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• W4283525023 abstract "Abstract Aim Tobacco use is decreasing among the general population, but persistent use among individuals in treatment for first‐episode 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). Methods Participants ( N = 870) 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 months of follow‐up using standardized forms based on reports from clients, client families and chart review. Course of tobacco use was categorized into four groups: no‐use, cessation, persistent and initiation over 1 year of follow‐up. Results The prevalence of tobacco use was 12.8% at baseline and 19.9% at 1‐year follow‐up. Only 3.8% of tobacco users stopped by 1 year follow‐up, and 4.9% initiated use. Urbanicity of clinic location ( p < .001); age at admission ( p = .044); gender ( p = .015); ethnoracial group ( p = .007); baseline education/employment status ( p = .004); and baseline use of any non‐tobacco substances ( p < .001), including alcohol ( p < .001) and cannabis ( p < .001), were associated with tobacco course. Findings suggest an association between tobacco use and reduced improvement in symptoms. Conclusion 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‐up. Efforts to implement tobacco cessation interventions in coordinated specialty care are warranted, since tobacco use is associated with poor health outcomes." @default.
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• W4283525023 date "2022-06-24" @default.
• W4283525023 modified "2023-10-14" @default.
• W4283525023 title "Prevalance and course of tobacco use among individuals receiving coordinated specialty care for first‐episode psychosis" @default.
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• W4283525023 doi "https://doi.org/10.1111/eip.13320" @default.
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