{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T19:56:33Z","timestamp":1759694193926},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,6,9]],"date-time":"2016-06-09T00:00:00Z","timestamp":1465430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Issue addressed<\/jats:title><jats:p>In Australia smoking rates among the homeless are extremely high; however, little is known about their interest in quitting and few homeless services offer cessation assistance. In an Australian homeless service, this research examined the clients\u2019 smoking from the client, staff and organisational perspectives in order to assess the need for cessation assistance for clients and identify opportunities to increase access to it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010six nurses completed an anonymous survey describing their attitudes to providing smoking\u2010cessation support, current practices and estimates of client smoking and interest in quitting. Subsequently, nurses administered a survey to 104 clients to determine their smoking prevalence and interest in quitting. Organisation\u2010wide tobacco\u2010related policy and practices were audited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most clients (82%) smoked, half of these (52%) reported wanting to quit and 64% reported trying to quit or reduce their smoking in the previous 3 months. Nurses approximated clients\u2019 smoking prevalence (88% vs 82% reported by clients), but underestimated interest in quitting (33% vs 52% reported by clients). Among nurses 93% agreed that cessation support should be part of normal client care. The organisation\u2019s client\u2010assessment form contained fields for \u2018respiratory issues\u2019 and \u2018drug issues\u2019, but no specific field for smoking status. The organisation\u2019s smoking policy focused on providing a smoke\u2010free work environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Many smokers using homeless services want to quit and are actively trying to reduce and quit smoking. Smoking\u2010cessation assistance that meets the needs of people experiencing homelessness is clearly warranted.<\/jats:p><\/jats:sec><jats:sec><jats:title>So what?<\/jats:title><jats:p>Homeless services should develop, and include in their smoking policy and intake processes, a practice of routinely assessing tobacco use, offering brief interventions and referral to appropriately tailored services.<\/jats:p><\/jats:sec>","DOI":"10.1071\/he15102","type":"journal-article","created":{"date-parts":[[2016,6,20]],"date-time":"2016-06-20T04:34:03Z","timestamp":1466397243000},"page":"160-164","source":"Crossref","is-referenced-by-count":11,"title":["Underestimation of homeless clients\u2019 interest in quitting smoking: a case for routine tobacco assessment"],"prefix":"10.1002","volume":"28","author":[{"given":"Sarah","family":"Maddox","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Segan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467\u2010842X.1998.tb01415.x"},{"key":"e_1_2_7_3_1","volume-title":"Melbourne Institute of Applied Economic and Social Research","author":"Scutella R","year":"2012"},{"key":"e_1_2_7_4_1","volume-title":"National drug strategy household survey detailed report: 2013","author":"Australian Institute of Health and Welfare (AIHW)","year":"2014"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12292"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14622200500494971"},{"issue":"5","key":"e_1_2_7_7_1","first-page":"369","article-title":"Smoking cessation in a homeless population: there is a will, but is there a way?","volume":"17","author":"Connor SE","year":"2002","journal-title":"J Gen Intern Med"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897070209511495"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2013.05.011"},{"key":"e_1_2_7_10_1","volume-title":"Cat. no. 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