Smoking and its associations with sociodemographic and clinical characteristics and quality of life in patients with schizophrenia treated in primary care in China

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• 作者：Yan Li ; M.D. ; Ph.D<sup>asup><sup> ; sup><sup>1sup> ; Cai-Lan Hou ; M.D. ; Ph.D<sup>bsup><sup> ; sup><sup>csup><sup> ; sup><sup>1sup> ; Xin-Rong Ma ; M.D. ; Ph.D<sup>dsup><sup> ; sup><sup>1sup> ; Yu Zang ; M.D.<sup>esup><sup> ; sup><sup>1sup> ; Fu-Jun Jia ; M.D. ; Ph.D<sup>bsup><sup> ; sup><sup>jiafujun@126.com" class="auth_mail" title="E-mail the corresponding authorsup> ; Bao-Liang Zhong ; M.D. ; Ph.D<sup>asup> ; Yong-Qiang Lin ; M.D.<sup>bsup> ; Helen F.K. Chiu ; FRCPsych<sup>asup> ; Gabor S. Ungvari ; M.D. ; Ph.D<sup>fsup><sup> ; sup><sup>gsup> ; Seth Himelhoch ; M.D.<sup>hsup> ; Xiao-Lan Cao ; M.D. ; Ph.D<sup>esup> ; Mei-Ying Cai ; M.D.<sup>isup> ; Kelly Y.C. Lai ; MRCPsych<sup>asup> ; Yu-Tao Xiang ; M.D. ; Ph.D<sup>csup><sup> ; sup><sup>xyutly@gmail.com" class="auth_mail" title="E-mail the corresponding authorsup>
• 关键词：Schizophrenia ; Smoking ; Primary care ; China
• 刊名：General Hospital Psychiatry
• 出版年：2016
• 出版时间：January-February 2016
• 年：2016
• 卷：38
• 期：Complete
• 页码：79-83
• 全文大小：282 K

文摘

Maintenance treatment for clinically stable patients with schizophrenia is usually provided by Chinese primary care physicians, but no study has investigated smoking rates in this population. This study investigated the rate of smoking and its associations with sociodemographic and clinical characteristics and quality of life (QOL) in patients with schizophrenia treated in primary care in China.

sSec_2">Methods

sp0010">This was a cross-sectional, community-based survey. A total of 621 schizophrenia patients were recruited from 22 primary care services in Guangzhou, China, in 2013. Patients' sociodemographic and clinical characteristics, smoking status, and QOL were recorded.

sSec_3">Results

sp0015">The frequency of current smoking was 23.8% in the whole sample; 41.5% for men and 2.5% for women. Multiple logistic regression analysis revealed that male gender, married status, alcohol use, older age at onset, fewer major medical conditions, lower education level and more hospitalizations were independently associated with current smoking.

sSec_4">Conclusion

sp0020">The frequency of smoking in Chinese schizophrenia patients treated by primary care physicians is lower than most figures reported from Western and Chinese psychiatric settings.