Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-10007
Wapf, V; Schaub, Michael P; Klaeusler, B; Boesch, L; Stohler, Rudolf; Eich, D (2008). The barriers to smoking cessation in Swiss methadone and buprenorphine-maintained patients. Harm Reduction Journal, 5:10:1-9.
BACKGROUND: Smoking rates in methadone-maintained patients are almost three times higher than in the general population and remain elevated and stable. Due to the various negative health effects of smoking, nicotine dependence contributes to the high mortality in this patient group. The purpose of the current study was to investigate Swiss methadone and buprenorphine-maintained patients' willingness to stop smoking and to clarify further smoking cessation procedures. METHODS: Substance abuse history, nicotine dependence, and readiness to stop smoking were assessed in a sample of 103 opiate-dependent patients in the metropolitan area of Zurich, Switzerland. Patients were asked to document their smoking patterns and readiness to quit. RESULTS: Only a small number of patients were willing to quit smoking cigarettes (10.7%) and, even though bupropione or nicotine replacement therapy was included in the fixed daily treatment care, only one patient received nicotine replacement therapy for smoking cessation. A diagnosis of depression in patients' clinical records was associated with readiness to stop smoking. No significant associations were found between readiness to quit smoking and age, methadone treatment characteristics, and presence of co-dependencies. CONCLUSION: The current prescription level of best medicine for nicotine dependence in Swiss methadone and buprenorphine-maintained patients is far from adequate. Possible explanations and treatment-relevant implications are discussed.
|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Clinical and Social Psychiatry Zurich West (former)|
04 Faculty of Medicine > Swiss Research Institute for Public Health and Addiction
04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Psychiatry, Psychotherapy, and Psychosomatics
|DDC:||610 Medicine & health|
|Date:||18 March 2008|
|Deposited On:||16 Jan 2009 14:56|
|Last Modified:||04 Sep 2014 09:55|
|Additional Information:||Free full text article|
|Citations:||Web of Science®. Times Cited: 1|
Scopus®. Citation Count: 4
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