Treatment of tobacco dependence: integrating recent progress into practice

Foll, Bernard Le; George, Tony P.

doi:10.1503/cmaj.070627

Cited by 68 publications

(61 citation statements)

References 70 publications

(48 reference statements)

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“…Nicotine administration is central to tobacco addiction diagnosis (ICD-10) and forms the neuro-biochemical basis of addiction (Foll et al, 2007;IARC, 2008). The behaviour of smokers is controlled by both the positive enforcement -desire to obtain nicotine for its pleasing effect, and the negative enforcement -desire to decrease uncomfortable withdrawal symptoms (IARC, 2008;CDC, 2010).…”

Section: Discussionmentioning

confidence: 99%

Global Adult Tobacco Survey (GATS): A Case for Change in Definition, Analysis and Interpretation of "Cigarettes" and "Cigarettes Per Day" in Completed and Future Surveys

Jena¹,

Kishore²,

Sarkar³

2013

Asian Pacific Journal of Cancer Prevention

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Background: The Global Adult Tobacco Survey has 15 key indicators, cigarettes smoked per day (CPD) among daily smokers being one of them. The first wave of GATS in 14 countries indicated that mean CPD use is higher in women than men in India only, which is contrary to the current understanding of tobacco use globally. This study was undertaken to understand the unusual findings for mean CPD use in the GATS-India survey. Materials and Methods: Items B06a and B06b of the GATS India survey questionnaire that collected information on daily consumption of manufactured and rolled cigarettes were analyzed using SPSS software. Exclusive users were identified from these items after excluding the concurrent users of other tobacco products. Cigarette type, exclusive use and gender stratified analyses were made. Consumption of different types of cigarettes among the mixed users of manufactured and rolled cigarettes were correlated. Results: Higher mean number of CPD use among male daily-smokers was observed than their female counterparts in product specific analysis. Mean CPD as per GATS cigarette definition was higher in males than females for exclusive users but a reverse trend was observed in case of non-exclusive users. Use of manufactured cigarettes increased with increase in use of rolled cigarette among the mixed users and around half of these users reported equal CPD frequency for the both types of cigarettes. Conclusions: The anomaly in mean CPD estimate in GATS-India data was due to inclusion of two heterogeneous products to define cigarettes, variation in cigarette product specific user proportions contributing to the average and non-exclusive concurrent use of other tobacco products. The consumption pattern of cigarettes among the mixed users highlights bias in CPD reporting. Definition, analysis and interpretation of 'cigarettes per day' in the GATS India survey need to be improved by redefining cigarettes and making product specific analyses.

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Section: Discussionmentioning

confidence: 99%

Global Adult Tobacco Survey (GATS): A Case for Change in Definition, Analysis and Interpretation of "Cigarettes" and "Cigarettes Per Day" in Completed and Future Surveys

Jena¹,

Kishore²,

Sarkar³

2013

Asian Pacific Journal of Cancer Prevention

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“…Similarly to other authors, we also observed a growing rate of female smokers in our sample. 24,25 However, men still account for the highest prevalence rates and are at higher risk for daily tobacco consumption, both among people seeking assistance at health care units and in the general population. [26][27][28] A previous study conducted in Pelotas had already reported similar findings, with prevalence rates of 25.6 and 18.5% for men and women, respectively.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil

Lopez

Jansen

Souza

et al. 2012

Trends Psychiatry Psychother.

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Prevalência e perfil dos fumantes diários usuários de três unidades básicas de saúde de Pelotas, sul do Brasil Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil Abstract Objectives: To estimate the prevalence of daily smoking among users of three primary health care units affiliated with a university hospital in the municipality of Pelotas, southern Brazil, and to identify factors associated with daily tobacco consumption.

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“…As abordagens farmacológicas e não farmacológicas são efetivas para aumentar a taxa de cessação do tabagismo e a associação das duas formas de tratamento fornece os melhores resultados (34). A disponibilidade de medicação pelos serviços públicos deve ser, portanto, ampliada para aumentar a taxa de abstinência e quebrar esse círculo vicioso.…”

Section: Discussão E Conclusãounclassified

Impacto Do Programa De Apoio Ao Tabagista De Um Município Do Sul De Minas Gerais, Brasil

et al. 2014

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RESUMOO objetivo deste estudo foi avaliar o impacto do Programa de Tratamento do Tabagismo de um ambulatório municipal, no sul de Minas Gerais, Brasil, na cessação de fumar. Foi realizada uma pesquisa qualitativa e quantitativa, descritiva e exploratória. Foram identificadas as características sociodemográficas, a história do tabagismo e a presença de comorbidades de 35 tabagistas, entrevistados nos domicílios. As entrevistas foram submetidas à análise de conteúdo. Em relação aos resultados quantitativos, 62,9% dos usuários começaram a fumar antes dos 15 anos e 60% apresentavam alta dependência. Em relação à cessação do tabagismo, 82,9% pararam de fumar durante o ano de tratamento; após 18 meses, 58,6% não apresentaram recaídas. Na análise qualitativa dos dados, foram identificadas oito categorias de análise: história tabágica; tabaco como forma de inclusão e de vínculo social; tabaco como fator de liberação das tensões da vida diária e de mecanismo compensatório; processo de mudança do hábito de fumar; conscientização do tabagismo como problema de saúde; fatores de sucesso para a cessação de fumar; recaída como fator de insucesso e cessação de fumar como resgate da autoestima. Este estudo demonstra a importância da implantação de programas anti-tabagismo pelo governo municipal, resultando em grande impacto na cessação do hábito de fumar dos usuários dos serviços públicos de saúde.Palavras chave: Hábito de fumar, tratamento, abandono do uso de tabaco, enfermagem psiquiátrica. ABSTRACTThe aim of this study was to evaluate the impact of the Tobacco Treatment Program at a community clinic in the south of Minas Gerais, Brazil, for smoking cessation. A qualitative and quantitative, descriptive and exploratory research was conducted. Were identified sociodemographic characteristics, history of smoking and comorbidities

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Treatment of tobacco dependence: integrating recent progress into practice

Cited by 68 publications

References 70 publications

Global Adult Tobacco Survey (GATS): A Case for Change in Definition, Analysis and Interpretation of "Cigarettes" and "Cigarettes Per Day" in Completed and Future Surveys

Global Adult Tobacco Survey (GATS): A Case for Change in Definition, Analysis and Interpretation of "Cigarettes" and "Cigarettes Per Day" in Completed and Future Surveys

Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil

Impacto Do Programa De Apoio Ao Tabagista De Um Município Do Sul De Minas Gerais, Brasil

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