TY - JOUR
KW - Adult
KW - Analgesics, Opioid/therapeutic use
KW - Buprenorphine/therapeutic use
KW - Comorbidity
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Opiate Substitution Treatment/statistics & numerical data
KW - Opioid-Related Disorders/drug therapy/epidemiology
KW - Smoking/epidemiology
KW - Smoking Cessation/statistics & numerical data
AU - Pooja A. Shah
AU - Chinazo O. Cunningham
AU - Mia T. Brisbane
AU - Joseph P. DeLuca
AU - Shadi Nahvi
A1 - 
AB - OBJECTIVES: Provision of smoking-cessation treatment is limited in office-based buprenorphine maintenance treatment (BMT) settings. This study describes smoking and smoking-cessation behaviors among patients receiving office-based BMT. METHODS: Cross-sectional study of patients receiving office-based BMT at a community health center in the Bronx, NY. We interviewed patients assessing sociodemographic, and substance use and tobacco use characteristics, including methods used for smoking cessation. We reported simple frequencies and explored associations of BMT characteristics with smoking behaviors. RESULTS: Of 68 patients, 87.7% were current cigarette smokers, 7.9% were former smokers, and 4.4% had never smoked. Of lifetime smokers, 83.1% reported at least 1 prior quit attempt, and 78.5% had used medication (75.4% used nicotine replacement therapy, 29.2% varenicline, and 9.2% bupropion). Ten patients (15.4%) reported using electronic cigarettes to try to quit smoking. Stopping "cold turkey" (40.0%) and gradually decreasing the number of cigarettes smoked (32.3%) were nonpharmacological methods of quitting tried most often. Use of behavioral support, including stop-smoking programs and counseling, was low. Higher dose and longer duration of BMT was associated with greater smoking frequency. CONCLUSIONS: Patients receiving BMT have a high prevalence of cigarette smoking, though most have tried to quit, and have prior experience with pharmacotherapy for smoking cessation. Efforts to optimize smoking-cessation treatments among BMT patients are needed.
AD - University of California, San Francisco School of Medicine, San Francisco, CA (PAS); Albert Einstein College of Medicine & Montefiore Medical Center, Bronx, NY (COC, MTB, JPD, SN).
BT - Journal of addiction medicine
C5 - Education & Workforce; Opioids & Substance Use
CP - 6
CY - United States
DO - 10.1097/ADM.0000000000000356
IS - 6
JF - Journal of addiction medicine
LA - eng
M1 - Journal Article
N2 - OBJECTIVES: Provision of smoking-cessation treatment is limited in office-based buprenorphine maintenance treatment (BMT) settings. This study describes smoking and smoking-cessation behaviors among patients receiving office-based BMT. METHODS: Cross-sectional study of patients receiving office-based BMT at a community health center in the Bronx, NY. We interviewed patients assessing sociodemographic, and substance use and tobacco use characteristics, including methods used for smoking cessation. We reported simple frequencies and explored associations of BMT characteristics with smoking behaviors. RESULTS: Of 68 patients, 87.7% were current cigarette smokers, 7.9% were former smokers, and 4.4% had never smoked. Of lifetime smokers, 83.1% reported at least 1 prior quit attempt, and 78.5% had used medication (75.4% used nicotine replacement therapy, 29.2% varenicline, and 9.2% bupropion). Ten patients (15.4%) reported using electronic cigarettes to try to quit smoking. Stopping "cold turkey" (40.0%) and gradually decreasing the number of cigarettes smoked (32.3%) were nonpharmacological methods of quitting tried most often. Use of behavioral support, including stop-smoking programs and counseling, was low. Higher dose and longer duration of BMT was associated with greater smoking frequency. CONCLUSIONS: Patients receiving BMT have a high prevalence of cigarette smoking, though most have tried to quit, and have prior experience with pharmacotherapy for smoking cessation. Efforts to optimize smoking-cessation treatments among BMT patients are needed.
PP - United States
PY - 2017
SN - 1935-3227; 1932-0620
SP - 494
EP - 497
EP - 
T1 - Use of Smoking Cessation Methods Among Patients Receiving Office-based Buprenorphine Maintenance Treatment
T2 - Journal of addiction medicine
TI - Use of Smoking Cessation Methods Among Patients Receiving Office-based Buprenorphine Maintenance Treatment
U1 - Education & Workforce; Opioids & Substance Use
U2 - 28885300
U3 - 10.1097/ADM.0000000000000356
VL - 11
VO - 1935-3227; 1932-0620
Y1 - 2017
Y2 - Nov/Dec
ER -