Hospitalization is a unique opportunity for smoking cessation, but there is little evidence for hospitalized people with mental disorder. This study aimed to determine the effectiveness of interventions for smoking cessation that are initiated during hospital stay for the patients with mental disorder.
We undertook a meta-analysis to estimate summary effects on smoking cessation intervention during hospitalization with randomized controlled trials for people with mental disorders. Electronic data was searched in May 2019 for randomized controlled trial using term including (hospital and patient*) or hospitali* or inpatient* or admission* or admitted and Intervention of smoking cessation and (psychia* OR mental*). Two authors extracted data independently for each paper, with disagreement resolved by 3rd researcher. Fixed effects model was used for pooling estimate for smoking cessation after 6months because of homogeneity for the extracted studies.
Three studies with 687 for intervention group and 584 for control group were extracted. Intensive intervention that began during the hospitalization and continued after discharge increased smoking cessation rate after 6months (risk ratio (RR) 1.41, 95% confidence interval (CI) 1.06∼1.87).
Intensive intervention that began during a hospital stay and post discharge therapy promote smoking cessation among the patients with mental disorders.
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There has been a growing interest in the health status of non-regular workers. We performed this study to examine the relationship between non-regular employment and health behaviors, mental health, and Quality of life (QOL). We analyzed 2013 Korean National Health and Nutrition Examination Survey data and 1846 adults (aged 20∼60 years) were included. Multivariate logistic regression analysis was performed to identify the effects of employment type, work type, and work hours on health behaviors (medical exam, cancer screening, smoking, alcohol intake, exercise), mental health (stress, depressed mood), and QOL (EuroQol-5D (EQ-5D)). We observed that male non-regular workers were likely to take less medical check-up and cancer screening and to have more problems with usual activity domain of EQ-5D. Female non-regular workers also took less medical check-up, felt more stress and depression, and had significantly more problems with mobility, usual activity, and anxiety/depression domain of EQ-5D. The multivariate-adjusted Odds ratios(ORs) for not having medical check-up and cancer screening in male non-regular workers were 3.88 (95% confidence interval [CI], 2.58∼5.85) and 1.77 (1.19∼2.65), respectively. Female non-regular workers have significantly higher OR for having depressive mood (1.80, 1.06∼3.05) and having problems with usual activity (5.12, 1.06∼24.8), and anxiety/depression (2.08, 1.07∼4.04) domain of EQ-5D. There was no significant differences in poor health behavior between regular and non-regular workers, but female night shift workers have significantly higher OR for current smoking (2.85, 1.51∼5.35) compared with day workers. This study showed that non-regular employment was associated with worse health behavior, mental health, and QOL.
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