{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T04:47:24Z","timestamp":1789015644522,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T00:00:00Z","timestamp":1656028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH120597"],"award-info":[{"award-number":["R01MH120597"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Tobacco use is decreasing among the general population, but persistent use among individuals in treatment for first\u2010episode psychosis (FEP) remains a problem. This study aimed to measure the prevalence and course of tobacco use and explore the associations between tobacco use and clinical outcomes in a FEP sample located in New York State (NYS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants (<jats:italic>N<\/jats:italic>\u00a0=\u00a0870) were from the OnTrackNY system of coordinated specialty care clinics in NYS. Participant data were collected at admission to the program and at every 3\u2009months of follow\u2010up using standardized forms based on reports from clients, client families and chart review. Course of tobacco use was categorized into four groups: no\u2010use, cessation, persistent and initiation over 1\u00a0year of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of tobacco use was 12.8% at baseline and 19.9% at 1\u2010year follow\u2010up. Only 3.8% of tobacco users stopped by 1\u00a0year follow\u2010up, and 4.9% initiated use. Urbanicity of clinic location (<jats:italic>p\u2009&lt;<\/jats:italic>\u00a0.001); age at admission (<jats:italic>p\u2009=<\/jats:italic>\u00a0.044); gender (<jats:italic>p\u2009=<\/jats:italic>\u00a0.015); ethnoracial group (<jats:italic>p\u2009=<\/jats:italic>\u00a0.007); baseline education\/employment status (<jats:italic>p\u2009=<\/jats:italic>\u00a0.004); and baseline use of any non\u2010tobacco substances (<jats:italic>p\u2009&lt;<\/jats:italic>\u00a0.001), including alcohol (<jats:italic>p\u2009&lt;<\/jats:italic>\u00a0.001) and cannabis (<jats:italic>p\u2009&lt;<\/jats:italic>\u00a0.001), were associated with tobacco course. Findings suggest an association between tobacco use and reduced improvement in symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite a lower prevalence of tobacco use among OnTrack participants than in other comparable samples, tobacco cessation was minimal and more individuals initiated tobacco use than ceased over the course of follow\u2010up. Efforts to implement tobacco cessation interventions in coordinated specialty care are warranted, since tobacco use is associated with poor health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13320","type":"journal-article","created":{"date-parts":[[2022,6,25]],"date-time":"2022-06-25T06:48:45Z","timestamp":1656139725000},"page":"192-201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalance and course of tobacco use among individuals receiving coordinated specialty care for first\u2010episode psychosis"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5976-2921","authenticated-orcid":false,"given":"R. 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