Do people with mental illness receive adequate smoking cessation advice? A systematic review and meta-analysis

作者: Alex J. Mitchell , Davy Vancampfort , Marc De Hert , Brendon Stubbs

DOI: 10.1016/J.GENHOSPPSYCH.2014.11.006

关键词: Meta-analysisPsychiatrySchizophreniaMental healthSmoking cessationMental illnessMedicineBipolar disorderComorbidityRelative risk

摘要: Abstract Background Prevalence rates of smoking in people with mental illness are high, and premature mortality attributed to tobacco related physical comorbidity is a major concern. We conducted meta-analysis comparing receipt cessation advice among without illness. Method Major electronic databases were searched from inception till August 2014 for studies Two independent authors completed methodological appraisal extracted data. A random-effects was utilized. Results Seven satisfactory quality ( n illness=68,811, control=652,847) included. Overall there no significant difference between those [relative risk (RR)=1.02, 95% confidence interval (CI)=0.94–1.11, =721,658, Q =1421, P =559,122). This remained true schizophrenia (RR=1.09, CI=0.68–1.70) bipolar disorder (RR=1.14, CI=0.85–1.5). People non-SMIs slightly more likely receive (RR=1.16, CI=1.04–1.30, =1364, =580,206). Conclusions SMI similar illness, while non-SMI advice. While progress has been made, offering should higher priority everyday clinical practice patients health diagnosis.

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