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

Open access

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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Items 401–500 of 503

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Background
Rauchfrei in der Psychiatrie – Eine qualitative Analyse der Ansichten von Mitarbeiter:innen
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Method
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“K2Q is grounded in an understanding that tobacco use is influenced by environmental, socio-cultural, interpersonal, and individual factors (Prochaska et al., 2017).”
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“34 Lastly, this study was consistent with research showing that people who smoke are significantly more likely to have an MHC, 1 26 44 and report more depression symptoms than those who do not smoke.”
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Chapter 8. Shared Decision Making
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Chapter 6. Impact of Medication Effects on Physical Health
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Index
(2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379774.index
Chapter 13. The COVID-19 Pandemic
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Chapter 1. Breadth and Depth of Mortality and Morbidity
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Front Matter
(2021) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615379774.fm01
Chapter 3. Effects of Concurrent Substance Use
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Chapter 4. Health Service Disparities
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Chapter 9. Healthy Living Skills
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Chapter 10. Health Navigators to Address Wellness
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Influential
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“In this case, smoking may potentially interfere with psychiatric treatment (e.g., depression) [64, 65].”
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Jackson, D. D., Goldman, T., Wagner, D. E., Redke, E., DeVito, G., & Younker, L. (2025) · Tobacco Use Insights · doi:10.1177/1179173x251335197
“36 37-39 The current study aligns with this literature and suggests that ITQL ’ s tailored messaging appealed to and/or motivated individuals with a history of a mental health diagnosis to report quitting readiness.”
Clinical Insights and Strategies to Managing Depression Subtypes Associated with Tobacco dependence: A Response to the Letter to the Editor
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“…certainly represents a significant substance use disorder with serious long-term health implications, its clinical management in psychiatric settings frequently follows different pathways compared to substances that cause acute intoxication or withdrawal requiring immediate intervention [3].”
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“Due to its harmful and fatal effects, controlling and regulating cigarette consumption has become essential to public health policies (Eek et al., 2010; Prochaska et al., 2017).”
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Balbuena, L., Åhs, F., Peters, E. M., Mendes‐Silva, A. P., & Speed, D. (2025) · Tobacco Use Insights · doi:10.1177/1179173x251349612
“70 Given the limited impact of cessation, population-wide reduction of exposure to smoking and second-hand smoke seems more promising.”
Polytobacco usage and mental health among Malaysian secondary school-going adolescents: Findings from the national school-based study
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“Given that nicotine dependence is linked to psychological distress 22 , the findings of this study may be explained by the deprivation reversal model, whereby nicotine abstinence is stressful, and nicotine exposure seems to increase stress levels and exacerbate mood disturbances by inducing changes…”
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Lifestyle-related behaviors among Brazilian public elementary school teachers and the associated factorsPreprint
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“29 Moreover, health professionals could highlight physical and psychological improvements associated with smoking cessations, 30 such as the decrease in depressive symptoms, 20,31,32 and the maintenance of this improvement over time as long as cessation is maintained.”
Mental Health and Public Health
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Study protocol: Using ecological momentary assessment and wearable sensors to examine mechanisms linking sleep and smoking cessation among adults who are socioeconomically disadvantaged
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Additional file 2 of A survey exploring the practices of smoking cessation support among hospital-based healthcare providers
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Additional file 1 of A survey exploring the practices of smoking cessation support among hospital-based healthcare providers
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Additional file 1 of Focal points of preanesthesia evaluations for electroconvulsive therapy in patients with depression: a retrospective analysis of clinical characteristics in nonremission
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Bennett, M. E., Dickerson, F., Cha, S., Brandler, B. J., Lucksted, A. A., Medoff, D. R., Marano, C. M., Knight, S., & Graham, A. L. (2026) · Psychiatric Services · doi:10.1176/appi.ps.20250326
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“This may indicate a close relationship with shared underlying factors between smoking and mental health, as individuals with psychological conditions are more likely to engage in smoking behavior 49 . www.nature.com/scientificreports”
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Japuntich, S. J., Adkins-Hempel, M., Sacasa, N. G., Lundtvedt, C., Becker, S. J., Helseth, S. A., Pratt, R. J., Tidey, J. W., DUNSIGER, S. I., Evins, A. E., et al. (2026) · Community Mental Health Journal · doi:10.1007/s10597-026-01727-1
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Multidimensional Smoking Profiles Defined by Psychological Dependence, Smoking Motives, Cigarette Consumption, and Withdrawal Symptoms: A Latent Profile Analysis
Bulut, A. (2026) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-026-01738-9
Latent Genetic Factors and Causal Pathways Linking Substance Use to Psychiatric and Personality Phenotypes: a Genomic SEM and Mendelian Randomization StudyPreprint
van Grondelle, K. C., Túnez, A., Pasman, J. A., Wouda, M. A. E., Wesseldijk, L. W., Lin, B. D., Goula, A. A., Verweij, K. J. H., & Luykx, J. J. (2026) · medRxiv · doi:10.64898/2026.09.28.26364160
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Goulbourne, T. D., Leal, I. M., Britton, M., Chen, T. A., Bergey, A. E., Siddiqi, A. D., Williams, T., Casey, K., & Reitzel, L. R. (2026) · Healthcare · doi:10.3390/healthcare14203482
“Tobacco cessation is associated with a 25% increase in sobriety among people receiving treatment for substance use disorder [25,26], and smoking cessation, in particular, is associated with decreases in reported anxiety, depression, and stress [25,27].”

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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