Prevalence in Patients and Health-Care Staff

Author

Listed:
  • Ineke Keizer

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

  • Ariel Eytan

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

Abstract

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.

Suggested Citation

  • Ineke Keizer & Ariel Eytan, 2005. "Variations in Smoking during Hospitalization in Psychiatric In-Patient Units and Smoking Prevalence in Patients and Health-Care Staff," International Journal of Social Psychiatry, , vol. 51(4), pages 317-328, December.
    • Handle: RePEc:sae:socpsy:v:51:y:2005:i:4:p:317-328
    DOI: 10.1177/0020764005057377
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    References listed on IDEAS

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    1. Emery, S. & Gilpin, E.A. & Ake, C. & Farkas, A.J. & Pierce, J.P., 2000. "Characterizing and identifying 'hard-core' smokers: Implications for further reducing smoking prevalence," American Journal of Public Health, American Public Health Association, vol. 90(3), pages 387-394.
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