ArticleTobacco induced diseases2023
Tobacco use in people with severe mental illness: Findings from a multi-country survey of mental health institutions in South Asia.
Article in Tobacco induced diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Tobacco cessation intervention for individuals with severe mental illness in Bangladesh, India, and Pakistan: protocol for a multi-country feasibility randomised controlled trial (SCIMITAR-SA).Contemporary clinical trials communications · 2026Article
- Engaging adults with severe mental illness in research: considerations and practical recommendations for meaningful patient and public involvement.Research involvement and engagement · 2026Article
- Smoking and obsessive-compulsive symptoms in patients with schizophrenia, schizoaffective disorder or bipolar disorder using electronic mental health records.BJPsych open · 2026Article
- Attitudes, self-efficacy, and practice of psychiatrists to provide smoking cessation support among people with serious mental illness (SMI).BMC psychiatry · 2026Article
- Integrating mental & physical health: Towards a paradigm shift.The Indian journal of medical research · 2025Article
- Smoking cessation and exercise: perspectives from smokers with and without mental health problems.Frontiers in public health · 2025Article
- Survey and analysis of the prevalence of tobacco use among patients with severe mental illness at a tertiary specialized psychiatric medical center in China.Frontiers in psychiatry · 2025Article
- Identifying barriers and facilitators for health risk behaviours among people with severe mental illness in Bangladesh and Pakistan: a qualitative study.Global mental health (Cambridge, England) · 2025Article
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Authors and funding
16 authors at 5 institutions in 4 countries.
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Abstract
introductionPeople with severe mental illness (SMI) tend to die early due to cardiovascular and respiratory diseases, which may be linked to tobacco use. There is limited information on tobacco use in people with SMI in low- and middle-income countries where most tobacco users reside. We present novel data on tobacco use in people with SMI and their access to tobacco cessation advice in South Asia.
methodsWe conducted a multi-country survey of adults with SMI attending mental health facilities in Bangladesh, India, and Pakistan. Using data collected with a standardized WHO STEPS survey tool, we estimated the prevalence and distribution of tobacco use and assessed receipt of tobacco cessation advice.
resultsWe recruited 3874 participants with SMI; 46.8% and 15.0% of men and women consumed tobacco, respectively. Smoking prevalence in men varied by country (Bangladesh 42.8%, India 20.1% and Pakistan 31.7%); <4% of women reported smoking in each country. Smokeless tobacco use in men also varied by country (Bangladesh 16.2%, India 18.2% and Pakistan 40.8%); for women, it was higher in Bangladesh (19.1%), but similar in India (9.9%) and Pakistan (9.1%). Just over a third of tobacco users (38.4%) had received advice to quit tobacco. Among smokers, 29.1% (n=244) made at least one quit attempt in the past year. There was strong evidence for the association between tobacco use and the severity of depression (OR=1.29; 95% CI: 1.12-1.48) and anxiety (OR=1.29; 95% CI: 1.12-1.49).
conclusionsAs observed in high-income countries, we found higher tobacco use in people with SMI, particularly in men compared with rates reported for the general population in South Asia. Tobacco cessation support within mental health services offers an opportunity to close the gap in life expectancy between SMI and the general population. STUDY REGISTRATION: ISRCTN88485933; https://doi.org/10.1186/ISRCTN88485933 39.
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