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Tobacco cessation

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https://www.readbyqxmd.com/read/29150536/availability-sales-and-affordability-of-tobacco-cessation-medicines-in-kerala-india
#1
Smitha Sarma, Sivadasanpillai Harikrishnan, Abigail S Baldridge, Raji Devarajan, Aashna Mehta, Sakhtivel Selvaraj, Mohammed K Ali, Padinhare P Mohanan, Dorairaj Prabhakaran, Mark D Huffman
BACKGROUND: India is the world's second largest consumer of tobacco, but tobacco cessation remains uncommon due, at least in part, to underutilization of cessation pharmacotherapy. We evaluated the availability, sales, and affordability of nicotine replacement therapy, bupropion, and varenicline in the South Indian state of Kerala to understand potential reasons for underutilization. METHODS AND RESULTS: From November 2016 to April 2017, we collected data on availability, inventory, and pricing of cessation medication through a cross-sectional survey of 199 public, semiprivate (Karunya), and private pharmacies across 5 districts in Kerala using World Health Organization/Health Action International methodology...
November 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29150479/impact-of-variation-in-functions-and-delivery-on-the-effectiveness-of-behavioural-and-mood-management-interventions-for-smoking-cessation-in-people-with-depression-protocol-for-a-systematic-review-and-meta-analysis
#2
Gemma Taylor, Paul Aveyard, Regina Van der Meer, Daniel Toze, Bobby Stuijfzand, David Kessler, Marcus Munafò
INTRODUCTION: Tobacco is the world's leading preventable cause of disease and death. People with depression are twice as likely to smoke and are less responsive to standard tobacco treatments as compared with the general population. A Cochrane systematic review of randomised controlled trials of smoking cessation treatment for smokers with current or historical depression found that adding mood management to usual smoking treatment improved quit rates. However, the review did not examine if variation in intervention delivery or intervention functions impacted on treatment effectiveness...
November 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29148565/tobacco-cessation-interventions-for-young-people
#3
REVIEW
Thomas R Fanshawe, William Halliwell, Nicola Lindson, Paul Aveyard, Jonathan Livingstone-Banks, Jamie Hartmann-Boyce
BACKGROUND: Most tobacco control programmes for adolescents are based around prevention of uptake, but teenage smoking is still common. It is unclear if interventions that are effective for adults can also help adolescents to quit. This is the update of a Cochrane Review first published in 2006. OBJECTIVES: To evaluate the effectiveness of strategies that help young people to stop smoking tobacco. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group's Specialized Register in June 2017...
November 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29145626/twelve-month-outcomes-of-a-group-randomized-community-health-advocate-led-smoking-cessation-intervention-in-public-housing
#4
Daniel R Brooks, Joanna L Burtner, Belinda Borrelli, Timothy C Heeren, Tegan Evans, Jessica A Davine, Jonathan Greenbaum, Matthew Scarpaci, John Kane, Vaughan W Rees, Alan C Geller
Background: Lower rates of smoking cessation are a major reason for the higher prevalence of smoking among socioeconomically disadvantaged adults. Because barriers to quitting are both more numerous and severe, socioeconomically disadvantaged smokers may benefit from more intensive intervention. We sought to determine whether a smoking cessation intervention delivered by public housing residents trained as Tobacco Treatment Advocates (TTAs) could increase utilization of cessation resources and increase abstinence...
November 14, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29144995/content-analysis-of-homeless-smokers-perspectives-on-established-and-alternative-smoking-interventions
#5
Susan E Collins, Victoria E Orfaly, Teresa Wu, Sunny Chang, Robert V Hardy, Amia Nash, Matthew B Jones, Leslie Mares, Emily M Taylor, Lonnie A Nelson, Seema L Clifasefi
BACKGROUND: Cigarette smoking is 5 times more prevalent among homeless individuals than in the general population, and homeless individuals are disproportionately affected by smoking-related morbidity and mortality. Homeless smokers report interest in changing their smoking behavior; however, established smoking cessation interventions are neither desirable to nor highly effective for most members of this population. The aim of this study was to document homeless smokers' perceptions of established smoking interventions as well as self-generated, alternative smoking interventions to elucidate points for intervention enhancement...
November 13, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29144886/comparative-effectiveness-of-proactive-tobacco-treatment-among-smokers-with-and-without-chronic-lower-respiratory-disease
#6
Anne C Melzer, Barbara Clothier, Sandra J Japuntich, Siamak Noorbaloochi, Patrick Hammett, Diana J Burgess, Anne M Joseph, Steven S Fu
RATIONALE: Adults with chronic lower respiratory disease (CLRD) differ in their barriers to smoking cessation, but also suffer from tobacco related health concerns, which may motivate quit attempts. Few studies have examined differences in tobacco treatment response between smokers with and without CLRD. OBJECTIVE: We examined the effectiveness of a proactive outreach program for cessation among smokers with and without CLRD. METHODS: Subgroup analysis of the Veterans VICTORY Over Tobacco Study, a pragmatic randomized controlled trial that demonstrated the effectiveness of proactive outreach and the choice of tobacco treatments compared to usual care...
November 16, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29143193/cigarette-demand-among-smokers-with-elevated-depressive-symptoms-an-experimental-comparison-with-low-depressive-symptoms
#7
Roberto Secades-Villa, Sara Weidberg, Alba González-Roz, Derek D Reed, José R Fernández-Hermida
RATIONALE: Individuals with depression smoke more than smokers without depression. Research has shown that cigarette demand is a useful tool for quantifying tobacco reinforcement and supposes a clinical predictor of treatment outcomes. Despite previous studies examining the relative reinforcing efficacy of nicotine among different populations of smokers, to date, no study has assessed cigarette demand among individuals with elevated depressive symptoms. OBJECTIVE: The aim of this study was to compare cigarette demand among samples of smokers with low and elevated depressive symptoms...
November 15, 2017: Psychopharmacology
https://www.readbyqxmd.com/read/29142531/factors-associated-with-implementation-of-the-5a-s-smoking-cessation-model
#8
C Martínez, Y Castellano, A Andrés, M Fu, L Antón, M Ballbè, P Fernández, S Cabrera, A Riccobene, E Gavilan, A Feliu, A Baena, M Margalef, E Fernández
Background: Several health organizations have adopted the 5A's brief intervention model (Ask, Advise, Assess, Assist, Arrange), based on evidence-based guidelines for smoking cessation. We examine individual, cognitive, behavioral, and organizational factors associated with the 5A's performance among clinical healthcare workers in Catalonia. We also investigate how these factors interact and potentially predict the implementation of each component of the 5A's. Methods: A cross-sectional survey was conducted among clinical health workers enrolled in an online smoking cessation training course (n = 580)...
2017: Tobacco Induced Diseases
https://www.readbyqxmd.com/read/29141639/tobacco-use-and-health-insurance-literacy-among-vulnerable-populations-implications-for-health-reform
#9
Robert T Braun, Yaniv Hanoch, Andrew J Barnes
BACKGROUND: Under the Affordable Care Act (ACA), millions of Americans have been enrolling in the health insurance marketplaces. Nearly 20% of them are tobacco users. As part of the ACA, tobacco users may face up to 50% higher premiums that are not eligible for tax credits. Tobacco users, along with the uninsured and racial/ethnic minorities targeted by ACA coverage expansions, are among those most likely to suffer from low health literacy - a key ingredient in the ability to understand, compare, choose, and use coverage, referred to as health insurance literacy...
November 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29140651/fda-required-tobacco-product-inserts-onserts%C3%A2-and-the-first-amendment
#10
Eric N Lindblom, Micah L Berman, James F Thrasher
In 2012, a federal court of appeals struck down an FDA rule requiring graphic health warnings on cigarettes as violating First Amendment commercial speech protections. Tobacco product inserts and onserts can more readily avoid First Amendment constraints while delivering more extensive information to tobacco users, and can work effectively to support and encourage smoking cessation. This paper examines FDA’s authority to require effective inserts and onserts and shows how FDA could design and support them to avoid First Amendment problems...
2017: Food and Drug Law Journal
https://www.readbyqxmd.com/read/29140450/smoking-cessation-delivery-by-general-practitioners-in-crete-greece
#11
Charis Girvalaki, Sophia Papadakis, Constantine Vardavas, Eleni Petridou, Andrew Pipe, Christos Lionis
Background: Tobacco dependence treatment in clinical settings is of prime public health importance, especially in Greece, a country experiencing one of the highest rates of tobacco use in Europe. Methods: Our study aimed to examine the characteristics of tobacco users and document rates of tobacco treatment delivery in general practice settings in Crete, Greece. A cross-sectional sample of patients (n = 2, 261) was screened for current tobacco use in 25 general practices in Crete, Greece in 2015/16...
November 13, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29138902/-use-of-e%C3%A2-cigarettes-as-an-additional-tool-in-a%C3%A2-smoking-cessation-group-intervention-results-after-12%C3%A2-months
#12
Christoph B Kröger, Sarah Ofner, Daniela Piontek
BACKGROUND: E-cigarettes are considerably safer regarding health issues than conventional cigarettes, but there is uncertainty concerning its use for smoking cessation. OBJECTIVES: How and to what extent are E‑cigarettes used by smokers willing to quit? Are E‑cigarettes a useful intervention for smokers attending a group intervention for smoking cessation? MATERIALS AND METHODS: One year after attending a group intervention for smoking cessation in Germany, 637 attendants were assessed by telephone...
November 14, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29138548/e-cigarettes-in-patients-with-copd-current-perspectives
#13
REVIEW
J B Morjaria, E Mondati, R Polosa
Conventional cigarette smoking is known to result in significant COPD morbidity and mortality. Strategies to reduce and/or stop smoking in this highly vulnerable patient group are key public health priorities to reduce COPD morbidity and mortality. Unfortunately, smoking cessation efforts in patients with COPD are poor and there is a compelling need for more efficient approaches to cessation for patients with COPD. Electronic cigarettes (ECs) are devices that use batteries to vaporize nicotine. They may facilitate quit attempts and cessation in many smokers...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29137909/use-of-expired-air-carbon-monoxide-testing-in-clinical-tobacco-treatment-settings
#14
REVIEW
Adam O Goldstein, Stephanie P Gans, Carol Ripley-Moffitt, Chris Kotsen, Matthew Bars
Carbon Monoxide (CO) testing is considered an easy, non-invasive, and objective contribution to the assessment of smoking behavior, as CO is rapidly absorbed into the blood stream when lit cigarettes or cigars are inhaled. CO testing is a medically important, billable outpatient service that can contribute to sustainability of face-to-face tobacco use treatment services by clinicians. This article reviews research on the clinical use of CO testing to provide bio-medical feedback in assessing smoking behavior, on educating smokers on tobacco health effects, on assisting with treatment planning, and as a motivational tool to encourage people to become tobacco free...
November 11, 2017: Chest
https://www.readbyqxmd.com/read/29137560/randomized-trial-of-interventions-for-smoking-cessation-among-medicaid-beneficiaries-with-mental-illness
#15
Mary F Brunette, Sarah I Pratt, Stephen J Bartels, Emily A Scherer, Stacey C Sigmon, Joelle C Ferron, Meghan Santos, Gail E Williams, Samuel Kosydar, Rosemarie S Wolfe, Doris Lotz, Kelley Capuchino
OBJECTIVE: Medicaid beneficiaries with severe mental illnesses are a financially disadvantaged group with high rates of smoking and poor cessation outcomes. This study examined whether abstinence-contingent monetary incentives improved outcomes when added to cessation treatments at community mental health centers: prescriber visit for pharmacotherapy only (PV only), prescriber visit and facilitated quitline (PV+Q), and prescriber visit and telephone cognitive-behavioral therapy (PV+CBT)...
November 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29136217/smoking-cessation-benefit-utilization-comparing-methodologies-for-measurement-using-new-york-state-s-medicaid-data
#16
Kevin Malloy, Anisa Proj, Haven Battles, Theresa Juster, Christina Ortega-Peluso, Meng Wu, Harlan Juster
Introduction: Pharmacotherapy and counseling for tobacco cessation are evidence based methods that increase successful smoking cessation attempts. Medicaid programs are required to provide coverage for smoking cessation services. Monitoring utilization is desirable for program evaluation and quality improvement. Various methodologies have been used to study utilization. Many factors can influence results, perhaps none more than how smokers are identified. This study evaluated utilization of smoking cessation services using various methods to estimate the number of smokers within New York State's (NYS's) Medicaid program in 2015...
November 9, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29130421/high-tobacco-use-prevalence-with-significant-regional-and-sex-differences-in-smokeless-tobacco-use-among-western-alaska-native-people-the-watch-study
#17
Kathryn R Koller, Christie A Flanagan, Gretchen E Day, Christi Patten, Jason G Umans, Melissa A Austin, Scarlett E Hopkins, Cheryl Raindl, Bert B Boyer
Tobacco use prevalence among Alaska Native (AN) people living in Alaska is greater than the general population prevalence statewide and nationally. Better understanding of regional tobacco use is needed to improve cessation efforts and reduce prevalence. Using self-reported baseline data from the Western Alaska Tribal Collaborative for Health study, we describe tobacco use patterns among AN people in two western Alaska regions. Data were stratified by age group and sex. Dual- and multi-product use in the Yukon-Kuskokwim (Y-K) region was stratified by concurrent vs sequential use...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/29129555/nicotine-delivery-efficiency-of-first-and-second-generation-e-cigarettes-and-its-impact-on-relief-of-craving-during-the-acute-phase-of-use
#18
Tobias Rüther, Dieter Hagedorn, Konstantin Schiela, Thomas Schettgen, Helga Osiander-Fuchs, Wolfgang Schober
Knowledge about the change in blood nicotine concentrations during the first five minutes (acute phase) of e-cigarette vaping is important to determine whether the used product has a dependence potential or may be an efficient nicotine replacement product. To address this issue, we monitored blood nicotine levels during the acute phase in volunteers using disposable cigalikes (CLs) and a tank model (TM) and compared them with blood nicotine levels in subjects using a tobacco cigarette (TC). In parallel, heart rate changes were continually measured and withdrawal symptoms and craving were assessed with the Questionnaire on Smoking Urges before and immediately after the vaping/smoking sessions...
October 28, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/29129463/patterns-of-e-cigarette-use-frequency-national-adult-tobacco-survey-2012-2014
#19
Saida R Sharapova, Tushar Singh, Israel T Agaku, Sara M Kennedy, Brian A King
INTRODUCTION: Accounting for occasional or intermittent e-cigarette use has yielded higher estimates of current use among U.S. adults. However, frequency of e-cigarette use by population subgroups is not well described. This study assessed e-cigarette use frequency by sociodemographic characteristics and other tobacco product use among U.S. adults. METHODS: This study analyzed combined data from the 2012-2013 (n=60,192) and 2013-2014 (n=75,233) National Adult Tobacco Survey, a telephone-based survey of U...
November 3, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29128712/the-impact-of-a-brief-cessation-induction-intervention-for-waterpipe-tobacco-smoking-a-pilot-randomized-clinical-trial
#20
Eleanor L S Leavens, Ellen Meier, Alayna P Tackett, Mary Beth Miller, Noor N Tahirkheli, Emma I Brett, Dana M Carroll, Leslie M Driskill, Michael P Anderson, Theodore L Wagener
BACKGROUND: Waterpipe (WP) tobacco smoking delivers many of the same harmful toxicants as cigarette smoking and is on the rise in the US. This study evaluated the feasibility and efficacy of a brief personalized feedback intervention in affecting changes in WP smoking among current WP smokers. METHODS: Participants (N=109) were recruited as they entered WP lounges and completed a questionnaire and exhaled carbon monoxide (eCO) testing before entering the WP lounge...
October 28, 2017: Addictive Behaviors
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