Cited by 503Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesGlobal Public Health Policies and Epidemiology

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Smoking, Mental Illness, and Public Health

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Prochaska, Judith J., Das, Smita, Young-Wolff, Kelly C.·2017·Annual Review of Public Health

DOI 10.1146/annurev-publhealth-031816-044618PMC PMC5788573

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Abstract

Tobacco use remains the leading preventable cause of death worldwide. In particular, people with mental illness are disproportionately affected with high smoking prevalence; they account for more than 200,000 of the 520,000 tobacco-attributable deaths in the United States annually and die on average 25 years prematurely. Our review aims to provide an update on smoking in the mentally ill. We review the determinants of tobacco use among smokers with mental illness, presented with regard to the public health HAVE framework of “the host” (e.g., tobacco user characteristics), the “agent” (e.g., nicotine product characteristics), the “vector” (e.g., tobacco industry), and the “environment” (e.g., smoking policies). Furthermore, we identify the significant health harms incurred and opportunities for prevention and intervention within a health care systems and larger health policy perspective. A comprehensive effort is warranted to achieve equity toward the 2025 Healthy People goal of reducing US adult tobacco use to 12%, with attention to all subgroups, including smokers with mental illness.

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“In addition, people with mental disorders are characterized by an unfavorable addict logical profi le: they smoke more often and also smoke more cigarettes than the average person from the general population [10,11].”
Background
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“Smoking may also be an independent risk factor for depression [49, 50].”
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Indicadores hospitalarios y comportamiento de pacientes internados en hospital psiquiátrico que adoptó la prohibición de fumar
de Oliveira, R. M., Santos, J. L. F., & Furegato, A. R. F. (2022) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.5666.3610
Hospital indicators and inpatient behavior in a psychiatric hospital that implemented the smoking ban
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“Scientific evidence obtained in American and Italian studies addressing the physical harm caused by smoking among people with mental disorders shows that smoking is one of the factors associated with the reduction in the life expectancy of this population and the high prevalence of somatic comorbidities(20-21).”
Notes
Cabassa, L. J. (2023) · doi:10.1093/oso/9780190937300.002.0008
“I’m Sick From Head to Toe”
Cabassa, L. J. (2023) · doi:10.1093/oso/9780190937300.003.0001

Authors: Prochaska, J. J., Das, S., & Young-Wolff, K. C.
Affiliations: Stanford Medicine (US)
Stanford University (US)
Division of Research, Kaiser Permanente Northern California, Oakland, California 94612;
ORCID: Prochaska, Judith J.
Das, Smita
Venue: Annual Review of Public Health
Publisher: Annual Reviews
Published: 2017-03-20
Volume: 38
Issue: 1
Pages: 165-185
ISSN: 0163-7525 (ISSN-L)
1545-2093
DOI: 10.1146/annurev-publhealth-031816-044618
PMC: PMC5788573
OpenAlex: W2520553955
Cited by: 503
References: 135
Citations by year: 2026: 34 · 2025: 51 · 2024: 61 · 2023: 74 · 2022: 70 · 2021: 92 · 2020: 51 · 2019: 36 · 2018: 21 · 2017: 13
FWCI: 2.74
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-sa
creativecommons.org/licenses/by-sa/4.0/ (vor)
Locations: Annual Review of Public Health (publishedVersion, cc-by-sa)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion, cc-by-sa)
PubMed Central (acceptedVersion, cc-by-sa)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Heart, Lung, and Blood Institute (R01HL117736)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
Keywords: tobacco use, mental illness, smoking prevalence, premature mortality, determinants of tobacco use, nicotine products, tobacco industry, smoking policy, smoking prevention, smoking cessation interventions, health equity, tobacco use reduction
MeSH terms: Mental Disorders, Health Policy, Humans, Public Health, Smoking, United States, Comorbidity, Smoking Cessation, Persons with Psychiatric Disorders

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