Smoking characteristics of adults with selected lifetime mental illnesses: results from the 2007 national health interview survey
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OBJECTIVES: We estimated smoking prevalence, frequency, intensity, and cessation attempts among US adults with selected diagnosed lifetime mental illnesses. METHODS: We used data from the 2007 National Health Interview Survey on 23 393 noninstitutionalized US adults to obtain age-adjusted estimates of smoking prevalence, frequency, intensity, and cessation attempts for adults screened as having serious psychological distress and persons self-reporting bipolar disorder, schizophrenia, attention deficit disorder or hyperactivity, dementia, or phobias or fears. RESULTS: The age-adjusted smoking prevalence of adults with mental illness or serious psychological distress ranged from 34.3% (phobias or fears) to 59.1% (schizophrenia) compared with 18.3% of adults with no such illness. Smoking prevalence increased with the number of comorbid mental illnesses. Cessation attempts among persons with diagnosed mental illness or serious psychological distress were comparable to attempts among adults without mental illnesses or distress; however, lower quit ratios were observed among adults with these diagnoses, indicating lower success in quitting. CONCLUSIONS: The prevalence of current smoking was higher among persons with mental illnesses than among adults without mental illnesses. Our findings stress the need for prevention and cessation efforts targeting adults with mental illnesses.
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The results reflect existing epidemiological evidence that schizophrenia patients not only smoke more, but also smoke more heavily.
“our results therefore reflect existing epidemiological evidence demonstrating that schizophrenia patients not only smoke more, but also smoke more heavily (de Leon et al., 2002; de Leon and Diaz, 2005; McClave et al., 2010).”
From DNA methylation meta-analysis reveals cellular alterations in psychosis and markers of treatment-resistant schizophrenia (2021) · cites this paper as McClave et al., 2010
Cites
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
Screening for serious mental illness in the general population
Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., Howes, M. J., Normand, S.-L. T., Manderscheid, R. W., Walters, E. E., et al. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.2.184 · Cited by 5,692 · see citing works
Actual causes of death in the United States
McGinnis, J. M. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03510180077038 · Cited by 5,480 · see citing works
Treating Tobacco Use and Dependence: 2008 Update
Panel, T. U. A. D. G. (2008) · PsycEXTRA Dataset · doi:10.1037/e566222009-001 · Cited by 3,864 · see citing works
Treating Tobacco Use and Dependence
(2008) · PEDIATRICS · doi:10.1542/peds.2008-1627 · Cited by 2,701 · see citing works
Smoking and Mental Illness: A Population-Based Prevalence Study
Lasser, K., Boyd, J. W., Woolhandler, S., Himmelstein, D. U., McCormick, D., & Bor, D. H. (2000) · JAMA · doi:10.1001/jama.284.20.2606 · Cited by 2,508 · see citing works
Prevalence of Dementia in the United States: The Aging, Demographics, and Memory Study
Plassman, B. L., Langa, K. M., Fisher, G. G., Heeringa, S. G., Weir, D. R., Ofstedal, M. B., Burke, J. R., Hurd, M. D., Potter, G. G., Rodgers, W. L., et al. (2007) · Neuroepidemiology · doi:10.1159/000109998 · Cited by 1,932 · see citing works
Grant, B. F., Hasin, D. S., Chou, S. P., Stinson, F. S., & Dawson, D. A. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.11.1107 · Cited by 1,262 · see citing works
Reducing the Health Consequences of Smoking: 25 Years of Progress. A Report of the Surgeon General.
Heidel, R. E. (1989) · Population and Development Review · doi:10.2307/1973420 · Cited by 1,182 · see citing works
Causes of the excess mortality of schizophrenia
Brown, S., Inskip, H., & Barraclough, B. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.3.212 · Cited by 1,087 · see citing works
Co‐Morbidity of Smoking in Patients with Psychiatric and Substance Use Disorders
Kalman, D., Morissette, S. B., & George, T. P. (2005) · The American Journal on Addictions · doi:10.1080/10550490590924728 · Cited by 594 · see citing works
Age Adjustment Using the 2000 Projected U.S. Population
Klein, R. J., & Schoenborn, C. A. (2001) · PsycEXTRA Dataset · doi:10.1037/e583772012-001 · Cited by 580 · see citing works
Ockene, I. S., & Miller, N. H. (1997) · Circulation · doi:10.1161/01.cir.96.9.3243 · Cited by 541 · see citing works
Age adjustment using the 2000 projected U.S. population.
Klein, R. J., & Schoenborn, C. A. (2001) · PubMed · Cited by 444 · see citing works
Nicotine effects on adults with attention-deficit/hyperactivity disorder
Levin, E. D., Conners, C. K., Sparrow, E., Hinton, S. C., Erhardt, D., Meck, W. H., Rose, J. E., & March, J. (1996) · Psychopharmacology · doi:10.1007/bf02246281 · Cited by 415 · see citing works
Addressing tobacco among individuals with a mental illness or an addiction
Williams, J. M., & Ziedonis, D. M. (2004) · Addictive Behaviors · doi:10.1016/j.addbeh.2004.03.009 · Cited by 356 · see citing works
Leonard, S. S., Adler, L. E., Benhammou, K., Berger, R., Breese, C. R., Drebing, C. J., Gault, J., Lee, M. J., Logel, J., D, A. O. M., et al. (2001) · Pharmacology Biochemistry and Behavior · doi:10.1016/s0091-3057(01)00677-3 · Cited by 298 · see citing works
Mortality and Medical Comorbidity Among Patients With Serious Mental Illness
Miller, B. J., Paschall, C. B., & Svendsen, D. P. (2006) · Psychiatric Services · doi:10.1176/ps.2006.57.10.1482 · Cited by 275 · see citing works
Psychiatric disorders and stages of smoking
Breslau, N., Novak, S. P., & Kessler, R. C. (2004) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00317-2 · Cited by 274 · see citing works
Cairney, J., Veldhuizen, S., Wade, T. J., Kurdyak, P. A., & Streiner, D. L. (2007) · The Canadian Journal of Psychiatry · doi:10.1177/070674370705200209 · Cited by 226 · see citing works
Self-reported cigarette smoking vs. serum cotinine among U.S. adolescents
Caraballo, R. S., Giovino, G. A., & Pechacek, T. F. (2004) · Nicotine & Tobacco Research · doi:10.1080/14622200310001656821 · Cited by 206 · see citing works
Disabilities, Quality of Life, and Mental Disorders Associated With Smoking and Nicotine Dependence
Schmitz, N., Kruse, J., & Kügler, J. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.9.1670 · Cited by 156 · see citing works
When to begin smoking cessation in substance abusers
Sees, K. L., & Clark, H. W. (1993) · Journal of Substance Abuse Treatment · doi:10.1016/0740-5472(93)90044-3 · Cited by 153 · see citing works
Ziedonis, D. M., Williams, J. M., & Smelson, D. A. (2003) · The American Journal of the Medical Sciences · doi:10.1097/00000441-200310000-00014 · Cited by 137 · see citing works
Assessment and Treatment of Comorbid Psychiatric Disorders in Opioid-Dependent Patients
Strain, E. C. (2002) · Clinical Journal of Pain · doi:10.1097/00002508-200207001-00003 · Cited by 132 · see citing works
Hagman, B. T., Delnevo, C. D., Hrywna, M., & Williams, J. M. (2008) · Addictive Behaviors · doi:10.1016/j.addbeh.2007.11.007 · Cited by 121 · see citing works
Management of smoking cessation in patients with psychiatric disorders
Fagerström, K. O., & Aubin, H. (2009) · Current Medical Research and Opinion · doi:10.1185/03007990802707568 · Cited by 96 · see citing works
The impact of mental illness on cardiac outcomes: A review for the cardiologist
Sowden, G. L., & Huffman, J. C. (2008) · International Journal of Cardiology · doi:10.1016/j.ijcard.2008.10.002 · Cited by 86 · see citing works
Correlates of Severity of Smoking Among Persons with Severe Mental Illness
Dixon, L. B., Medoff, D. R., Wohlheiter, K. A., DiClemente, C. C., Goldberg, R. W., Kreyenbuhl, J. A., Adams, C., Lucksted, A. A., & Davin, C. (2007) · American Journal on Addictions · doi:10.1080/10550490601184415 · Cited by 86 · see citing works
Audrain, J. E., Epstein, L. H., Lerman, C., Tercyak, K. P., Hawk, L. W., Bush, A., Crystal-Mansour, S., Rose, C., & NIAURA, R. S. (2001) · Nicotine & Tobacco Research · doi:10.1080/14622200110072156 · Cited by 83 · see citing works
A Brief Measure of High Nicotine Dependence for Busy Clinicians and Large Epidemiological Surveys
DÍAZ, F. J., Jané, M., Saltó, E., Pardell, H., Salleras, L., Pinet, C., & de León, J. (2005) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2005.01538.x · Cited by 83 · see citing works
The potential of quitlines to increase smoking cessation
Borland, R., & Segan, C. (2006) · Drug and Alcohol Review · doi:10.1080/09595230500459537 · Cited by 82 · see citing works
Management of smoking in people with psychiatric disorders
Ziedonis, D. M., & Williams, J. M. (2003) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000069086.26384.5f · Cited by 75 · see citing works
Smoking Cessation in Drug Treatment Programs
Hahn, E. J., Warnick, T. A., & Plemmons, S. (1999) · Journal of Addictive Diseases · doi:10.1300/j069v18n04_08 · Cited by 57 · see citing works
Smoking During Pregnancy—United States, 1990-2002
(2004) · JAMA · doi:10.1001/jama.292.18.2206-b · Cited by 56 · see citing works
Eliminating Tobacco Use in Mental Health Facilities
Williams, J. M. (2008) · JAMA · doi:10.1001/jama.299.5.571 · Cited by 53 · see citing works
Attention-deficit hyperactivity disorder in adults.
Bellak, L., & Rb, B. (1992) · PubMed · Cited by 53 · see citing works
Moeller‐Saxone, K. (2008) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2008.00283.x · Cited by 47 · see citing works
Fundamentals of Abnormal Psychology
Comer, R. (1994) · Medical Entomology and Zoology · Cited by 41 · see citing works
Tobacco Quitlines and Persons With Mental Illnesses: Perspective, Practice, and Direction
Morris, C. D., Tedeschi, G. J., Waxmonsky, J. A., May, M. G., & Giese, A. A. (2009) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390308330050 · Cited by 38 · see citing works
Prepulse inhibition deficits in schizophrenia are modified by smoking status
Woznica, A. A., Sacco, K. A., & George, T. P. (2009) · Schizophrenia Research · doi:10.1016/j.schres.2009.04.016 · Cited by 37 · see citing works
Fundamentals of abnormal psychology
Humphrey, M. E. (1981) · Behaviour Research and Therapy · doi:10.1016/0005-7967(81)90020-6 · Cited by 37 · see citing works
Specifying Cigarette Smoking and Quitting among People with Serious Mental Illness
Lucksted, A. A., McGuire, C., Postrado, L. T., Kreyenbuhl, J. A., & Dixon, L. B. (2004) · American Journal on Addictions · doi:10.1080/10550490490436000 · Cited by 35 · see citing works
Croghan, I. T., Schroeder, D. R., Hays, J. T., Eberman, K. M., Patten, C. A., Berg, E. J., & Hurt, R. D. (2005) · European Journal of Public Health · doi:10.1093/eurpub/cki076 · Cited by 27 · see citing works
Babcock, T., & Ornstein, C. S. (2009) · Postgraduate Medicine · doi:10.3810/pgm.2009.05.2005 · Cited by 23 · see citing works
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Cited by
Sorted by citations
Wootton, R. E., Richmond, R. C., Stuijfzand, B. G., Lawn, R. B., Sallis, H. M., Taylor, G. M. J., Hemani, G., Jones, H. J., Zammit, S., Davey Smith, G., et al. (2020) · Psychological Medicine · doi:10.1017/s0033291719002678 · Cited by 587 · see citing works
Cook, B. L., Wayne, G. F., Kafali, E. N., Liu, Z., Shu, C., & Flores, M. (2014) · JAMA · doi:10.1001/jama.2013.284985 · Cited by 519 · see citing works
Smoking, Mental Illness, and Public Health
Prochaska, J. J., Das, S., & Young-Wolff, K. C. (2017) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031816-044618 · Cited by 503 · see citing works
“Mental illness is associated with heavier smoking, greater nicotine dependence, greater withdrawal symptoms when quitting, and lower quit rates (19, 45, 70, 78, 90, 124).”
BackgroundCorrell, C. U., Robinson, D. G., Schooler, N. R., Brunette, M. F., Mueser, K. T., Rosenheck, R. A., Marcy, P., Addington, J., Estroff, S. E., Robinson, J., et al. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.1314 · Cited by 384 · see citing works
Hannon, E., Dempster, E., Viana, J., Burrage, J., Smith, A. R., Macdonald, R., St Clair, D., Mustard, C., Breen, G., Therman, S., et al. (2016) · Genome Biology · doi:10.1186/s13059-016-1041-x · Cited by 349 · see citing works
Evins, A. E., Cather, C., Pratt, S. A., Pachas, G. N., Hoeppner, S. S., Goff, D. C., Achtyes, E. D., Ayer, D., & Schoenfeld, D. A. (2014) · JAMA · doi:10.1001/jama.2013.285113 · Cited by 207 · see citing works
Galletly, C. A., Foley, D. L., Waterreus, A., Watts, G. F., Castle, D. J., McGrath, J. J., Mackinnon, A., & Morgan, V. A. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867412453089 · Cited by 203 · see citing works
Tobacco Use Before, At, and After First-Episode Psychosis: A Systematic Meta-Analysis
Myles, N., Newall, H. D., Curtis, J., Nielssen, O., Shiers, D., & Large, M. (2012) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.11r07222 · Cited by 158 · see citing works
Heffner, J. L., Strawn, J. R., DelBello, M. P., Strakowski, S. M., & Anthenelli, R. M. (2011) · Bipolar Disorders · doi:10.1111/j.1399-5618.2011.00943.x · Cited by 148 · see citing works
Prochaska, J. J., Hall, S. E., Delucchi, K., & Hall, S. M. (2014) · American Journal of Public Health · doi:10.2105/ajph.2013.301403 · Cited by 149 · see citing works
Hannon, E., Dempster, E. L., Mansell, G., Burrage, J., Bass, N., Bohlken, M. M., Corvin, A., Curtis, C. J., Dempster, D., Di Forti, M., et al. (2021) · eLife · doi:10.7554/elife.58430 · Cited by 132 · see citing works
“…both current smoking status and the quantity of cigarettes smoked; our results therefore reflect existing epidemiological evidence demonstrating that schizophrenia patients not only smoke more, but also smoke more heavily ( de Leon et al., 2002 ; de Leon and Diaz, 2005 ; McClave et al., 2010 ).”
Lawrence, D., Mitrou, F., & Zubrick, S. R. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-256 · Cited by 122 · see citing works
Jackson, J. G., Diaz, F. J., Lopez, L., & de Leon, J. (2015) · Bipolar Disorders · doi:10.1111/bdi.12319 · Cited by 120 · see citing works
Roberts, E., Eden Evins, A., McNeill, A., & Robson, D. (2016) · Addiction · doi:10.1111/add.13236 · Cited by 119 · see citing works
Chou, S. P., Goldstein, R. B., Smith, S. M., Huang, B., Ruan, W. J., Zhang, H., Jung, J., Saha, T. D., Pickering, R. P., & Grant, B. F. (2016) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.15m10114 · Cited by 106 · see citing works
Attention deficit hyperactivity disorder and adult mortality.
London, A. S., & Landes, S. D. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.06.021 · Cited by 71 · see citing works
Psychological distress among smokers in the United States: 2008–2014
Zvolensky, M. J., Jardin, C., Wall, M. M., Gbedemah, M., Hasin, D., Shankman, S. A., Gallagher, M. W., Bakhshaie, J., & Goodwin, R. D. (2018) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntx099 · Cited by 57 · see citing works
Quitline Outcomes for Smokers in 6 States: Rates of Successful Quitting Vary by Mental Health Status
Lukowski, A. V., Morris, C. D., Young, S. E., & Tinkelman, D. (2015) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntu252 · Cited by 37 · see citing works
Vickerman, K. A., Schauer, G. L., Malarcher, A. M., Zhang, L., Mowery, P., & Nash, C. M. (2015) · BioMed Research International · doi:10.1155/2015/817298 · Cited by 38 · see citing works
Smoking, Suicidality and Psychosis: A Systematic Meta-Analysis
Sankaranarayanan, A., Mancuso, S., Wilding, H., Ghuloum, S., & Castle, D. (2015) · PLOS ONE · doi:10.1371/journal.pone.0138147 · Cited by 24 · see citing works
Japuntich, S. J., Hammett, P. J., Rogers, E. S., Fu, S., Burgess, D. J., El Shahawy, O., Melzer, A. C., Noorbaloochi, S., Krebs, P., & Sherman, S. E. (2020) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntaa013 · Cited by 23 · see citing works
Daumit, G. L., Evins, A. E., Cather, C., Dalcin, A. T., Dickerson, F. B., Miller, E. R., Appel, L. J., Jerome, G. J., McCann, U., Ford, D. E., et al. (2023) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2023.1691 · Cited by 13 · see citing works
Behavioral Interventions to Reduce Cardiovascular Risk Among People with Severe Mental Disorder
Baker, A. L., Forbes, E., Pohlman, S., & McCarter, K. (2022) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-072720-012042 · Cited by 9 · see citing works
- Authors
- McClave, A. K., McKnight-Eily, L. R., Davis, S. P., & Dube, S. R.
- ORCID
- Dube, Shanta R.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2010-12
- Volume
- 100
- Issue
- 12
- Pages
- 2464-2472
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2978196
- OpenAlex
- W2024203641
- Cited by
- 339
- References
- 46
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 16 · 2023: 12 · 2022: 32 · 2021: 25 · 2020: 24 · 2019: 26 · 2018: 26 · 2017: 30 · 2016: 32 · 2015: 29 · 2014: 17 · 2013: 18 · 2012: 19
- FWCI
- 10.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- smoking prevalence, mental illness, serious psychological distress, smoking cessation, quit attempts, smoking intensity, schizophrenia, bipolar disorder, attention deficit hyperactivity disorder, dementia, phobia, comorbidities
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Female, Health Surveys, Humans, Male, Middle Aged, Smoking, Stress, Psychological, United States, Prevalence, Smoking Cessation, Qualitative Research, Young Adult
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