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The severity of attention deficit hyperactivity symptoms and its relationship with lifetime substance use and psychological variables among 10th grade students in Istanbul 2014 Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM), Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Turkey. Electronic address: cuneytevren@yahoo.com.; Turgut Ozal University
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Comprehensive psychiatry
Periodical, Abbrev.
Compr.Psychiatry
Pub Date Free Form
Oct
Volume
55
Issue
7
Start Page
1665
Other Pages
1670
Notes
CI: Copyright (c) 2014; JID: 0372612; 2014/04/25 [received]; 2014/06/05 [revised]; 2014/06/05 [accepted]; 2014/06/11 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1532-8384; 0010-440X
Accession Number
PMID: 25015303
Language
eng
SubFile
Journal Article; IM
DOI
10.1016/j.comppsych.2014.06.002 [doi]
Output Language
Unknown(0)
PMID
25015303
Abstract
AIM: The aim of this study was to determine the severity of attention deficit hyperactivity symptoms (ADHS) and related psychological and behavioral variables among 10th grade students in Istanbul/Turkey. METHODS: Cross-sectional online self-report survey conducted in 45 schools in 15 districts Istanbul. The questionnaire included sections about demographic data and use of substances including tobacco, alcohol and drugs. Also ADHS, depression, anxiety, anger and sensation seeking subscales of Psychological Screening Test for Adolescents (PSTA) were used. The analyses were conducted based on the 4938 subjects. RESULTS: Mean ADHS score was higher in females and among those with a lifetime use of tobacco, alcohol and drug, and having self-harming behavior and suicidal thoughts. ADHS score was correlated with depression, anxiety, anger and sensation seeking scores. In univariate covariance analysis (ANCOVA); depression, anxiety, anger, sensation seeking, lifetime alcohol use and suicidal thoughts predicted the severity of ADHS. CONCLUSIONS: The findings suggest that, since ADHS is associated with depression, anxiety, anger, sensation seeking, lifetime alcohol use and suicidal thoughts among 10th grade students, clinicians should screen suicidality and comorbid psychiatric symptoms routinely in adolescents with ADHS.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Inc
Data Source
Authors
Evren,C., Dalbudak,E., Evren,B., Can,Y., Umut,G.
Original/Translated Title
URL
Date of Electronic
20140611
PMCID
Editors
Thirdhand cigarette smoke in an experimental chamber: evidence of surface deposition of nicotine, nitrosamines and polycyclic aromatic hydrocarbons and de novo formation of NNK 2014 Department of Medicine, University of California, , San Francisco, California, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Mar
Volume
23
Issue
2
Start Page
152
Other Pages
159
Notes
LR: 20151119; JID: 9209612; 0 (Carcinogens); 0 (Dust); 0 (Nitrosamines); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Tobacco Smoke Pollution); 64091-91-4 (4-(N-methyl-N-nitrosamino)-1-(3-pyridyl)-1-butanone); 6M3C89ZY6R (Nicotine); K5161X06LL (Cotinine); X6
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 23716171
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/tobaccocontrol-2012-050915 [doi]
Output Language
Unknown(0)
PMID
23716171
Abstract
BACKGROUND: A growing body of evidence shows that secondhand cigarette smoke undergoes numerous chemical changes after it is released into the air: it can adsorb to indoor surfaces, desorb back into the air and undergo chemical changes as it ages. OBJECTIVES: To test the effects of aging on the concentration of polycyclic aromatic hydrocarbons (PAHs), nicotine and tobacco-specific nitrosamines in cigarette smoke. METHODS: We generated sidestream and mainstream cigarette smoke with a smoking machine, diluted it with conditioned filtered air, and passed it through a 6 m(3) flow reactor with air exchange rates that matched normal residential air exchange rates. We tested the effects of 60 min aging on the concentration of 16 PAHs, nicotine, cotinine and tobacco-specific nitrosamines. We also measured sorption and deposition of nicotine, cotinine and tobacco-specific nitrosamines on materials placed within the flow reactor. RESULTS: We observed mass losses of 62% for PAHs, 72%, for nicotine, 79% for N-nitrosonornicotine and 80% for 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK). Extraction of cotton cloth exposed to smoke yielded nicotine and NNK. The ratio of NNK:nicotine on the exposed cloth was 10-fold higher than that in aerosol samples. CONCLUSIONS: Our data suggest that the majority of the PAHs, nicotine, cotinine and tobacco-specific nitrosamines that are released during smoking in homes and public places deposit on room surfaces. These data give an estimate of the potential for accumulation of carcinogens in thirdhand cigarette smoke. Exposure to PAHs and tobacco-specific nitrosamines, through dermal absorption and inhalation of contaminated dust, may contribute to smoking-attributable morbidity and mortality.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Schick,S.F., Farraro,K.F., Perrino,C., Sleiman,M., van de Vossenberg,G., Trinh,M.P., Hammond,S.K., Jenkins,B.M., Balmes,J.
Original/Translated Title
URL
Date of Electronic
20130528
PMCID
Editors
Effects of a guided web-based smoking cessation program with telephone counseling: a cluster randomized controlled trial 2014 Institute of General Practice, Klinikum rechts der Isar, Technische Universitat Munchen, Munich, Germany. michael.mehring@tum.de.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of medical Internet research
Periodical, Abbrev.
J.Med.Internet Res.
Pub Date Free Form
24-Sep
Volume
16
Issue
9
Start Page
e218
Other Pages
Notes
LR: 20151029; JID: 100959882; OID: NLM: PMC4211026; OTO: NOTNLM; 2014/05/13 [received]; 2014/08/23 [accepted]; 2014/07/18 [revised]; epublish
Place of Publication
Canada
ISSN/ISBN
1438-8871; 1438-8871
Accession Number
PMID: 25253539
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM
DOI
10.2196/jmir.3536 [doi]
Output Language
Unknown(0)
PMID
25253539
Abstract
BACKGROUND: Preliminary findings suggest that Web-based interventions may be effective in achieving significant smoking cessation. To date, very few findings are available for primary care patients, and especially for the involvement of general practitioners. OBJECTIVE: Our goal was to examine the short-term effectiveness of a fully automated Web-based coaching program in combination with accompanied telephone counseling in smoking cessation in a primary care setting. METHODS: The study was an unblinded cluster-randomized trial with an observation period of 12 weeks. Individuals recruited by general practitioners randomized to the intervention group participated in a Web-based coaching program based on education, motivation, exercise guidance, daily short message service (SMS) reminding, weekly feedback through Internet, and active monitoring by general practitioners. All components of the program are fully automated. Participants in the control group received usual care and advice from their practitioner without the Web-based coaching program. The main outcome was the biochemically confirmed smoking status after 12 weeks. RESULTS: We recruited 168 participants (86 intervention group, 82 control group) into the study. For 51 participants from the intervention group and 70 participants from the control group, follow-up data were available both at baseline and 12 weeks. Very few patients (9.8%, 5/51) from the intervention group and from the control group (8.6%, 6/70) successfully managed smoking cessation (OR 0.86, 95% CI 0.25-3.0; P=.816). Similar results were found within the intent-to-treat analysis: 5.8% (5/86) of the intervention group and 7.3% (6/82) of the control group (OR 1.28, 95% CI 0.38-4.36; P=.694). The number of smoked cigarettes per day decreased on average by 9.3 in the intervention group and by 6.6 in the control group (2.7 mean difference; 95% CI -5.33 to -0.58; P=.045). After adjustment for the baseline value, age, gender, and height, this significance decreases (mean difference 2.2; 95% CI -4.7 to 0.3; P=.080). CONCLUSIONS: This trial did not show that the tested Web-based intervention was effective for achieving smoking cessation compared to usual care. The limited statistical power and the high drop-out rate may have reduced the study's ability to detect significant differences between the groups. Further randomized controlled trials are needed in larger populations and to investigate the long-term outcome. TRIAL REGISTRATION: German Register for Clinical Trials, registration number DRKS00003067; http://drks-neu.uniklinik-freiburg.de/drks_web/navigate.do?navigationId=trial.HTM L&TRIAL_ ID=DRKS00003067 (Archived by WebCite at http://www.webcitation.org/6Sff1YZpx).
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Mehring,M., Haag,M., Linde,K., Wagenpfeil,S., Schneider,A.
Original/Translated Title
URL
Date of Electronic
20140924
PMCID
PMC4211026
Editors
Factors influencing tobacco use treatment patterns among Vietnamese health care providers working in community health centers 2014 Department of Population Health, New York University School of Medicine, 227 East 30th Street, New York, NY 10016, USA. donna.shelley@nyumc.org.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
22-Jan
Volume
14
Issue
Start Page
68
Other Pages
2458-14-68
Notes
LR: 20150515; JID: 100968562; OID: NLM: PMC3902028; 2013/07/03 [received]; 2013/12/13 [accepted]; 2014/01/22 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 24450865
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/1471-2458-14-68 [doi]
Output Language
Unknown(0)
PMID
24450865
Abstract
BACKGROUND: Almost half of adult men in Viet Nam are current smokers, a smoking prevalence that is the second highest among South East Asian countries (SEAC). Although Viet Nam has a strong public health delivery system, according to the 2010 Global Adult Tobacco Survey, services to treat tobacco dependence are not readily available to smokers. The purpose of this study was to characterize current tobacco use treatment patterns among Vietnamese health care providers and factors influencing adherence to guideline recommended tobacco use screening and cessation interventions. METHODS: A cross sectional survey of 134 health care providers including physicians, nurses, midwives, physician assistants and pharmacists working in 23 community health centers in Viet Nam. RESULTS: 23% of providers reported screening patients for tobacco use, 33% offered advice to quit and less than 10% offered assistance to half or more of their patients in the past three months. Older age, attitudes, self-efficacy and normative beliefs were associated with screening for tobacco use. Normative beliefs were associated with offering advice to quit. However in the logistic regression analysis only normative beliefs remained significant for both screening and offering advice to quit. Over 90% of providers reported having never received training related to tobacco use treatment. Major barriers to treating tobacco use included lack of training, lack of referral resources and staff to support counseling, and lack of patient interest. CONCLUSIONS: Despite ratifying the FCTC, Viet Nam has not made progress in implementing policies and systems to ensure that smokers are receiving evidence-based treatment. This study suggests a need to change organizational norms through changes in national policies, training and local system-level changes that facilitate treatment.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Shelley,D., Tseng,T.Y., Pham,H., Nguyen,L., Keithly,S., Stillman,F., Nguyen,N.
Original/Translated Title
URL
Date of Electronic
20140122
PMCID
PMC3902028
Editors
Personal tobacco pack display before and after the introduction of plain packaging with larger pictorial health warnings in Australia: an observational study of outdoor cafe strips 2014 Cancer Council Victoria, Melbourne, Vic., Australia.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addiction (Abingdon, England)
Periodical, Abbrev.
Addiction
Pub Date Free Form
Apr
Volume
109
Issue
4
Start Page
653
Other Pages
662
Notes
CI: (c) 2014; JID: 9304118; CIN: Addiction. 2014 May;109(5):704-5. PMID: 24720825; OTO: NOTNLM; 2013/07/16 [received]; 2013/10/13 [revised]; 2013/12/17 [accepted]; 2014/02/25 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1360-0443; 0965-2140
Accession Number
PMID: 24428427
Language
eng
SubFile
Journal Article; Observational Study; Research Support, Non-U.S. Gov't; IM
DOI
10.1111/add.12466 [doi]
Output Language
Unknown(0)
PMID
24428427
Abstract
AIMS: We tested whether prevalence of cigarette pack display and smoking at outdoor venues and pack orientation changed following the introduction of plain packaging and larger pictorial health warnings in Australia. METHODS: Between October and April 2011-12 (pre-plain packaging, pre-PP) and 2012-13 (post-plain packaging, post-PP), we counted patrons, smokers and tobacco packs at cafes, restaurants and bars with outdoor seating. Pack type (fully branded, plain or unknown) and orientation were noted. Rates of pack display, smoking and pack orientation were analysed using multi-level Poisson regression. RESULTS: Pack display declined by 15% [adjusted incident rate ratio (IRR) = 0.85, 95% confidence interval (CI) = 0.79-0.91, P
Descriptors
Links
Book Title
Database
Publisher
Society for the Study of Addiction
Data Source
Authors
Zacher,M., Bayly,M., Brennan,E., Dono,J., Miller,C., Durkin,S., Scollo,M., Wakefield,M.
Original/Translated Title
URL
Date of Electronic
20140225
PMCID
Editors
Annual average ambient particulate matter exposure estimates, measured home particulate matter, and hair nicotine are associated with respiratory outcomes in adults with asthma 2014 Department of Medicine, University of California, San Francisco, CA, USA; School of Public Health, University of California, Berkeley, USA. Electronic address: jbalmes@medsfgh.ucsf.edu.; MGC Data Services, San Diego, CA, USA.; Department of Medicine, Univ
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental research
Periodical, Abbrev.
Environ.Res.
Pub Date Free Form
Feb
Volume
129
Issue
Start Page
1
Other Pages
10
Notes
LR: 20151119; CI: Copyright (c) 2014; GR: R01 ES010906/ES/NIEHS NIH HHS/United States; JID: 0147621; 0 (Air Pollutants); 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); NIHMS556959; OID: NLM: NIHMS556959; OID: NLM: PMC4169238;
Place of Publication
United States
ISSN/ISBN
1096-0953; 0013-9351
Accession Number
PMID: 24528996
Language
eng
SubFile
Journal Article; IM
DOI
10.1016/j.envres.2013.12.007 [doi]
Output Language
Unknown(0)
PMID
24528996
Abstract
BACKGROUND: While exposure to outdoor particulate matter (PM) has been associated with poor asthma outcomes, few studies have investigated the combined effects of outdoor and indoor PM (including secondhand tobacco smoke). OBJECTIVE: To examine the associations between PM and asthma outcomes. METHODS: We analyzed data from a cohort of adults with asthma and rhinitis (n=302; 82% both conditions; 13% asthma only; 5% rhinitis alone) including measures of home PM, tobacco smoke exposure (hair nicotine and self-report), ambient PM from regional monitoring, distance to roadway, and season (wet or dry). The outcomes of interest were frequent respiratory symptoms and forced expiratory volume in 1 second (FEV1) below the lower limit of normal (NHANES reference values). Multivariable regression analyses examined the associations (Odds Ratio [OR] and 95% Confidence Interval [95%CI]) between exposures and these outcomes, adjusted by sociodemographic characteristics. RESULTS: In adjusted analyses of each exposure, the highest tertile of home PM and season of interview were associated with increased odds for more frequent respiratory symptoms (OR=1.64 95%CI: [1.00, 2.69] and OR=1.66 95%CI: [1.09, 2.51]). The highest tertile of hair nicotine was significantly associated with FEV1 below the lower limit of normal (OR=1.80 95%CI: [1.00, 3.25]). In a model including home PM, ambient PM, hair nicotine, and season, only two associations remained strong: hair nicotine with FEV1 below the lower limit of normal and season of measurement (dry, April-October) with increased respiratory symptoms (OR=1.85 95%CI: [1.00, 3.41] and OR=1.54 95%CI: [1.0, 2.37]). When that model was stratified by sex, the highest tertiles of ambient PM and hair nicotine were associated with FEV1 below the lower limit of normal among women (OR=2.23 95%CI: [1.08, 4.61] and OR=2.90 95%CI: [1.32, 6.38]), but not men. The highest tertile of hair nicotine was also associated with increased respiratory symptoms in women but not men (OR=2.38 95%CI: [1.26, 4.49]). When stratified by age, the middle quartile of ambient PM and the highest hair nicotine tertile were associated with increased respiratory symptoms (OR=2.07 95%CI: [1.01, 4.24] and OR=2.55 95%CI: [1.21, 5.36]) in those under 55 but not in the older stratum. CONCLUSIONS: Exposure to PM from both home and ambient sources is associated with increased symptoms and lower lung function in adults with asthma, although these associations vary by type of PM, the respiratory outcome studied, sex and age.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Inc
Data Source
Authors
Balmes,J.R., Cisternas,M., Quinlan,P.J., Trupin,L., Lurmann,F.W., Katz,P.P., Blanc,P.D.
Original/Translated Title
URL
Date of Electronic
20140111
PMCID
PMC4169238
Editors
Impact of Australia's introduction of tobacco plain packs on adult smokers' pack-related perceptions and responses: results from a continuous tracking survey 2014 Department of Cancer Screening and Prevention, Cancer Institute New South Wales, Sydney, New South Wales, Australia.; National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.; Department of Cancer Epidem
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ open
Periodical, Abbrev.
BMJ Open
Pub Date Free Form
18-Dec
Volume
4
Issue
12
Start Page
e005836
Other Pages
2014-005836
Notes
LR: 20160603; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.; JID: 101552874; EIN: BMJ Open. 2015;5(8):e005836corr1
Place of Publication
England
ISSN/ISBN
2044-6055; 2044-6055
Accession Number
PMID: 25524542
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/bmjopen-2014-005836 [doi]
Output Language
Unknown(0)
PMID
25524542
Abstract
OBJECTIVES: To investigate the impact of Australia's plain tobacco packaging policy on two stated purposes of the legislation--increasing the impact of health warnings and decreasing the promotional appeal of packaging--among adult smokers. DESIGN: Serial cross-sectional study with weekly telephone surveys (April 2006-May 2013). Interrupted time-series analyses using ARIMA modelling and linear regression models were used to investigate intervention effects. PARTICIPANTS: 15,745 adult smokers (aged 18 years and above) in New South Wales (NSW), Australia. Random selection of participants involved recruiting households using random digit dialling and selecting the nth oldest smoker for interview. INTERVENTION: The introduction of the legislation on 1 October 2012. OUTCOMES: Salience of tobacco pack health warnings, cognitive and emotional responses to warnings, avoidance of warnings, perceptions regarding one's cigarette pack. RESULTS: Adjusting for background trends, seasonality, antismoking advertising activity and cigarette costliness, results from ARIMA modelling showed that, 2-3 months after the introduction of the new packs, there was a significant increase in the absolute proportion of smokers having strong cognitive (9.8% increase, p=0.005), emotional (8.6% increase, p=0.01) and avoidant (9.8% increase, p=0.0005) responses to on-pack health warnings. Similarly, there was a significant increase in the proportion of smokers strongly disagreeing that the look of their cigarette pack is attractive (57.5% increase, p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Dunlop,S.M., Dobbins,T., Young,J.M., Perez,D., Currow,D.C.
Original/Translated Title
URL
Date of Electronic
20141218
PMCID
PMC4275762
Editors
Response to importation of a case of Ebola virus disease--Ohio, October 2014 2014
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
MMWR.Morbidity and mortality weekly report
Periodical, Abbrev.
MMWR Morb.Mortal.Wkly.Rep.
Pub Date Free Form
21-Nov
Volume
63
Issue
46
Start Page
1089
Other Pages
1091
Notes
JID: 7802429; ppublish
Place of Publication
United States
ISSN/ISBN
1545-861X; 0149-2195
Accession Number
PMID: 25412070
Language
eng
SubFile
Case Reports; Journal Article; IM
DOI
mm6346a12 [pii]
Output Language
Unknown(0)
PMID
25412070
Abstract
On September 30, 2014, the Texas Department of State Health Services reported a case of Ebola virus disease (Ebola) diagnosed in Dallas, Texas, and confirmed by CDC, the first case of Ebola diagnosed in the United States. The patient (patient 1) had traveled from Liberia, a country which, along with Sierra Leone and Guinea, is currently experiencing the largest recorded Ebola outbreak. A nurse (patient 2) who provided hospital bedside care to patient 1 in Texas visited an emergency department (ED) with fever and was diagnosed with laboratory-confirmed Ebola on October 11, and a second nurse (patient 3) who also provided hospital bedside care visited an ED with fever and rash on October 14 and was diagnosed with laboratory-confirmed Ebola on October 15. Patient 3 visited Ohio during October 10-13, traveling by commercial airline between Dallas, Texas, and Cleveland, Ohio. Based on the medical history and clinical and laboratory findings on October 14, the date of illness onset was uncertain; therefore, CDC, in collaboration with state and local partners, included the period October 10-13 as being part of the potentially infectious period, out of an abundance of caution to ensure all potential contacts were monitored. On October 15, the Ohio Department of Health requested CDC assistance to identify and monitor contacts of patient 3, assess the risk for disease transmission, provide infection control recommendations, and assess and guide regional health care system preparedness. The description of this contact investigation and hospital assessment is provided to help other states in planning for similar events.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
McCarty,C.L., Basler,C., Karwowski,M., Erme,M., Nixon,G., Kippes,C., Allan,T., Parrilla,T., DiOrio,M., de Fijter,S., Stone,N.D., Yost,D.A., Lippold,S.A., Regan,J.J., Honein,M.A., Knust,B., Braden,C., Centers for Disease Control and Prevention (CDC)
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Effectiveness of different Web-based interventions to prepare co-smokers of cigarettes and cannabis for double cessation: a three-arm randomized controlled trial 2014 Swiss Research Institute for Public Health and Addiction ISGF, University of Zurich, Zurich, Switzerland. julia.becker@isgf.uzh.ch.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of medical Internet research
Periodical, Abbrev.
J.Med.Internet Res.
Pub Date Free Form
5-Dec
Volume
16
Issue
12
Start Page
e273
Other Pages
Notes
LR: 20151028; ISRCTN/ISRCTN56326375; JID: 100959882; OID: NLM: PMC4275498; OTO: NOTNLM; 2014/01/13 [received]; 2014/10/25 [accepted]; 2014/09/30 [revised]; epublish
Place of Publication
Canada
ISSN/ISBN
1438-8871; 1438-8871
Accession Number
PMID: 25486674
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM
DOI
10.2196/jmir.3246 [doi]
Output Language
Unknown(0)
PMID
25486674
Abstract
BACKGROUND: The relationship between tobacco and cannabis use is strong. When co-smokers try to quit only one substance, this relationship often leads to a substitution effect, that is, the increased use of the remaining substance. Stopping the use of both substances simultaneously is therefore a reasonable strategy, but co-smokers rarely report feeling ready for simultaneous cessation. Thus, the question of how co-smokers can be motivated to attempt a simultaneous cessation has arisen. To reach as many co-smokers as possible, we developed brief Web-based interventions aimed at enhancing the readiness to simultaneously quit tobacco and cannabis use. OBJECTIVE: Our aim was to analyze the efficacy of three different Web-based interventions designed to enhance co-smokers' readiness to stop tobacco and cannabis use simultaneously. METHODS: Within a randomized trial, three brief Web-based and fully automated interventions were compared. The first intervention combined the assessment of cigarette dependence and problematic cannabis use with personalized, normative feedback. The second intervention was based on principles of motivational interviewing. As an active psychoeducational control group, the third intervention merely provided information on tobacco, cannabis, and the co-use of the two substances. The readiness to quit tobacco and cannabis simultaneously was measured before and after the intervention (both online) and 8 weeks later (online or over the phone). Secondary outcomes included the frequency of cigarette and cannabis use, as measured at baseline and after 8 weeks. RESULTS: A total of 2467 website users were assessed for eligibility based on their self-reported tobacco and cannabis co-use, and 325 participants were ultimately randomized and analyzed. For the post-intervention assessment, generalized estimating equations revealed a significant increase in the readiness to quit tobacco and cannabis in the total sample (B=.33, 95% CI 0.10-0.56, P=.006). However, this effect was not significant for the comparison between baseline and the 8-week follow-up assessment (P=.69). Furthermore, no differential effects between the interventions were found, nor were any significant intervention or time effects found on the frequency of tobacco or cannabis use. CONCLUSIONS: In the new field of dual interventions for co-smokers of tobacco and cannabis, Web-based interventions can increase the short-term readiness to quit tobacco and cannabis simultaneously. The studied personalized techniques were no more effective than was psychoeducation. The analyzed brief interventions did not change the secondary outcomes, that is the frequency of tobacco and cannabis use. TRIAL REGISTRATION: International Standard Randomized Controlled Trial Number (ISRCTN): 56326375; http://www.isrctn.com/ISRCTN56326375 (Archived by WebCite at http://www.webcitation.org/6UUWBh8u0).
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Becker,J., Haug,S., Sullivan,R., Schaub,M.P.
Original/Translated Title
URL
Date of Electronic
20141205
PMCID
PMC4275498
Editors
Outdoor tobacco smoke exposure at the perimeter of a tobacco-free university 2014
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of the Air & Waste Management Association (1995)
Periodical, Abbrev.
J.Air Waste Manag.Assoc.
Pub Date Free Form
Aug
Volume
64
Issue
8
Start Page
863
Other Pages
866
Notes
JID: 9503111; 0 (Air Pollutants); 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); ppublish
Place of Publication
United States
ISSN/ISBN
1096-2247; 1096-2247
Accession Number
PMID: 25185388
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
25185388
Abstract
There are few studies measuring exposure to outdoor tobacco smoke (OTS). Tobacco users often gather at the boundaries of tobacco-free campuses, resulting in unintended consequences. The objective of this study was to measure exposure levels from OTS on sidewalks bordering a tobacco-free university campus. Data were collected while walking along a sidewalk adjacent to a medium traffic road between May and August 2011. Monitoring occurred during "background," "stop," and "walk-through" conditions at and near hot spot area to measure fine particulate matter (
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Cho,H., Lee,K., Hwang,Y., Richardson,P., Bratset,H., Teeters,E., Record,R., Riker,C., Hahn,E.J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors