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Nicotine replacement therapy is over-promoted since most ex-smokers quit unassisted
February 09, 2010Health authorities should emphasize the positive message that the most successful method used by most ex-smokers is unassisted cessation, despite the promotion of cessation drugs by pharmaceutical companies and many tobacco control advocates.The dominant messages about smoking cessation contained in most tobacco control campaigns, which emphasize that serious attempts at quitting smoking must be pharmacologically or professionally mediated, are critiqued in an essay in this week's PLoS Medicine by Simon Chapman and Ross MacKenzie from the School of Public Health at the University of Sydney, Australia. This overemphasis on quit methods like nicotine replacement therapy (NRT) has led to the "medicalisation of smoking cessation," despite good evidence that the most successful method used by most ex-smokers is quitting "cold turkey" or reducing-then-quitting. Reviewing 511 studies published in 2007 and 2 008 the authors report that studies repeatedly show that two-thirds to three-quarters of ex-smokers stop unaided and most ex-smokers report that cessation was less difficult than expected.
The medicalisation of smoking cessation is fuelled by the extent and influence of pharmaceutical support for cessation intervention studies, say the authors. They cite a recent review of randomized controlled trials of nicotine replacement therapy (NRT) that found that 51% of industry-funded trials reported significant cessation effects, while only 22% of non-industry trials did. Many assisted cessation studies-but few if any unassisted cessation studies-involve researchers who declare support from a pharmaceutical company manufacturing cessation products.
The authors conclude that "public sector communicators should be encouraged to redress the overwhelming dominance of assisted cessation in public awareness, so that some balance can restored in smokers' minds regarding the contribution that assisted and unassisted smoking cessation approaches can make to helping them quit smoking."
Public Library of Science
Public Library of Science
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Cost to patients barrier to counseling for obesity and smoking
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Study prompts calls for Europe-wide salt legislation
"This study provides excellent ammunition both to convince patients about the benefits of reducing their individual salt intakes and also to persuade the EU of the urgent need to introduce legislation to restrict the salt content of processed foods," said ESC spokesman Professor Frank Ruschitzka, a cardiologist and hypertension specialist from the University of Zurich, Switzerland.
Lung cancer patients who quit smoking double their survival chances
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Sweating out the cravings
It's been 18 excruciating hours since you last had one. You're irritable, stressed out, and the cravings are intense. There is only one thing you can think about firing up - and it isn't your treadmill. But that's exactly what University of Western Ontario researchers have been hard at work trying to convince smokers to do.
UCSF study finds African-Americans bear disproportionate burden of smoking costs in California
African Americans comprise six percent of the California adult population, yet they account for over eight percent of the state's smoking-attributable health care expenditures and 13 percent of smoking-attributable mortality costs, according to a new analysis by UCSF researchers.
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