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The impact of tobacco use and nicotine addiction on health: A literature review of nursing interventions for smoking cessation

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Journal of Integrative Nursing 2024年第4期6卷 218-230页

作者： Raghad ABDELKADER Roqia Saleem MAABREH Riyad AL-DGHEIM Naif Salem ALTARAWNEH Mahmoud HALRABAB’A Hala ZAITON Amaal Samir ABDELMAKSOUD Wesam T.ALMAGHARBEH Khaldoon Aied ALNAWAFLEH Hazem A.ALFANASH Zyad T.SALEH Rami Azmi ELSHATARAT Maternal and Child Health Nursing Department Faculty of NursingApplied Science Private UniversityAmmanJordan Department of Nursing Nursing CollegeIrbid National UniversityIrbidJordan Department of Respiratory Therapy and Critical Care Faculty of Allied Medical SciencesJadara UniversityIrbidJordan Department of Psychiatric Nursing College of NursingTaibah UniversityMadinahSaudi Arabia Applied Medical Science Department Prince Al-Hussein Bin Abdullah II Academy for Civil ProtectionAl-Balqa Applied UniversitySaltJordan Department of Medical and Surgical Nursing College of NursingTaibah UniversityMadinahSaudi Arabia Department of Medical Surgical Nursing Faculty of NursingAlexandria UniversityAlexandriaEgypt Department of Medical Surgical Nursing Faculty of NursingUniversity of TabukTabukSaudi Arabia Department of Nursing leadership and Education Faculty of NursingUniversity of TabukTabukSaudi Arabia Department of Clinical Nursing School of NursingThe University of JordanAmmanJordan Department of Nursing Vision CollegeRiyadhSaudi Arabia

tobacco use remains one of the leading preventable causes of morbidity and mortality globally,with nicotine addiction significantly impacting health *** literature review explores the multifaceted nature of tobacco use and its health implications,emphasizing the role of nursing interventions in smoking *** review highlights various strategies employed by nurses,including assessment,counseling,pharmacotherapy support,and behavioral interventions,which are essential for effective tobacco *** analyzing current evidence-based practices,the study underscores the importance of comprehensive assessments and personalized care plans tailored to individual patient *** also addresses the significance of motivational interviewing and the 5 A’s framework in facilitating successful quit *** addition,the review discusses the integration of cognitive-behavioral therapy and stress management techniques as vital components of behavioral *** for improving tobacco cessation efforts include enhanced training for healthcare professionals,the establishment of community-based support groups,and advocacy for robust tobacco control *** findings underscore the critical need for ongoing research into the long-term effectiveness of cessation interventions across diverse *** study aims to inform nursing practice and public health policy,ultimately contributing to the reduction of tobacco-related health issues and promoting healthier communities.

关键词： Addiction clinical interventions health hazards policy advocacy public health secondhand smoke smoking cessation tobacco use

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Association of tobacco use with the tobacco-related built environment:an ecological study from urban slums of Bhopal,India

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Global Health Research and Policy 2023年第1期8卷 532-540页

作者： Yogesh Damodar Sabde Vikas Yadav Abhijit PPakhare Sanjeev Kumar Ankur Joshi Rajnish Joshi Environmental Health and Epidemiology ICMR-National Institute of Research in Environmental Health(ICMR-NIREH)BhopalMP 462030India Department of Community and Family Medicine All India Institute of Medical SciencesBhopalMP 462020India Department of Medicine All India Institute of Medical SciencesBhopalMP 462020India

Introduction tobacco is one of the biggest public health problems and a major risk factor for various non-communicable diseases(NCDs).An important aspect of tobacco control strategy could include modifications in the tobacco-related built *** study investigated the association between tobacco shop density and tobacco use prevalence in the urban slums of Bhopal city,*** We conducted a cross-sectional survey to obtain the distribution of tobacco-related built environment(tobacco shops)in the neighbourhood(400-m service area)of 32 urban slum clusters of *** plotted this distribution using the’network service area analysis’in ArcMap 10.7.1 ***,we used an ecological design to determine the association between tobacco shop density and tobacco use prevalence in these 32 clusters(N=6214 adult inhabitants).We used multiple linear regression analysis to estimate the regression coefficient(adjusted for socio-demographic variables)between tobacco use and tobacco shop density at the cluster *** The prevalence of tobacco use among all 32 slum clusters ranged from 22.1 to 59.6%(median 40.9%with IQR 31.8-44.2).There were 194 tobacco shops situated in the neighbourhood of all *** median density of tobacco shops was 59.40/km2(IQR 39.9-108.1/km2)in the neighbourhoods of slum *** use prevalence was significantly associated with tobacco shop density(estimate or B=0.071,p value=0.002)after adjusting for age,literacy,wealth index,and gender *** tobacco use prevalence is significantly associated with tobacco shop density in the slums of Bhopal city in central *** need to develop appropriate built environment interventions to control rampant tobacco use.

关键词： tobacco use Built environment Network analysis Service area India Neighbourhood GIS ArcMap QGIS

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The status of tobacco use and knowledge,and attitudes relating to smoking among female students in a Bengbu medical school

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Journal of Nanjing Medical University 2009年第3期23卷 189-193页

作者： Yulong Qi Cuizhu Mei Department of Psychology Bengbu Medical College Bengbu 233030 China Department of Epidemiology and Sratistics Bengbu Medical College Bengbu 233030 China

Objective： To learn the status of tobacco use, and the knowledge, attitudes, and behaviors among female students in Bengbu Medical College. Methods： In a cross-sectional survey, questionnaires were completed by 634 female students in the medical college in 2007, including the prevalence of current smoking, their knowledge of the effects of tobacco use on health, and attitudes towards the smoking behaviors of young women. Results： Only 6.9% of female medical students were former smokers, and 4.9% of them were current smokers. There was no significant difference in the current smoking rate among the students from each department surveyed. Female students from urban areas were more likely to be current or attempted smokers than those from rural areas. The proportion of the students who were aware of the health risks of smoking was less than 45%. The students from the Department of Nursing had more knowledge regarding the harmful health effects of smoking than those from the other departments. There was no significant difference in attitudes towards the smoking behaviors of young women among the students from each department. Compared with female students from rural areas, the female students from urban areas were significantly more likely to think that a young woman who smoked was cool, mature and charming. Conclusion： The smoking prevalence of the female students in Bengbu Medical College is high. They are not aware of the smoking related risks and have erroneous beliefs and perceptions about female smoking behaviors.

关键词： tobacco use knowledge attitude female medical students

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Factors Associated with tobacco use among Community Dwelling Older Adults in Jos South, Nigeria

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Health 2020年第8期12卷 1049-1066页

作者： Kingsley Mayowa Okonoda Bawo Onesirosan James Yusufu Taru Maigari Charles Nnemeka Nwoga Christopher Goson Piwuna Esther Awazzi Envuladu Department of Psychiatry University of Jos Jos Nigeria Department of Psychiatry Jos University Teaching Hospital Jos Nigeria Drug Abuse Treatment Education and Research (DATER) Unit Federal Neuropsychiatric Hospital Benin-City Nigeria Department of Community Medicine University of Jos Jos Nigeria

Background: tobacco use poses an enormous threat to public health worldwide. Its use is associated with an epidemic of cancer, heart disease, stroke, chronic lung disease and other non-communicable diseases especially with increases in age leading to increase morbidity and mortality. The aim of the study was to determine prevalence and associated factors with tobacco use among elderly members of a community in Jos South LGA, Plateau State, Nigeria. Methods: Data was collected from 17th to 31st August, 2018. The study employed a cross sectional design. Out of 422 elderly members (≥60 years) of the community identified, only 400 were interviewed with a composite questionnaire that includes the following: socio-demography, Alcohol Smoking and Substance Involvement Screening Test (ASSIST), Mini International Neuropsychiatric Interview (MINI) as well as the 12-item General Health Questionnaire (GHQ-12). Results: Results show the lifetime prevalence of tobacco use to be 17.5% and current prevalence to be 15.8%. tobacco use disorders were not significantly associated with gender (X2 = 0.10, pused tobacco were more likely to report cardiovascular (X2 = 0.03, p = 0.96), respiratory (X2 = 0.21, p = 0.65), digestive (X2 = 3.86, p = 0.05), difficulty ambulating (X2 = 0.34, 0.56), probable psychiatric co-morbidity (X2 = 0.12, p = 0.72) and chronic pain conditions (X2 = 0.74, p = 0.39), and had more hospital visits (X2 = 1.18, p = 0.40), and admissions (X2 = 0.03, p = 0.96) but the relationships did not attain statistical significance. Conclusion: We conclude that tobacco use is highly prevalent among older adults living in the community. There is need to step up efforts on programs of intervention especially smoking cessation programs and a

关键词： tobacco use Elderly Community-Dwelling Nigeria

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Smoking cessation prior to elective total joint arthroplasty results in sustained abstinence postoperatively

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World Journal of Orthopedics 2024年第7期15卷 627-634页

作者： Billy Insup Kim Jeffrey O'Donnell Colleen M Wixted Thorsten Markus Seyler William A Jiranek Michael Paul Bolognesi Sean Patrick Ryan Department of Orthopedic Surgery Hospital for Special SurgeryNew YorkNY 10021United States Department of Orthopedic Surgery New York UniversityNew YorkNY 10003United States Department of Orthopedic Surgery Duke University HospitalDurhamNC 27560United States

BACKGROUND tobacco use is a well-documented modifiable risk factor for perioperative *** To determine the tobacco abstinence rates of patients who made cessation efforts prior to a total joint arthroplasty(TJA)*** A retrospective evaluation was performed on 88 self-reported tobacco users who underwent TJA between 2014-2022 and had tobacco cessation dates within 3 mo of *** patients were contacted via phone survey to understand their tobacco use pattern,and patient reported outcomes.A total of 37 TJA patients *** Our cohort was on average 61-years-old,60%(n=22)women,with an average body mass index of 30 kg/m^(2).The average follow-up time was 2.9±1.9 years.A total of 73.0%(n=27)of patients endorsed complete abstinence from tobacco use prior to *** cessation methods were used perioperatively including prescription therapy(13.5%),over the counter nicotine replacement(18.9%),cessation programs(5.4%).At final follow up,43.2%(n=16)of prior tobacco smokers reported complete *** who were able to maintain cessation postoperatively had improved Patient-Reported Outcomes Measurement Information System(PROMIS)-10 mental health scores(49 vs 58;P=0.01),and hip dysfunction and osteoarthritis outcome score for joint replacement(***)scores(63 vs 82;P=0.02).No patients in this cohort had a prosthetic joint infection or required revision *** We report a tobacco cessation rate of 43.2%in patients undergoing elective TJA nearly 3 years *** undergoing TJA who were able to remain abstinent had improved PROMIS-10 mental health scores and *** *** perioperative period provides clinicians a unique opportunity to assist active tobacco smokers with cessation efforts and improve postoperative outcomes.

关键词： Smoking cessation Total joint arthroplasty Outcomes tobacco use Postoperative abstinence

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Exploring Barriers to Implementation of Smoking Policies: A Qualitative Study on Health Professionals from Three County-Level Hospitals

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Biomedical and Environmental Sciences 2008年第3期21卷 257-263页

作者： JUN-FANG WANG SHAO-JUN MA CUI-ZHU MEI XUE-FANG XU CHUN-PING WANG GONG-HUAN YANG Institute of Basic Medical Sciences Chinese Academy of Medical Sciences and School of Basic Medicine Peking Union Medical College Beijing 100005 China Union School of Public Health Peking Union Medical College Beijing 100005 China Chinese Center for Disease Control ＆ Prevention Beijing 100050 China

Objective This study was to identify factors limiting the implementation of smoking policies in county-level hospitals. Methods We conducted qualitative interviews （17 focus groups discussions and 6 one-to-one in depth interviews） involving 103 health professionals from three target county-level hospitals. A combination of purposive and convenience sampling was used to recruit subjects and gain a broad range of perspectives on issues emerging from ongoing data-analysis until data saturation occurred. The transcripts were analyzed for themes and key points. Results The main themes that emerged suggested that both smokers and non-smokers viewed smoking very negatively. However, it was clear that, underlying this acceptance of the health risks of smoking, there was a wide range of beliefs. Most of the health professionals pointed out that, as smoking was legal, addictive, and influenced by social norms, currently it was almost unrealistic to expect all smokers to give up smoking or not to smoke in the hospitals. Furthermore, they were concerned about the potentially detrimental effects of providing counseling advice to all smokers on the interpersonal relationship among colleagues or between doctors and patients. In addition, low level of employee participation influenced the sustainable implementation of smoking policies. Conclusions Simply being aware of the health risks about smoking did not necessarily result in successful implementation of the smoking policies. Application of comprehensive intervention strategies such as implementing smoking policies in public places at the county level, creating supportive environments, promoting community participation, and conducting health education, may be more effective.

关键词： Qualitative study tobacco use Smoking policy HP attitudes

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Addictive behaviors in liver transplant recipients: The real problem?

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World Journal of Hepatology 2017年第22期9卷 953-958页

作者： Hélène Donnadieu-Rigole Pascal Perney José Ursic-Bedoya Stéphanie Faure Georges-Philippe Pageaux Department of Addictology Saint Eloi University Hospital University of Montpellier Department of Addictology Caremeau Hospital Liver Transplantation Unit Saint Eloi University Hospital University of Montpellier

Liver transplantation(LT) is the gold standard treatment for end-stage liver disease. Whatever the primary indication of LT, substance abuse after surgery may decrease survival rates and quality of life. Prevalence of severe alcohol relapse is between 11 and 26%,and reduces life expectancy regardless of the primary indication of LT. Many patients on waiting lists for LT are smokers and this is a major risk factor for both malignant tumors and cardiovascular events post-surgery. The aim of this review is to describe psychoactive substance consumption after LT, and to assess the impact on liver transplant recipients. This review describes data about alcohol and illicit drug use by transplant recipients and suggests guidelines for behavior management after surgery. The presence of an addiction specialist in a LT team seems to be very important.

关键词： Liver transplantation tobacco use Illicit drugs Behavior management Severe alcohol relapse

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Incidence of Haematoma Formation in Relation to Smoking in Abdominoplasty Cases

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Modern Plastic Surgery 2023年第1期13卷 32-40页

作者： Dalal Al Mansoori Anood Alqaydi Shamsa Alameri Medhat Emil Ibrahim Al Marzooqi Aysha Al Naqbi Muhammad Tariq Ayub Dalia Medhat Habib Omar Alameri Department of Plastic and Reconstructive Surgery Zayed Military Hospital Abu Dhabi United Arab of Emirates

Objective: This study aims at assessing the relation between smoking and the incidence of haematoma formation in abdominoplasty surgery cases. Patients and Methods: This is a 4 years retrospective study involving the patients who underwent abdominoplasty surgery between the period of May 2015 and April 2019 in Zayed Military Hospital, Abu Dhabi, United Arab of Emirates. The incidence of haematoma formation was assessed in relation to tobacco use in these patients. Results: 164 patients met the inclusion criteria of the study. 35 patients were smokers (21.3%) and 129 patients were non-smokers (78.7%). The mean age was 38.4 (21 - 59 years). The mean BMI was 27 kg/m2 (21.4 - 34.7 kg/m2) and the mean hospital stay was 6.5 days (4 - 19). 23 patients in the study developed haematoma (14%). 11 of them had surgical evacuation of the haematoma (6.7%) while the rest were aspirated in the out-patient clinic. Out of the 23 patients who developed haematoma, 17 patients were smokers and 6 were non-smokers. The incidence of haematoma among smokers was 48.6% (17 out of 35 cases) while its incidence among nonsmokers was 4.7% (6 out of 129 cases) showing a clear relationship between smoking and hematoma formation (p Conclusion: Our study shows a direct relationship between smoking and haematoma formation in abdominoplasty cases. Cessation of smoking during the perioperative period is required before embarking on such a procedure.

关键词： Haematoma Smoking Abdominoplasty Surgery tobacco use

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Social Determinants of Change in Smoking Status over a 26-Year Follow up Period among Middle-Aged and Older Americans

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Journal of Biosciences and Medicines 2021年第4期9卷 29-41页

作者： Shervin Assari Department of Family Medicine Charles R Drew University of Medicine and Science Los Angeles CA USA

Educational attainment and income are among major socioeconomic status (SES) indicators that are inversely associated with cigarette smoking. Marginalization-related Diminished Returns (MDRs), however, are weaker protective effects of SES indicators for racial and ethnic minority groups compared to non-Hispanic White people. The aim is to test whether racial and ethnic differences exist in the effects of educational attainment and income on cigarette smoking of middle-aged and older American adults. This is a 26-year longitudinal study using data from the Health and Retirement Study (HRS), a nationally representative study of middle-aged and older adults in the US. A total number of 11,316 middle-aged and older adults (age ≥ 50) were followed for up to 26 years. The independent variables were educational attainment and income. The dependent variables were always smoking and being quitters over the follow-up time. Age, gender, self-rated health, and chronic medical conditions were the covariates. Race/ethnicity was the moderator. Logistic regressions were used to analyze the data. Most participants were never smokers (n = 7950), followed by quitters (n = 1765), always smokers (n = 1272), and initiators (n = 329). Overall, high educational attainment (OR = 0.92, 95% CI = 0.90 - 0.95) and income (OR = 0.99, 95% CI = 0.99 - 0.99) reduced the odds of being always smoker. High educational attainment (OR = 1.05, 95% CI = 1.02 - 1.08) was associated with higher odds of being a quitter. Ethnicity, however, showed significant interactions with education on both outcomes suggesting that the effects of educational attainment on reducing the odds of always being a smoker (OR = 1.24, 95% CI = 1.14 - 1.35) and increasing the odds of quitting (OR = 0.84, 95% CI = 0.75 - 0.93) were smaller for Hispanics than non-Hispanics. In the United States, middle-aged and older Hispanic adults remain at high risk of smoking cigarettes despite high educational attainment. That is, high ed

关键词： Smoking tobacco use Population Groups Ethnic Groups Race Socioeconomic Position Socioeconomic Status

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