Tobacco use in people with severe mental illness: Findings from a multi-country survey of mental health institutions in South Asia
Introduction People with severe mental illness (SMI) tend to die early due to cardiovascular and respiratory diseases, which may be linked to tobacco use. There is limited information on tobacco use in people with SMI in low- and middle-income countries where most tobacco users reside. We present no...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2023-12-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Tobacco-use-in-people-with-severe-mental-illness-Findings-nfrom-a-multi-country-survey,174361,0,2.html |
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| author | Sukanya Rajan* Alex Mitchell* Gerardo A. Zavala* Danielle Podmore Humaira Khali Asiful H. Chowdhury Krishna Prasad Muliyala Koralagamage Kavindu Appuhamy Faiza Aslam Asad T. Nizami Rumana Huque David Shiers Pratima Murthy Najma Siddiqi Kamran Siddiqi, on behalf of the IMPACT research team<sup>+</sup> |
| author_facet | Sukanya Rajan* Alex Mitchell* Gerardo A. Zavala* Danielle Podmore Humaira Khali Asiful H. Chowdhury Krishna Prasad Muliyala Koralagamage Kavindu Appuhamy Faiza Aslam Asad T. Nizami Rumana Huque David Shiers Pratima Murthy Najma Siddiqi Kamran Siddiqi, on behalf of the IMPACT research team<sup>+</sup> |
| author_sort | Sukanya Rajan* |
| collection | DOAJ |
| description | Introduction
People with severe mental illness (SMI) tend to die early due to
cardiovascular and respiratory diseases, which may be linked to tobacco use.
There is limited information on tobacco use in people with SMI in low- and
middle-income countries where most tobacco users reside. We present novel data
on tobacco use in people with SMI and their access to tobacco cessation advice
in South Asia.
Methods
We conducted a multi-country survey of adults with SMI attending
mental health facilities in Bangladesh, India, and Pakistan. Using data collected
with a standardized WHO STEPS survey tool, we estimated the prevalence and
distribution of tobacco use and assessed receipt of tobacco cessation advice.
Results
We recruited 3874 participants with SMI; 46.8% and 15.0% of men and
women consumed tobacco, respectively. Smoking prevalence in men varied by
country (Bangladesh 42.8%, India 20.1% and Pakistan 31.7%); <4% of women
reported smoking in each country. Smokeless tobacco use in men also varied
by country (Bangladesh 16.2%, India 18.2% and Pakistan 40.8%); for women,
it was higher in Bangladesh (19.1%), but similar in India (9.9%) and Pakistan
(9.1%). Just over a third of tobacco users (38.4%) had received advice to quit
tobacco. Among smokers, 29.1% (n=244) made at least one quit attempt in the
past year. There was strong evidence for the association between tobacco use and
the severity of depression (OR=1.29; 95% CI: 1.12–1.48) and anxiety (OR=1.29;
95% CI: 1.12–1.49).
Conclusions
As observed in high-income countries, we found higher tobacco use
in people with SMI, particularly in men compared with rates reported for the
general population in South Asia. Tobacco cessation support within mental health
services offers an opportunity to close the gap in life expectancy between SMI
and the general population.
STUDY REGISTRATION
ISRCTN88485933; https://doi.org/10.1186/ISRCTN88485933 39 |
| first_indexed | 2024-03-08T03:05:39Z |
| format | Article |
| id | doaj.art-2ba8062c85b34a588355227561bd3a42 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-03-08T03:05:39Z |
| publishDate | 2023-12-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-2ba8062c85b34a588355227561bd3a422024-02-13T09:09:21ZengEuropean PublishingTobacco Induced Diseases1617-96252023-12-0121December11310.18332/tid/174361174361Tobacco use in people with severe mental illness: Findings from a multi-country survey of mental health institutions in South AsiaSukanya Rajan*0https://orcid.org/0000-0003-1420-7670Alex Mitchell*1https://orcid.org/0000-0001-9311-2092Gerardo A. Zavala*2https://orcid.org/0000-0002-9825-8725Danielle Podmore3https://orcid.org/0000-0001-9365-7850Humaira Khali4https://orcid.org/0000-0002-4690-5601Asiful H. Chowdhury5https://orcid.org/0000-0001-9015-4414Krishna Prasad Muliyala6https://orcid.org/0000-0002-2580-9581Koralagamage Kavindu Appuhamy7https://orcid.org/0000-0002-0195-6608Faiza Aslam8Asad T. Nizami9Rumana Huque10https://orcid.org/0000-0002-7616-9596David Shiers11Pratima Murthy12Najma Siddiqi13https://orcid.org/0000-0003-1794-2152Kamran Siddiqi, on behalf of the IMPACT research team<sup>+</sup>14https://orcid.org/0000-0003-1529-7778National Institute of Mental Health and Neurosciences, Bangalore, IndiaDepartment of Health Sciences, University of York, York, United KingdomDepartment of Health Sciences, University of York, York, United KingdomDepartment of Health Sciences, University of York, York, United KingdomInstitute of Psychiatry, Rawalpindi, PakistanARK Foundation, Dhaka, BangladeshNational Institute of Mental Health and Neurosciences, Bangalore, IndiaDepartment of Health Sciences, University of York, York, United KingdomInstitute of Psychiatry, Rawalpindi, PakistanInstitute of Psychiatry, Rawalpindi, PakistanARK Foundation, Dhaka, BangladeshPsychosis Research Unit, Greater Manchester Mental Health National Health Service Foundation Trust, Manchester City, United KingdomNational Institute of Mental Health and Neurosciences, Bangalore, IndiaDepartment of Health Sciences, University of York, York, United KingdomDepartment of Health Sciences, University of York, York, United KingdomIntroduction People with severe mental illness (SMI) tend to die early due to cardiovascular and respiratory diseases, which may be linked to tobacco use. There is limited information on tobacco use in people with SMI in low- and middle-income countries where most tobacco users reside. We present novel data on tobacco use in people with SMI and their access to tobacco cessation advice in South Asia. Methods We conducted a multi-country survey of adults with SMI attending mental health facilities in Bangladesh, India, and Pakistan. Using data collected with a standardized WHO STEPS survey tool, we estimated the prevalence and distribution of tobacco use and assessed receipt of tobacco cessation advice. Results We recruited 3874 participants with SMI; 46.8% and 15.0% of men and women consumed tobacco, respectively. Smoking prevalence in men varied by country (Bangladesh 42.8%, India 20.1% and Pakistan 31.7%); <4% of women reported smoking in each country. Smokeless tobacco use in men also varied by country (Bangladesh 16.2%, India 18.2% and Pakistan 40.8%); for women, it was higher in Bangladesh (19.1%), but similar in India (9.9%) and Pakistan (9.1%). Just over a third of tobacco users (38.4%) had received advice to quit tobacco. Among smokers, 29.1% (n=244) made at least one quit attempt in the past year. There was strong evidence for the association between tobacco use and the severity of depression (OR=1.29; 95% CI: 1.12–1.48) and anxiety (OR=1.29; 95% CI: 1.12–1.49). Conclusions As observed in high-income countries, we found higher tobacco use in people with SMI, particularly in men compared with rates reported for the general population in South Asia. Tobacco cessation support within mental health services offers an opportunity to close the gap in life expectancy between SMI and the general population. STUDY REGISTRATION ISRCTN88485933; https://doi.org/10.1186/ISRCTN88485933 39https://www.tobaccoinduceddiseases.org/Tobacco-use-in-people-with-severe-mental-illness-Findings-nfrom-a-multi-country-survey,174361,0,2.htmlsevere mental illnesssmokingsmokeless tobaccocessation |
| spellingShingle | Sukanya Rajan* Alex Mitchell* Gerardo A. Zavala* Danielle Podmore Humaira Khali Asiful H. Chowdhury Krishna Prasad Muliyala Koralagamage Kavindu Appuhamy Faiza Aslam Asad T. Nizami Rumana Huque David Shiers Pratima Murthy Najma Siddiqi Kamran Siddiqi, on behalf of the IMPACT research team<sup>+</sup> Tobacco use in people with severe mental illness: Findings from a multi-country survey of mental health institutions in South Asia Tobacco Induced Diseases severe mental illness smoking smokeless tobacco cessation |
| title | Tobacco use in people with severe mental illness: Findings
from a multi-country survey of mental health institutions in
South Asia |
| title_full | Tobacco use in people with severe mental illness: Findings
from a multi-country survey of mental health institutions in
South Asia |
| title_fullStr | Tobacco use in people with severe mental illness: Findings
from a multi-country survey of mental health institutions in
South Asia |
| title_full_unstemmed | Tobacco use in people with severe mental illness: Findings
from a multi-country survey of mental health institutions in
South Asia |
| title_short | Tobacco use in people with severe mental illness: Findings
from a multi-country survey of mental health institutions in
South Asia |
| title_sort | tobacco use in people with severe mental illness findings from a multi country survey of mental health institutions in south asia |
| topic | severe mental illness smoking smokeless tobacco cessation |
| url | https://www.tobaccoinduceddiseases.org/Tobacco-use-in-people-with-severe-mental-illness-Findings-nfrom-a-multi-country-survey,174361,0,2.html |
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