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

Ineke Keizer, Virginie Descloux and Ariel Eytan
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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

International Journal of Social Psychiatry, 2009, vol. 55, issue 2, 109-123

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.

Keywords: behaviour; health policy; inpatients; intention; nicotine dependence; prevalence; psychiatry; smoking cessation (search for similar items in EconPapers)
Date: 2009
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:55:y:2009:i:2:p:109-123

DOI: 10.1177/0020764008092357

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