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Nicotine dependence and gender differences in smokers accessing community mental health services

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TLDR
Gender differences in smoking behaviour among 298 individuals accessing community mental health services found individuals with a psychotic disorder as compared with a non-psychotic disorder, and individuals using a greater number of substances were more likely to be male.
Abstract
Despite evidence of differences in smoking behaviour between women and men, few studies have assessed these differences in individuals with mental illnesses In this cross-sectional study, we explored gender differences in smoking behaviour among 298 individuals (60% male) accessing community mental health services Individuals with a psychotic disorder as compared with a non-psychotic disorder, and individuals using a greater number of substances were more likely to be male Readiness to change, daily cigarette consumption and level of nicotine dependence did not differ between men and women; however, subjective ratings of tobacco addiction were higher in women than in men Among women, only scores on the subjective tobacco addiction scale were associated with nicotine dependence, while among men, a variety of variables were associated with nicotine dependence These factors are important for understanding individual differences in tobacco dependence among clients with mental illnesses, and are expected to inform future studies examining tobacco use in mental health treatment populations

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Citations
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Journal ArticleDOI

Perceived barriers to smoking cessation in selected vulnerable groups: a systematic review of the qualitative and quantitative literature

TL;DR: Vulnerable groups experience common barriers to smoking cessation, in addition to barriers that are unique to specific vulnerable groups, which are priority areas for future smoking cessation interventions within vulnerable groups.
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The Meanings of Smoking to Women and Their Implications for Cessation

TL;DR: A women-centred approach to smoking cessation that could underpin initiatives in clinical, community or public health settings and could inform campaigns and messaging is discussed.
Journal ArticleDOI

Cigarette smoking and mood disorders in U.S. adolescents: sex-specific associations with symptoms, diagnoses, impairment and health services use.

TL;DR: Smoking prevention efforts may benefit from specifically targeting female youth who show signs of depression or anxiety diagnoses through a school-based program, while greater benefits with males may be evident through programs integrated into mental health services.
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Gender differences in characteristics and outcomes of smokers diagnosed with psychosis participating in a smoking cessation intervention.

TL;DR: It was found that female smokers with psychosis were significantly more likely than males to report that they smoked to prevent weight gain and were more likely to be driven by extrinsic motivators to quit such as immediate reinforcement and social influence, compared to the male smoker with psychosis.
Journal ArticleDOI

Qualitative exploration of family perspectives of smoke free mental health and addiction services

TL;DR: It is argued that the development and implementation of quality mental health services would be strengthened by involving family and whanau in smoke-free initiatives and the provision of relevant information to family, whānau, and service users would help dispel myths and stigma associated with tobacco and mental health.
References
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Journal ArticleDOI

The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire.

TL;DR: A revision of the FTQ: the Fagerström Test for Nicotine Dependence (FTND), which found that a revised scoring of time to the first cigarette of the day (TTF) and number of cigarettes smoked per day (CPD) improved the scale.
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The fifth edition of the addiction severity index

TL;DR: The clinical and research uses of the ASI over the past 12 years are discussed, emphasizing some special circumstances that affect its administration.
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Smoking and Mental Illness: A Population-Based Prevalence Study

TL;DR: In this paper, the authors report that persons with mental disorders are twice as likely to smoke as other individuals, but have substantial quit rates compared with persons without mental disorders, and that smoking rates for individuals with mental disorder are higher than those without mental disorder.
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Assessing outcome in smoking cessation studies.

TL;DR: Outcome measures for smoking cessation are reviewed and evaluated, including 3 self-report measures and 3 biochemical validation measures, primarily measures of point prevalence abstinence.
Journal ArticleDOI

Gender differences in substance use disorders.

TL;DR: The prevalence rates indicate that a diagnosis of substance abuse is not gender specific, and to determine whether gender differences observed over the past 25 years become less demarcated in comparisons of younger cohorts of substance abusers in the future will be interesting.
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