Smoking cessation among Australian methadone clients: prevalence, characteristics and a need for action

Drug Alcohol Rev. 2012 Jun;31(4):507-13. doi: 10.1111/j.1465-3362.2011.00408.x. Epub 2011 Dec 19.


Introduction and aims: The aim of this study was to describe a sample of Australian methadone clients with respect to smoking and cessation-related behaviours and motivations.

Design and methods: A cross-sectional survey was completed by 103 methadone clients in the Hunter Region of New South Wales, Australia.

Results: Characteristics of the sample included low socioeconomic status, and high polydrug use and nicotine dependence. Key findings were a high prevalence of smoking (84%) and low likelihood of quitting, including a quit ratio of less than 10%. Over half of smokers were classified as 'Precontemplative', and 34% as 'hard-core' smokers.

Discussion and conclusions: The need for research to develop and test tailored interventions for this population is highlighted, as is the need for methadone services and staff to facilitate client smoking cessation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Australia / epidemiology
  • Cross-Sectional Studies
  • Female
  • Heroin Dependence / drug therapy*
  • Humans
  • Male
  • Methadone / therapeutic use*
  • Motivation
  • Narcotics / therapeutic use*
  • Opiate Substitution Treatment / methods*
  • Prevalence
  • Smoking / epidemiology
  • Smoking Cessation / methods
  • Smoking Cessation / statistics & numerical data*
  • Tobacco Use Disorder / epidemiology


  • Narcotics
  • Methadone