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Western Journal of Nursing Research
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Correlates of Heavy Smoking Among Alcohol-Using Methadone Maintenance Clients

Adeline M. Nyamathi

University of California, Los Angeles, anyamath{at}sonnet.ucla.edu

Karabi Sinha

University of California, Los Angeles

Mary Marfisee

University of California, Los Angeles

Allan Cohen

Bay Area Addiction, Research and Treatment, Inc., Los Angeles

Barbara Greengold

University of California, Los Angeles

Barbara Leake

University of California, Los Angeles

This cross-sectional study examines predictors of heavy smoking among 256 male and female methadone maintenance therapy (MMT) clients from five MMT clinics in the Los Angeles area. The authors find that women report lower rates of heavy smoking than men (47% vs. 54%, respectively), in concordance with current literature pointing to gender differences in smoking behaviors. In particular, men who report heavy drinking, fair or poor health, and recent heroin use are more likely to report heavy smoking compared with men not reporting these factors. Women who report recent heroin use, a lifetime history of sex trade, and who have been ill enough to require a blood transfusion also have greater odds of reporting heavy cigarette smoking. Findings from this study may aid not only in designing gender-based smoking cessation programs for MMT clients but also in addressing the gender-based issues related to smoking in such a population.

Key Words: smoking • cigarettes • alcohol • methadone maintenance therapy

This version was published on October 1, 2009

Western Journal of Nursing Research, Vol. 31, No. 6, 787-798 (2009)
DOI: 10.1177/0193945909338851


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