思春期の薬物乱用障害患者における喫煙有病率とタバコ使用障害の調査。禁煙プログラムのための重要な発見と意味を発見する。

Prevalence and Correlates of Smoking Behavior Among Patients with Substance Use Disorders in a Specialized Adolescent Psychiatric Outpatient Clinic Abstract: Objective: Germany lacks recent data on the incidence and severity of tobacco use and tobacco use disorders (TUD) in high-risk populations, especially among adolescent outpatients with substance use disorders (SUDs). Method: We collected data from N = 134 adolescents in a specialized SUD outpatient unit for adolescent psychiatric patients using structured interviews (consumption and disorder symptoms) and a sociodemographic caregiver questionnaire (education, subjective financial status, and housing status). Descriptive data and linear regression models present possible associations between consumption, disorder diagnoses, and social demographics. Results: There were high 30-day prevalence rates for smoking (95 %), daily smoking (79 %), heavy or very heavy smoking (61 % and 23 % among smokers, respectively), and past-year TUD (77 %). Daily average consumption of M = 11.0 cigarettes was associated with a lower age at first use (M = 12.6 years), which in turn was lower for those with a lower level of education and a worse financial situation. Conclusions: The extremely high prevalence of smoking, early onset of use, and high rate of TUD highlight the urgent need for tailored smoking cessation programs for adolescents with SUD.