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CLINICIAN'S CORNER
Effective Tobacco Dependence Treatment
Michael C. Fiore, MD,MPH;
Dorothy K. Hatsukami, PhD;
Timothy B. Baker, PhD
JAMA. 2002;288:1768-1771.
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INTRODUCTION
More than at any time in the past, clinicians, public health professionals, and policy makers now possess sufficient evidence to implement effective tobacco dependence treatment programs and policies. We review key findings of great relevance to treating tobacco dependence: clinical, health system, and community interventions can each independently foster tobacco cessation.1-2 A transdisciplinary approach that incorporates all of these components holds the greatest promise for reducing population-based rates of tobacco use. If these interventions are implemented broadly, a larger proportion of the 46 million US adult smokers will try to quit. Among those who do try, the likelihood of successful cessation will increase substantially.
Epidemiology
In 1999, the proportion of US adults who had successfully quit (45.7 million [23.1%]) approached that of individuals who continued to smoke (46.5 million [23.5%]).3 This statistical equivalence highlights the progress achieved . . . [Full Text of this Article]
Economic Benefits
Clinical Approaches
Health System Approaches
Community-Level Interventions
Conclusions
Author Affiliations: Department of Medicine (Dr Fiore) and Center for Tobacco Research and Intervention (Drs Fiore and Baker), University of Wisconsin Medical School, Madison; Department of Psychology, University of Wisconsin, Madison (Dr Baker); and Department of Psychiatry, University of Minnesota, Minneapolis (Dr Hatsukami).
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