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Variations in Smoking After Admission To Psychiatric Inpatient Units and Impact of a Partial Smoking Ban On Smoking and On Smoking-Related Perceptions

Author

Listed:
  • Ineke Keizer

    (University Hospitals of Geneva, Department of Psychiatry, Geneva, Switzerland, Ineke.Keizer@hcuge.c)

  • Virginie Descloux

    (University Hospitals of Geneva, Department of Psychiatry, Geneva, Switzerland)

  • Ariel Eytan

    (University Hospitals of Geneva, Department of Psychiatry, Geneva, Switzerland)

Abstract

Background: Smoke-related problems are particularly frequent in psychiatry, with additional concerns about iatrogenic effects on smoking in inpatient settings. Aims: To study the impact of a partial smoking ban on psychiatric patients and staff members. Methods: Using a pre- and post-intervention design, comparison of smoke-related characteristics and perceptions permitted changes after the introduction of smoking restrictions in 2002 to be studied. Ninety-one inpatients and 110 staff members participated in 2001 before intervention, and 134 inpatients and 85 staff members participated in 2005. Results: After reinforcement of smoking restrictions, no significant changes in smoking prevalence or severity were observed, but there was a change in attitude for patients, more of whom were considering stopping. Daily cigarette consumption after admission changed significantly between 2001 and 2005. A marked decrease after three days in hospital as compared to the week before entry was observed in 2005 ( p = 0.005), whereas in 2001 the trend was towards increase ( p = 0.06). Furthermore, although the perception of quantity of smoke decreased ( p = 0.0005) for both patients and staff, discomfort related to smoke remained unchanged. Conclusion: The introduction of a partial smoking ban had favourable effects on patients' cigarette consumption and attitudes, but more efforts need to be pursued.

Suggested Citation

  • Ineke Keizer & Virginie Descloux & Ariel Eytan, 2009. "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, , vol. 55(2), pages 109-123, March.
    • Handle: RePEc:sae:socpsy:v:55:y:2009:i:2:p:109-123
    DOI: 10.1177/0020764008092357
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    References listed on IDEAS

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    1. Sharon J. Lawn, 2004. "Systemic Barriers to Quitting Smoking among Institutionalised Public Mental Health Service Populations: A Comparison of Two Australian Sites," International Journal of Social Psychiatry, , vol. 50(3), pages 204-215, September.
    2. Patrick, D.L. & Cheadle, A. & Thompson, D.C. & Diehr, P. & Koepsell, T. & Kinne, S., 1994. "The validity of self-reported smoking: A review and meta-analysis," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1086-1093.
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    Cited by:

    1. Sharon Lawn & Yi Feng & George Tsourtos & Jonathan Campion, 2015. "Mental health professionals’ perspectives on the implementation of smoke-free policies in psychiatric units across England," International Journal of Social Psychiatry, , vol. 61(5), pages 465-474, August.
    2. Patrick Goodman & Sally Haw & Zubair Kabir & Luke Clancy, 2009. "Are there health benefits associated with comprehensive smoke-free laws," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(6), pages 367-378, December.
    3. Sharon Lawn & Jonathan Campion, 2013. "Achieving Smoke-Free Mental Health Services: Lessons from the Past Decade of Implementation Research," IJERPH, MDPI, vol. 10(9), pages 1-21, September.

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