台灣精神科住院病人的吸菸行為

Smoking Behaviors among Psychiatric Inpatients in Taiwan

目的：2009年起在台灣之精神醫療院所內全面禁止吸菸。本研究在探討台灣精神科住院病人之吸菸行為和特質。方法：本研究採用成人吸菸行為調查問卷於精神科住院病人。自2010年4月至6月共收1,030位個案，並以分析結果和2009年衛生署國民健康局成人吸菸行為調查結果比較。結果：精神科住院病人相較於一般大眾有較高之曾經吸菸率。精神科住院病人吸菸和酒精濫用或依賴（風險比數=9.31，95%信賴區間=4.32-22.66，p<0.001）、曾使用甲基安非他命（風險比數=3.58，95%信賴區間=1.79-7.68，p<0.001）、離婚（風險比數=2.61，95%信賴區間=1.65-4.16，p<0.001）等有顯著的相關。結論：精神科住院病人有較高之吸菸率，精神科應重視住院病人吸菸相關的問題並應整合至目前的心理衛生服務體系內。

Objective:Tobacco use has been prohibited in psychiatric institutions in Taiwan since 2009. We conducted this study to investigate the smoking behaviors and characteristics among psychiatric inpatients in Taiwan. Methods:The Adult Smoking Surveillance System was applied to hospitalized psychiatric patients. From April to June 2010, we recruited 1,030 subjects from psychiatric wards in Taiwan. We compared the results of this study with an adult smoking survey for the general population in 2009. Results:Hospitalized psychiatric patients had a higher prevalence of ever smoking compared to persons in the general population (45.7% vs. 28.6%). Alcohol abuse or dependence (odds ratio = 9.31, 95% confidence interval = 4.32 - 22.66, p< 0.001), history of methamphetamine use (OR = 3.58, 95% CI = 1.79 - 7.68, p< 0.001), and being divorced (OD = 2.61; 95% CI = 1.65 - 4.16, p< 0.001) were found to be significantly associated with cigarette smoking among psychiatric inpatients. Conclusion:Psychiatric inpatients had a higher rate of smoking than the general population. Smoking should be treated as an important issue for psychiatric inpatients, and effective treatment should be designed and integrated into existing mental health services.