The prevalence of cigarette smoking among opiate abusers is extremely
high and tobacco related diseases are a major factor associated with m
orbidity and mortality for this group. Yet, many treatment providers r
emain reluctant to address smoking cessation with their clients due in
part to the belief that substance abusers are not interested in quitt
ing smoking. The present study examined self-reported interest in smok
ing cessation among methadone maintenance clients (N = 120) in four cl
inics in Los Angeles. Fifty-eight percent of subjects rated themselves
as 'Somewhat' or 'Very Interested' in a smoking cessation program. Ov
erall subjects appeared to accurately perceive the personal risks from
tobacco smoking. In conclusion we find that clients in methadone main
tenance treatment programs evidence a high level of interest in quitti
ng smoking and may well be suited for a highly structured smoking cess
ation intervention.