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Very Integrated Program (VIP): Smoking and other lifestyles, co-morbidity and quality of life in patients undertaking treatment for alcohol and drug addiction in Sweden.

Hovhannisyan, Karen LU ; Adami, Johanna ; Wikström, My Maria and Tønnesen, Hanne LU (2018) In Clinical Health Promotion 8(1). p.14-19
Abstract
Background
Most patients with alcohol and drug addiction have other risky lifestyles and non-communicable diseases (NCDs), adding to their morbidity and pre-mortality. Those are, however, potentially preventable. The aim was to identify and compare the patients in treatment for alcohol and drug addiction and identify important factors for high risk.
Methods
Data was collected prospectively by interviews, questionnaires, examinations and laboratory tests regarding demographics, smoking, overweight, malnutrition, sedentary lifestyle, heart, lung and liver diseases, diabetes and quality of life.
High-risk was identified by >2 NCDs and risky lifestyles.
Results
322 (192 and 130) patients participated, aged 52... (More)
Background
Most patients with alcohol and drug addiction have other risky lifestyles and non-communicable diseases (NCDs), adding to their morbidity and pre-mortality. Those are, however, potentially preventable. The aim was to identify and compare the patients in treatment for alcohol and drug addiction and identify important factors for high risk.
Methods
Data was collected prospectively by interviews, questionnaires, examinations and laboratory tests regarding demographics, smoking, overweight, malnutrition, sedentary lifestyle, heart, lung and liver diseases, diabetes and quality of life.
High-risk was identified by >2 NCDs and risky lifestyles.
Results
322 (192 and 130) patients participated, aged 52 years in median (ranging 24-80) and 67% men. Only 7% had no other risky lifestyles and NCDs. 62% were smokers, 11% in risk of malnutrition, 36% physical inactive and BMI was 27 (17-50). Furthermore, 41% had cardiovascular illness, 27% liver and 25% respiratory diseases, and 7% diabetes. After adjustment for confounders, drug addiction was significantly associated to younger age (46 vs. 56 years; OR 0.92 [CI 0.89-0.94]), unemployment (85% vs 66%; 0.35 [0.17-0.72]) and liver disease (49% vs. 12%; 0.21 [0.11-0.40]). The high-risk group was significantly
older and more often unemployed. Health-related quality of life was not different between the groups.
Conclusion
The large majority of patients in treatment for alcohol and drug addiction have common risky lifestyles and NCD comorbidity. They also have similar conditions, including quality of life. This may be important when planning a future very
intergrated program (VIP) of health promotion. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Health Promotion
volume
8
issue
1
pages
14 - 19
publisher
Clinical Health Promotion Society (CHPS)
ISSN
2226-5864
DOI
10.29102/clinhp.18003
project
Very Integrated Program (VIP): Health promotion for patients with alcohol and drug use disorders
language
English
LU publication?
yes
id
28682ea3-93f8-4ff9-82ed-dd2df789a9bc
date added to LUP
2019-06-19 11:06:23
date last changed
2022-03-30 11:20:16
@article{28682ea3-93f8-4ff9-82ed-dd2df789a9bc,
  abstract     = {{Background <br>
Most patients with alcohol and drug addiction have other risky lifestyles and non-communicable diseases (NCDs), adding to their morbidity and pre-mortality. Those are, however, potentially preventable. The aim was to identify and compare the patients in treatment for alcohol and drug addiction and identify important factors for high risk.<br>
Methods <br>
Data was collected prospectively by interviews, questionnaires, examinations and laboratory tests regarding demographics, smoking, overweight, malnutrition, sedentary lifestyle, heart, lung and liver diseases, diabetes and quality of life. <br>
High-risk was identified by &gt;2 NCDs and risky lifestyles. <br>
Results <br>
322 (192 and 130) patients participated, aged 52 years in median (ranging 24-80) and 67% men. Only 7% had no other risky lifestyles and NCDs. 62% were smokers, 11% in risk of malnutrition, 36% physical inactive and BMI was 27 (17-50). Furthermore, 41% had cardiovascular illness, 27% liver and 25% respiratory diseases, and 7% diabetes. After adjustment for confounders, drug addiction was significantly associated to younger age (46 vs. 56 years; OR 0.92 [CI 0.89-0.94]), unemployment (85% vs 66%; 0.35 [0.17-0.72]) and liver disease (49% vs. 12%; 0.21 [0.11-0.40]). The high-risk group was significantly <br>
older and more often unemployed. Health-related quality of life was not different between the groups.<br>
Conclusion<br>
The large majority of patients in treatment for alcohol and drug addiction have common risky lifestyles and NCD comorbidity. They also have similar conditions, including quality of life. This may be important when planning a future very <br>
intergrated program (VIP) of health promotion.}},
  author       = {{Hovhannisyan, Karen and Adami, Johanna and Wikström, My Maria and Tønnesen, Hanne}},
  issn         = {{2226-5864}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{1}},
  pages        = {{14--19}},
  publisher    = {{Clinical Health Promotion Society (CHPS)}},
  series       = {{Clinical Health Promotion}},
  title        = {{Very Integrated Program (VIP): Smoking and other lifestyles, co-morbidity and quality of life in patients undertaking treatment for alcohol and drug addiction in Sweden.}},
  url          = {{http://dx.doi.org/10.29102/clinhp.18003}},
  doi          = {{10.29102/clinhp.18003}},
  volume       = {{8}},
  year         = {{2018}},
}