Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients

Background: Despite disproportionately high rates of smoking among people in residential substance use disorder (SUD) treatment, few receive tobacco cessation services. Little is known about how smoking among treatment staff may impact this disparity. We explored the relationship between staff tobac...

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Autores: Guydish, Joseph, Le, Thao, Hosakote, Sindhushree, Straus, Elana, Wong, Jessie, Martínez, Cristina, Delucchi, Kevin
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/180607
Acceso en línea:https://hdl.handle.net/2445/180607
Access Level:acceso abierto
Palabra clave:Hàbit de fumar
Tractament del tabaquisme
Tobacco
Smoking cessation
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spelling Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clientsGuydish, JosephLe, ThaoHosakote, SindhushreeStraus, ElanaWong, JessieMartínez, CristinaDelucchi, KevinHàbit de fumarTractament del tabaquismeTobaccoSmoking cessationBackground: Despite disproportionately high rates of smoking among people in residential substance use disorder (SUD) treatment, few receive tobacco cessation services. Little is known about how smoking among treatment staff may impact this disparity. We explored the relationship between staff tobacco use and client tobacco use. Additionally, we examined the relationship between staff tobacco use and tobacco-related services reported by staff and clients. Methods: Staff (n = 363) and clients (n = 639) in 24 California publicly-funded residential SUD treatment programs were surveyed in 2019-20. Staff self-reported current tobacco use, as well as their beliefs, self-efficacy, and practices regarding smoking cessation. Clients reported their tobacco use and they services received while in treatment. Regression analyses examined the adjusted and unadjusted associations between staff and client tobacco use and other outcomes. Results: Use of any tobacco product by staff ranged from 0% to 100% by program, with an average of 32% across programs. Adjusted analyses found that higher rates of staff tobacco use were associated with higher rates of client tobacco use, and with fewer clients receiving tobacco-related counseling. In programs that had higher rates of staff tobacco use, staff were less likely to believe that clients should quit smoking in treatment and had lower self-efficacy to address smoking. Conclusion: Higher rates of tobacco use among staff are associated with higher rates of client tobacco use and fewer clients receiving cessation counseling. Efforts to reduce tobacco use among SUD clients should be supported by efforts to reduce tobacco use among staff. SUD treatment programs, and agencies that fund and regulate those programs, should aim to reduce the use of tobacco products among staff.Elsevier2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/180607Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.jsat.2021.108496Journal of Substance Abuse Treatment, 2022, vol.132, num.108496http:// doi.org/10.1016/j.jsat.2021.108496cc by-nc-nd (c) Guydish, Joseph et al., 2022http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1806072026-05-27T06:46:51Z
dc.title.none.fl_str_mv Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
title Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
spellingShingle Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
Guydish, Joseph
Hàbit de fumar
Tractament del tabaquisme
Tobacco
Smoking cessation
title_short Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
title_full Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
title_fullStr Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
title_full_unstemmed Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
title_sort Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients
dc.creator.none.fl_str_mv Guydish, Joseph
Le, Thao
Hosakote, Sindhushree
Straus, Elana
Wong, Jessie
Martínez, Cristina
Delucchi, Kevin
author Guydish, Joseph
author_facet Guydish, Joseph
Le, Thao
Hosakote, Sindhushree
Straus, Elana
Wong, Jessie
Martínez, Cristina
Delucchi, Kevin
author_role author
author2 Le, Thao
Hosakote, Sindhushree
Straus, Elana
Wong, Jessie
Martínez, Cristina
Delucchi, Kevin
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Hàbit de fumar
Tractament del tabaquisme
Tobacco
Smoking cessation
topic Hàbit de fumar
Tractament del tabaquisme
Tobacco
Smoking cessation
description Background: Despite disproportionately high rates of smoking among people in residential substance use disorder (SUD) treatment, few receive tobacco cessation services. Little is known about how smoking among treatment staff may impact this disparity. We explored the relationship between staff tobacco use and client tobacco use. Additionally, we examined the relationship between staff tobacco use and tobacco-related services reported by staff and clients. Methods: Staff (n = 363) and clients (n = 639) in 24 California publicly-funded residential SUD treatment programs were surveyed in 2019-20. Staff self-reported current tobacco use, as well as their beliefs, self-efficacy, and practices regarding smoking cessation. Clients reported their tobacco use and they services received while in treatment. Regression analyses examined the adjusted and unadjusted associations between staff and client tobacco use and other outcomes. Results: Use of any tobacco product by staff ranged from 0% to 100% by program, with an average of 32% across programs. Adjusted analyses found that higher rates of staff tobacco use were associated with higher rates of client tobacco use, and with fewer clients receiving tobacco-related counseling. In programs that had higher rates of staff tobacco use, staff were less likely to believe that clients should quit smoking in treatment and had lower self-efficacy to address smoking. Conclusion: Higher rates of tobacco use among staff are associated with higher rates of client tobacco use and fewer clients receiving cessation counseling. Efforts to reduce tobacco use among SUD clients should be supported by efforts to reduce tobacco use among staff. SUD treatment programs, and agencies that fund and regulate those programs, should aim to reduce the use of tobacco products among staff.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/180607
url https://hdl.handle.net/2445/180607
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.jsat.2021.108496
Journal of Substance Abuse Treatment, 2022, vol.132, num.108496
http:// doi.org/10.1016/j.jsat.2021.108496
dc.rights.none.fl_str_mv cc by-nc-nd (c) Guydish, Joseph et al., 2022
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Guydish, Joseph et al., 2022
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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