title: Tobacco-related mortality among persons with mental health and substance abuse problems.
abstract: The rate of cigarette smoking is greater among persons with mental health and/or substance abuse problems. There are few population-based datasets with which to study tobacco mortality in these vulnerable groups. The Oregon Health Authority identified persons who received publicly-funded mental health or substance abuse services from January 1996 through December 2005. These cases were then matched to Oregon Vital Statistics records for all deaths (N= 148,761) in the period 1999-2005. The rate of tobacco-related death rates was higher among persons with substance abuse problems only (53.6%) and those with both substance abuse and mental health problems (46.8%), as compared to the general population (30.7%). The rate of tobacco-related deaths among persons with mental health problems (30%) was similar to that in the general population. Persons receiving substance abuse treatment alone, or receiving both substance abuse and mental health treatment, were more likely to die and more likely to die prematurely of tobacco-related causes as compared to the general population. Persons receiving mental health services alone were not more likely to die of tobacco-related causes, but tobacco-related deaths occurred earlier in this population.
authors: University of Texas School of Public Health, Dallas, Texas, United States of America.
authors: Frank C
authors: FC
authors: Bandiera
authors: Addictions and Mental Health Division, Oregon Health Authority, Salem, Oregon, United States of America.
authors: Berhanu
authors: B
authors: Anteneh
authors: Institute for Health Policy Studies, University of California San Francisco, San Francisco, California, United States of America.
authors: Thao
authors: T
authors: Le
authors: Institute for Health Policy Studies, University of California San Francisco, San Francisco, California, United States of America.
authors: Kevin
authors: K
authors: Delucchi
authors: Institute for Health Policy Studies, University of California San Francisco, San Francisco, California, United States of America.
authors: Joseph
authors: J
authors: Guydish
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D008605:Mental Health Services; D008875:Middle Aged; D016017:Odds Ratio; D012737:Sex Factors; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000150:complications / Q000401:mortality* / Q000628:therapy; D014029:Tobacco Use Disorder / Q000150:complications / Q000453:epidemiology / Q000401:mortality*