Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services

被引:7
作者
Tremain, Danika [1 ,2 ,3 ]
Freund, Megan [1 ,2 ,3 ]
Wolfenden, Luke [1 ,2 ,3 ]
Wye, Paula [1 ,3 ,4 ]
Bowman, Jenny [3 ,4 ]
Dunlop, Adrian [2 ,3 ,5 ,6 ]
Gillham, Karen [1 ,3 ]
Bartlem, Kate [1 ,3 ,4 ]
McElwaine, Kathleen [1 ,2 ,3 ]
Gow, Beth [1 ,3 ]
Wiggers, John [1 ,2 ,3 ]
机构
[1] Hunter New England Local Hlth Dist, Populat Hlth, Newcastle, NSW, Australia
[2] Univ Newcastle, Fac Hlth, Newcastle, NSW, Australia
[3] Hunter Med Res Inst, Newcastle, NSW, Australia
[4] Univ Newcastle, Fac Sci & Informat Technol, Sch Psychol, Newcastle, NSW, Australia
[5] Ctr Translat Neurosci & Mental Hlth, Newcastle, NSW, Australia
[6] Hunter New England Local Hlth Dist, Drug & Alcohol Clin Serv, Newcastle, NSW, Australia
关键词
substance abuse treatment centre; tobacco smoking; nutritional status; physical activity; community healthcare; VEGETABLE CONSUMPTION; NICOTINE DEPENDENCE; PREVENTIVE CARE; QUIT SMOKING; INTERVENTION; PREVALENCE; MOTIVATION; MANAGEMENT; READINESS; MORTALITY;
D O I
10.1111/dar.12439
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction and AimsHealth risk behaviours, such as smoking, nutrition and physical inactivity, are significant contributors to chronic disease for people with substance use disorders. This study reports the prevalence of these behaviours amongst substance use treatment clients, their attitudes towards modifying such behaviours and the acceptability of receiving support to do so. Client characteristics associated with risk status and interest in modifying behaviours were examined. Design and MethodsA cross-sectional survey was undertaken with clients of 15 community substance use treatment services within in New South Wales, Australia. Data for the study were collected via computer assisted telephone interviews. ResultsOf those contactable and eligible, 386 (71%) clients completed the survey. Clients reported a high prevalence of smoking (80%), insufficient fruit and/or vegetable consumption (89%) and insufficient physical activity (31%). Overall, 51-69% of clients reported considering modifying their health risk behaviours and 88-97% thought it was acceptable to be provided preventive care to address such behaviours. Younger clients were more likely to smoke (18-34years (odds ratio [OR]=4.6 [95% confidence interval [CI]=1.9, 11.3]); 35-54years (OR=2.6 [95% CI=1.2, 5.7])) and be interested in increasing vegetable consumption (18-34years (OR=4.4 [95% CI=1.3, 14.8]); 35-54years (OR=8.0 [95% CI=2.5, 25.4])) than older clients (55years). Discussion and ConclusionsThere is a high prevalence of health risk behaviours amongst clients of community substance use treatment services. However, contrary to commonly cited barriers to care provision, clients are interested in modifying their risk behaviours and report that receiving preventive care to address these behaviours is acceptable. [Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, Gillham K, Bartlem K, McElwaine K, Gow B, Wiggers J. Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services. Drug Alcohol Rev 2017;36:369-377.]
引用
收藏
页码:369 / 377
页数:9
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