title: Predictors of quit attempts among smokers enrolled in substance abuse treatment.
abstract: BACKGROUND
  This study investigates factors predicting past year quit attempts among smokers enrolled in substance abuse treatment in New York State.
  
  
  METHODS
  Data were drawn from two prior cross-sectional surveys conducted among clients treated in 10 randomly selected substance abuse treatment programs. Among 820 clients recruited, 542 self-identified as current smokers, and 485 provided information about their quit attempts. The main outcome was reporting a quit smoking attempt in the past year, dichotomized as quit attempters or non-quit attempters. Univariate and multivariate logistic regression analyses were performed to explore predictors of attempting to quit.
  
  
  RESULTS
  Half of substance abuse clients in treatment programs reported a past year quit attempt. Quit attempters were more likely to be in a preparation and contemplation stage of change (preparation: OR=2.68, 95% CI: 1.51-4.77; contemplation: OR=2.96 95% CI: 1.61-5.42), reported more positive attitudes toward quitting (OR=1.49; 95% CI: 1.11-1.99) and received more cessation services than non-quit attempters (OR=1.21; 95% CI: 1.11-1.99).
  
  
  CONCLUSIONS
  Addressing patient attitudes about quitting smoking, having clinicians address smoking in the course of addiction treatment, and offering interventions to increase readiness to quit may contribute to increased quit attempts in smokers enrolled in addiction treatment programs.
authors.affiliation: Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA; Cancer Prevention and Control Group, Institut d'Investigació Biomèdica de Bellvitge, IDIBELL, Barcelona, Spain; Medicine and Health Sciences School, Universitat Internacional de Catalunya, Barcelona, Spain. Electronic address: Cmartinez2@gmail.com.
authors.forename: Cristina
authors.initials: C
authors.lastname: Martínez
authors.affiliation: Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Guydish
authors.affiliation: Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA.
authors.forename: Thao
authors.initials: T
authors.lastname: Le
authors.affiliation: Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Tajima
authors.affiliation: Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA.
authors.forename: Emma
authors.initials: E
authors.lastname: Passalacqua
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009042:Motivation; D015999:Multivariate Analysis; D009518:New York; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data*; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000150:complications / Q000534:rehabilitation*; D014029:Tobacco Use Disorder / Q000150:complications / Q000534:rehabilitation*
keywords: Quit attempts; Smoking; Substance abuse; Substance abuse treatment centers