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Nancy A. Rigotti, MD, Discussant

JAMA. 2000;284:741-749.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR DELBANCO: Ms V is a 36-year-old woman considering an attempt to quit smoking. Married, with 3 children, she lives near Boston and works at the public counter of a federal agency. Two of her children have asthma. Ms V has commercial, managed care insurance and receives primary care from Dr K, a general internist at the Beth Israel Deaconess Medical Center.

Since age 9 years, Ms V has smoked cigarettes, and by age 12 years, she was consistently smoking 1 pack daily. Currently, she uses 1 to 2 packs per day, smoking closer to 2 packs per day during times of stress. She smokes the bulk of her cigarettes during her long commute to and from work. She also enjoys tobacco after a meal and when out with friends. Ms V's husband is a former smoker.

Ms V has tried to quit smoking several . . . [Full Text of this Article]

MS V: HER UNDERSTANDING AND PERCEPTIONS

DR K: HER UNDERSTANDING AND PERCEPTIONS

AT THE CROSSROADS: QUESTIONS FOR DR RIGOTTI

Prevalence and Epidemiology

Health Impact and Burden

Benefits of Smoking Cessation

Natural History and Process of Smoking Cessation

Treatment of Tobacco Use

Recommendations for Ms V

QUESTIONS AND DISCUSSON

Author Affiliation: Dr Rigotti is Associate Professor of Medicine, Harvard Medical School, and Director, Tobacco Research and Treatment Center, Department of Medicine, Massachusetts General Hospital, Boston.

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