Vital Signs: Current Cigarette Smoking Among Adults Aged ≥18 Years with Mental Illness — United States, 2009–2011

Details

• Alternative Title:
  Current Cigarette Smoking Among Adults Aged ≥18 Years with Mental Illness — United States, 2009–2011
• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Gfroerer, Joe ; Dube, Shanta R. ; King, Brian A. ; Garrett, Bridgette E. ; Babb, Stephen ; McAfee, Timothy
• Description:
  Background ; Cigarette smoking remains the leading cause of preventable morbidity and Mortality in the United States Despite overall declines in cigarette smoking, a high prevalence of smoking persists among certain subpopulations, including persons with mental illness. ; Methods ; Combined data from the 2009–2011 National Survey on Drug Use and Health (NSDUH) were used to calculate national and state estimates of cigarette smoking among adults aged ≥18 years who had any mental illness (AMI), defined as having a mental, behavioral, or emotional disorder, excluding developmental and substance use disorders, in the past 12 months. ; Results ; During 2009–2011, an annual average of 19.9% of adults aged ≥18 years had AMI; among these persons, 36.1% were current smokers, compared with 21.4 % among adults with no mental illness. Smoking prevalence among those with AMI was highest among men, adults aged <45 years, and those living below the poverty level; smoking prevalence was lowest among college graduates. During 2009–2011, adults with AMI smoked 30.9% of all cigarettes smoked by adults. By U.S. region, smoking prevalence among those with AMI was lowest in the West (31.5%) and Northeast (34.7%) and highest in the Midwest (39.1%) and South (37.8%), with state prevalence ranging from 18.2% (Utah) to 48.7% (West Virginia). ; Conclusions ; The prevalence of cigarette smoking is high among adults with AMI, especially for younger adults, those with low levels of education, and those living below the poverty level; the prevalence varies by U.S. region. ; Implications for Public Health Practice ; Increased awareness about the high prevalence of cigarette smoking among persons with mental illness is needed to enhance efforts to reduce smoking in this population. Proven population-based Prevention strategies should be extended to persons with mental illness, including implementing tobacco-free campus policies in mental health facilities. Primary care and mental health-care providers should routinely screen patients for tobacco use and offer evidence-based cessation treatments. Given that persons with mental illness are at risk for multiple adverse behavioral and health outcomes, tobacco cessation will have substantial benefits, including a reduction in excess morbidity and Mortality attributed to tobacco use.
• Subjects:
  • Adult
  • Aged
  • Educational Status
  • Female
  • Health Surveys
  • Humans
  • Male
  • Mental Disorders
  • Middle Aged
  • Poverty
  More +
• Source:
  MMWR Morbidity Mortal Weekly Rep. 2013; 62(5):81-87.
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  23388551
• Pubmed Central ID:
  PMC4604817
• Document Type:
  Journal Article
• Corporate as Subject:
  Vital Signs
• Place as Subject:
  United States
• Pages in Document:
  7 pdf pages
• Volume:
  62
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/54473/cdc_54473_DS1.pdf
• File Type:
  [PDF - 387.34 KB]
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:1cd93c30041490b9d54b45fc8b2406d3bfd901f8f1ef26b9be6ba1a4c8ce8c7921491ab19a6272291c333974cf93bd337932c33bcd1abba509af2b55a1eeb0fd